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So I use the largest round bur that can enter fit in my cavity I should use it for removel of caires

and it should be at low speed First stip I will do my out line first , intial depth with high speed fissure bur , then I will change and use a round bur in order to remove caries in carious dentin

4. The caries removal process should begin peripherally in the DEJ areas its mean I will not move all the way into the pulp removing first form the pulp. First step of removing the caries is to remove form the DEJ peripheral, lateral wall we clean the lateral wall

for example in class I, Ill clean mesial , lingual , buccal ,distal walls in leave pulpal wall this dont mean we will leave caries in the pulpal floor I will remove caries but this will be the final step .

Why ?
Because of two reason
A] To make sure to remove caries from the most important place the DEJ dentino enamel junction B] And if I I am too deep pulb exposure may occur although I made all procedure to avoid pulp exposure , but if it occur I will know how to deal with it , we can avoid Some time ican avoid rct treatment I leave it like this in order to have pulbal recovery So fo these thing I shold clean the lateral walls then go to the pulb Clean the lateral wall then go pulbaly minute 33:00

In class ii for example I will clean buccal lingual gingival then I go axialy Caries in areas involving potential exposures, such as the axial and pulpal walls should be removed last

How much dentin should I remove ? as we said we have something call infected dentin and
something called affected dentin ,,,,,, in order to be more conservative I should not remove all dentin colored dentin

We will learn to differentiate between sound dentin and carious dentin ,,,,, some time the color is not indicator when I look for example I see brownish discoloration of the dentin or yellowish discoloration of the dentin Other than the normal color of dentin this dose not mean it might be carious Primary criteria is the hardness and for this we have an instrument call spoon excavator its for removal of caries Spoon excavator is used also for detecting if this dentin is soft or not . If the dentin can be removed by excavator it means its soft we have to remove it ,,if its hard to spoon excavator then we have to leave it its affected dentin not infected dentin

So the color is not usually our criteria for removal of dentin our indicator of carious dentin is softness of the dentin how we can check this with the spoon excavator
Only those areas that are soft should be removed

6. After all caries have been removed ,the preparation is re-evaluated for any undermined enamel , resistance for ,retention form . When I remove the caries a large part of the tooth will be removed when I remove caries so I should reevaluate my cavity preparation do is still have a flat floor , I have retention form , resistance form and if I have any under mind enamel for example this pic below

This is under mind enamel the dentin below the enamel was removed because its carious leaving me with under mind enamel , so the final stage I have to remove this under mind enamel because its un supported by dentine it will fracture

usually what we do we do it step by step . ya3ni I open the axis as we said , start to remove the caries out peripheral at the DEJ with a round bur the I reevaluate if I have undermid enaml I will remove it To remove the under minde enamel I have to return back to the high speed fissure bur and remove any un supported enamel and make if I need ,retention , resistance , adjustment of the wall I should do them with high speed fissure bur

Always when we make class I we emphasis on the box shape and flat pulpal floor here in this pic we can end up with this un flat pulpal floor

So dose this mean I have to reduce the pulpal floor to this level to make it flat ? in this way we might endanger the pulp and we loss unnecessary tooth structure we want to conserve more tooth structure not to loss it .. when we remove more of the tooth structure we lose more of the resistance of the tooth so the tooth may fracture later ! so in this case NO its not necessary to make it flat Some time we have to put some liner here liner material in the deepest area to be away from the pulp and to make it little pit flat

Done by:- Mohammad F. elwir