Fundamentals of Cavity Preparation

Search
Fundamentals of
Cavity preparation
Shazeena Qaiser
Apr 26, 2020 • 31 likes • 7,753 views
Health & Medicine
Explains about the basic concepts of cavity

preparation in Operative Dentistry
Read more
•ConceptsprofessedbyBronner,Markley,JSturdevant,Sockwell,andCSturdevant.
•Improvementsinrestorativematerials,instruments,andtechniques.
•Increasedknowledgeandapplicationofpreventivemeasuresforcaries.
RobersonT.Sturdevant'sArtAndScienceOfOperativeDentistry(FifthEdition).St.Louis:MosbyElsevier;2006
Recommended
Fundamentals in
tooth preparation
(conservative …
Adwiti Vidushi
dentistry)
79K views • 31 slides
Class II cavity preparation Class II cavity

preparation
Dr. Sreelekshmi J
steps of cavity
preparation for class 1
Parikshit Harnoor
principles of cavity
preparation
IAU Dent
Class i cavity preparation Class i cavity

preparation
Dr Ramsundar Hazra
Steps Of Cavity Preparation Steps Of Cavity

Preparation
Abhinav Mudaliar
Dental Amalgam Dental Amalgam

Piyush Verma
Matrixing and wedges Matrixing and wedges

manju kiran
More Related Content
What's hot
Principles of teeth
arrangement and
compensatory curves
Huma Javeria
amalgam cavity
preparation class i
IAU Dent
Heat cure acrylic Heat cure acrylic

Aamir Godil
Dental bases and liners Dental bases and

liners
IAU Dent
Steps of Tooth
preparation (in brief)
Aliya zehra Raza
DENTIN BONDING AGENTS DENTIN BONDING

AGENTS
shibil_v90
Modifications of Class
2 Cavity preparations
Dr. Arpit Viradiya
Beginner Guide to
Impression Trays in
Dentistry
Iraqi Dental Academy
Introduction to
operative dentistry
Anciya Nazar
Cavity preparation Cavity preparation

Anubhuti Singh
Fundamentals in
tooth preparation .
Priyesh Kharat
clinical & laboratory

step in complete
denture
Amirah Mohd Nor Rizan
6.2K views • 17 slides
Bevels and flares in

dental restoration
Dr. Mayank Nahta
procedure for
amalgam restoration
Paramita Brahmachari
04.principles of tooth
preparation
Dr.Ja!ar Raza BDS
Class ii amalgam Class ii amalgam

payal singh
Dental amalgam Dental amalgam

Parth Thakkar
Special tray prosthodontics Special tray

prosthodontics
Shazlana Raheem
Impression Materials
(Dental)
Dr. Md. Arifur Rahman
impression
techniques of
complete denture
akanksha arya
Similar to Fundamentals of
Cavity preparation
Fundamentals of
cavity preparations
varghese
Indian dental academy
Fundamental of cavity
preparation
Indian dental academy
Principles of tooth
preparation
Sonali Harjani
Presentation tooth.pdf Presentation tooth.pdf

MayuriDhanushwar
118 views • 31 slides
full mouth
rehabilitation part 1
NAMITHA ANAND
Strip Crowns
Technique for
Restoration of …
Abu-Hussein Muhamad
Primary Anterior
Teeth: Case Report
Fundamentals of
Fixed Prosthodontics
3rd ed. by H. …
JohnLouieDeBelen
Shillingburg,1997..pdf
Minimal Invasive
Endodontics
REVATHY M NAIR
tooth preparation and

maintaining pulp
vitality
Aqdas Niazi
Principles of tooth
preparation
Sayli Patil

Saeed Bajafar
Minimally invasive
endodontics by Dr.
JAGADEESH …
Jagadeesh
KODITYALA Kodityala
Enamel reduction
techniques in
orthodontics
Parag Deshmukh
Post obturation
restoration in primary
teeth
Parikshit Kadam
Recent concepts in
post endodontic
restorations
hemam22
Principles of cavity
preparation
Neha Sudhakar

ddert
Restoration of
endodontically
treated teeth
IAU Dent
Minimally invasive
endodontics
Nivedha Tina
Restorative and
esthetic dentistry
Amin Abusallamah
Slideshows for you

