Australian Dental Journal

The official journal of the Australian Dental Association

Australian Dental Journal 2010; 55: 120–127
REVIEW
doi: 10.1111/j.1834-7819.2010.01214.x

The all-ceramic, inlay supported fixed partial denture. Part 1.

Ceramic inlay preparation design: a literature review
MC Thompson,* KM Thompson,  M Swain*
*Faculty of Dentistry, The University of Sydney.
 Faculty of Health Science, The University of Sydney.

ABSTRACT
The effect of cavity design is a controversial and underrated factor in the clinical success of ceramic inlays and inlay
supported prosthesis. Many articles and studies have been conducted into the advantages and disadvantages of isolated
aspects of preparation design, but lacking is a review of the most relevant papers which bring together a consensus on all the
critical features. Hence, a review and analysis of cavity depth, width, preparation taper and internal line angles is warranted
in our attempts to formulate preparation guidelines that will lead to clinically successful, all-ceramic inlay restorations and
ceramic inlay supported prosthesis.
Keywords: All-ceramic, fixed partial denture, inlay supported denture, ceramic fixed partial denture.
Abbreviations and acronyms: FEA = finite element analysis; IWC = intercuspal width; TOC = total occusal convergence.
(Accepted for publication 6 July 2009.)

design whilst Part 2 will present original research into

INTRODUCTION
Successful restoration of the dentition has historically
depended upon simultaneously respecting the three
foundation principles of tooth preparation: mechanical
preparation to achieve retention and resistance, hence
ensuring longevity; aesthetic factors such as minimizing
the appearance of margins and display of metal; and
the biological consequences of achieving the first two
factors which concerns the health and ultimate dura-
bility of the tooth and periodontium.
Growing patient demands for aesthetic ‘‘tooth-like’’
materials and concerns about the deleterious effects of
metals has added a new consideration for the profession
to address.
Magne,1 who advocated a new ‘‘biomimetic’’
approach for restorative and prosthetic dentistry via
the use of ceramics and composite resins, heralded not
only a change in techniques, but as stated by Roeters,2
a change in treatment philosophy. As a consequence of
this major paradigm shift, the primary emphasis for
dentistry is now not the restoration of the tooth, but
rather its reinforcement and preservation.
Part 1 of this two-part investigation will review the
literature with regards to the ideal inlay preparation
120
the fixed partial denture (FPD) design. Three dimen-
sional finite element analysis will be used to create an
optimum all-ceramic bridge with regards to connector
dimensions and embrasure geometry and validated with
load-to-failure bench-top testing.
Inlay preparation design
It has become a basic tenet in dentistry that in order to
replace a missing tooth (pontic) without resorting to the
use of removable prosthetics or implants, it becomes
necessary to attach the pontic to the adjacent teeth
(abutments). Whether or not it is chosen to prepare the
abutments in an effort to improve mechanical resistance
and retention is a decision that the dentist must weigh
up against the loss of tooth structure that accompanies
such preparation and hence increased risk of tooth
fracture.
Little or no preparation to the abutments means
relying heavily upon adhesive technology with minimal
mechanical assistance. The advantages are the conser-
vation of tooth structure and thus the diminishment of
the pulpal and periodontal consequences discussed
above. Conversely, if the decision is made to prepare
ª 2010 Australian Dental Association

