(LASS II (AVI1\ PRLPARA1ION (LASS II (AVI1\ PRLPARA1ION

lOR lOR
AMALGAM AMALGAM
& DLSIGN VARIA1IONS & DLSIGN VARIA1IONS
CON1LN1S CON1LN1S
I, I, Deíinition . Deíinition .
II, II, 1ooth preparation 1ooth preparation o·ernin íactors. o·ernin íactors.
1, Outline íorm. 1, Outline íorm.
2, Resistance íorm. 2, Resistance íorm.
3, Retention íorm. 3, Retention íorm.
III, III, Instrumentation. Instrumentation.
1, Outline íorm. 1, Outline íorm.
2, Primarv resistance íorm. 2, Primarv resistance íorm.
3, Primarv retention íorm. 3, Primarv retention íorm.
4, Remo·al oí deíecti·e L & old restorations. 4, Remo·al oí deíecti·e L & old restorations.
5, Pulp protection. 5, Pulp protection.
6, Secondarv resistance & retention. 6, Secondarv resistance & retention.
¯, linal procedures. ¯, linal procedures.
IV, IV, Desins oí ca·itv preparations. Desins oí ca·itv preparations.
V, Variations oí one proximal tooth suríace V, Variations oí one proximal tooth suríace
preparations. preparations.
VI, Modiíications in tooth preparation. VI, Modiíications in tooth preparation.
VII, Lxtended (l II amlaam. VII, Lxtended (l II amlaam.
VIII, (l II perp. in primarv teeth. VIII, (l II perp. in primarv teeth.
IX, (onser·ati·e preparations. IX, (onser·ati·e preparations.
X, Reíerences X, Reíerences . .
CLASS II CAVI1Y PRLPARA1ION CLASS II CAVI1Y PRLPARA1ION
IOR AMALGAM IOR AMALGAM
DLlINI1ION: DLlINI1ION:
A (lass II ca·itv preparation is the proximo A (lass II ca·itv preparation is the proximo--íacial íacial
linual,. proximo linual,. proximo--occlusal or combination occlusal or combination
there oí, tooth preparation. there oí, tooth preparation.
It is part oí mechanotherapv íor a smooth It is part oí mechanotherapv íor a smooth
suríace lesion. in·ol·in the proximal suríaces suríace lesion. in·ol·in the proximal suríaces
oí molars & premolars. oí molars & premolars.
C1
Slide 4
C1
Conservative·01, 3/7/2007
1OO1H PRLPARA1ION 1OO1H PRLPARA1ION
INI1IAL PRLPARA1ION INI1IAL PRLPARA1ION--
Go·ernin íactors: Go·ernin íactors:
OU1LINL lORM: OU1LINL lORM:
lollowin íactors dictate the outline lollowin íactors dictate the outline
íorm: íorm:
A, A, Proportional size oí caries in Proportional size oí caries in
enamel to that in dentin. their enamel to that in dentin. their
relati·e size to that oí relati·e size to that oí
uncleansable prox. areas: uncleansable prox. areas:
i, i, lorward pit, decav: caries cone lorward pit, decav: caries cone
in L · uncleansable area in L · uncleansable area
i, i, Backward decav: caries cone does Backward decav: caries cone does
not undermine all enamel. not undermine all enamel.
ii, ii, Backward decav: caries cone in Backward decav: caries cone in
dentin· uncleansable area dentin· uncleansable area
i, i, lorward decav: more extensi·e L lorward decav: more extensi·e L
decalciíication than the limit oí selí decalciíication than the limit oí selí
cleansable area. cleansable area.
B, Lxtension íor con·inence or access. B, Lxtension íor con·inence or access.
(, Location & condition oí the ini·a. (, Location & condition oí the ini·a.
D, (ondition oí the marinal ride. D, (ondition oí the marinal ride.
L, (on·exitv oí the proximal suríace. L, (on·exitv oí the proximal suríace.
l, Location & extent oí the contact areas & their l, Location & extent oí the contact areas & their
relation to the marinal rides. embrasures & relation to the marinal rides. embrasures &
ini·a. ini·a.
G, Modiívin íactors iníluencin outline íorm: G, Modiívin íactors iníluencin outline íorm:
i, i, Masticatorv loads. Masticatorv loads.
ii, ii, Generalized plaque index. Generalized plaque index.
iii, iii, Localized carioenic íactors. Localized carioenic íactors.
i·, i·, Lsthetics. Lsthetics.
·, ·, 1ooth position. 1ooth position.
RLSIS1AN(L lORM: RLSIS1AN(L lORM:
A, A, Occlusal loadin & its eííects: Occlusal loadin & its eííects:
i, A small cusp contacts the íossa awav i, A small cusp contacts the íossa awav
írom the restored proximal suríace írom the restored proximal suríace
at centric closure. at centric closure.
ii, Lare cusp contacts ii, Lare cusp contacts íossa adjacent íossa adjacent
to the restored prox. to the restored prox.
suríacecentric,. suríacecentric,.
iii, Occludin cusp contacts iii, Occludin cusp contacts l & L tooth l & L tooth
str. Surroundin a proximo str. Surroundin a proximo--occlusal restor. occlusal restor.
i·, Occludin cusp contacts i·, Occludin cusp contacts l & L linual l & L linual
parts oí the restor. Surrounded bv tooth str. parts oí the restor. Surrounded bv tooth str.
·, Occludin cusps ·, Occludin cusps contact l & L parts oí contact l & L parts oí
restor. (ompletelv replacin l & L parts oí restor. (ompletelv replacin l & L parts oí
the tooth structure. the tooth structure.
·i, Occludin cusp ·i, Occludin cusp contacts restor. Marinal contacts restor. Marinal
ride. ride.
·ii, (usp ·ii, (usp occlude´ discocclude ·ia the l ´ L occlude´ discocclude ·ia the l ´ L
roo·e oí the restor. roo·e oí the restor.
·iii, (usps & crossin rides are part oí the restor. ·iii, (usps & crossin rides are part oí the restor.
in centric & excursi·e mo·ements. in centric & excursi·e mo·ements.
ix, Axial portions oí the restoration durin centric ix, Axial portions oí the restoration durin centric
& excursi·e mo·ts. & excursi·e mo·ts.
x, Restoration not in contact ´ is in premature x, Restoration not in contact ´ is in premature
contact. contact.
Amalam Amalam least resistant to tensile stress. least resistant to tensile stress.
most resistant to compressi·e most resistant to compressi·e
stress. stress.
1ooth structure when interrupted bv ca·itv 1ooth structure when interrupted bv ca·itv
prep prep least resistant to shear stress. least resistant to shear stress.
1hereíore. (l II ca·itv prep 1hereíore. (l II ca·itv prep desined to resist desined to resist
cvclic loadin cvclic loadin while minimizin while minimizin tensile tensile loadin loadin in in
amalam & amalam & shear loadin shear loadin in the remainin tooth in the remainin tooth
structure. structure.
B, Desin íeatures íor protection oí the mechanical B, Desin íeatures íor protection oí the mechanical
interitv oí the restor. interitv oí the restor.