SHOCK SHOCK
Shilpa Shiv
Wound healing Wound healing

ravi acharya
Diabetes Mellitus Diabetes Mellitus

MD Abdul Haleem
Leprosy Leprosy
Amal Osman
Wound healing Wound healing

Sakkar Chowdhury
Myocardial infarction Myocardial infarction

aishuanju
Jaundice Jaundice
Kirsha K S
Anemia Anemia
Dr.Sabari Nathan
Tuberculosis Tuberculosis
GAMANDEEP
BURNS BURNS
Dr Ritesh Dhanbhar
Pneumonia Pneumonia
Dr.Aslam calicut
Liver cirrhosis Liver cirrhosis

Ekta Patel
Peptic ulcer Peptic ulcer

Aniedu Ifeanyichukwu
COPD (Chronic
obstructive
Pulmonary Disease) …
Dr.Aslam calicut
PowerPoint
Presentation -aslam
Rheumatoid arthritis Rheumatoid arthritis
Baljinder Singh
Chronic obstructive
pulmonary disorders
COPD
ANILKUMAR BR
Organophosphorus
poisoning final
PGIMER,DR.RML HOSPITAL
Rheumatic fever Rheumatic fever

Priya Dharshini
General examination General examination

Chiranjeevi JIPMER Puducherry
Iron deficiency anemia. Iron deficiency

anemia.
Ameenah
More from Shazeena Qaiser

Endo Perio Lesions Endo Perio Lesions
Shazeena Qaiser
Bu!ered anesthetics Bu!ered anesthetics

Shazeena Qaiser
Body Dysmorphic
Disorder (BDD)
Shazeena Qaiser
TECHNIQUES OF
OBTURATION
Shazeena Qaiser
CLINICAL DIAGNOSIS
OF ENDODONTIC
PATHOSIS
Shazeena Qaiser
Cardio-Pulmonary
Changes during
Exercise
Shazeena Qaiser
Vagus nerve Vagus nerve

Shazeena Qaiser
Management of Facial
asymmetry
Shazeena Qaiser
Sphenopalatine Neuralgia Sphenopalatine

Neuralgia
Shazeena Qaiser
Facial pain Facial pain

Shazeena Qaiser
Recently uploaded
Modern Practice
Principles: A Practical
“How-To” Guide for …
PVI, PeerView
Selection, Institute for Medic
Sequenc...
Best Uterine tonic for

ladies best tonic
WEMEDIPHARMAPVTLTD
182- Orthodontic
Malocclusions –
Malocclusions …
OLIVIER OUSSAMA SANDID 2010
Orthodontiques-
oussama sandid...
CARMINATIVES AND
G.I.REGULATORS.pptx
Divya Kanojiya
Under Pressure to
Improve: How to
Unlock the Power of …
PVI, PeerView Institute for Medic
Antibody–Drug
Conjugate...
Radiographic
Techniques in
Pediatric Dentistry- …
Dr Simran
part one ,Deepak Vangani
Essentials
ANAPHYLAXIS: DRUG
REACTIONS, SHOCK,
HYPERSENSITIVITY.pdf
DR. ANAND SINGH BHADORIYA
Interpretation of
Xrays of the spine.pptx
Vigny Tsamo
Radiographic
Techniques in
Pediatric Dentistry - …
Dr Simran
Part Deepak Vangani
Two.......
Smart Packaging in
Pharmaceutical
Industry.pdf
Shardul Bugadi
Lipid metabolism/Fat
metabolism.pptx by
Dr Akshay
Akshay Shetty
Raising the BCMA

Standard in Multiple
Myeloma: Strategies…
PVI, PeerView Institute
for Enhanced for Medic
Care W...
primary heakth care

concept .pdf
Dr. Mohammad Abas Reshi
dental-impaltns-pdf.pdf dental-impaltns-
pdf.pdf
sriharshaysr
patient safety.pptx patient safety.pptx

Dipendra Bhusal
TYPES OF
STATISTICAL DATA BY
DR KANHU CHARAN …
Kanhu
PATROCharan
Anatomy of stomach
by Pravina
Chaudhary..
ChaudharyPravina
dengue.pptx dengue.pptx
nursingnotes007
General Physical
Examination(GPE) In
Neurology Dr …
Dr Ganeshgouda Majigoudra Con
Ganeshgouda.pptx
unexplained infertility
BY DR REJI
MOHAN.pptx
Reji Mohan
Related Books
Free with a 30 day trial from Everand View All
Ebook Ebook
MCQs in Oral MCQs in
Surgery: A… Implant…
Akeel Mosea
comprehensive Akeel Mosea
Dentistry
review
5/5 4.5 / 5
Related Audiobooks
Free with a 30 day trial from Everand View All
Audiobook Audiobook
Crystal Healing: Tooth Regrowth
Audio Course Instafo
Centre of Excellence
4/5 5/5
Fundamentals of Cavity preparation

