Dr shabeel's presentations Dr shabeel's presentations

!N!T!AL PREPARAT!ON !N!T!AL PREPARAT!ON

1. 1. OCCLUSAL REDUCT!ON OCCLUSAL REDUCT!ON
F!RST STEP !S THE REDUCT!ON OF THE CUSPS F!RST STEP !S THE REDUCT!ON OF THE CUSPS
WH!CH !NPROvES THE WH!CH !NPROvES THE
ACCESS AND v!S!B!L!TY FOR SUBSEQUENT STEPS ACCESS AND v!S!B!L!TY FOR SUBSEQUENT STEPS
!N TOOTH PREPARAT!ON. !N TOOTH PREPARAT!ON.
EFFEC!ENCY OF THE CUTT!NC !NSTRUNENT AND EFFEC!ENCY OF THE CUTT!NC !NSTRUNENT AND
THE A!R THE A!RWATER COOL!NC SPRAY. WATER COOL!NC SPRAY.
!T !S EAS!ER TO ASSESS THE HE!CHT OF THE !T !S EAS!ER TO ASSESS THE HE!CHT OF THE
RENA!N!NC CL!N!CAL CROWN OF THE TOOTH. RENA!N!NC CL!N!CAL CROWN OF THE TOOTH.
US!NC THE NO.271 US!NC THE NO.271
CARB!DE BUR HELD CARB!DE BUR HELD
PARALLEL TO THE LONC PARALLEL TO THE LONC
AX!S OF THE CROWN, AX!S OF THE CROWN,
PREPARE 2 mm DEEP PREPARE 2 mm DEEP
PULPAL FLOOR ALONC PULPAL FLOOR ALONC
THE CENTRAL CROOvE. THE CENTRAL CROOvE.
THE OCCLUSAL THE OCCLUSAL
PREPARAT!ON !S PREPARAT!ON !S
EXTENDED FAC!ALLY EXTENDED FAC!ALLY
AND L!NCUALLY ]UST AND L!NCUALLY ]UST
BEYOND THE CAR!ES TO BEYOND THE CAR!ES TO
SOUND TOOTH SOUND TOOTH
STRUCTURE, TO vER!FY STRUCTURE, TO vER!FY
NEED FOR CUSP NEED FOR CUSP
CAPP!NC. CAPP!NC.
W!TH THE S!DE OF THE W!TH THE S!DE OF THE
NO.271 CARB!DE BUR, NO.271 CARB!DE BUR,
PREPARE UN!FORN 1.S PREPARE UN!FORN 1.S
mm DEEP DEPTH CUTS mm DEEP DEPTH CUTS
ON THE RENA!N!NC ON THE RENA!N!NC
OCCLUSAL SURFACE. OCCLUSAL SURFACE.
THEY ARE USUALLY THEY ARE USUALLY
PLACED ON THE CREST PLACED ON THE CREST
OF THE TR!ANCULAR OF THE TR!ANCULAR
R!DCES AND !N THE R!DCES AND !N THE
FAC!AL AND L!NCUAL FAC!AL AND L!NCUAL
CROOvE REC!ONS. CROOvE REC!ONS.
THE DEPTH CUTS THE DEPTH CUTS
SERvES AS CU!DES FOR SERvES AS CU!DES FOR
THE ANOUNT OF THE ANOUNT OF
REDUCT!ON. REDUCT!ON.
CUSP REDUCT!ON !S CUSP REDUCT!ON !S
CONPLETED W!TH THE S!DE CONPLETED W!TH THE S!DE
OF THE NO.271 BUR, AND OF THE NO.271 BUR, AND
THE REDUCT!ON SHOULD THE REDUCT!ON SHOULD
REFLECT THE CENERAL REFLECT THE CENERAL
TOPOCRAPHY OF THE TOPOCRAPHY OF THE
OR!C!NAL OCCLUSAL OR!C!NAL OCCLUSAL
SURFACE. SURFACE.
SHOULD NOT ATTENPT TO SHOULD NOT ATTENPT TO
REDUCE THE NES!AL AND REDUCE THE NES!AL AND
D!STAL NARC!NAL R!DCES AT D!STAL NARC!NAL R!DCES AT
TH!S T!NE( TO AvO!D TH!S T!NE( TO AvO!D
H!TT!NC AD]ACENT TOOTH). H!TT!NC AD]ACENT TOOTH).
THE C!NC!vAL THE C!NC!vALTO TOOCCLUSAL OCCLUSAL
D!vERCENCE OF THESE D!vERCENCE OF THESE
PREPARAT!ON WALLS PREPARAT!ON WALLS
SHOULD RANCE FRON 2 SHOULD RANCE FRON 2S S
degrees DEPEND!NC ON degrees DEPEND!NC ON
THE!R HE!CHTS. THE!R HE!CHTS.
. . OCCLUSAL STEP OCCLUSAL STEP
AFTER CUSP REDUCT!ON, AFTER CUSP REDUCT!ON,
THERE SHOULD BE A 0.S mm THERE SHOULD BE A 0.S mm
DEEP OCCLUSAL STEP !N THE DEEP OCCLUSAL STEP !N THE
CENTRAL CROOvE REC!ON CENTRAL CROOvE REC!ON
BETWEEN THE REDUCED BETWEEN THE REDUCED
CUSPAL !NLC!NES AND THE CUSPAL !NLC!NES AND THE
PULPAL FLOOR. PULPAL FLOOR.