1, 1, IS1lMUS IS1lMUS: :
1he junction b´n the occlusal part oí a restor. & the 1he junction b´n the occlusal part oí a restor. & the
prox. l ´ L parts. prox. l ´ L parts.
Potentiallv deleterious tensile loadin occurs. Potentiallv deleterious tensile loadin occurs.
Mathematical. mech.. photoelastic analvses oí these Mathematical. mech.. photoelastic analvses oí these
stresses re·eal: stresses re·eal:
i, i, lulcrum oí bendin occurs at the axio lulcrum oí bendin occurs at the axio--pulpalA pulpalA--P, line P, line
anle. anle.
ii, ii, Stresses Stresses | closer to the suríace oí the restor.. awav | closer to the suríace oí the restor.. awav
írom that oí the íulcrum. írom that oí the íulcrum.
iii, iii, 1ensile stresses predominate at the marinal ride area 1ensile stresses predominate at the marinal ride area
oí the proximo oí the proximo--occlusal restor. occlusal restor.
Material tends to íail. startin írom the Material tends to íail. startin írom the
suríace. near the marinal ride & suríace. near the marinal ride &
proceedin internallv. toward the A proceedin internallv. toward the A--P line P line
anle. anle.
A theoretical solution miht be: A theoretical solution miht be:
1, 1,| amalam bulk at the A | amalam bulk at the A--P line anle. P line anle.
2, Brin A 2, Brin A--P line anle closer to the suríace P line anle closer to the suríace
3,i, (ombination oí abo·e 2 solutions: 3,i, (ombination oí abo·e 2 solutions:
a, | amalam bulk at marinal ride. a, | amalam bulk at marinal ride.
b, Brin A b, Brin A--P line anle awav írom stress conc. P line anle awav írom stress conc.
area. area.
ii, Roundin oí A ii, Roundin oí A--P line anle. P line anle.
iii, Slantin oí axial wall iii, Slantin oí axial wall depth depth | rather than | rather than
width. width.
i·, llat pulpal & ini·al íloors. i·, llat pulpal & ini·al íloors.
·, L·erv part oí the preparation selí retenti·e. ·, L·erv part oí the preparation selí retenti·e.
·i, A·oid lea·in suríace discontinuties. ·i, A·oid lea·in suríace discontinuties.
·ii, (heck occlusion. ·ii, (heck occlusion.
2, MARGINS 2, MARGINS::
i, i, (reate butt joint. (reate butt joint.
ii, ii, Lea·e no írail enamel. Lea·e no írail enamel.
iii, iii, Interíace b´n amalam & tooth str. Should not be at Interíace b´n amalam & tooth str. Should not be at
the occludin contact area. the occludin contact area.
3,(USPS & AXIAL ANGLLS 3,(USPS & AXIAL ANGLLS::
Desin íeatures in these parts oí the restor.: Desin íeatures in these parts oí the restor.:
a, a, Amalam bulk in all 3Ds Amalam bulk in all 3Ds at least 1.5mm. at least 1.5mm.
b, b, Lach portion completelv immobilized with retention Lach portion completelv immobilized with retention
modes. modes.
c, c, Amalam seated on ílat íloors´ table. Amalam seated on ílat íloors´ table.
d, d, Amalam replacin cusps´axial anles should ha·e a Amalam replacin cusps´axial anles should ha·e a
bulkv connection to the main part oí the restor. bulkv connection to the main part oí the restor.
(, Desin íeatures íor th protection oí the phvsio (, Desin íeatures íor th protection oí the phvsio--
mechanical interitv oí the remainin tooth str. mechanical interitv oí the remainin tooth str.
1, 1, Isthmus Isthmus 1´4 1´4 -- 1´5 inter cuspal distance. 1´5 inter cuspal distance.
2, 2, Occlusal suríace: Occlusal suríace:
i, i, Di·erence oí walls toward marinal ride. Di·erence oí walls toward marinal ride.
ii, ii, Perpend. oí walls toward the crossin ride. Perpend. oí walls toward the crossin ride.
iii, iii, Preser·in crossin rides. Preser·in crossin rides.
i·, i·, 1hree anulation íor the walls around cusps. 1hree anulation íor the walls around cusps.
·, ·, Deíinite rovunded line & point anles. Deíinite rovunded line & point anles.
·i, ·i, Rt.anled ca·o suríace anles. Rt.anled ca·o suríace anles.
·ii, ·ii, l & L walls at the isthmus l & L walls at the isthmus perpend. 1o pulpal perpend. 1o pulpal
íloor íloor bulk bulk
3, (usps & axial anles: 3, (usps & axial anles:
Ideal lenth : width ratio oí cuspal wall Ideal lenth : width ratio oí cuspal wall
surroundin a (l II surroundin a (l II 1 : 1 or less M 1 : 1 or less M--D & D &
BB--L. L.
Ií ·2 : 1 Ií ·2 : 1 cuspal wall shortened until 1 :1 cuspal wall shortened until 1 :1
L·erv eííort made to protect the axial anle. L·erv eííort made to protect the axial anle.
4, Marins 4, Marins ::
l & L marins´walls l & L marins´walls meet the proximal meet the proximal
suríace at a rt. anle. suríace at a rt. anle.
Present in correspondin embrassures. Present in correspondin embrassures.
\hen necessarv to include a broad contact \hen necessarv to include a broad contact
area area re·erse cur·e i·en & rt. anled ca·o re·erse cur·e i·en & rt. anled ca·o
suríace maintained. suríace maintained.
Usuallv done on the l Usuallv done on the l-- prox.walls & occasionallv prox.walls & occasionallv
on L on L-- prox.walls. prox.walls.
Ad·antae: Ad·antae:
i, Preser·e tooth str. at critical marinal area. i, Preser·e tooth str. at critical marinal area.
ii, A·oid impinin on the pulpal anatomv. ii, A·oid impinin on the pulpal anatomv.
iii, 1erminate marins in a rt. anled ca·o iii, 1erminate marins in a rt. anled ca·o-- suríace. suríace.
i·, Includes all uncleansable broad contacts. i·, Includes all uncleansable broad contacts.
Gini·al marins Gini·al marins ini·al 3 ini·al 3
rd rd
oí in·ol·ed prox. oí in·ol·ed prox.
suríace. suríace.
Gini·al íloors Gini·al íloors 2 planed 2 planed be·el be·el 15 15--20 20
00
In direct access (l II prox.ca·itv prep. In direct access (l II prox.ca·itv prep.
Occlusal wall one planed Occlusal wall one planed di·erent towards di·erent towards
that marinal ride that marinal ride direction oí L rods. direction oí L rods.
ií retention deíicient ií retention deíicient 2 planes. 2 planes.
RL1LN1ION lORM: RL1LN1ION lORM:
4 tvpes oí displacements íor (l II proximo 4 tvpes oí displacements íor (l II proximo--
occlusal restoration. occlusal restoration.
a, Proximal displacement oí the entire restoration. a, Proximal displacement oí the entire restoration.
b, Proximal displacement oí the prox.portion. b, Proximal displacement oí the prox.portion.
c, Lateral rotation oí the restor. around c, Lateral rotation oí the restor. around
hemispherical íloors. hemispherical íloors.
d, Occlusal displacement. d, Occlusal displacement.