1. FUNDAMENTALS OF CAVITY PREPARATION Dr Shazeena
Qaiser
2. CONTENTS INTRODUCTION DEFINITION NEED FOR
RESTORATIONS OBJECTIVES OF CAVITY PREPARATION
HISTORICAL DEVELOPMENT FUNDAMENTALS OF CAVITY
PREPARATION FACTORS AFFECTING CAVITY PREPARATION
TOOTH PREPARATION TERMINOLOGY CLASSIFICATION OF
TOOTH PREPARATION INITIAL TOOTH PREPARATION STAGE
o Outline Form And Initial Depth o Primary Resistance Form o
Primary Retention Form o Convenience Form FINAL TOOTH
PREPARATION STAGE o Removal Of Any Remaining o Infected
Dentin /Old Restorative Material o Pulp Protection o
Secondary Resistance And Retention Forms o Procedures For
Finishing External Walls o Cleaning, Inspecting, Sealing
ADDITIONAL CONCEPTS IN TOOTH PREPARATION o Amalgam
Restorations o Complete Restorations CONCLUSION
REFERENCES
3. Success is neither magical nor mysterious… Success is the
natural consequence of consistently applying the basic
fundamentals. JIM ROHN “ ”
4. Introduction
5. • In the past, most restorative treatment was due to caries
(decay) • ‘Cavity’ was used to describe a carious lesion in a
tooth that had progressed to the point that part of the tooth
structure had been destroyed. • Tooth was cavitated ; referred
to as a cavity. • A!ected tooth was repaired; cutting or
preparation of remaining tooth was referred to as a cavity
preparation. • Now many indications for treatment for teeth
are not due to caries. • Preparation of the tooth is no longer
referred to as cavity preparation but as tooth preparation. •
Term cavity used as a historical reference. Roberson T.
Sturdevant's Art And Science Of Operative Dentistry ( Fi"h
Edition). St. Louis : Mosby Elsevier; 2006.
6. “ Tooth preparation is the mechanical alteration of a
defective, injured, or diseased tooth to receive a restorative
material that re-establishes a healthy state for the tooth
including esthetic corrections, where indicated. DEFINITION
~Sturdevant “ Roberson T. Sturdevant's Art And Science Of
Operative Dentistry ( Fi"h Edition). St. Louis : Mosby Elsevier;
2006.
7. Need For The Restoration 1. Repair of tooth a"er
destruction from carious lesions. 2. Replacement / repair of
restorations with serious defects such as improper proximal
contacts, gingival excess, poor esthetics etc. 3. Restoration of
proper form and function of fractured teeth. 4. Restoration of
form and function as a result of congenital malformations 5.
To fulfill the esthetic demands 6. Restoration for preventive
measures Roberson T. Sturdevant's Art And Science Of
Operative Dentistry ( Fi"h Edition). St. Louis : Mosby Elsevier;
2006.
8. Objectives of tooth preparation 1. Removes all defects
and provides necessary protection to the pulp. 2. Extension of
the margins of restoration as conservatively as possible 3.
Cavity is formed such that under forces of mastication, the
tooth or restoration, or both will not fracture and restoration
will not be displaced 4. Allows for aesthetic and functional
placement of a restorative material Roberson T. Sturdevant's
Art And Science Of Operative Dentistry ( Fi"h Edition). St.
Louis : Mosby Elsevier; 2006.
9. EVOLUTION OF CONTEMPORARY CAVITY PREPARATION
10. WEBB 1883 • First published work • Mentioned in his
textbook: • “Every cavity must be so prepared that no
decalcified tissue remains, except where there be a little
discoloured dentine near pulp, and that should be le" for its
protection”. • “Prevention of extension of decay” : supported
the extension of preparation into the contact-free “self-
cleansing” areas to avoid food accumulation especially on
proximal surface Webb MH (1883) Notes on Operative
Dentistry. S.S. White Manufacturing Co., Philadelphia. 72-88.
11. GV Black 1891 “EXTENSION FOR PREVENTION” “In no
case should any decayed and so"ened material be le". It is
better to expose the pulp of the tooth than leave it covered
only with so"ened dentine” Removal of all infected,
a!ected dentine. Healthy tooth structure can be removed
for better access and visibility Extension of preparation in
adjacent pits and fissures for prevention Should have
definite mechanical retention in the restoration + Self-
cleansing area –prevents recurrence of decay in tooth surface
adjoining restoration Black GV (1891) The managment of
enamel margins. Dental Cosmos 33 :85-100.
13. Slagle 1904 “EXTENSION FOR RETENTION” • Focused
more on “anchorage” or retention of restorative material
inside prepared cavities a"er careful evaluation of occlusal
forces. • Introduced some secondary features to cavity
preparation for increasing the retention of restorative
materials (e.g. grooves, locks, coves). Slagle CE (1904) The
Fundamental Principles of Extension in Approximal Cavities
in Bicuspids and Molars. Dental Cosmos 46: 443-445.
14. 1928 PRIME CONCEPT Adapt the filling material to the
tooth. Achieve a proximal triangular form. Achieve
'independent surface retention Extension for prevention -
not necessary Prime, J.M. A plea for conservatism in
operative procedures. JADA 15(1}:1234-1246,1928
