LOG BOOK

ODT 301

Operative dentistry department

Faculty of Oral and Dental Medicine
Nahda University
Student Name: ……………………………………………………………….…………………………………………..

Student ID Number: …………………………………….……………………………………………………………

Academic Year: ……………………………………………….………………………………………………………….

Group: ……………………………………………………
 Intended learning Outcomes of the course:

1. Course Goals The aim of this course is: To educate the students about the basics of
(overall aim): different principles of cavity preparations.

2- Intended Learning Outcomes (ILOs):

By the end of this course , students will be able to:
a1-Define the different terminologies and classification of carious and non-
carious lesions.
a- Knowledge and
a2-Recognize the different cutting instruments used in cavity preparation,
Understanding: restoration and the infection control methods.
a3-Recognize the principles of cavity preparation for anterior and posterior
teeth.
By the end of this course , students will be able to:
b1-Recognize the suitable type of cavity preparation design for each case.
b-Intellectual b2- Select the suitable bur/ stone to each step in cavity preparation and
Skills: restoration.
b3- Evaluate the criteria of cavity preparation of anterior and posterior
teeth.
By the end of this course , students will be able to
c1-Apply the correct principles of cavity preparation to receive different
c- Professional restorations.
and Practical c2-Select the appropriate instrument during cavity preparation and
Skills: restoration.
c3-Perform satisfactory prepared teeth to receive metallic or esthetic
restoration.
By the end of this course , students will be able to:
Health-safety-infection control:
d1-Implement infection control policies.
Long-life learning:
d- General and d2-Recognize the value and role of long-life learning, self assessment, and
Transferable critical thinking in maintaining competency.
Skills: d3-Evaluate personal progress and be able to assess ones weakness and
strengths.
Implement ethical behavior and professionalism:
d4- Acquire an awareness of moral and ethical responsibilities involved in
the provision of care to individual patients and community.
 Essential knowledge for clinical course

Principles Cavity classification

1) Outline form:
The external outline form of the cavity describes
the marginal boundaries, while the internal outline
form describes the shape of the internal form of the
preparation.

2) Resistance and retention form:

The Resistance form is the form given to prevent fracture
of restoration &/or tooth structure.
The Retention form is the form given to prevent
displacement of the restoration.

3) Convenience form:
Features added in the prepared cavity, for the purpose of
making it more conveniently seen, approach and restored.
4)Removal of remaining carious dentin:
Management of the deep carious lesions needs to have
a look at some questions before deciding the line of
treatment:
➢ Do all caries need to be removed ?
➢ Can caries progression be arrested?
➢ What type of restorative materials should be used to
ensure the best outcome for patient?
We should be able to differentiate between
infected dentin that has to be removed & affected
dentin that can be left & heal by remineralization.

5)Finishing of enamel wall:

The enamel walls & margins must be finished smooth,
free of short, loose or undermined enamel rods and be
given an inclination which depends on the physical
properties of the restorative material to be used.

6)Toilet of the cavity:

✓ A sharp explorer is used to remove all debris & dentin chips from the cavity.
✓ Subjecting the cavity to a blast of warm air.
✓ No medicaments should be used.
✓ The cavity should be perfectly clean and dry
✓ Disinfectant, such as Chlorohexidine, could be used
 Tools & instruments used

1- Protective tools: (gloves, masks, eye wear and face shield)

2- Dental mirror, probe, tweezers, triple air-way syringe, cotton & napkin.

3- High and Low-speed contra-angle handpiece.

4- High and Low-speed burs and stones:

Round bur, inverted cone bur, fissure bur, bur no 330 and bur no 245
Class I cavity Class I cavity preparation for
amalgam restoration

Outline form

Mandibular 1stpremolar (A) Snake eye shape (B) Butterfly shape

a b

Mandibular 2nd premolar (a) Y-shape (b) with lingual extension

Maxillary premolars (Butterfly shape)

 a b c

Mandibular 1stmolar (a) Bat shape (b) buccal pit (c) with B/L extension

Mandibular 2ndmolar (a) Plus –shape (b) with B/L extension

C C

Maxillary molars (a) kidney shape (b) extension oblique ridge (c) B/P extension

Maxillary central incisor

 Steps of cavity preparation

Trace the outline with a pencil

Gaining access with round bur or bur no 245

Remove the undermined enamel with hand instrument (Enamel hatchet)

