Review of Class I cavity prep for amalgam and grading criteria_ Dr. Shah lecture Flashcards
when caries or other defects occur on the occlusal surface of posterior teeth
classification of class I caries
no chemical bonding for __restoration
amalgam
removal of caries and defects, extension of the margins on the sound enamel, preservation of sound tooth structure
outline form
minimizes fracture potential of the tooth and restoration, that means we need adequate thickness of the amalgam restoration to withstand the occlusal forces
resistance form
depth for amalgam
1.75mm
isthmus width
1.0-1.25mm
what form? cavity prep should have adequate retention features to prevent __, right angulation of walls and flat pulpal floor
dislodgment of the restoration
retention form
cavity prep should be large enough to permit visualization and proper instrumentation
convenience form
common errors of prep
over/under extension
incorrect angulation of buccal and lingual walls
M and D walls too much diverging
floor too deep/shallow
rough/sharp cavosurface margin
ideal buccal and lingual walls
convergent occlusally
what is the problem with over convergent buccal/lingual walls
chances of poorly condense amalgam near the axiopulpal line angle
ideal proximal walls (M and D)
whats ideal angulation?
slightly divergent to follow enamel rods
6-8 degrees
problem with too shallow of a pulpal depth
inadequate thinkness affects resistance form
problem with too deep pulpal floor
unnecessary removal of healthy dentin and increased chance of approaching pulp horns or even pulp exposure
problem with sharp line angles
sharp areas lead to concentration of the applied stress