15. Bronner 1931 • Proximal outline forms should converge
• Gingival wall should be inclined axially to • prevent
dislodgment in a proximal direction. • With the proximal box
thus becoming a “ self-locking device- occlusal dovetail
obviated. • Discussed the management of a weakened cusp
by a procedure called “onfilling” ”Shoeing a cusp ” with
amalgam. Bronner, F.J. Engineering principles applied to
class II cavities. J Dent Res 10:115-119,1930.
16. Markley 1951 • Narrow occlusal preparation with slightly
convergent walls following direction of enamel rods. •
Proximal preparation- narrow across the marginal ridge •
Recommended proximal retentive grooves so that each
portion of restoration could be self- retentive . Markley, M.R.
Restorations of silver amalgam.JADA 43(2):133-146,1951
17. 1956 1959 VALE EXPERIMENTS • Two important features
recognised in conservative preparation. • Concluded:
reduction of occlusal width from a third to fourth the
intercuspal distance- greater strength in the prepared tooth.
Rounding of internal angle -better adaptation of amalgam.
Vale, W.A. Cavity preparation. Irish Dent Rev 2:33-41,1956.
Vale, W.A. Cavity preparation and further thoughts on high
speed. Br Dent J 107:333-340,1959.
18. 1958 Mahler & Peyton • Slightly round the axiopulpal line
angle to increase amalgam bulk in that area; decrease the
internal stress. • Decrease width of isthmus,depth of isthmus,
depth of preparation to decrease the internal stress within
the tooth.- increases the resistance of tooth structure to
deformation and failure • Rounded pulpal floor more suitable
than a plane. • Occlusal convergence should be minimal so
that the restoration may receive the maximum support of the
cavity walls. Mahler, D.B. An analysis o f stresses in a dental
amalgam restoration. J Dent Res 37(3):516-525,1958.
19. 1964 Gilmore For the modern preparation: isthmus
width: 1 mm or less for first premolars 1.5 mm or less for
molars depth of 0.5 mm into dentin . Mahler, D.B., and
Peyton, F.A. Photoelasticity as a research technique for
analyzing stresses in dental structures. J Dent Res 34(6):831-
838,1955.
20. 1975 Galan Deformation in proximal portion of the
Class II restoration could be decreased by locating retention
grooves above the axiopulpal line angle.” Galan, J.; Gilmore,
H.W.; and Lund, M.R. Retention for the proximal portion of the
Class n amalgam restoration. J Ind Dent Assoc 54(6):16-
19,1975
21. 1998 SUMMILT AND OSBORNE CONCEPT • Do not extend
for prevention in class I preparations - only prepare in areas
of diagnosed caries. • Keep preparation as narrow as caries
allows. • Do not extend class 2 preparations into occlusal
grooves, if occlusal surface is not involved by caries at all • If
occlusal extension is less than 1.2 mm wide, augment
retention of proximal box with retention locks on
facial/lingual walls. Osborne JW, Summitt JB. Extension for
prevention: is it relevant today? Am J Dent. 1998
Aug;11(4):189-96.
22. 20th Century “PREVENTION OF EXTENSION” •
“Minimally Invasive Dentistry” • Aim- achieve as much
conservation of dental tissue as possible. • Includes : early
detection of dental caries assessment and management of
caries-risk, remineralisation of early caries lesions, only
restoring cavitated lesions restriction of excavation to the
caries-infected areas using adhesive-based technologies •
Retentive features changed from macromechanical to micro-
mechanical (resin adhesives) and chemical (e.g. resin-
modified glass ionomer adhesives) retention. Ericson D
(2007) The concept of minimally invasive dentistry. Dent
Update 34(1): 9-10. Frencken JE, Peters MC, Manton DJ, Leal
SC, Gordan VV, et al. (2012) Minimal intervention dentistry for
managing dental caries - a review: report of a FDI task group.
Int Dent J 62(5): 223-243
23. CURRENT PERSPECTIVES Prevention of extension or
as Sigurjons states, constriction with conviction - operative
phrases in modern cavity preparation Increased knowledge
of: caries progression and prevention remineralisation of
tooth structure improved amalgam alloys systemic and
topical fluoridation precision instrumentation advanced
diagnostic aids better oral hygiene
24. • Basic principles governing the design of cavities and
steps in their preparation- first suggested by American
Dentist and teacher Dr. G.V .Black in the first decade of the
last century. • He based these principles on what was known
at time about the natural history of caries and the restorative
material available. • The wisdom of his work was such that it
remained unchallenged for more than half a century • But
now with new materials, a better understanding of caries and
research findings into the success of various restorative
procedure, his principles have been largely revised. •
Modification and rearrangement of these original principles
have been largely revised.
25. • Concepts professed by Bronner, Markley, J Sturdevant,
Sockwell, and C Sturdevant. • Improvements in restorative
