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Overviewofamalgamrestoration 170605144509
Overviewofamalgamrestoration 170605144509
AMALGAM RESTORATION
DR. SARANG SURESH HOTCHANDANI
CONTENTS 2
• INTRODUCTION
• GENERAL TOOTH PREPARATION
• TYPES OF AMALGAM
• HISTORY
• GENERAL CONSIDERATIONS
• GENERAL CLINICAL TECHNIQUE
INTRODUCTION 3
•Composition
• Silver; 65% wt.
• Tin; 29% wt.
• Copper; <6% wt.
LOW COPPER AMALGAM 10
• Composition
• Silver; 40% wt.
• Copper; 12% - 30% wt.
HIGH COPPER AMALGAM 12
• Filing; when dental amalgam alloys contain only lathe cut particles.
SPHERICAL AMALGAM 15
• Mercury free
• It has been theorized that during mastication, pressure of 200 MPa and this
force with friction can generate heat which would break bond in amalgam and
release mercury in the oral cavity.
• Allergy to alloys
• Esthetic areas
• Local anesthesia
• Extend facial and lingual proximal walls into facial or lingual embrasure but not
beyond it
• The less the outline form the more conservative is the cavity and less the tooth
structure is removed.
CAVOSURFACE MARGIN 36
Insert Mixed
Carving of
Finishing Amalgam into
Amalgam
Cavity
45
Matrix Placement in case of Proximal
Restoration 46
• It should be easily applied and removed, extend below gingival margin, extend above
marginal ridge height & resist deformation during insertion of restorative material.
• Occlusal areas;
• A discoid-cleoid instrument is used for this purpose.
• The rounded end (discoid end) of discoid-cleoid instrument is positioned on the
unprepared enamel adjacent to the amalgam margin and pulled parallel to margin.
• The pointed end (cleoid end) is used for creating primary grooves, pits or cuspal inclines.
Or these can also be made with Hollenbeck carver.
• Mesial & distal pits should be inferior to marginal ridge height to prevent wedging of food
into occlusal embrasure.
• For large class 2 or foundation restorations, the initial carving of the occlusal surface
should be rapid, concentrating primarily on the marginal ridge height and occlusal
embrasure areas.
• These areas are developed with explorer or carving instrument by mimicking adjacent tooth.
Carving of Amalgam 49