Professional Documents
Culture Documents
Design Principles
CLASS II
opaque white haloes identify areas of enamel undermining and decalcication from within
Primary Caries
E2
D1
Primary Caries D2 D1
D3
Accepted Terminology extending into proximal extending gingivally preparing a proximal box
names of walls for the the occlusal portion of the Class II cavity are similar to the Class I
Class II
Class I
BUCCAL WALL
Class II
DISTAL WALL BUCCAL WALL
Class I
DISTAL WALL
LINGUAL WALL
PULPAL FLOOR
Class II
Class I
PULPAL FLOOR
DISTAL WALL
BUCCAL WALL
LINGUAL WALL
GINGIVAL SEAT
BUCCAL WALL
LINGUAL WALL
AXIAL WALL
straight B & L outlines near parallel to long axis of tooth gingival outline perpendicular to long axis of tooth
EXTENSION
a balance between conservation of tooth structure and the need for access and to remove defective tooth structure
PROXIMAL EXTENSION
PRINCIPLE RATIONALE
encompasses carious tissue eliminates unsupported enamel encompasses contiguous ssures encompasses contiguous restorations
eliminates infected tissue eliminates weakened tooth structure reduces risk of secondary caries maximizes restoration lifespan
PROXIMAL EXTENSION
PRINCIPLE RATIONALE
access for matrix band allows inspection of restoration margin access for nishing
PROXIMAL DEPTH
proximal depth is M-D dimension of proximal box
PROXIMAL DEPTH
proximal depth is M-D dimension of proximal box
PROXIMAL DEPTH
PRINCIPLE RATIONALE
sufcient bulk of amalgam to prevent fracture maximum thickness of dentin protecting pulp
AXIAL WALL
PRINCIPLE RATIONALE
smooth straight O-G, parallel to long axis of tooth parallels curvature of tooth surface B-L
optimize adapatation of amalgam to wall uniform bulk of amalgam to prevent fracture maximum pulpal protection
rounded or beveled
GINGIVAL SEAT
PRINCIPLE RATIONALE
smooth, at, straight perpendicular to long axis of tooth M-D & B-L enamel planed at margin
optimize adaptation of amalgam to walls resists forces of occlusion elimination of friable enamel
plane margin enamel
A-A
smooth, straight G-O wall nearest functional cusp convergent 6 G-O wall nearest nonfunctional cusp parallels long axis of tooth
tangent
90
tang ent
the cavosurface angle is dened as the angle in metal at the margin of a restoration
90 70
90
110
placed in B&L proximal walls 0.5mm deep to DEJ directed laterally, not pulpally extending from G seat to A-P line angle 0.5mm deep gingivally, fading away occlusally rounded cross-section
provides mechanical lock against displacement proximally prevents encroachment on pulp prevents undermining enamel maximizes retention while minimizing weakening of tooth
CAVITY REFINEMENT
PRINCIPLE RATIONALE
maximizes amalgam resistance to dislodgement reduces stress concentration & risk of subsequent tooth fracture
cusp fracture
CAVITY REFINEMENT
PRINCIPLE RATIONALE
reduces stress concentration & risk of subsequent tooth fracture difcult to condense thick amalgam into sharp point angles
CAVITY REFINEMENT
PRINCIPLE
RATIONALE
easier to visualize & carve following condensation optimize adaptation of amalgam to margins eliminates weak tooth structure maximizes marginal integrity
CAVOSURFACE MARGINS
poorly dened
enamel
CAVOSURFACE MARGINS
poorly dened
enamel
ditching
CLEANLINESS
PRINCIPLE RATIONALE
facilitates adaptation of amalgam to the cavity improves physical properties of the restoration by elimination of voids & foreign material
TISSUE PRESERVATION
PRINCIPLE RATIONALE
rubber dam intact adjacent tooth undamaged gingival soft tissues not unduly traumatized
isolation important to quality of result prevention of postoperative sensitivity, inammation, & nidus for further caries attack