OCCLUSAL STEP !S EXTENDED OCCLUSAL STEP !S EXTENDED
FAC!ALLY AND L!NCUALLY FAC!ALLY AND L!NCUALLY
BEYOND THE CAR!OUS AREAS BEYOND THE CAR!OUS AREAS
AND THE WALLS SHOULD CO AND THE WALLS SHOULD CO
AROUND THE CUSPS !N AROUND THE CUSPS !N
CRACEFUL CURvES THEN CRACEFUL CURvES THEN
EXTENDED NES!ALLY AND EXTENDED NES!ALLY AND
D!STALLY TO EXPOSE THE D!STALLY TO EXPOSE THE
PROX!NAL DE] !N PROX!NAL DE] !N
ANT!C!PAT!ON ANT!C!PAT!ON
OF PROX!NAL BOX!NC. OF PROX!NAL BOX!NC.
. . PROX!NAL BOX PROX!NAL BOX
CONT!NU!NC W!TH NO.271 CARB!DE BUR A CONT!NU!NC W!TH NO.271 CARB!DE BUR A PROX!NAL PROX!NAL
D!TCH D!TCH !S PREPARED. !S PREPARED.
THE NES!OD!STAL W!DTH OF THE D!TCH SHOULD BE THE NES!OD!STAL W!DTH OF THE D!TCH SHOULD BE
0.8 mm AND PREPARED APPROX. TWO 0.8 mm AND PREPARED APPROX. TWOTH!RDS AT THE TH!RDS AT THE
EXPENSE OF DENT!N AND ONE EXPENSE OF DENT!N AND ONETH!RD OF ENANEL. TH!RD OF ENANEL.
!DEAL EXTENS!ON C!NC!vALLY OF A N!N!NAL !DEAL EXTENS!ON C!NC!vALLY OF A N!N!NAL
CAv!TATED LES!ON EL!N!NATES CAR!ES ON THE CAv!TATED LES!ON EL!N!NATES CAR!ES ON THE
C!NC!vAL FLOOR AND PROv!DES 0.S mm CLEARANCE C!NC!vAL FLOOR AND PROv!DES 0.S mm CLEARANCE
OF THE UNBEvELED C!NC!vAL NARC!N W!TH THE OF THE UNBEvELED C!NC!vAL NARC!N W!TH THE
AD]ACENT TOOTH. AD]ACENT TOOTH.
F!NAL PREPARAT!ON F!NAL PREPARAT!ON
1. 1. RENOvAL OF THE RENOvAL OF THE
!NFECTED CAR!OUS !NFECTED CAR!OUS
DENT!N AND DENT!N AND
DEFECT!vE DEFECT!vE
RESTORAT!vE RESTORAT!vE
NATER!ALS ON THE NATER!ALS ON THE
PULPAL AND AX!AL PULPAL AND AX!AL
WALLS. WALLS.
A CENENT BASE CAN A CENENT BASE CAN
BE C!vEN !F !T !S BE C!vEN !F !T !S
!ND!CATED. !ND!CATED.
2. 2. PREPARAT!ON OF PREPARAT!ON OF
BEvELS AND FLARES. BEvELS AND FLARES.
A D!ANOND A D!ANOND
!NSTRUNENT !S USED !NSTRUNENT !S USED
TO PLACE TO PLACE COUNTER COUNTER
BEvELS BEvELS ON THE ON THE
REDUCED CUSPS, REDUCED CUSPS,
TO APPLY TO APPLY C!NC!vAL C!NC!vAL
BEvELS BEvELS AND TO AND TO
CREATE CREATE SECONDARY SECONDARY
FLARES FLARES ON THE ON THE
FAC!AL AND L!NCUAL FAC!AL AND L!NCUAL
WALLS OF THE WALLS OF THE
PROX!NAL BOXES. PROX!NAL BOXES.
F!SSURE THAT F!SSURE THAT
EXTENDS SL!CHTLY EXTENDS SL!CHTLY
L!NCUAL TO NORNAL L!NCUAL TO NORNAL
POS!T!ON OF POS!T!ON OF
COUNTER BEvEL NAY COUNTER BEvEL NAY
BE !NCLUDED BY BE !NCLUDED BY
SL!CHTLY SL!CHTLY
DEEPEN!NC DEEPEN!NC
COUNTER BEvEL !N COUNTER BEvEL !N
F!SSURED AREA. F!SSURED AREA.
AFTER BEvEL!LNC AFTER BEvEL!LNC
AND FLAR!NC SHARP AND FLAR!NC SHARP
]UNCT!ONS ]UNCT!ONS
BETWEEN THE BETWEEN THE
COUNTER BEvELS COUNTER BEvELS
AND THE AND THE
SECONDARY FLARES SECONDARY FLARES
ARE ARE ROUNDED ROUNDED
SL!CHTLY. SL!CHTLY.
L!CHTLY BEvEL L!CHTLY BEvEL
AX!OPULPAL L!NE AX!OPULPAL L!NE
ANCLE ALSO. ANCLE ALSO.
!F NECESSARY, !F NECESSARY,
SHALLOW( 3 mm SHALLOW( 3 mm
DEEP) DEEP) RETENT!ON RETENT!ON
CROOvES CROOvES NAY BE NAY BE
CUT !N THE CUT !N THE
FAC!OAX!AL AND THE FAC!OAX!AL AND THE
L!NCOAX!AL L!NE L!NCOAX!AL L!NE
ANCLES W!TH ANCLES W!TH
NO.163 L CARB!DE NO.163 L CARB!DE
BUR. BUR.
CONPLETED NES!O OCCLUSO CONPLETED NES!O OCCLUSO
D!STAL ONLAY PREPARAT!ON D!STAL ONLAY PREPARAT!ON