PRINSIP DASAR

RESTORASI GIGI
Aries Chandra Trilaksana
 Rotary Instrument

ACT-2017 1
 Bur

ACT-2017 2
 Diamond burs

ACT-2017 3
 Carbide burs

ACT-2017 4
 Name & key dimension of
recommended burs

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 Design features of bur head

V : neck diameter
W : head length
X : taper angle
Y : spiral angle
Z : head diameter

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 Diamond burs

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 Characteristic shape & design
diamond burs

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 Operator Position

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 Operator position

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 Operator position

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 Grasp for hand instrument

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 Modified pen grasp

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 Inverted pen grasp

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 Palm and thumb grasp

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 Modified palm and thumb grasp

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 Walls/Floor, Line Angles
& Point Angles

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 Internal walls/floor

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 Line & Point Angles
Line angles Point angles
fp : faciopulpal dfp : distofaciopulpal
df : distofacial dlp : distolingopulpal
dp : distopulpal mlp : mesiolinguopulpal
dl : distolingual mfp : mesiofaciopulpal
lp : linguopulpal
ml : mesiolingual
mp : mesiopulpal
mf : mesiofacial

ACT-2017 19
 Line & Point Angles
Line angles Point angles
df : distofacial dfp : distofaciopulpal
fp : faciopulpap afp : axiofaciopulpal
af : axiofacial afg : axiofaciogingival
fg : faciogingival alg : axiolinguogingival
ag: axiogingival alp : axiolinguopulpal
lg : lingiogingival dlp : distolingopulpal
al : axiolingual
ap: axiopulpal
lp : linguopulpal
dl : distolingual
dp: distopulpal

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 Procedure & Preparation
Design

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Class I Preparation
 Preparation Outline forms :
Class I

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 Class I Preparation

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 Class I Preparation

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 Class I Preparation

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 Class I Preparation

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 Class I Preparation

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 Class I Preparation

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 Preparation design : Class I

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Class II Preparation
 Class II Preparation

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 Class II Preparation

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 Class II Preparation

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 Class II Preparation

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 Class II Preparation

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 Class II

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 Preparation design : Class II

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 Class II P1 RA

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 Class II M1 RA

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Class III Preparation
 Class III Preparation

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 Procedure : Bevel

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 Procedure : Bevel

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 Class III Preparation

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 Preparation design : Class III

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Class IV Preparation
 Preparation design : Class IV

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 Preparation design : Class IV

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ACT-2017 50
ACT-2017 51
Class V Preparation
 Class V Preparation

ACT-2017 53
 Preparation design : Class V

ACT-2017 54
INLAY and ONLAY
Cast METAL
 Inlay Cast Metal

ACT
56 -
2017
 Definition
Inlay: An inlay is an indirect intracoronal
restoration which is fabricated extraorally
and cemented in the prepared tooth. Inlay is
designed to restore occlusal and proximal
surfaces of posterior teeth without involving
the cusps.
Onlay: An onlay is a combination of
intracoronal and extracoronal cast
restoration which covers one or more cusps.
ACT-2017 57
 Indications of Metal Inlay and
Onlay
In extensive proximal surface caries in posterior
teeth involving buccal and lingual line angles
To maintain and restore proper interproximal
contact and contour and for occlusal plane
correction
In patients with good oral hygiene and low caries
index
Postendodontic restorations are preferably
restored by onlay to strengthen the remaining
tooth structure and to distribute occlusal forces

ACT-2017 58
 Indications of Metal Inlay and
Onlay
In teeth with extensive restoration, sometimes fracture line
is present in enamel and dentin. Inlay/onlay can brace the
tooth and prevent fragmentation of the tooth
When there are other teeth present which are already
restored with cast metal restorations
Abutment teeth of removable partial denture are indicated
for onlay because they provide superior physical properties
to withstand the forces imparted by the partial denture.
Moreover, the contours of the rest seats, guiding planes,
and other aspects of contour are better controlled when the
indirect technique is used
In posterior teeth with heavy occlusal forces and attrition.

ACT-2017 59
 Contraindication of Metal Inlay
and Onlay
Where esthetics is prime consideration because
metal inlay and onlay display metal color
Patient having high caries index
When patient cannot come for second visit
In young patients, usually direct restorations are
preferred since indirect restoration require
longer and more number of appointments. Also
the chances of iatrogenic pulp exposure are
more in these patients because of high pulp
horns
Where expected life of a tooth is short, i.e.
periodontally involved teeth
ACT-2017 60
 Contraindication of Metal Inlay
and Onlay
In cases where extensive caries are present on
facial, lingual and multiple surfaces. In such
cases, full crown is indicated
For patient of low economic status, inlay and
onlay are not given because of higher costs
In patients having restorations with different
metals since dissimilar metals cause galvanic
currents when they come in contact with each
other
When there are extensive occlusal wear facets
involving the remaining marginal ridge of the
tooth.
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 Inlay Preparation

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 Inlay Preparation

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 Inlay Preparation

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 Inlay Preparation

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 Inlay Preparation

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 Inlay Preparation

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 Inlay Preparation on Deep Caries

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 Inlay Insertion

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 Onlay Cast Metal

ACT
70 -
2017
 Onlay Preparation

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 Onlay Preparation

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 Onlay Preparation

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 Onlay Preparation

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 Onlay Insertion

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ACT-2017 76
ACT-2017 77
 Restoration Procedure

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ISOLATION
 Maxilary Isolation

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 Mandibular Isolation

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BASE / SUB BASE
MANIPULATION
 Base/Sub Base Manipulation

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 Base/Sub Base Manipulation

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BASE / SUB BASE
APLICATION
 Aplication Sub base & Base

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 Aplication Sub base & Base

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 Insertion matrix band

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 Placement Of Matrix Band & Matrix Holder

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 Restoration amalgam

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 Finishing & Polishing amalgam

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 Restoration Composite

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 Finishing & Polishing Composite

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ACT-2017 94