Althouh manitude oí these 4 displacements is Althouh manitude oí these 4 displacements is
minute. thev are repeated 1000 times´dav. minute. thev are repeated 1000 times´dav.
1his will 1his will | microleakae. | microleakae.
Initiate mech. & bio. íailure Initiate mech. & bio. íailure oí the restor. & oí the restor. &
tooth str. tooth str.
Proper lockin oí the restor. into the tooth Proper lockin oí the restor. into the tooth
should be exercised to minimize these hazards. should be exercised to minimize these hazards.
INS1RUMLN1A1ION INS1RUMLN1A1ION
INI1IAL (LINI(AL PRO(LDURLS: INI1IAL (LINI(AL PRO(LDURLS:
1, 1, Local anesthesia. Local anesthesia.
2, 2, Occlusal contacts Occlusal contacts
3, 3, Rubber dam placement Rubber dam placement
4, 4, 1ooth preparation. 1ooth preparation.
Initial tooth preparation: Initial tooth preparation:
1,Occlusal outline íorm 1,Occlusal outline íorm occlusal step ,: occlusal step ,:
Similar to (l I prep. Similar to (l I prep.
No 245 bur used. No 245 bur used.
Lon axis oí the bur parallel to the lon axis oí the tooth. Lon axis oí the bur parallel to the lon axis oí the tooth.
Usin hih speed with air water sprav. enter the Usin hih speed with air water sprav. enter the
pit near the in·ol·ed prox. suríace. pit near the in·ol·ed prox. suríace.
Initial depth 1.5mm Initial depth 1.5mm írom the central íissure írom the central íissure
2.0mm 2.0mm írom the external wall oí írom the external wall oí
prepared tooth. prepared tooth.
Pulpal depth Pulpal depth 0.1 0.1--0.2mm into the dentin. 0.2mm into the dentin.
Pulpal íloor Pulpal íloor ílat. ílat.
Isthmus width Isthmus width not wider than 1´4 not wider than 1´4
th th
the I(D. the I(D.
B & L walls B & L walls con·erence. con·erence.
Do·e Do·e--tail retention íorm. tail retention íorm.
Lnameloplastv where e·er necessarv. Lnameloplastv where e·er necessarv.
Re·erse cur·e. Re·erse cur·e.
Occlusal outline should end approx. 0.8mm Occlusal outline should end approx. 0.8mm
short oí marinal ride. short oí marinal ride.
Proximal outline íorm Proximal outline íorm Prox. Box ,: Prox. Box ,:
Objecti·es íor extension: Objecti·es íor extension:
1, 1, Include all caries. íaults or existin restor. Include all caries. íaults or existin restor.
2, 2, (reate a 90 (reate a 90
0 0
ca·o ca·o--suríace marins. suríace marins.
3, 3, Lstablish not · 0.5mm clearance with the adj. Lstablish not · 0.5mm clearance with the adj.
prox. suríace l. L. G ,. prox. suríace l. L. G ,.
Initial step Initial step Prox. Ditch cut. Prox. Ditch cut.
2´3 2´3
rd rd
at the expense oí dentin. at the expense oí dentin.
1´3 1´3
rd rd
L. L.
Lxtend the ditch G just bevond the Lxtend the ditch G just bevond the
caries or prox.contact which e·er is caries or prox.contact which e·er is
reater. reater.
Should clear the adjacent tooth bv Should clear the adjacent tooth bv
0.5mm 0.5mm
PM mav ha·e prox.boxes shallower PM mav ha·e prox.boxes shallower
pulpallv thinner enamel ,. pulpallv thinner enamel ,.
Ideal dentinal depth oí the axial wall Ideal dentinal depth oí the axial wall 0.5 0.5--
0.6mm. 0.6mm.
Ií in cementum Ií in cementum 0.¯ 0.¯--0.8mm. 0.8mm.
2,Primarv resistance íorm: 2,Primarv resistance íorm:
Pro·ided bv. Pro·ided bv.
1, 1, llat pulpal & ini·al íloors. llat pulpal & ini·al íloors.
2, 2, Restrictin extension oí walls & preser·in stron Restrictin extension oí walls & preser·in stron
cusps. cusps.
3, 3, Re·erse cur·e. Re·erse cur·e.
4, 4, Sliht roundin oí internal line & point anles. Sliht roundin oí internal line & point anles.
5, 5, Lnouh thickness oí restor. material. Lnouh thickness oí restor. material.
3,Primarv retention íorm: 3,Primarv retention íorm:
Pro·ided bv. Pro·ided bv.
1, 1, Occlusal con·erence oí l & L walls. Occlusal con·erence oí l & L walls.
2, 2, Do·e Do·e--tail desin. tail desin.
linal tooth preparation: linal tooth preparation:
4, Remo·al oí anv deíecti·e L & iníected carious 4, Remo·al oí anv deíecti·e L & iníected carious
dentin. dentin.
5, Pulp protection. 5, Pulp protection.
6, Secondarv retention & resistance íorms: 6, Secondarv retention & resistance íorms:
Secondarv retention bv. Secondarv retention bv.
Retention locks. Retention locks.
No.169L bur used. No.169L bur used.
On Al & AL line anles. On Al & AL line anles.
Should be 0.2mm inside the DLJ. Should be 0.2mm inside the DLJ.
1erminate at the Axio 1erminate at the Axio--linuo bucco, pulpal linuo bucco, pulpal
point anle. diminishin in depth occlusallv. point anle. diminishin in depth occlusallv.
4 characteristics oí prox. locks. 4 characteristics oí prox. locks.
1, 1, Position Position : reíers to Al ´ AL line anle oí the : reíers to Al ´ AL line anle oí the
prep.tooth. prep.tooth.
2, 2, 1ranslation 1ranslation : the direction oí mo·ement oí lon : the direction oí mo·ement oí lon
axis oí the bur. axis oí the bur.
3, 3, Depth Depth :extent oí translation. :extent oí translation.
4, 4, Occluso Occluso--ini·al orientation ini·al orientation : tilt oí No.169L : tilt oí No.169L
bur which dictates occlusal heiht oí the lock. bur which dictates occlusal heiht oí the lock.
¯, Procedures íor íinishin external walls: ¯, Procedures íor íinishin external walls:
Remo·al oí unsupported L & marinal Remo·al oí unsupported L & marinal
irreularities. irreularities.
Butt joint relationship. Butt joint relationship.
Sliht ca·o Sliht ca·o--suríace be·el at ini·al marin suríace be·el at ini·al marin 6 6
centirade ´ 20 centirade ´ 20
00
declination. declination.
Gini·al marinal trimmer is used. Gini·al marinal trimmer is used.
\hen G marin in cementum \hen G marin in cementum no be·el. no be·el.
8, linal procedures : (leanin. inspectin. 8, linal procedures : (leanin. inspectin.
bondin. bondin.
LSIGNS OI CLASS II CAVI1Y LSIGNS OI CLASS II CAVI1Y
PRLPARA1ION PRLPARA1ION
1, (l II. desin 1 (on·entional desin , : 1, (l II. desin 1 (on·entional desin , :
In·ol·ement In·ol·ement : proximal & occlusal suríaces. : proximal & occlusal suríaces.
