Amalgam Cavity Preparation Class I

‫ امير منعم فضاله‬: ‫اعداد الطالب‬

‫ علي حمزة الهاشمي‬: ‫باشراف الدكتور‬

Class I Caries Lesions

• Pit and fissure lesions.

GROOV FISSURE AND PIT?

• occlusal fissure of posterior teeth, facial of lingual pits of posterior

teeth, platal pit if present in the upper lateral incisor.

• Defective Restoration and Recurrent caries.

• G.V. Black Steps of cavity preparation:

1. Establish an outline form.

2. Obtain a resistance form.

3. Obtain retention form.

4. Obtain Convenience form.

5. Removal of remaining caries.

6. finishing of the walls and margins.

7. Cleansing of the cavity.

Cavity Preparation
• OUTLINE FORM:

• Two guidelines:

• carious tooth structure should be eliminated.

• margins should be placed in a sound tooth structure.

• The prep should be smooth with sweeping curves.

-Conservative preparation is recommended:

a. protect the pulp

b. preserve strength of the tooth.

c. reduce deterioration of the restoration.

• All affected fissures and pits are included.

• Non carious fissure is not included the the cavity and should be sealed.

• Any undermined should be eliminated.

-To prevent the undermining of enamel at the marginal ridge, the mesial
and distal walls should be parallel to the corresponding surface.

Obtaining Resistance
• Two consideration in resistance form:

• the restoration must have adequate thickness and have a marginal

design that will allow it to bear the forces without fracture or deform.

• the remaining tooth st. must be left in such a state that it will resist the
forces of mastication.

• Resistance form is provided by:

• Sufficient area of relatively flat pulpal floor, to resist forces directed in

the long axis of the tooth.

• Minimal extension of external wall.

• Strong, ideal enamel margins.

• Sufficient depth.
• The resistance form here consists chiefly of a pulpal wall parallel to the
occlusal plane (perpendicular to the long axis of the tooth) with dentin
walls at right angles to it., i.e. Boxing the preparation.

Modified box- Mortise preparation

- refers to those aspects of cavity preparation which ensure that the
restoration is not dislodged from the prepared cavity.

Retention Form

Convergence to occlusal surface (small undercut to prevent occlusal

displacement)
• Ideal depth is 1.5 mm when smooth and finished

CONTROL THE DEPTH OF YOUR PREPARATION.

• Using the 330 bur, or 245 bur

Final Tooth Preparation

• Removal of remaining defected enamel and infected dentin.

• Pulpal protection.

• Finishing external walls.

• Cleaning and Inspection.

Removal of Remaining Carious Dentin

• extension of the cavity should ensure, all caries is removed from the
peripheral DEJ.

• In small size cavities, the carious dentin should have been removed
during making the cavity extensions.

• In moderate/deep cavities removal of carious dentin should not affect

the resistance form, the periphery wouldn’t need further extension.

• Bur size 245 can be use to establish flat seatremoval of carious dentin
should not further af- of around the circumstances The fect resistance
form site the periphery will not need the excavation because if the flat
seat is further extension. In addition, it should not not obtained
spontaneously.
Cleansing of the Cavity
• The prepared cavity should be free from all debris.

• No disinfectant should be used to clean the cavity.

• Don’t desiccate it.

Compound Class I Amalgam Preparation

• When the Caries is extended into the lingual or palatal fissure. The
outline is extended to include the affected fissure.

• Enameloplasty should be performed when defect is minimal.

• when the defect extend to one half of the distance from the groove and
the cusp tip, caping of the cusp may be indicated.

Buccal/ palatal Pit

• Shape varies (oval - round - oblong) depending

on the caries extension.

• Walls continually joined & slightly convergent to

wards the cavosurface margin.

• Axial wall follows the contour of the buccal/lingual surface.

REFRANCE
•Theodore M. Roberson, Sturtevant's Art and Science of Operative
Dentistry.

• James B Summit, Richard S Schwartz, Fundamentals of operative

Dentistry a contemporary approach.

• Charbonneau – principles and practice of operative dentistry.