the abutments in order to impart mechanical resistance
and retention to the FPD, then varying degrees of tooth
reduction becomes necessary, with the associated
complications arising with increasing tooth prepara-
tion. It is the challenge of replacing missing teeth and
the restoration of aesthetics and function at minimal
biological cost that is of concern to every practising
dentist.3
Many articles and studies have investigated the
advantages and disadvantages of the various aspects
of preparation design and its effect on the clinical
success of ceramic inlays. Milleding et al.4 stated that
‘‘the effect of cavity design on the strength of an inlay is
a factor that is probably underrated’’.
The main factors of preparation design that influence
the longevity of the inlay ⁄ tooth complex are as follows:
cavity depth; cavity ⁄ isthmus width; preparation taper,
and the morphology of internal line angles. Figure 1
illustrates the idealized form of an MO inlay on the
lower second molar.
Tooth preparation designs advocated for posterior
ceramic restorations have been based upon recommen-
dations made by GV Black (1836–1915) for cast metal
and amalgam, resulting in considerable tooth structure
removal, opposing walls that are too parallel and
internal line angles too steep.
Preserving tooth structure is beneficial to the overall
health of the tooth and periodontal tissues. The use of
the minimally invasive bonded restoration results in less
trauma and superior prognosis.5–10 When designing a
tooth preparation, be it for restorative or prosthetic
reasons, it is imperative to balance the competing
considerations of aesthetics; preservation of tooth
structure and the periodontal complex, and maximizing
the strength of the restoration.11 Cavity geometry and
dimensions are dictated by traditions of cavity design,
the properties of the restorative material, the techniques
Fig 1. Ideal ceramic inlay preparation design.
ª 2010 Australian Dental Association
Ceramic inlay preparation design
and technology applied and ultimately the inherent
shape of the carious lesion.12
Preparation geometry for ceramic restorations in
general, and inlays specifically, must be adapted to the
specific properties of ceramics. Possessing a low tensile
strength and high modulus of elasticity, the traditional
retention ⁄ resistance principles for cast metal restora-
tions must be relaxed and the simplest geometry
employed.13 Low flexural strength is a limiting property
of brittle materials such as ceramics because the failure
mechanism most likely is that of tension or impact
damage rather than compression, a property of which
ceramics possess highly but is irrelevant in consider-
ations of rupture and cyclic fatigue.14–17
The literature is conclusive in regards to the effects
of tooth preparation; it further weakens teeth and
increases the likelihood of fracture.18 Khera et al.19
examined the effects of cavity depth, isthmus width and
remaining interaxial dentine on MOD cavity prepara-
tions via the use of 3D finite element analysis (FEA). A
total of eight different cavity designs were prepared on
human premolars, divided into three groups and
compared with normal, unprepared teeth and to other
cavity designs in the same group. It was demonstrated
that the most crucial factor in the weakening of cusps
was cavity depth, with the width of the isthmus alone
being the least important.
Lin et al. studied the mechanical responses of MOD
preparations on six human second premolars with the
use of FEA. They concluded that pulpal wall depth was
the most profound determinant in the likelihood of
cuspal fracture and the deeper the pulpal depth, the
greater the risk to the restored tooth.20
In a similar study, Lin et al.21 examined the
biomechanics of 30 MOD cavity preparations on
human maxillary second premolars via FEA. Stress
levels were correlated to pulpal depth, isthmus width
121
MC Thompson et al.

Table 1. Cavity depth recommendations for minimizing tooth fracture in Class II restorations
Author Recommendation for Comments
cavity depth

Banks (1990)15 1.5 to 2 mm Uniformity of depth stressed.

Blaser et al. (1983)22
Donly et al. (1990)23
Etemadi et al. (1999)11
Goel et al. (1992)24
Homewood (1998)25
Khera et al. (1991)19
Lin et al. (2001)20
Malament and
Grossman (1987)26
Malament (1998)27
Milleding et al. (1995)4
Nadal (1962)28
Rosenstiel et al. (2001)29
Watts et al. (1995)30
Shallow floor considered is Cavity depth most important factor. Width does not substantially
1.5 mm weaken teeth if depth is shallow.
1.5 mm 1.5 mm depth conservative Class II preparation has less marginal
leakage than 2.0 mm conventional preparation.
1.5 to 2.0 mm Study conducted on resin-bonded porcelain restorations. Rounded
internal line angles recommended.
NSR Unfavourable stresses increased with increasing cavity depth.
NSR Shallower cavity results in less cusp deflection.
NSR Cavity depth most significant factor in fracture of tooth, isthmus
width the least.
Unfavourable stresses develop exponentially as cavity depth increases.
1.5 to 2.0 mm Smooth preparation with no sharp internal line angles recommended.
1.5 to 2.0 mm Cavity depth recommended for ceramic strength.
1.5 to 2.0 mm Recommendation made specifically to minimize fracture of ceramic
inlay but authors found that 1.5 mm cavity depth resulted in only
2% cusp fracture rate.
NSR Shallow floor and narrow occlusal outline recommended.
1.5 to 2.0 mm Manufacturers recommendation.
Cavity depth of 1/3 to ½ Shallower restoration depth leads to decreased prevalence of tooth
bucco-lingual width. fracture.

NSR ¼ no specific recommendation.

and interaxial thickness (width of the pulpal floor from
axial wall-to-axial wall) with variations of the three
design parameters being made and analysed. The results
demonstrated that enlarging the volume of the MOD
cavity significantly increased the stresses in enamel, and
to a lesser extent dentine, with the stress intensity rising
exponentially with cavity depth. For enamel, cavity
depth is the most dominant factor influencing stress.
However, for dentine, it appears that the length of the
interaxial wall could be the most important factor.
Table 1 summarizes a number of studies evaluating
the role of cavity depth and its relation to restoration
and tooth strength. It demonstrates that a depth of 1.5
to 2 mm is ideal in minimizing tooth loss and providing
sufficient thickness of material in order to ensure
adequate functional life.
The concurrence of opinions regarding the recom-
mended depth for cavities in order to minimize the
incidence of tooth fracture is considerable. This needs
to be balanced with the need to retain adequate bulk in
the restorative material to ensure the long-term viability
of the tooth ⁄ restoration complex. These competing
issues influencing material strength can be successfully
answered with current bonded restorations which rely
significantly less on mechanical factors than traditional
direct and cast restorations. In the case of ceramic inlay
systems, the use of a resin cement to both retain the
restoration and support the weakened tooth structure
results in good long-term success.31 Zinc phosphates
and glass-ionomer cements must be avoided. However,
the former, because of its inability to bond, and the
latter, due to its low modulus of elasticity, increases the
flexure of the inlay and thus the rate of fracture.
122
Habekost et al.32 evaluated the in vitro fracture
resistance of teeth restored with different designs of
ceramic restorations. One hundred and twenty sound
maxillary premolars were tested in three groups. Each
group was prepared with three indirect restorations
consisting of inlays, onlay with only lingual cuspal
coverage and onlay with buccal and palatal cuspal
coverage. Twenty intact teeth were selected as controls.
Peak load-to-fracture was measured for each specimen.
Results indicated that the fracture resistance of the teeth
was related to the quantity of hard tissue removed and
inlays showed a significantly higher fracture resistance
than onlays. This suggests that unlike in the use of
metallic materials and composite resins, where cusp
capping is often viewed as being a preferred means of
reinforcing a tooth, caution is needed for ceramic
inlays.
Bonding of inlays to teeth increases the fracture
resistance of the tooth.33–35 However, large MOD
preparations severely undermine cusps to the degree
that adhesive bonding of restorative materials does
‘‘not re-establish the fracture resistance of the tooth to
its original levels.’’16 Hence, minimizing the depth and
overall width of any tooth preparation to the amount
needed for adequate retention, resistance and conve-
nience form must be of primary concern.
Table 2 summarizes a number of studies evaluating
the relationship between enlarged cavity widths (spe-
cifically the intercuspal width defined as the distance
between cusps) and tooth fracture strength. Universally,
the consensus is to maintain as narrow cavity width
as possible whilst maintaining acceptable strength
in the restorative material; the recommendation is 1/3
ª 2010 Australian Dental Association
 Ceramic inlay preparation design

Table 2. Cavity isthmus width recommendations for minimizing tooth fracture in Class II restorations
Author Isthmus recommendation Comments
(as a ratio of ICW)

Bader et al. (2004)36
Blaser et al. (1983)22
37
Cavel et al. (1985)
Christensen (1971)38
Re et al. (1982)82
Homewood (1998)25
Joynt et al. (1987)40
Larson et al. (1981)41
Lin et al. (2001)20
Mondelli et al. (1980)42
Osborne and Gale (1980)43
Vale (1959)44
Watts et al. (1995)30
NSR Relationship exists between fracture risk and dentinal support
measured by intercuspal width proportion and restoration depth.
NSR Width of MOD preparation does not substantially weaken the tooth
if the pulpal depth is shallow.
£1/3 ICW Wider isthmus and ⁄ or more restored surfaces related to increased
fracture susceptibility.
£1/3 ICW Inlays with ICW > 1/3 have higher fracture risk.
NSR No specific trend found between the fracture strength of restored
teeth and preparations with various sizes of faciolingual width.
NSR Wider isthmus results in greater cusp deflection.
1
/3 ICW 1
/3 ICW chosen for study, recognized that narrow ICW associated
with reduced fractures.
£¼ ICW Proportional isthmus width is possibly the most important measure
of lost dentinal support associated with fracture resistance.
NSR Smaller isthmus results in less stress, cavity depth most important
factor.
£¼ ICW The narrower the isthmus, the greater the load to cause fracture.
A significant factor in preparation design.
£¼ ICW ¼ ICW provides better resistance to fracture than 1/3 ICW.
£¼ ICW Isthmus greater than 1/3 ICW significantly weakened.
<1/3 ICW Narrower cavity width had statistically higher fracture strengths.

NSR ¼ no specific recommendation.

intercuspal width (ICW) or less, with most recommen-
dations suggesting ¼ or less.
Total occlusal convergence (TOC), defined as ‘‘that
angle which is formed between opposing walls of a
preparation’’, is an important factor in cavity design
and yet the aspect associated with the most conten-
tion.45 For complete crown preparations, TOC was one
of the first preparation criteria given a specific quanti-
tative value when Prothero in 1923 recommended a
range of between 2 and 5. This was later scientifically
tested by Goodacre et al.44 with the recommendation
increasing to between 6 and 7.
The current practice of minimizing the axial wall
convergence or the TOC to between 6 and 7 (or less)
in the preparation of cast metal restorations47–50 is
likely to lead to increased failure rates if used for
ceramic restorations, and should be increased to
approximately 15.
Kaufman et al.49 examined the effects of varying the
TOC angle (1, 5, 10, 15, 20) on complete veneer
crowns with controlled variations in height and diam-
eter, and found that as the convergence approached
parallelism (at least to within 5), retention increased
geometrically – this being related to the simple effects of
geometry. No definitive recommendation was made as
to a TOC angle as it was acknowledged that many
factors influence the retention of a cast restoration (e.g.,
adaptation of the casting, texture of surfaces, elasticity
of the casting to enable it to resist deformation and
hence maintain the cement seal, etc.).
Livaditis,51 Shillingburg52 and Rosenstiel et al.29
have recommended a TOC of 5–7 for resin-bonded
cast metal, intracoronal restorations due to the
ª 2010 Australian Dental Association
increased retention offered by the friction fit of the
surfaces, whilst Jørgensen49 attributed the increased
retention to the limiting of the ‘‘paths of insertion’’ and
removal.
Mack examined the TOC angles of clinically
prepared inlay and crown dies, and compared them to
those prepared in a laboratory with the use of standard
laboratory optical measurement equipment.53 It was
concluded that the average TOC achieved in dental
practice was about 16.5 – far removed from the
textbook ideal of 5. He showed that if a dentist looked
over the preparation with a mirror and could sight all
the walls, then the minimum taper achieved is 5, 42¢.
An estimate of 12 was also made for the minimum
convergence required in order to ensure an absence of
undercutting clinically.
Ceramic restorations are fundamentally different to
cast metal restorations in numerous ways. Chief
amongst them is their very high modulus of elasticity
and presence of numerous micro-flaws on the surface
which renders them fragile in tension, hence highly
brittle and likely to fracture during the luting procedure
and under occlusal loading.11,54–56
Qualtrough and Wilson55 stressed the importance of
the bonding procedure to the overall success of the
ceramic restoration. Hypothesizing that unlike tradi-
tional cast metal inlays where the fit was critical to
success, it is the bonding procedure in ceramic systems
that may ultimately determine the longevity of the
restoration, with smaller degrees of divergence between
axial walls resulting in greater stress being imparted to
the inlay and the increased likelihood for the need of
adjustment. Unlike metals, resins and tooth structure,
123
MC Thompson et al.

ceramics are unable to elastically deform to the same
extent; hence the build-up of stresses is likely to occur
from the cementation procedure if there are any
discrepancies of fit, or if the fit is tight. The TOC angle
must be relaxed in order to accommodate the inlay,
minimizing straining and the build-up of stress.56
Table 3 demonstrates the current opinion with
regards to increasing the TOC for ceramic inlays from
the traditional 5 to 7 to approximately 20 when
ceramic restorations are utilized. Values are also given
for ceramic and metallic crowns as a comparison and a
guide as to the fluctuating historical opinions.
Classic cavity design principles as advocated by GV
Black recommended the use of flat walls and sharp
internal line angles as the best way of maximizing
the retention and especially the resistance form of
restorations – this is especially true with regards to
Class II restorations where traditionally even the
axiopulpal line angle has been left deliberately angular.
Cavity design evaluation based upon the use of 2D
photoelastic methods has revealed that any areas of
angularity within tooth preparations and restorative
materials give rise to significant stress concentrations.
The pioneering work of Noonan,69 Mahler and
Peyton70 and Haskins et al.,71 as well as others,
concluded that ‘‘rounding of internal line angles [is]
the most satisfactory modification of cavity preparation
with respect to stress within the remaining tooth
structure’’.72
The stresses that accumulate within complex shapes
is difficult mathematically to analyse. However, the use
of photoelastic analyses of these complex and deleteri-
ous stresses has provided useful data to derive optimal
design parameters for cavity preparations. Photoelas-
ticity involves the construction of a model of the
structure from a photoelastic material, i.e., a trans-
parent material which exhibits birefringence. The
photoelastic material exhibits birefringence upon the
application of stress and the magnitude of the stress,
and each point is displayed via the refractive indices.73
The evaluation of the stresses using this approach has
immensely helped our understanding of the need for the

Table 3. Total occlusal convergence angle recommendations

Author
57
Doyle et al. (1990)
Eames et al. (1978)58
El-Ebrashi et al. (1969)47
Esquivel-Upshaw et al. (2001)59
11
Etemadi et al. (1999)
Gerami-Panah et al. (2005)60
48
Gilboe and Teteruck (2005)
Goodacre et al. (2001)46
Jørgensen (1955)61
Leempoel et al. (1987)62
Mack (1980)53
Milleding et al. (1995)4
Malament and Grossman (1987)26
Nordlander et al. (1988)50
Owen (1986)63
Palacios et al. (2006)64
Parker et al. (1993)65
Qualtrough and Wilson (1996)55
Schwartz (1952)66
Sobrinho et al. (1999)67
Wilson and Chan (1994)68
TOC recommendation Comments
15 15 TOC significantly stronger than 5 on all-ceramic, complete
crowns.
20 20 TOC most likely to be seen clinically on complete crowns.
2.5 to 6.5 Stress concentration increases slightly from 0 to 15, increases
sharply at 20. Measured from models of complete crowns.
5 Inlays with TOC of 5 significantly more fracture resistant than those
at 20.
21 to 40 21 to 40 for internal tapers, 6 to 15 for external tapers, as
measured from clinical models of porcelain inlays and onlays.
22 22 TOC results in less stress to the gingival connector area of an
all-ceramic FPD than 12.
2 to 5 Recommendation for cast-metal complete crowns.
10 to 20 Recommendation for complete crowns
As parallel as possible Recommendation for complete crowns. 5 TOC is twice as retentive
as 10; 20 is 62% the retention of 10 and 81% that of 5.
15.5 to 30.2 Review of working dies from dental laboratory. Crowns were in place
5 to 10 years and still functioning adequately.
5 accepted consensus Whilst he accepts the consensus that the ideal TOC for inlays and
crowns is 5, 16.5 is more commonly seen clinically. 12 is the
minimum required to avoid undercutting.
NSR Inlay preparation designs must be relaxed from the traditional
recommendations.
6 to 8 Recommendation for all-ceramic complete crown.
5 to 10 Theoretical ideal for complete crowns, but rarely seen clinically.
Average seen clinically for premolars is 8 and for molars 12.5.
12 Unless special jigs used, not possible to prepare teeth with TOC of less
than 12 TOC. At this angle they still perform well.
20 Common journal finding for all-ceramic crowns.
8.4 for molars, Calculation of limiting average taper mathematically based on ½ arc
10 for premolars sin (H ⁄ B). Less than this amount results in reduced resistance.
NSR Fit must be relaxed for ceramic inlays.
Ideally 0 Pulpal and axial walls should be perpendicular.
No difference between TOC of in-ceram crowns had no effect on their fracture strength.
8 and 16 However, luting with zinc phosphate achieved significantly better
results than GIC.
6 to 12 For extracoronal retainers, optimum thickness of cement occurs
between 6 and 12. Retention decreases significantly as TOC
reduces from 9. Larger than 25 TOC also results in significant
decrease in retention.

NSR ¼ no specific recommendation.