materials, instruments, and techniques. • Increased
knowledge and application of preventive measures for caries.
Roberson T. Sturdevant's Art And Science Of Operative
Dentistry ( Fi"h Edition). St. Louis : Mosby Elsevier; 2006.
26. FUNDAMENTALS OF TOOTH PREPARATION 1. No friable
tooth structure can be le". 2. Fault, defect, or caries is
removed. 3. Remaining tooth structure is le" as strong as
possible. 4. Underlying pulpal tissue is protected. 5.
Restorative material is retained in a strong, esthetic (in some
cases), and functional manner.
27. TYPE Conventional Preparation Modified Preparation
Reduced degree of precision May require only removal
of defect (caries, fracture, or defective restorative material)
and friable tooth structure without specific uniform depths,
wall designs, retentive features or marginal forms.
Adhesive restorations, primarily composites, glass ionomers
Precise procedures resulting in uniform depths, particular
wall forms, and specific marginal configurations. Require
specific wall forms, depths, and marginal forms Amalgam,
cast metal, and ceramic restorations preparations
28. GENERAL PATIENT TOOTH RESTORATIVE MATERIAL
Factors A!ecting Cavity Preparation
29. GENERAL • DIAGNOSIS • Assessment of pulpal,
periodontal status of tooth • Assessment of occlusal
relationships. • Deciduous/ permanent tooth. • Type, location
of tooth. • Type of anomaly • Knowledge of Dental Anatomy •
Direction of enamel rods • Thickness of enamel,dentin • Size
and position of pulp • Relationship of tooth to supporting
tissues PATIENT • Age • Concern for aesthetics • Economic
status • Xerostomia • Diet • Caries index • General health. •
Parafunctional habits • Supplementary intake of fluorides
30. TOOTH • To conserve the tooth structure. • To repair the
damage from dental caries and prove the vitality of the tooth
• Restorations should be as small as possible • Lesser the
tooth structure removed, lesser the chance for pulpal
damage RESTORATIVE MATERIAL • Type • Physical properties
of restoration • Moisture control • Extensiveness of problem
31. TOOTH PREPARATION TERMINOLOGY
33. Abbreviated Descriptions of Tooth Preparations an
occlusal tooth preparation = O a preparation involving -
mesial and occlusal surfaces = MO a preparation involving the
mesial, occlusal, and distal surfaces = MOD Description of a
tooth preparation is abbreviated by using the first letter,
capitalized, of each tooth surface involved
34. COMPONENTS OF A CAVITY PREPARATION COMPONENTS
CAVITY WALL CAVITY PREPARATION ANGLE Additional
35. CAVITY WALL EXTERNALINTERNAL FLOOR ENAMEL
WALL DENTIN WALL AXIAL PULPAL FACIAL LINGUAL
36. INTERNAL WALL An internal wall is a prepared (cut)
surface that does not extend to the external tooth surface An
axial wall is an internal wall parallel with the long axis of the
tooth. A pulpal wall is an internal wall that is perpendicular to
the long axis of the tooth and occlusal of the pulp
37. EXTERNAL WALL An external wall is a prepared (cut)
surface that extends to the external tooth surface
38. FLOOR (OR SEAT) A floor is a prepared (cut) wall that is
reasonably flat and perpendicular to the occlusal forces that
are directed occlusogingivally (generally parallel to the long
axis of the tooth).
39. ENAMEL/DENTIN WALL The enamel wall is that portion
of a prepared external wall consisting of enamel The dentinal
wall is that portion of a prepared external wall consisting of
dentin, in which mechanical retention features may be
located
40. CAVITY PREPARATION ANGLE A line angle is the junction
of two planal surfaces of di!erent orientation along a line A
point angle is the junction of three planal surfaces of di!erent
orientation
41. INTERNAL LINE ANGLE EXTERNAL LINE ANGLE
45. CAVOSURFACE ANGLE The cavosurface angle is the
angle of tooth structure formed by the junction of a prepared
(cut) wall and the external surface of the tooth
49. Dentinoenamel Junction
50. Cementoenamel Junction.
51. ENAMEL MARGIN STRENGTH
53. TOOTH PREPARATION CLASSIFICATION
54. STAGES OF TOOTH PREPARATION
55. • Placing the preparation margins in the position they will
occupy in the final tooth preparation except for finishing
enamel walls and margins • Maintaining the initial depth of
0.2 to 0.8 mm into the dentin. • Outline form defines the
external boundaries of the preparations. 1. OUTLINE FORM
AND INITIAL DEPTH
56. For extension for prevention: Advantages • Prevents
recurrence of decay in the tooth surface adjoining restoration
• Results in self-cleaning embrasure areas • Margins of the
restoration are placed on line angles of the tooth • Occlusal
surface is extended through pits and fissures • Proximal line
angles extended buccally and lingually through embrasures
and cervically below the gingival margin
57. Principles Features for Establishing A Proper Outline
form • Removal of all weakened and friable tooth structure •
Removal of all undermined enamel • Incorporate all faults in
