Beruflich Dokumente
Kultur Dokumente
Outline form
l The peripheral extension of the cavity preparation l Depends on the extension of caries on CEJ (Cementum Enamel Junction) l Should has no undermined enamel l Depth: 0.5mm in dentin
OUTLINE-occlusal cavity
l The occlusal extension l Pencil mark along the occlusal groove l Buccal, lingual, mesial and distal extension
l Idea isthmus width: 1.25-1.5mm l Angle hatch with 1mm width can pass easily l Smallest amalgam condenser can fit all area of the preparation
l Pencil mark placed to indicate buccal and lingual extension l Reverse Curve
l Round the four corner l Get the reverse curve l Still keep the depth
l Move the bur buccally to get desire extension l Pay attention to the direction of the bur (form convergent proximal box)
l Move the bur lingually to get desire extension l Pay attention to the direction of the bur (form convergent proximal box)
Evaluation-Isthmus
l Correct isthmus position l Isthmus width: 1.25-1.50mm
Evaluation-Pulpal floor
l Flat pulp floor l Pulp floor perpendicular to long axis of clinical crown l Cavity depth: 2.02.5mm
Evaluation-Proximal box
l Broken buccal and lingual proximal contact l Just allow the tip portion of the explore pass
Evaluation-Proximal box
l Open gingival contact just enough space to pass the tip of the explore
Evaluation-Proximal box
l Convergent buccal and lingual wall l Parallel gingival and axiopulpal wall
Evaluation-Proximal box
Evaluation-Proximal box
Evaluation-Proximal box
l Retention groove l Inside CEJ (0.5mm) l From cervical floor extend to the height of pulp floor l Depth: half diameter of # round bur
Evaluation-finish
l Smooth and regular cavity floors, walls and margins l Rounded and smooth line angles and point angles
Evaluation-adjacent teeth
Example of notes
l MH: Medical history updated $ no changes. l IO: Tooth #36, vital to cold with controls, percussion(-) / probing (-) mobility(-). l RAD: Tooth#36 MOD gross caries, deep to dentin l DX: Tooth #36 MOD caries l TX: Anaesthetized by 1 carpule of lidocaine 2% (1:000,00 epinephrine) via IAN and long buccal nerve. Rubber dam isolation. Pre-wedging. Periphery cleared, caries excavated. Retention grooved placed. Tofflemire matrix placed and wedged. Contacts burnished. Calcium hydroxide (Dycal) and Vitrobond placed over areas close to pulp. Copal varnish placed in 2 coats. Permite admix amalgam condensed, carved. Occlusion clear. Post-carve burnish. Restoration flosses well with tight contacts. Pt comfortable. Pt advised of possible post-op sensitivity.