Indications Indications : a, moderate : a, moderate-- lare size lesion with similar sized lare size lesion with similar sized
occlusal lesion. occlusal lesion.
b, Undermined marinal ride. b, Undermined marinal ride.
c, (aries cone necessitate ca·itv width to .1´4 c, (aries cone necessitate ca·itv width to .1´4
th th
I(D. I(D.
General shape General shape ::
Occlusallv Occlusallv similar to (l I . desin 1 or 2. do·e similar to (l I . desin 1 or 2. do·e--tail onlv on one tail onlv on one
side. side.
Proximallv Proximallv in·erted truncated cone. in·erted truncated cone.
Location oí the marins Location oí the marins ::
Occlusal portion Occlusal portion : similar to (l I desin 1 or 2. : similar to (l I desin 1 or 2.
Proximal portion Proximal portion : l & L marins : l & L marins in in
correspondin embrassures. correspondin embrassures.
1ips oí the explorer must pass íreelv. 1ips oí the explorer must pass íreelv.
Gini·al portion Gini·al portion : ideallv : ideallv occlusal portion oí the occlusal portion oí the
ini·al sulcus space. ini·al sulcus space.
Isthmus portion Isthmus portion : l & L marins : l & L marins on the inclined on the inclined
planes oí correspondin cusps & remainin planes oí correspondin cusps & remainin
portion oí marinal ride. portion oí marinal ride.
Separated not more than 1´3 Separated not more than 1´3
rd rd
I(D. I(D.
Internal anatomv Internal anatomv::
Occlusallv Occlusallv : similar to (l I desin 1 or 2. : similar to (l I desin 1 or 2.
Proximallv Proximallv ::
M M--D cross section D cross section ::
Ií ini·al marin on cementum Ií ini·al marin on cementum ílat. ílat.
in G 1´3 in G 1´3
rd rd
2 planed. 2 planed.
in the middle 3 in the middle 3
rd rd
as in voun & as in voun &
incompletelv erupted teeth. 1 plane. incompletelv erupted teeth. 1 plane.
Axial wall Axial wall slanted toward pulpal íloor. makin slanted toward pulpal íloor. makin
an obtuse anle with ini·al íloor. an obtuse anle with ini·al íloor.
rounded. rounded.
retention locks. retention locks.
2, (l II. desin 2 Modern desin ,: 2, (l II. desin 2 Modern desin ,:
In·ol·ement In·ol·ement : proximal & occlusal suríaces. : proximal & occlusal suríaces.
Indications Indications : a, moderate : a, moderate -- small sized prox.lesion small sized prox.lesion
not extendin the area oí near approach ,. not extendin the area oí near approach ,.
b, Occlusal lesion b, Occlusal lesion not exceedin 1´4 not exceedin 1´4
th th
I(D. I(D.
General shape General shape ::
Occlusal portion Occlusal portion : similar to (l I desin 1 & : similar to (l I desin 1 &
sometimes 2. sometimes 2.
Verv little ií anv do·e Verv little ií anv do·e--tail shape. tail shape.
Proximal portion: Proximal portion:
Unilateral in·erted truncated cone. Unilateral in·erted truncated cone.
In upper teeth In upper teeth linual in·erted truncated linual in·erted truncated
cone onlv. cone onlv.
Lower teeth Lower teeth buccal in·erted truncated buccal in·erted truncated
cone onlv. cone onlv.
1his íeature done on íunctional side onlv. 1his íeature done on íunctional side onlv.
Location oí the marins Location oí the marins::
Occlusal portion Occlusal portion : similar to (l I desin 1 : similar to (l I desin 1
Proximal portion Proximal portion : ini·al to contact area. : ini·al to contact area.
Isthmus portion Isthmus portion : l & L marins : l & L marins separated separated
not · 1´4 not · 1´4
th th
I(D. I(D.
Re·erse cur·e. Re·erse cur·e.
Internal anatomv Internal anatomv ::
Occlusal portion Occlusal portion : similar to (l I. Desin 1. : similar to (l I. Desin 1.
Proximal portion Proximal portion : :
M M -- D cross section D cross section ::
Similar to con·entional desin. Similar to con·entional desin.
all line anles rounded. with exception oí G all line anles rounded. with exception oí G--A A
line anle line anle kept sharp kept sharp stabilization oí restor. stabilization oí restor.
Preparation modiíications Preparation modiíications ::
In 1apered teeth bell shaped , In 1apered teeth bell shaped , : roo·es ha·in : roo·es ha·in
maximal dimension at the pulpal íloor le·el maximal dimension at the pulpal íloor le·el
re·erse that oí con·entional desin ,. re·erse that oí con·entional desin ,.
3, (l II. desin 3 (onser·ati·e desin , : 3, (l II. desin 3 (onser·ati·e desin , :
In·ol·ement In·ol·ement : Primarilv proximal. ·erv little occlusal not bevond the : Primarilv proximal. ·erv little occlusal not bevond the
adj. trianular íossa. adj. trianular íossa.
Indications Indications : a, Decav in prox.suríace onlv & occlusallv sound. : a, Decav in prox.suríace onlv & occlusallv sound.
b, Restor. subjected to minimal loadin. b, Restor. subjected to minimal loadin.
General shape General shape ::
In·erted truncated cone located totallv proximallv. In·erted truncated cone located totallv proximallv.
1he tip in·ol·es part oí adj. occlusal trianular íossa. 1he tip in·ol·es part oí adj. occlusal trianular íossa.
Location oí marins Location oí marins ::
Occlusallv Occlusallv : occlusal inclined plane oí the in·ol·ed marinal ride. : occlusal inclined plane oí the in·ol·ed marinal ride.
l & L marins l & L marins ·erv limited. ·erv limited.
Proximallv Proximallv : similar to modern desin. : similar to modern desin.
Internal anatomv Internal anatomv ::
M M -- D cross section D cross section ::
Gini·al íloor Gini·al íloor::
i, i, Ií in G 3 Ií in G 3
rd rd
3 planes. 3 planes.
ii, ii, In middle 3 In middle 3
rd rd
2 planes. 2 planes.
Axial wall Axial wall slanted · than in modern slanted · than in modern
desin,. desin,.
l l -- L cross section L cross section ::
Axial wall Axial wall con·ex. con·ex.
Prox.suríace Prox.suríace 3 planes 3 planesií marins are ií marins are
at l ´ L 3 at l ´ L 3
rd rd
oí prox.suríace. oí prox.suríace.
2 planes 2 planes ií at middle 3 ií at middle 3
rd rd
..
4, (l II. desin 4 Simple desin ,: 4, (l II. desin 4 Simple desin ,:
In·ol·ement In·ol·ement : proximal suríace onlv. : proximal suríace onlv.
Indications Indications : a, Decav restricted to contact : a, Decav restricted to contact
areas. areas.
b, 1here is diastema´ adj. tooth is missin. b, 1here is diastema´ adj. tooth is missin.
c, Rotated ´inclined teeth. c, Rotated ´inclined teeth.
d, Prox. lesion located ·erv G at ´ apical to d, Prox. lesion located ·erv G at ´ apical to
(LJ. ini·al recession senile decav,. (LJ. ini·al recession senile decav,.
e, 1apered tooth with wide ini·al e, 1apered tooth with wide ini·al
embrassure. embrassure.
