Class I lesion affects

The pit and fissures of posterior teeth

Surfaces involved are:
Occlusal surfaces of premolars & molars
Occlusal 2/3 of the facial & lingual
surfaces of molars

Palatal surfaces of maxillary incisors

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CLASS I
SIMPLE OCCLUSAL CAVITY

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Resistance form
is obtained by
Outline placed equidistance from the
defective pits ,fissures on smooth ,sound
tooth structure
Sufficient width to include the defects,
pits & fissures and permit insertion of small
condenser for placement of amalgam

But otherwise as narrow as possible

(preservation of tooth structure)

Resistance

Extension for prevention

Black suggested that it was necessary to
remove additional tooth structure to gain access
& visibility
extend the cavity to self-cleansing areas to
AVOID RECURENT CARIES
Blacks cavity width
1/3 intercuspal distance

Resistance

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No extension for prevention

Resistance

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Resistance

Outline should consist of smooth

curves on occlusal surface
(no sharp line angles)

To avoid stress concentration

Resistance

Box form (mortis form)

* flat floor
* definite line & point angles

Distribution of force

Resistance

Cavosurface margin is 90 butt joint

Remove any undermined enamel (enamel
supported with dentin)

Resistance

Depth
* 0.5mm below DEJ (cavity in dentin)
* The whole cavity depth is about
1.5 - 2 mm
from cavity margin to pulpal floor

D
Pulpal floor

Resistance

Minimal extension into the marginal

ridge (only enough to remove the
defect) without removing dentinal
support
Mesial & distal walls
* divergent
di
t occlusally(
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t ffollow
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the direction of enamel rods &
prevent undermining of the marginal
ridge

Resistance

Join weekend ridge between two

cavities (<0.5 mm apart)

Retention form
Is obtained through
Converging Buccal and lingual walls
occlusally (undercut)
Parallelism of the walls
Griping action of dentin

Retention

Prepared at the line angle between

floor of the cavity & its walls with
a round bur

Convenience form
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Infected carious dentin should be removed

by:
Excavators ((spoon
p
or discoid))
soft caries
Large carbide Rose head at low speed
hard caries
* Until the tooth structure feels hard &
firm
* lesion is lighter in color

The removal of carious dentin should not

affect resistance form

Create a flat floor peripheral

to the excavated area

Compound class I

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Cavity preparation
Occlusal box follows the same principles for
class I simple occlusal cavity
After preparing the occlusal cavity

#245 bur is held

to the pulpal floor &
parallel to the long axis of the tooth crown
* moved towards the buccal/lingual
direction along the fissure maintaining
uniform depth until the bur reaches the
buccal/lingual surface

 The step is prepared keeping the bur

parallel to the buccal/ lingual surface
of the corresponding groove

So The axial wall will follow the contour of

the buccal/lingual surface at a
uniform depth of 0.5mm inside
the DEJ (0.2mm is permissible)
Axiopulpal line angle is
rounded

Resistance

 Extend the lingual box gingivally to

terminate at the buccal/lingual groove
creating a flat gingival seat for
. Resistance
Gingival wall meets the tooth surface at 90
& the axial wall makes an obtuse angle with
the pulpal floor
..Resistance

 Mesial & distal walls of the B/L BOX

are made parallel to each other with
slight occlusal convergence
..Retention
Mesial & distal walls are butt joint with the
cavity margins Resistance

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