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Preparation
Part 2
► 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
Initial (or primer) preparation
► Occlusalreduction:
- Immediately after the decision the cusps should
be reduced.
Why?
- both the access and visibility will be better
- easier to determines the degree of divergence
Occlusal reduction:
1 2 3
1. Prepare 2 mm deep cavity
(groove)
2. Extende in facially and
lingually
3. Prepare 1,5 mm depth
cuts (in facially and
lingually)
4. Completing cusps
reduction
5. Small portion of marginal 4-5
ridge are left unreduced.
Occlusal reduction:
► Occlusal Step
► Theprepared Isthmus
has to be only as wide
as necessary, and it
has to be in healthy
dentin.
► Deepcaries is not
removed yet.
Final (secondary) preparation
► Removal of infected carious dentin and old
restorative material (and pulp protection).
► Preparation of bevels :
- in occlusal cavity !
- in proximal cavity
- on the facial and lingual walls
- on the gingival walls
► Counterbevel preparation or
► Reverse bevel
on facial and lingual margin of
the reduced cusps.
► Esthetic!
Final (secondary) preparation
Preparation of gingival cavosurface margin in the
proximal cavity. (beveling)
► Basic principle:
They can transfere the
shape of the working tip
through an abrasive
medium to the tooth
surface.
Abrasive medium: in
generally diamond
Final (secondary) preparation
Preparation of proximal cavosurface margins
on the buccale, linguale walls.
SONICflex 45˚
► „Collar” : Where?
Preparation has to be:
above the equator of the tooth,
0,8-1 mm wide, and has to
follow the original contour of
the tooth.
The gingival margin of the collar
has to be lightly bevel, to result
in a 30° metal angle.
Fine-grit diamond
Overlay
„Collar” preparation
Slot preparation
► Indikation:
MO Inlay/Onlay in 2.Molar
OD „ in 1.Prämolar
► 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
Facial or lingual surface groove extension
► Preparation groove
extension on buccal
or/and lingual surfaces
► Slot preparation
► „Skirt” preparation
Mesio-lingual cusps of lower first molar
has to be removed very oft.
(Inlay)
► Cause:extention of caries is big.
a b c