í, Occlusal embrasures pronounced in í, Occlusal embrasures pronounced in
dimensions. dimensions.
General shape General shape ::
No speciíic shape. No speciíic shape.
Assumes a trapezoidal´ rhomboidal shape. Assumes a trapezoidal´ rhomboidal shape.
Location oí the marin Location oí the marin ::
Ií diastema pr. Ií diastema pr. no speciíic location oí marin. no speciíic location oí marin.
Ií apical to contact senile decav, Ií apical to contact senile decav, O & G marins O & G marins G G
embrasures. embrasures.
l & L marins l & L marins in l & L embrasures. in l & L embrasures.
Ií at contact area clinical´ anatomical, Ií at contact area clinical´ anatomical,
O marin O marin O embrasure. O embrasure.
G marin G marin G embrasure just clearin the contact area. G embrasure just clearin the contact area.
l & L marins l & L marins corres. embr. \ith more extension on corres. embr. \ith more extension on
the access side. the access side.
Internal anatomv Internal anatomv ::
l l -- L cross section L cross section::
Axial wall Axial wall ílat ílat -- sliht co·ex l sliht co·ex l--L. L.
Ií at íurcation area Ií at íurcation area conca·e l conca·e l--L. L.
parallelin the suríace conca·itv. parallelin the suríace conca·itv.
O O -- G cross section: G cross section:
Gini·al íloor Gini·al íloor ::
i, i, On cementum On cementum 2 planes. 2 planes.
ii, ii, On L On L 3 planes. 3 planes.
5, (l II. desin 5 5, (l II. desin 5 ::
In·ol·ement In·ol·ement : part oí the prox. suríace with a : part oí the prox. suríace with a
·erv little access area on the l & L ·erv little access area on the l & L
suríace. suríace.
Indications Indications : 2 shapes : 2 shapes
In Shape A In Shape A: l & L access will not ha·e do·e : l & L access will not ha·e do·e--
tail. tail.
a, a, Small Small -- medium sized prox.lesion. medium sized prox.lesion.
b, b, Marinal ride intact. Marinal ride intact.
c, c, Does not in·ol·e contact area. Does not in·ol·e contact area.
d, d, Gini·al embrasure not accessible. Gini·al embrasure not accessible.
(a·itv (a·itv 4 deíinite walls. with opposin 4 deíinite walls. with opposin
retenti·e roo·es in at least 2 oí them. retenti·e roo·es in at least 2 oí them.
Shape B Shape B: l & L access will ha·e a lockin íeature : l & L access will ha·e a lockin íeature
in the íorm oí do·e in the íorm oí do·e--tail. unilaterallv cut in tail. unilaterallv cut in
occlusal direction. occlusal direction.
a, a, Medium Medium -- lare sized prox.lesion. lare sized prox.lesion.
(a·itv (a·itv will not ha·e 4 walls. either one wall ´ no will not ha·e 4 walls. either one wall ´ no
wall bulkv enouh to accommodate a roo·e. wall bulkv enouh to accommodate a roo·e.
General shape General shape ::
No speciíic shape. No speciíic shape.
Mav appear trapezoidal´elliptical. Mav appear trapezoidal´elliptical.
l & L part l & L part Shape A Shape A box´ rectanular. box´ rectanular.
Shape B Shape B one sided do·e one sided do·e--tail. tail.
Location oí marins Location oí marins ::
G marins G marins G embr. G embr.
O marins O marins G embr. Just apical to contact area. G embr. Just apical to contact area.
l & L marins l & L marins on the non access side on the non access side in corres. Lmbr. Short oí in corres. Lmbr. Short oí
axial anle oí the tooth. axial anle oí the tooth.
On access side On access side íar enouh onto l´L suríace to include axial íar enouh onto l´L suríace to include axial
anle max. 1´4 anle max. 1´4
th th
l´L suríace,. l´L suríace,.
Internal anatomv: Internal anatomv:
O O -- G cross section G cross section::
Axial wall Axial wall ílat ´ conca·e. ílat ´ conca·e.
O& G walls O& G walls ií on ( & D ií on ( & D 2 planes. 2 planes.
ií on L ií on L one plane. one plane.
l l -- L cross section L cross section::
2 axial walls 2 axial walls one prox. & another l ´ L . one prox. & another l ´ L .
Rounded axio Rounded axio-- axial line anle. axial line anle.
Proximal axial wall Proximal axial wall slihtlv slanted towards the access side. slihtlv slanted towards the access side.
6, (l II . desin 6 6, (l II . desin 6 ::
In·ol·ement In·ol·ement : the O. P & part oí the l & L suríaces. : the O. P & part oí the l & L suríaces.
Indications Indications: a, the cusp lenth is double or more its width. : a, the cusp lenth is double or more its width.
b, (usp completelv missin or undermined. b, (usp completelv missin or undermined.
c, loundation íor cast restor. required. c, loundation íor cast restor. required.
d, Doubtíul pronosis endodonticallv & peridonticallv. d, Doubtíul pronosis endodonticallv & peridonticallv.
e, Badlv broken down teeth that need to be prepared prior e, Badlv broken down teeth that need to be prepared prior
to endo´ortho tr. to endo´ortho tr.
General shape General shape ::
O & P parts O & P parts similar to desin 1 or 2. similar to desin 1 or 2.
l & L parts l & L parts rectanular in outline. rectanular in outline.
Location oí marin Location oí marin ::
O & P portion O & P portion similar to desin 1 or 2. similar to desin 1 or 2.
l & L portions l & L portions in areas at ´ occlusal to the ht. oí in areas at ´ occlusal to the ht. oí
contour oí the l & L suríaces. contour oí the l & L suríaces.
Do not place marin in roo·es. Do not place marin in roo·es.
Ií marin comes near a roo·e Ií marin comes near a roo·e include in ca·itv include in ca·itv
prep. prep.
In areas apical to the ht.oí contour l & L In areas apical to the ht.oí contour l & L
same as G 3 same as G 3
rd rd
oí prox.suríaces. oí prox.suríaces.
Internal anatomv Internal anatomv::
O & P O & P similar to desin 1 or 2. similar to desin 1 or 2.
Rules to prep.a cusp Rules to prep.a cusp::
1, 1, (usp to be replaced (usp to be replaced reduce 1.5 reduce 1.5--2.0mm írom 2.0mm írom
opposin cuspal elements.more on íunctional opposin cuspal elements.more on íunctional
cusp. cusp.
2, 2, (usp (usp cut ílat in the íorm oí table. with cut ílat in the íorm oí table. with
rt.anled ca·o rt.anled ca·o--suríace marins. suríace marins.
3, 3, Mini lenth : width Mini lenth : width 1:1 1:1
4, 4, Ií cusp undermined Ií cusp undermined tabled until there is intact tabled until there is intact
L supported bv sound D. L supported bv sound D.
5, 5, Remainin part oí ca·itv should ha·e suííicient Remainin part oí ca·itv should ha·e suííicient
retention. retention.
6, 6, Ne·er place pins on tables which will Ne·er place pins on tables which will
accommodate amalam cusps´part oí cusps. accommodate amalam cusps´part oí cusps.
