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G.V. BLACKS
BLACKS
CLASSIFICATION
CLASSIFICATION
AND
AND CLASS
CLASS II CAVITY
CAVITY
PREPARATION
PREPARATION
Presented By:
Prakash Subedi
G.V. BLACKS
CLASSIFICATION OF
CAVITY PREPARATION
Greene
CLASS I CAVITY
PREPARATION
BASIC PRINCIPLES OF
CAVITY PREPARATION
Class
Outline form:
OUTLINE FORM
Smooth flowing,
regular curves.
No Sharp angles
Angular irregularities in
the outline are
susceptible to fracture
during condensation a
smooth flowing outline is
easier to visualize and
carve following
condensation.
Resistance form:
provided by:
Sufficient area or areas of relatively flat pulpal
floor in sound tooth structure to resist forces
directed in the long axis of the tooth and
provide a strong, stable seat for the restoration
Minimal extension of external walls, which
reduces weakening the tooth
Strong, ideal enamel margins
Sufficient depth (i.e., 1.5 mm) to result in
adequate thickness of the restoration, providing
resistance to fracture and wear
Long axis of
the tooth
WRONG!
Long axis of
the crown
CORRECT!
Caries and
decalcifications
b. Enamel unsupported by
sound dentin
c. Pits
d. Major fissures and
grooves
e. Existing restorations
f. Joining two outlines that
come close together (i.e.,
less than 0.5 mm apart)
eliminates defective
tooth structure and
eliminates areas (pits,
fissures, etc.) which are
susceptible to recurrent
caries and facilities oral
hygiene procedures.
to allow a smooth
tooth-restoration
margin to be created
(easier to finish and
keep clean).
2. Extend minimally in
areas of triangular
ridges (optimal isthmus
width is intercuspal
distance or less)
terminating on smooth
surfaces.
to preserve the
strength and function
of the cusps while
eliminating susceptible
grooves or defective
tooth structure (must
be wide enough to allow
condensation).
Mesio-distal extension
1. Marginal ridge walls
should be 1/2 distance
from mesial and distal
pit to the crest of each
marginal.
to preserve strength of
marginal ridges.
to preserve a uniform
bulk (strength) to the
mariginal ridges.
to preserve strength of
cusps while eliminating
susceptible grooves
and/or defective tooth
structure (must be at
least as wide as the
narrowest condenser).
4. If marginal ridge is
unsupported or very
thin (less than 1.6mm)
it should be included,
resulting in a Class II
preparation.
Minimum depth is
required to provide
sufficient bulk to
prevent fracture and
retain the amalgam.
B. Pulpal floor
1. Smooth and flat
Uniform thickness of
restorative material.
2. Parallel to the
occlusal plane
Facilitates adaptation
of amalgam and
elimination of weak
tooth structure.
3. Converge slightly
pulpo-occlusally.
4.Diverge slightly
pulpo-occlusally in
buccal and lingual
groove extensions
(60).
To provide mechanical
lock or retention to the
occlusal portion and
create bulk at the
margins.
protects buccal and
lingual surfaces from
being undermined
(RESISTANCE FORM).
Cavosurface angle of 90
100are ideal.
Marginal
amalgam
angle
facilitates adaptation
of amalgam and
elimination of weak
tooth structure.
2. Diverges slightly
pulpo-occlusally
(forms an obtuse
angle with pulpal
floor; not more than
10).
Removal of remaining
Carious Dentin
Planning of Enamel
Walls
The enamel walls of the cavity should be
CAVITY FINISH
A. Pulpo-occlusal line
angle is well defined
(no point angles are
present) and follows
general
configuration of
cavosurface outline.
B. Cavosurface margins
1. Sharp (well defined)
provides marginal
integrity.
C. Cleanliness cavity
is free of debris
and moisture.
facilitates adaptation of
amalgam to the cavity and
improves the physical
properties of the
restoration by elimination of
void or foreign material.
A sharp explorer
is then used to
check the details
of the prepared
cavity
and
to
loosen the tooth
debris which are
then blasted out
with warm air.
Resistance form:
Keep
Resistance form:
Extend the lingual box gingivally
to
terminate
at
the
buccal/lingual groove creating a
flat gingival seat for resistance.
Gingival wall meets the tooth
surface at 90 & the axial wall
makes an obtuse angle with the
pulpal floor
Axiopulpal line angle is rounded
Retention form:
Mesial
and