●
●

● ●

Cavity width not exceeding 1/3 intercuspal distance

Cavity depth 0.5mm below DEJ (1.5mm from central groove or 2mm from the cavity margin)
And the mesial and distal walls slightly divergent& not to extend the marginal ridge

Resistance form is gained by preparing the walls parallel or perpendicular to the long axis of
the tooth to decrease the analysis of force into destructive tensile components.

a b

Retention is gained by (a) occlusal convergence buccal & lingual wall

(b) incorrect over-convergence

Gaining additional axial retention through (a) undercut (b) dentine ledge
 Preparation in sweeping curves
& the minimum marginal ridge width to be 1.5mm

Roundation of line angles and finishing of the cavity

Cavo-surface angle CSA to be 90◦

 Evaluation of Class I cavity preparation
1- Occlusal outline and extension. (2 marks)

2- Cavity width. (2 marks)

3- Cavity depth. (2 marks)

4- Wall direction. (2 marks)

5- Smooth finishing of walls and floor. (1 mark)

6- Roundation of line angles. (1 mark)

➢ Total marks : 10 marks

 Evaluation of Class I with buccal extension
cavity preparation
1- Class I (6 marks)

2- Buccal extension parallel walls. (2 marks)

3- Buccal extension step. (2 marks)

➢ Total marks : 10 marks

Parallel walls of the buccal extension

The step is prepared in case of caries extension
Class II cavity preparation for amalgam restoration

(A) Occlusal cavity preparation

The same as class I cavity preparation

(B) Proximal cavity preparation

The box depth is 1.5mm below the pulpal floor (3.5mm of cavity margin) & just
freeing the cervical margin

The tip of probe just passes the buccal, lingual and cervical margins
 The width of the box just freeing buccal and lingual contact

Proximal flaring
 Freeing contact buccally, lingually & gingivally.

 Faring of the margins (junction between the occlusal cavity and the
proximal surface):

a. Straight line
b. Uniform curve
c. Reverse curve
 Evaluation of Class II cavity preparation
1- Class I (2 marks)

2- Freeing contact (Buccally , Lingually & gingivally). (2 marks)

3- Step width and depth. (2marks)

4- Flaring. (2 marks)

5- Proximal wall direction (2 marks)

➢ Total marks : 10 marks

Class III cavity preparation for composite restoration
 Evaluation of Class III cavity preparation
1. Outline form. (2 marks)

2. Depth. (2 marks)

3. Width. (2 marks)

4. Finishing. (2 marks)

5. Enamel bevel. (2 marks)

➢ Total marks : 10 marks

Class V cavity preparation for composite restoration

Bevel
incisally/buccally,
mesially & distally NO Bevel
gingivally
X
Evaluation of Class V cavity preparation
1. Outline form. (2 marks)

2. Location. (2 marks)

3. Depth. (2marks)

4. Finishing. (2 marks)

5. Enamel bevel. (2 marks)

➢ Total marks : 10 marks

 Rubrics of Class I cavity preparation
Finishing & Total
No Date Tooth Outline (2) Width (2) Depth (2) Wall direction (2) Roundation (2) marks Signature
1

8
9
10
11
12
13
14
 class I with Buccal extension cavity preparation
No Date Tooth Outline Width & Depth Wall direction (1) Bucclal extension Buccal extension Total Signature
(2) (2) Finishing & Roundation (1) walls (2) step (2) marks
1
2
3
4
5
6
 Rubrics of Class II cavity preparation
No Date Tooth Class I evaluation (2 marks) Freeing Step depth & Flaring Proximal walls Total Signature
Outline, Width, Depth, Wall direction contact (2) width (2) (2) direction (2) marks
1

10
11

12

13

14
 Rubrics of Class III cavity preparation
No Date Tooth/Cl Outline (2) Width (2) Depth (2) Finishing (2) Bevel (2) Total mark (10) Signature
1

Rubrics of Class V cavity preparation

No Date Tooth Outline (2) Location (2) Depth (2) Finishing (2) Bevel (2) Total mark (10) Signature
1

2
3

Total number of requirements

Class 1:
Class 2:
Class 3:
Class 4:
Class 5:
Total:
Mark:

Signature: