Amalgam Flashcards
Factors contributing to resistance form of amalgam
1- Flat pulpal floor
2- Sufficient depth
3- Minimal extension
4- 90º cavosurface margin
5- Wall parallel to enamel rods
6- Rounded internal preparation angles
Indications of amalgam
Class I, II, V (where esthetic is not important/high caries risk)
Patient desire
Cost
Contraindications of amalgam
Allergy
Esthetic area
Conservative design is better
Factors contributing to retention form:
Primary retention: frictional retention, B-L wall convergence
Secondary retention: dovetail design
Which tooth has a preparation design resembling “snake eyes”?
Mandibular 1st premolars
Which bur can be used for initial amalgam cavity preparation?
245 (330L)/Elongated-pear
330/Pear
In an amalgam cavity preparation, M-D walls should be:
Divergent
The depth of the cavity should be:
1.5-2 mm
Over-triturated amalgam:
Mix is warm, shiny wet and soft
Under-triturated amalgam:
Mix will crumble due to weakness
Properly triturated amalgam:
Good shiny mix; homogenous mass, adhering together
How much should you overfill the amalgam cavity?
About 1 mm
In the postcarve burnishing, the purpose is to:
Improve marginal integrity and smoothness (not shiny)
In postcarve burnishing, which type of burnishers are used?
Small burnishers
Finishing and polishing of amalgam is done at which time?
After 24 hours
In maxillary molars, the outline of distal side of the oblique ridge is:
Round or oval
In maxillary molars, the outline of the mesial side of the oblique ridge is:
Butterfly
When should you extend the cavity preparation across a maxillary molar’s oblique ridge?
When it is undermined by caries
or
Less than 1.0 mm sound ridge structure remaining between M & D preparation
The outline form of maxillary premolars is:
Butterfly or U-shaped
For a mandibular 2nd premolar outline form, when should you not connect the mesial and distal pits?
- Presence of transverse ridge (adds strength)
- Absence of an occlusal fissure
It is permissible to repair a defective portion of an existing amalgam restoration if:
the remaining portion of the original restoration retains adequate resistance and retention form.
When caries are present in the proximal aspect without involving the marginal ridge, a proposed cavity design is:
Slot preparation