¯, ¯, In multiple tables In multiple tables junction rounded. junction rounded.
¯, (l II . desin ¯ ¯, (l II . desin ¯ ::
In·ol·ement In·ol·ement : : Shape A Shape A junction b´w the (l II & junction b´w the (l II &
(l V ·ia proximal. crossin the axial anle. (l V ·ia proximal. crossin the axial anle.
General shape General shape ::
O portion O portion similar to desin 1 or 2. similar to desin 1 or 2.
PP--l & P l & P-- l portion l portion ií unilateral extension l´L ií unilateral extension l´L
L shaped. L shaped.
Bilateral Bilateral in·erted 1 shaped. in·erted 1 shaped.
Shape B Shape B : junction b´w the (l II & (l V is : junction b´w the (l II & (l V is
throuh the occlusal ·ia the B &´ L roo·e. throuh the occlusal ·ia the B &´ L roo·e.
General shape General shape::
O & P portions O & P portions desin 1 or 2. desin 1 or 2.
l & L portions l & L portions in·erted 1 shaped. in·erted 1 shaped.
8, (l II . desin 8 8, (l II . desin 8 ::
I In·ol·ement n·ol·ement : 2 or more suríaces oí an endo. tr. : 2 or more suríaces oí an endo. tr.
tooth that does not requirec post retention. tooth that does not requirec post retention.
Indications Indications: a, tooth has suííicient pulp chamber : a, tooth has suííicient pulp chamber
to accommodate retainin. selí resistin to accommodate retainin. selí resistin
amalam bulk mini.2mm in 3Ds, amalam bulk mini.2mm in 3Ds,
b, Post endo. Pulp chamber has atleast 2 b, Post endo. Pulp chamber has atleast 2
opposin intact walls. opposin intact walls.
c, 1ooth contains suííicient lare root canals c, 1ooth contains suííicient lare root canals to to
accommodate amalam at its O 1´3 accommodate amalam at its O 1´3
rd rd
mini.1.5mm, mini.1.5mm,
d, A íoundation is needed íor reiníorcin restor. d, A íoundation is needed íor reiníorcin restor.
General shape General shape : similar to desin 6. : similar to desin 6.
Internal anatomv Internal anatomv::
Rules Rules to arri·e to the íinished product: to arri·e to the íinished product:
1, 1, Lxca·ate Lxca·ate residual R( íillin írom residual R( íillin írom
pulp chamber. Bare dentin exposed. pulp chamber. Bare dentin exposed.
2, 2, Lare R( that can accommodate an Lare R( that can accommodate an
amalam 1.5mm amalam 1.5mm R( íillin remo·ed R( íillin remo·ed
to 3 to 3--4mm depth. 4mm depth.
3, Ií possible square up` surroundin walls. 3, Ií possible square up` surroundin walls.
4, In bulkv portions oí the surroundin walls 4, In bulkv portions oí the surroundin walls cut cut
ílat ledes ílat ledes recei·e most oí the occlusal recei·e most oí the occlusal
loadin. loadin.
5, 1rv to make e·erv part selí retenti·e. 5, 1rv to make e·erv part selí retenti·e.
6, Lach ílat portion oí the prep. 6, Lach ílat portion oí the prep. reciprocated reciprocated
to immobilize the restor. & e·enlv distribute to immobilize the restor. & e·enlv distribute
the stress. the stress.
VARIA1IONS OI ONL VARIA1IONS OI ONL
PROXIMAL SURIACL 1OO1H PROXIMAL SURIACL 1OO1H
PRLPARA1IONS PRLPARA1IONS
1, 1, MANDIBULAR 1 MANDIBULAR 1
S1 S1
PRLMOLAR PRLMOLAR::
Relati·elv small size oí linual cusp. Relati·elv small size oí linual cusp.
Lxcessi·e extension in íacial Lxcessi·e extension in íacial
direction direction approach´ expose the íacial approach´ expose the íacial
pulp horn. pulp horn.
Varietv oí occlusal patterns Varietv oí occlusal patterns exhibit a exhibit a
lare trans·erse ride oí enamel. lare trans·erse ride oí enamel.
22, MAXILLAR\ 1 , MAXILLAR\ 1
S1 S1
MOLAR MOLAR::
\hen unaííected oblique ride present \hen unaííected oblique ride present separate 2 separate 2
suríace tooth prep. are indicated. suríace tooth prep. are indicated.
3, MAXILLAR\ 1 3, MAXILLAR\ 1
S1 S1
PRLMOLAR: PRLMOLAR:
(l II in·ol·in mesial suríace (l II in·ol·in mesial suríace special attention special attention M M --
l embr. l embr. estheticallv prominent. estheticallv prominent.
Ií M Ií M--P in·ol·ement: P in·ol·ement:
1, 1, Is limited to a íissure in the marinal ride. Is limited to a íissure in the marinal ride.
2, 2, Not treatable bv enameloplastv. Not treatable bv enameloplastv.
3, 3, Does not in·ol·e the prox.contact. Does not in·ol·e the prox.contact.
1hen. prepare prox. portion with marins 1hen. prepare prox. portion with marins linual to the linual to the
contact. contact.
Distal suríace in·ol·ement Distal suríace in·ol·ement prep. in con·entional modes. prep. in con·entional modes.
MOIIICA1IONS IN 1OO1H MOIIICA1IONS IN 1OO1H
PRLPARA1IONS PRLPARA1IONS
1, SLO1 PRLPARA1ION´BOX 1, SLO1 PRLPARA1ION´BOX--ONL\ ONL\
PRLPARA1ION: PRLPARA1ION:
Outline íorm Outline íorm::
Access to the prox.lesion throuh Access to the prox.lesion throuh marinal marinal
ride. ride.
(reate a slot cut with a small bur. in the (reate a slot cut with a small bur. in the
center oí the crest oí the ride. center oí the crest oí the ride.
Slot deepened ini·allv. Slot deepened ini·allv.
11--2mm below the contact point. 2mm below the contact point.
1otal distance b´w marinal ride & the 1otal distance b´w marinal ride & the
ini·al íloor ini·al íloor 33--4mm. 4mm.
Retention & resistance íorms Retention & resistance íorms::
occlusal con·erence. occlusal con·erence.
M M--D dimension D dimension1.5mm or more. 1.5mm or more.
G íloor G íloor ílat. ílat.
l l -- L dimension L dimension 1´4 1´4
th th
I(D. I(D.
Ií extension into occlusal suríace narrower. or ií Ií extension into occlusal suríace narrower. or ií
there is no extension into occlusal roo·es there is no extension into occlusal roo·es
retenti·e under cuts roo·es´points,. retenti·e under cuts roo·es´points,.
Retenti·e under cuts Retenti·e under cuts oppose each other to oppose each other to
íorm a do·e íorm a do·e--tail eííect in the dentin. tail eííect in the dentin.
0.25 0.25--0.5mm oí dentin b´w roo·e & DLJ. 0.5mm oí dentin b´w roo·e & DLJ.
Groo·e 0.5mm deep & 0.5mm wide. Groo·e 0.5mm deep & 0.5mm wide.