preparation • Place all margins of preparation in a position to
a!ord good finishing of the restoration. • Preserving cuspal
strength • Preserving strength of marginal ridge • Minimizing
the buccolingual extensions • If distance between two faults is
less than 0.5 mm, connect them • Limiting the depth of
preparation 0.2 to 0.8 mm into dentin • Using enameloplasty
wherever indicated
59. Outline form for Smooth Surface Lesions—Outline form
of Proximal Caries (Class II, III and IV lesions) • Extend the
preparation margins until sound tooth structure is reached •
Restrict the depth of axial wall 0.2 to 0.8 mm into dentin •
Axial wall should be parallel to external surface of the tooth •
In class II tooth preparation, place gingival seat apical to the
contact but occlusal to gingival margin and have the
clearance of 0.5 mm from the adjacent tooth
61. Rules for Class V Cavities • Outline form is limited by
extent of the lesion. • Extensions are made mesially, distally,
occlusally and gingivally till sound tooth structure is reached.
• Axial depth is limited to 0.8–1.25 mm pulpally
62. Primary resistance form is that shape and placement of
preparation walls to best enable both the tooth and
restoration to withstand, without fracture, the stresses of
masticatory forces delivered principally along the long axis of
the tooth. 2. Primary resistance form
63. Features of Resistance Form • Box-shaped preparation
with flat pulpal and gingival floor • Adequate thickness of
restorative material • In case of class IV preparations, check
the faciolingual width of anterior teeth, to establish the
resistance form. • Restrict the extension of external walls •
Inclusion of weakened tooth structure • Rounding of internal
line angle • Consideration to cusp capping depending upon
the amount of remaining tooth structure.
65. 3. Primary Retention Form Primary retention form is
that form, shape and configuration of the tooth preparation
that resists the displacement or removal of restoration from
the preparation under li"ing and tipping masticatory forces.
66. Features Amalgam Providing occlusal convergence
(about 2°–5°) of dentinal walls towards the tooth surface
Giving slight undercut in dentin near pulpal wall
Conserving the marginal ridges Providing occlusal dovetail
67. Features CAST METALS • Close parallelism of the
opposing walls with slight occlusal divergence of 2°–5° •
Making occlusal dovetail to prevent tilting of restoration in
class II preparations • Use of secondary retention in the form
of coves, skirts and dentin slot • Give reverse bevel in class I
compound, class II, and MOD preparations to prevent tipping
movements
68. Features COMPOSITES: – Micromechanical bonding
between the etched and primed prepared tooth structure
and the composite resin – Providing enamel bevels. DIRECT
FILLING GOLD: Elastic compression of dentin and starting
point in dentin provide retention in direct gold fillings by
proper condensation.
70. 4. Convenience Form The convenience form is that form
which facilitates and provides adequate visibility,
accessibility and ease of operation during preparation and
restoration of the tooth.
71. Features • Su!icient extension of distal, mesial, facial or
lingual walls to gain adequate access to the deeper portion of
the preparation. • Cavosurface margin of the preparation
should be related to the selected restorative material for the
purpose of convenience and marginal adaptation. • Class II
preparations: Access is made through occlusal surface for
convenience form. Proximal clearance provided from
adjoining tooth Tunnel preparation: proximal caries in
posterior teeth is approached through a tunnel initiating
from occlusal surface and ending on carious lesion on
proximal surface without cutting marginal ridge. Cast gold
restorations: occlusal divergence
72. 5. Removal of Any Remaining Enamel Pit or Fissure,
Infected Dentin and/or Old Restorative Material, if Indicated •
If a small amount of carious lesion remains, only this lesion
should be removed, leaving concave, rounded area in the
wall. • Use low speed handpiece with the round bur or spoon
excavator with light force and a wiping motion. • Start
removal of caries from the lateral borders of the lesion. •
Remove only infected dentin, not the a!ected dentin
73. 6. Pulp Protection Pulp protection is achieved using
liners, varnishes and bases depending upon: • The amount of
remaining dentin thickness • Type of the restorative material
used Liners and varnishes are used where preparation depth
is shallow and remaining dentin thickness is more than 2
mm. They provide: • Barrier to protect remaining dentin and
pulp • Galvanic and thermal insulation.
75. 7. Secondary Resistance and Retention Forms
77. 8. Procedures for Finishing the External Walls of Tooth
Preparation Finishing of a tooth preparation walls is further
development of a specific cavosurface design and degree of
smoothness which produces maximum e!ectiveness of the
