CLASS I COMPOUND CAVITY

Dr Shahzad Ali Shah

Department of restorative dentistry
• OCCLUSO LINGUAL PREPARATION IN MAXILLARY FIRST
MOLAR

OCCLUSO BUCCAL PREPARATION IN MANDIBULAR

MOLARS
 CLASS I COMPOUND AMALGAM
RESTORATIONS

• Occluso lingual (OL) restorations is used on maxillary molars when a

lingual/palatal fissure connects with the distal oblique fissure and
distal pit on the occlusal surface.

• Occluso facial (OF) restoration is on lower molars when the buccal

fissure extends onto the buccal surface and merges with the facial
fissure.
OUTLINE OF MARGINS FOR OCCLUSO LINGUAL
TOOTH PREPARATION
 Cavity preparation
• The cavity is prepared in two parts

1. Occlusal part

2. Lingual part
Occlusal part
• No. 245 bur or small fissure
bur is used

• It should cut “off center” to

preserve the disto-palatal
cusp.
• the occlusal portion may
have a slight distal tilt to
conserve the dentin support
of the distal marginal ridge
Lingual part
• Position the same bur to cut
lingual portion
• the length of lingual cavity (outline form) dependent on the
length of fissure

• The mesio distal width of the lingual extension should not

exceed 1 mm, except to remove carious or undermined
enamel.
• Axial wall depth – 1 mm (0.2-
0.5 mm inside DEJ)

• Than slightly tilt the bur to

follow the contour
Pulpal floor

Gingival floor
Axial wall
• Now use bur perpendicular to
axial wall (lingual surface) to
accentuate mesio axial and
disto axial line angle
 • Keeping the bur perpendicular
to the tooth surface, round
the axio-pulpal line angle

axiopulpal line angle

 Finalization of cavity preparation

• Remove any remaining caries

• Improve the retention if required (grooves in the mesio axial

and disto axial line angles)

• Smoothen the walls ( hand cutting instruments)

Occluso Buccal cavity prep in lower
molars
• Make a simple occlusal class I
cavity
and extend the outline form
through buccal fissure onto
facial surface
• Buccal portion of extension is
cut with side of bur
• Define line angles by directing
bur from the buccal aspect
• Change the inclination of bur
to establish correct axial wall
depth. And round the axio
pulpal line angle
Completed tooth preparation
• Sturdevant’s art and science of operative dentistry 5th edition, Mosby
Inc