Professional Documents
Culture Documents
Metallinlayang
Metallinlayang
/indirect method/
1. Preparation
2. Impression, Temporary filling
3. Tray-in (finishing, polishing)
4. Cementation
5. Finishing, polishing
Consideration of making metal inlay
► Illustration:
upper premolar OD
OD :
1 occlusal Part
1 proximal Part
OD Cavity
► Bevor and after
Primer (initial) preparation
► Instrument:
- Speed, Handpiece
- Burs
► Tapered fissure bur
hard metal/ diamond
► With slightly rounded
angles
► Conicity: 3-5 °
General rules
for occlusal box
D M
Occlusal preparation
► Proximalcavosurface
margin has to result in
40° marginal metal,
and 140 ° marginal
enamel.
Final (secondary) Preparation
Secondary retention-element „proximal grooves”
In the proximal cavity
► Possibility!
► „proximal grooves”.
Final (secondary) Preparation
Slot Preparation
► Indikation:
MO Inlay/Onlay
OD „
► Place of the slot:
is in Dentin (between the the Pulpa
and Enamel-Dentin junction.
► Bur:
► The extention of the slot:
- M-D Direction: the width of the bur
- F-L Direction: 2 mm
- Depth: 2 mm distance from pulpal
wall
„Skirt” prepararion
► Skirt is a thin extension of Skirt
metal inlay on the facial or
lingual proximal margins. The Not skirt
preparation stays in the most
cases in enamel, if not it
removes very little dentin.
Rounded the
axio-pulpal line
angle
Preparation of bevel on different cavosurface
margins (occlusal, gingival, and proximal)
Modification in Inlay-preparation
Indikacions:
► faulty occlusal grooves and/or fissures that is
continuous on facial/lingual surface
► healty grooves/fissures but the crown of the tooth is small
► Retention is not enought
Possibilities:
- Extension on buccal/oral surface, includes the fissure and
grooves into the cavity.
-minimal divergenc (2%)
-secondary retentionselement has to be prepared. Skirt,
slot, shoulder
Modification
faulty occlusal grooves and/or fissures
► We prepare MO cavity
-without skirt
-with skirt on the
palatal side
- no skirt on the buccal
side
caries
Lower first molar: mesio-linguale cusp
is reduced.
a b c
Beveling or/and skirt (Flare)
2. Impresson, temporary filling
► Definition:
► Indication:
-Extension of caries is big (2/3 rule)
-Big undercuts in dentin, and cusps
-Rootcanal treated tooth
-Occlusal correction is needed
-Cusps-frakture
Onlay
Counterbevel
(Reverse bevel)
Exeption
Overlay
► Cusp reduction:
Collar with bevel (skirt)
collar (1 mm withs)
► Not cusp reduction
case:
MOD :
1 occlusal cavity
2 proximal cavity