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Tooth PREPARATION
Internal wall-An internal wall is prepared surface that does not extend to
external tooth surface.
Axial Wall – An axial wall is an internal wall parallel with the long axis of the toot
Pulpal Wall- A pulpal wall is an internal wall that is perpendicular to the long axis
of the tooth and occlusal of the pulp.
External Wall An external wall is a prepared (cut) surface that extends to the
external tooth surface. Such a wall takes the name of the tooth surface (or
aspect) that the wall is toward
Floor (or Seat)- A floor (or seat) is a prepared wall that is reasonably flat and
perpendicular to the occlusal forces that are directed occlusogingivally
(generally parallel to the long axis of the tooth Examples are the pulpal and
gingival walls.
Enamel Wall The enamel wall is that portion of a prepared external wall
consisting of enamel
Dentinal Wall: The dentinal wall is that portion of a prepared external wall
consisting of dentin, in which mechanical retention features may be located.
TOOTH PREPARATION ANGLES
Line angle. A line angle is the junction of two planal surfaces of different
orientation along a line.
An internal line angle is a line angle whose apex points into the tooth
An external line angle is a line angle whose apex points away from the tooth
Point angle- a point angle is the junction of three planal surface of different
orietation
CLASSIFICATION OF TOOTH PREPARATION
Class I Restoration
All pit rand-fissure restoration are class I and they are assigned to three groups.
class II Restorations,
Class IV Restoration
Restorations on the proximal surfaces of anterior teeth that do involve the incisal edge are class IV
Class V Restorations
Restoration on the gingival third of the Facial or lingual surface of all teeth(except pit-and-fissure lesions) are Class V
Class VI Restorations
oRestorations on the incisal edge of anterior teeth or the occlusal cusp height of posterior teeth are class VI
INITIAL AND FINAL STAGES OF TOOTH
PREPARATION
Initial tooth preparation stage
Step 1: Outline form and initial depth
Step2 Primary resistance form
Step3 Primary retention form
Step4 Convenience form
Final tooth preparation stage
Step 5 Removal of any remaining infected dentin or
oldrestorative material (or both), if indicated
Def:
Primary Resistance form may be defined as the shape and
placement of preparation walls that best enable the
restoration and the tooth to withstand, without Fracture,
masticatory forces delivered principally in the long axis of
the tooth.
PRINCIPLE
1) To use the box shape with a relativity flat floor which helps the tooth resist
occlusal loading by virtue of being at right angles to the forces of mastication
that are directed in the long axis of the tooth
2) to restrict the extension of the external walls to allow strong cusp and ridge
areas to remain with sufficient dentin support
3) to have a slight rounding of internal line angles. To reduces stress
concentration in tooth structure
4) to cap weak cusps and envelope
5) to provide enough thickness of restorative material to prevent its Fracture
under load and
6) to bond the material to tooth structure when appropriate.
FEATURES:
Def:
Primary Retention form is the shape or form of the
conventional preparation that resists displacement or
removal of restoration by tipping or lifting forces.
STEP4: CONVENIENCE FORM