restorative material being used. • Better marginal seal
between restoration and tooth structure • Increased strength
of both tooth structure and restoration at and near the
margins • Strong location of the margins • Increase in degree
of smoothness of the margins.
78. 9. Final Procedures: Cleaning, Inspecting and Sealing
Final step in tooth preparation is cleansing of the
preparation. This includes the removal of debris, drying of
the preparation, and final inspection before placing
restorative materials Degree of smoothness of walls Location
of the margins
79. NEWER ADVANCES Minimally invasive cavity
preparations: 1. Tunnel preparation 2. Box only/ slot
preparation Minimally invasive methods of cavity
preparations 1. Fissurotomy 2. Use of Polymer burs 3. Air
abrasion 4. LASERS
80. CONCLUSION Tooth preparation is determined by
many factors, and each time a tooth is to be restored, each of
these factors must be assessed. If the principles of tooth
preparation are followed, the success of any restoration is
greatly increased. The increasing bond strengths of enamel
and dentin bonding are likely to result in significant emphasis
on adhesive restorations. Likewise, the improved ability to
bond to tooth structure is likely to continue to alter the entire
tooth preparation procedure. When materials can be
bonded e!ectively to a tooth while restoring the inherent
strength of the tooth, the need for refined tooth preparations
is reduced or eliminated. Emphasis shi"s away from
traditional tooth preparation to knowledge of restorative
materials and dental anatomy.
81. REFERENCES 1. Roberson T. Sturdevant's Art And
Science Of Operative Dentistry ( Fi"h Edition). St. Louis :
Mosby Elsevier; 2006. 2. Rodda, J.C. Modern class II amalgam
cavity preparations. New Zealand Dent J 68:132-138,1972. 2.
Markley, M.R. Saving teeth for lifetime service. A presentation
to the Academy of General Dentistry, July 20,1981. 3. Welk,
D.A., and Laswell, H.R. Rationale for design of cavity
preparations. J Am Acad Gold Foil Oper 13(2):75-85, 1970. 4.
SigurJons, H. Extension for prevention: current status. Oper
Dent 8(2):57-62,1983. 5. Prime, J.M. A plea for conservatism in
operative procedures. JADA 15(1}:1234-1246,1928. 6. Bronner,
F.J. Engineering principles applied to class II cavities. J Dent
Res 10:115-119,1930. 7. Bronner, F.J. Mechanical,
physiological and pathological aspects of operative
procedures. Dent Cosmos 73:577-584,1931. 8. Romnes, A.F.
Clinical aspects of amalgam restoration. JADA 28(l):54-
63,1941. 9. Ingraham, R. Application of sound biomechanical
principles in the design of inlay, amalgam, and gold foil
restorations. JADA 40(4J:402-413,1950. 10. Markley, M.R.
Restorations of silver amalgam. JADA 43(2):133-146,1951. 11.
Vale, W.A. Cavity preparation. Irish Dent Rev 2:33-41,1956. 12.
Vale, W.A. Cavity preparation and further thoughts on high
speed. Br Dent J 107:333-340,1959.
82. REFERENCES13. Nadal, R.; Phillips, R.W.; and Swartz,
M.L. Clinical investigation on the relation of mercury to the
amalgam restoration. JADA 63(4}:488-496,1961. 14. Nadal, R.
Amalgam restorations: cavity preparation, condensing and
finishing. JADA 65(l):66-77, 1962. 15. Mahler, D.B., and Peyton,
F.A. Photoelasticity as a research technique for analyzing
stresses in dental structures. J Dent Res 34(6):831-838,1955.
16. Mahler, D.B. An analysis o f stresses in a dental amalgam
restoration. J Dent Res 37(3):516-525,1958. 17. G ra n a th ,
L.E. P h o to e la s tic s tu d ie s on occlusal-proximal sections
of class II restorations Odontol Revy 15:169-185,1964. 18.
Granath, L.E. Further photoelastic studies on the relations
between the cavity and the occlusal portion of class II
restorations. Odontol Revy 15:290-298, 1964. 19. Granath,
L.E., and Edlund, J. The role of the pulpoaxial line angle in the
origin of isthmus fracture. Odontol Revy 19:317-334,1968. 20.
Gilmore, H.W. New concepts for the amalgam restoration.
Practical Dental Monographs. Chicago, Year Book Medical
Publishers, 1964, pp 5-31. 21. Terkla, L.G., and Mahler, D.B.
Clinical evaluation of interproximal retentive grooves in class
II amalgam cavity design. J Prosthet Dent 17:596-602, 1967.
22. Rodda, J.C. Modem class n amalgam cavity preparations.
New Zealand Dent J 68:132-138,1972. 23. Galan, J.; Phillips,
R.W.; and Swartz, M.L. Plastic deformation of the amalgam
restoration as related to cavity design and alloy system. JADA
87(6):1395- 1400,1973. 24. Galan, J.; Gilmore, H.W.; and Lund,
M.R. Retention for the proximal portion of the Class n
amalgam restoration. J Ind Dent Assoc 54(6):16-19,1975. 25.
Crockett, W.D., and others. The influence of proximal
retention grooves on the retention and resistance of class II
preparations for amalgams. JADA 91(5):1053-1056,1975. 26.
Almquist, T.C.; Cowan, R.D.; and Lambert, R.L. Conservative
amalgam restorations. J Prosthet Dent 29:524- 528,1973
About Support Terms
Privacy Copyright
Cookie Preferences
English 
Do not sell or share my personal