Mechanical retention Mechanical retention::
Ií prox.box´slot Ií prox.box´slot wide wide amalam bondin ´ selí amalam bondin ´ selí
threadin pins placed horizontallv´·erticallv. threadin pins placed horizontallv´·erticallv.
Slot prep. íor root caries: Slot prep. íor root caries: KL\ KL\--lOLL lOLL
PRLPARA1ION´ lA(IAL´LINGUAL PRLPARA1ION´ lA(IAL´LINGUAL
SLO1 PRLPARA1ION, SLO1 PRLPARA1ION,
Usuallv approached írom l Usuallv approached írom l íorm oí slot. íorm oí slot.
Depth axiallv Depth axiallv0.¯5 0.¯5--1mm at G aspect ií no L 1mm at G aspect ií no L
pr. pr.
11--1.25mm at O wall. ií marin in L. 1.25mm at O wall. ií marin in L.
Ií O marin in L Ií O marin in L axial depth 0.5mm inside axial depth 0.5mm inside
the DLJ. the DLJ.
Retention roo·es Retention roo·es O O--A & G A & G--A line anles. A line anles.
0.2mm inside the DLJ or 0.3 0.2mm inside the DLJ or 0.3--0.5mm inside 0.5mm inside
the cemental ca·o the cemental ca·o--suríace marin. suríace marin.
Depth oí the roo·e Depth oí the roo·e1´2 the diameter oí 1´2 the diameter oí
the bur head0.25mm, the bur head0.25mm,
2, 2, RO1A1LD 1LL1l RO1A1LD 1LL1l::
Outline íorm íor M Outline íorm íor M--O tooth prep. O tooth prep. on rotated on rotated
teeth teeth diííers. diííers.
prox.box displaced prox.box displaced l ´ L. l ´ L.
\hen rotated 90 \hen rotated 90
00
prox.prep on l´L suríace. prox.prep on l´L suríace.
3, 3, ADJOINING RLS1ORA1ION ADJOINING RLS1ORA1ION::
It is permissible to repair ´replace a deíecti·e It is permissible to repair ´replace a deíecti·e
portion oí an existin Al restor. portion oí an existin Al restor. ií remainin ií remainin
portion oí the oriinal restor. portion oí the oriinal restor. adequate rete. & adequate rete. &
resist. lorm. resist. lorm.
Intersectin marins oí the 2 restor. Intersectin marins oí the 2 restor. at at
rt.anles as much as possible. rt.anles as much as possible.
4, 4, ABU1MLN1 1LL1l lOR RPD ABU1MLN1 1LL1l lOR RPD::
Ií rest seat is planned in restor. Ií rest seat is planned in restor. need additional need additional
extension. extension.
0.5mm mini, oí Al b´w rest seat & marins. 0.5mm mini, oí Al b´w rest seat & marins.
Pulpal wall apical to planned rest seat Pulpal wall apical to planned rest seat 0.5mm 0.5mm
deepened. deepened.
1otal depth oí A 1otal depth oí A--P line anle measured on l & P line anle measured on l &
L wall L wall 2.5mm. 2.5mm.
LX1LNL CL II AMALGAM LX1LNL CL II AMALGAM
Unlike incipient ca·itv prep. Unlike incipient ca·itv prep. ll--G & L G & L--G anles G anles
sharp. sharp.
Depth oí the axial wall Depth oí the axial wall 1.2mm wide 1.2mm wide PM PM
1.8mm wide 1.8mm wide M M
Depth oí the decav Depth oí the decav does not iníluence the does not iníluence the
width oí the ini·al íloor. width oí the ini·al íloor.
Retenti·e roo·es Retenti·e roo·es deeper at their ini·al deeper at their ini·al
ends. diminish occlusallv. ends. diminish occlusallv.
Ií extends up the cuspal inclines Ií extends up the cuspal inclines pulpal depth pulpal depth
1.5mm. & sliht tilt oí the bur. 1.5mm. & sliht tilt oí the bur.
\hen O outline \hen O outline within 2´3 within 2´3
rd rd
dist. to cusp tip dist. to cusp tip
cappin considered. cappin considered.
·2´3 ·2´3
rd rd
cappin mandatorv. cappin mandatorv.
CL II PRLARA1ION IN PRIMARY CL II PRLARA1ION IN PRIMARY
1LL1H 1LL1H
MORPlOLOGI( VARIA1IONS MORPlOLOGI( VARIA1IONS::
1, 1, L & D L & D thickness less. thickness less.
2, 2, Prominent pulp horns. Prominent pulp horns.
3, 3, Lare pulp chambers. Lare pulp chambers.
4, 4, \ider contact area \ider contact area placed more cer·icallv. placed more cer·icallv.
5, 5, Bulbous buccal contour & cer·ical constriction. Bulbous buccal contour & cer·ical constriction.
6, 6, L rod direction L rod direction in cer·ical reion íacin occlusallv. in cer·ical reion íacin occlusallv.
¯, ¯, Narrow occlusal table. Narrow occlusal table.
Outline íorm Outline íorm::
Occlusal Occlusal : : restrict the size as small as possible. restrict the size as small as possible.
Depth Depth 1.5mm0.5mm írom DLJ, 1.5mm0.5mm írom DLJ,
BB--L wall L wall co·erence. co·erence.
(a·itv (a·itv 1´4 1´4
th th
BB--L width oí the tooth. L width oí the tooth.
Isthmus width Isthmus width 1´3 1´3
rd rd
-- ' oí the I(D ·1.5mm, ' oí the I(D ·1.5mm,
Pulpal íloor Pulpal íloor mortise íorm. should íollow the pulpal mortise íorm. should íollow the pulpal
contour. contour.
Line & pt. anles Line & pt. anles rounded. rounded.
Ií possibilitv oí pulpal exposure Ií possibilitv oí pulpal exposure stepwise pulpal stepwise pulpal
íloor` prepared. íloor` prepared.
Ií lot oí cuspal destruction pr. Ií lot oí cuspal destruction pr. rind oíí the cusps. rind oíí the cusps.
No re·erse S cur·e unless indicated due to ·erv No re·erse S cur·e unless indicated due to ·erv
tiht & wide contact,. tiht & wide contact,.
Proximal box Proximal box::
Should íollow the outer contour oí the tooth. Should íollow the outer contour oí the tooth.
\idth \idth more due to wider contact areas. more due to wider contact areas.
llarin done. too much a·oided. llarin done. too much a·oided.
B & L walls B & L walls con·erence. con·erence.
(a·o (a·o--suríace suríace 90 90
00
Axial wall Axial wall parallel to outer suríace. parallel to outer suríace.
\idth \idth at the íloor oí the box at the íloor oí the box
1mm. 1mm.
A A--P line anle P line anle rounded. rounded.
Axial wall Axial wall 1mm. 1mm.
Gini·al íloor Gini·al íloor::
(ontact area (ontact area near the constriction area. near the constriction area.
Should not be placed too ini·allv. Should not be placed too ini·allv.
Just beneath the contact point. Just beneath the contact point.
Depth not more than 1mm.or else Depth not more than 1mm.or else pulpal pulpal
exposure. exposure.
lloor inclination inwards lloor inclination inwards Bronner Bronner
inclination`5 inclination`5--10 10
0 0
íor R & R íorm. íor R & R íorm.
