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Design Principles
Dental Amalgam Composite Resin
macro mechanical micro mechanical
Retentive (opposing walls, (bonding)
Form grooves, mortise-form)
DISTAL
CUSP
MESIOLINGUAL DISTOLINGUAL
CUSP CUSP
BUCCAL WALL
DISTAL
MESIAL WALL
WALL
LINGUAL WALL
PULPAL FLOOR
OUTLINE FORM
FEATURE RATIONALE
L
BUCCO-LINGUAL EXTENSION
PRINCIPLE RATIONALE
A’
B’
MESIAL & DISTAL WALLS
PRINCIPLE RATIONALE
C
C’
CAVITY REFINEMENT
PRINCIPLE RATIONALE
cavosurface margin
unsupported, rough poorly defined
tooth surface
enamel
CAVOSURFACE MARGINS
cavosurface margin
unsupported, rough poorly defined
tooth surface
amalgam enamel
CAVOSURFACE MARGINS
cavosurface margin
unsupported, rough poorly defined
tooth surface
amalgam enamel
CLEANLINESS
PRINCIPLE RATIONALE
Preparation Technique
Plaster tooth #30
2X normal size
#245
rounded straight fissure bur
3.5mm head length
1mm
4mm
3mm
initial penetration
in central pit
perpendicular to
occlusal table
penetrate 3mm
(length of cutting head)
will translate into
4mm at B & L walls
extend down central
groove toward
M & D fossae
keep bur perpendicular to
occlusal table & spatially
at the same level to create
a flat pulpal floor
stop short of M & D pencil lines
leave room for refinement
extend into B & L grooves
stop short of pencil lines
tip bur slightly to create
divergent M & D walls
0°
45°
0°
22°
45°
0° 11°
22°
45°
0° 6° 11°
22°
45°
tip bur slightly to create
divergent MB, DB, & L
groove terminuses
shape B & L walls into smooth flowing curves
perpendicular to the pulpal floor
extended to the pencil line
be careful not to widen the B & L groove extensions
round off sharp corner at
D triangular ridge without
encroaching on cusp
measure occlusal depth
with perio probe
at triangular ridge
create 6° convergence
at base of triangular
ridges
large straight hatchet smooth pulpal floor with
primary cutting edge
pencil before STUDENTS: Please evaluate your work prior to asking faculty to do so. Mark your assessment in pencil.
DEVIATION
SIGNIFICANT
seeking instructor This step is important in order for your instructor to help you develop appropriate self-assessment skills.
SEVERE
SLIGHT
NONE
evaluation PREPARATION FEATURES/PRINCI P L E S ERRORS LOCATION 2 1 0 -1
I. OUTLINE FORM
A. smooth, regular, flowing curves rough irregular
II. EXTENSION
A. includes contiguous pits & fissures does not include
B. bucco-lingual extensions
1. e x t e n ds into B & L grooves underextended overextended
2. e x t e n ds minimally at triangular ridges overextended at triangular ridge
C . m e sio-distal extensi o n
1. short of marginal / oblique ridge overextended
2. m i n i mal width of B and L grooves underextended overextended
III. OCCLUSAL DEPTH/PULPAL FLOOR
A. depth = 1.5 - 2.5mm at triangular ridges <1.5 but 1.0 <1.0
>2.5 but 3.0 >3.0 but 3.5 >3.5
B. smooth and flat rough or uneven
C . p a rallel to occlusal table slants
IV. OCCLUSAL WALLS
A. smooth rough
B. straight pulpo-occlusally not straight pulpo-occlusally
C. converge at triangular ridges over-convergent not convergent divergent
D. diverge at groove extensions over-divergent not divergent convergent
C d i verge at mesial & distal walls over-divergent not divergent convergent
V. CAVITY REFINEMENT
A. line angles well-defined line angles indistinct
B. cavosurface smooth, crisp, supported rough nicked indistinct unsupported ename l
VI. TISSUE PRESERVATION, RUBBER DAM ISOLATION, CLEANLINESS
A. preparation is clean preparation is contaminated
B. rubber dam is intact rubber dam is torn
C. uninvolved tooth structure intact d a m a ge is: slight moderate severe
D. soft tissue is intact soft tissue dama g e
Name Date Tooth 30 Surfaces O TOTAL (possible 1 2 )
Practical ID# (for practical exam only) PLASTER TOOTH
INSTRUCTOR SIGNATURE
Rubber Dam isolation full LR quadrant
Use W8A retainer ligated
planned: 30-O Class I cavity preparation for amalgam
imagine there is a Class I caries lesion
30-O