124 ª 2010 Australian Dental Association
 Ceramic inlay preparation design

Table 4. Stress analysis in dental materials and cavity preparations

Author Findings
75
Arola et al. (1999) Subsurface cracks introduced during cavity preparation with conventional burs may
serve as a principle source for premature restoration failure.
13
Arnetzl and Arnetzl (2006) Geometry of cavities for ceramics must be refined and relaxed, with the simplest of
forms to increase their fracture resistance.
Banks (1990)15 The transfer of distribution of stresses in an efficient manner is of equal importance to
the strength and toughness of the restorative system. Preparations for ceramics must
have smooth surfaces and rounded, smooth flowing internal and point angles.
Bell et al. (1982)76 Cuspal failure is often related to fatigue failure of the cusp, initiated from small cracks
propagating under repeated loading. Evidenced from clinical observations and
mathematical modelling.
Braly and Maxwell (1981)77 Recognition that any inlay restoration, in particular MOD inlays weakens the
remaining tooth. Preserving the natural tooth structure, rounding of sharp line angles
and designing castings that don’t extend onto uninvolved parts of the tooth is essential.
Cameron (1964)78 First mention of ‘‘cracked tooth syndrome’’ and its correlation to restoration size and
postulated mechanisms for crack propagation.
Couegnat et al. (2006)74 Restorations not bonded to the tooth structure are most likely to fracture at the internal
line angles. Rounding of internal line angles results in reduced von Mises stress values.
Etemadi et al. (1999)11 Advocates rounding of all internal line angles.
Haskins et al. (1954)71 Pioneering work advocating the rounding of internal line angles.
Kahler et al. (2006)79 Fatigue is considered to be the principle mechanism of tooth fracture. The axiopulpal
line angle in the dentine is the site of high stress concentration, with cracks as small as
25 lm leading to failure.
Malament and Grossman (1987)26 Preparations for ceramics must be smooth and not have sharp line angles. Gingival
margins must be either a chamfer with a rounded gingivoaxial line angle or a rounded
shoulder.
McDonald (2001)80 Emphasis on rounding of internal line angles and a chamfer or rounded shoulder
finish-line for posterior ceramic restorations.
Milleding et al. (1995)4 Smooth supporting surfaces and softly rounded contours reduce the degree of tensile
and bending forces.
Snyder (1976)81 Cavities should be prepared as conservatively as possible.
Soares et al. (2006)56 Sharp angles and knife edge prepared cusps tend to concentrate stress.
Vale (1959)44 Sharp internal line angles result in increased incidence of tooth fracture.

rounding of all internal line angles, with special
emphasis on the axiopulpal line angle. Interestingly,
the stress distribution for bonded restorations is
markedly different, with peak stress values occurring
in the enamel at the site of contact with the opposing
cusp.
Couegnat et al.74 utilized structural shape optimiza-
tion procedures based on FEA to derive optimized
designs for the second upper premolar. This relatively
new technique allows adaptations to be made to cavity
designs involving the build-up of material at overloaded
zones and the reduction or no build-up of material at
underloaded zones to be analysed mathematically and
displayed as a scalar function (similar to a photoelastic
image). Their results indicated that the ‘‘notches’’
which are created at internal line angles are a principle
source of stress concentration in non-bonded internal
restorations, whereas the principle source of stress for
onlays and other external restorations existed in the
restorative material itself. Rounding of all line angles
and the orientation of prepared cusps tips perpendic-
ular to the occlusal load is recommended for the
reduction of stresses.
Arola et al. utilized FEA to analyse the stress
distribution and potential for cyclic fatigue crack
growth within Class II amalgam cavities.75 From their
results it was concluded that subsurface cracks devel-
ª 2010 Australian Dental Association
oping in the dentine along the buccal and lingual
margins during cavity preparation can significantly
reduce fatigue life and may be the principle source for
premature restoration failure. The authors opine that it
is the instruments and techniques used in tooth
preparation that must be examined closely as cracks
as small as 25 lm can lead to fracture in 25 years.
Table 4 demonstrates the findings from a number of
studies with regards to the stresses caused by sharp
internal line angles to both tooth and restoration.
CONCLUSIONS
As a result of the above analysis, it may be concluded
that the idealized inlay preparation design should have
the following dimensions in order to best achieve a
balance between the preservation of tooth structure and
strength of material: cavity depth of between 1.5 and
2 mm; isthmus cavity width of »1/3 the intercuspal
width; TOC of »20, and rounding of all internal line
angles. However, it should be borne in mind that
clinically, preparations tend to be wider and often
deeper than recommended9 and that the presence of
existing restorations and caries will often dictate
preparations much larger than ideal. Hence, the above
dimensions are ideal recommendations that may
require changes in clinical settings.
125
MC Thompson et al.
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Address for correspondence:
Dr Mark C Thompson
Faculty of Dentistry
The University of Sydney
Sydney NSW 2006
Email: mthompson@pacific.net.au
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