G íloor G íloor not more than 1mm not more than 1mm 11
st st
M. M.
not more than 1.5mm not more than 1.5mm 22
nd nd
M. M.
Anle b´w axial wall &G íloor Anle b´w axial wall &G íloor rounded. rounded.
Be·ellin Be·ellin not required. not required.
Retention roo·es Retention roo·es not required. ií placed B not required. ií placed B--
A´L A´L--A onlv. A onlv.
Main diííerences Main diííerences::
1, 1, llarin oí the prox. Box. llarin oí the prox. Box.
2, 2, Placement oí ini·al seat. Placement oí ini·al seat.
3, 3, Be·el. Be·el.
CONSLRVA1IVL CAVI1Y CONSLRVA1IVL CAVI1Y
PRLPARA1IONS PRLPARA1IONS
1UNNLL PRLPARA1ION 1UNNLL PRLPARA1ION::
Ad·antaes Ad·antaes ::
1, 1, Preser·es marinal ride. Preser·es marinal ride.
2, (ontact area not disturbed. 2, (ontact area not disturbed.
3, Risk oí o·er han 3, Risk oí o·er han minimal. minimal.
Disad·antaes Disad·antaes ::
1, 1, (omplete exca·ation oí caries not íeasible. (omplete exca·ation oí caries not íeasible.
2, 2, Marinal adaptabilitv oí restor. Marinal adaptabilitv oí restor. poor. poor.
3, 3, Diííicultv in insertion & íinishin oí restor. Diííicultv in insertion & íinishin oí restor.
BONDLD AMALGAM RLS1ORA1IONS BONDLD AMALGAM RLS1ORA1IONS ::
Ad·ocated bv Vara. Matsumura & Masuhara Ad·ocated bv Vara. Matsumura & Masuhara
1986, & Staninec & lolt 1988,. 1986, & Staninec & lolt 1988,.
Operati·e dentistrv Operati·e dentistrv --2005. 30 2005. 30--2. 231, 2. 231,
Indications Indications ::
1, 1, Auxillarv retention. reiníorcement. conser·ati·e Auxillarv retention. reiníorcement. conser·ati·e
prep. & impro·ement oí marinal seal. prep. & impro·ement oí marinal seal.
2, 2, Lxtensi·e in·ol·ement & cast restor. not Lxtensi·e in·ol·ement & cast restor. not
aííordable. aííordable.
3, 3, As temporarv resotr. which later reduced to core As temporarv resotr. which later reduced to core
under cast restor. under cast restor.
4, 4, As amalam sealant. As amalam sealant.
Disad·antaes oí unbonded technique Disad·antaes oí unbonded technique::
1, 1, Microleakae. Microleakae.
2, 2, Recurrent caries. Recurrent caries.
3, 3, Post operati·e sensiti·itv. Post operati·e sensiti·itv.
4, 4, 1ooth 4. 1ooth 4.
Ad·antaes oí bonded technique Ad·antaes oí bonded technique ::
1, 1, 1ooth reiníorcement. 1ooth reiníorcement.
2, 2, | post operati·e sensiti·itv. | post operati·e sensiti·itv.
3, 3, Better marinal adaptation. Better marinal adaptation.
4, 4, | microleakae. | microleakae.
5, 5, | possibilitv oí secondarv caries. | possibilitv oí secondarv caries.
6, 6, More conser·ati·e prep. More conser·ati·e prep.
Operati·e dentistrv Operati·e dentistrv --2005. 30 2005. 30--2. 231,. 2. 231,.
Disad·antaes Disad·antaes::
1, 1echnique sensiti·e. 1, 1echnique sensiti·e.
2, Lon term clinical studies 2, Lon term clinical studies success rate less. success rate less.
3, lvdrolvtic stabilitv oí bond 3, lvdrolvtic stabilitv oí bond ··
4, | cost oí amalam restor. 4, | cost oí amalam restor.
Materials used Materials used ::
1, 1, Amalam bond plus Parkwell ,. Amalam bond plus Parkwell ,.
2, 2, Pana·ia LX Kurarav ,. Pana·ia LX Kurarav ,.
3, 3, Relv X AR( 3 M ,. Relv X AR( 3 M ,.
4, 4, Barrier . Barrier .
5, 5, All Bond 2 & liner l Bisco ,. All Bond 2 & liner l Bisco ,.
RLILRLNCLS RLILRLNCLS
1, 1, OPLRA1IVL DLN1IS1R\ OPLRA1IVL DLN1IS1R\-- Modern theorv & practice Modern theorv & practice
1 1
st st
edition , edition , M.A.Marzouk. M.A.Marzouk.
2, AR1 & S(ILN(L Ol OPLRA1IVL DLN1IS1R\. 2, AR1 & S(ILN(L Ol OPLRA1IVL DLN1IS1R\.
5 5
th th
edition, edition, Sturde·ant. Sturde·ant.
3, lUNDAMLN1ALS Ol OPLRA1IVL DLN1IS1R\ 3, lUNDAMLN1ALS Ol OPLRA1IVL DLN1IS1R\
2 2
nd nd
edition , edition , Summit. Summit.
4, 1LX1 BOOK Ol OPLRA1IVL DLN1IS1R\. 4, 1LX1 BOOK Ol OPLRA1IVL DLN1IS1R\.
3 3
rd rd
edition , edition , Baum & Phillips. Baum & Phillips.
5, 5, 1LX1 BOOK Ol OPLRA1IVL DLN1IS1R\. 1LX1 BOOK Ol OPLRA1IVL DLN1IS1R\.
4 4
th th
edition , edition , Mc Gehee. Mc Gehee.
6, 1LX1 BOOK Ol OPLRA1IVL DLN1IS1R\. 6, 1LX1 BOOK Ol OPLRA1IVL DLN1IS1R\.
1 1
st st
edition , edition , Vimal K Sikri. Vimal K Sikri.
¯, G.V.BLA(K`S OPLRA1IVL DLN1IS1R\. ¯, G.V.BLA(K`S OPLRA1IVL DLN1IS1R\.
9 9
th th
edition , edition , Arthur. D .Black Arthur. D .Black
8, (LINI(AL PLDODON1I(S. 8, (LINI(AL PLDODON1I(S.
4 4
th th
edition , edition , linn. linn.
9, OPLRA1IVL DLN1IS1R\ 2000. 25. 121 9, OPLRA1IVL DLN1IS1R\ 2000. 25. 121--128. 128.
10, OPLRA1IVL DLN1IS1R\ 2000. 25.1¯¯ 10, OPLRA1IVL DLN1IS1R\ 2000. 25.1¯¯--1¯8 1¯8
11, OPLRA1IVL DLN1IS1R\ 2001. 26. 81. 11, OPLRA1IVL DLN1IS1R\ 2001. 26. 81.
12, OPLRA1IVL DLN1IS1R\ 2001. 26. 239 12, OPLRA1IVL DLN1IS1R\ 2001. 26. 239--243. 243.
13, OPLRA1IVL DLN1IS1R\ 2005. 30. 228 13, OPLRA1IVL DLN1IS1R\ 2005. 30. 228--233 233..

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