information
Everand
© 2024 SlideShare from Scribd  

Fundamentals of Cavity Preparation

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Fundamentals of Cavity Preparation

Uploaded by

Copyright:

Available Formats

Search

Health & Medicine

Explains about the basic concepts of cavity

Class II cavity preparation Class II cavity

Class i cavity preparation Class i cavity

Steps Of Cavity Preparation Steps Of Cavity

Dental Amalgam Dental Amalgam

Matrixing and wedges Matrixing and wedges

More Related Content

Heat cure acrylic Heat cure acrylic

Dental bases and liners Dental bases and

DENTIN BONDING AGENTS DENTIN BONDING

Cavity preparation Cavity preparation

clinical & laboratory

Bevels and flares in

Class ii amalgam Class ii amalgam

Dental amalgam Dental amalgam

Special tray prosthodontics Special tray

Presentation tooth.pdf Presentation tooth.pdf

tooth preparation and

Cavity preparation Cavity preparation

Cavity preparation Cavity preparation

Slideshows for you

Wound healing Wound healing

Diabetes Mellitus Diabetes Mellitus

Wound healing Wound healing

Myocardial infarction Myocardial infarction

Liver cirrhosis Liver cirrhosis

Peptic ulcer Peptic ulcer

Rheumatic fever Rheumatic fever

General examination General examination

Iron deficiency anemia. Iron deficiency

More from Shazeena Qaiser

Bu!ered anesthetics Bu!ered anesthetics

Vagus nerve Vagus nerve

Sphenopalatine Neuralgia Sphenopalatine

Facial pain Facial pain

Best Uterine tonic for

Raising the BCMA

primary heakth care

patient safety.pptx patient safety.pptx

Fundamentals of Cavity preparation

About Support Terms

Do not sell or share my personal

© 2024 SlideShare from Scribd  

You might also like