CAVITY INLAY AMALGAM

PREPARATION PREPARATION CAVITY

PREPARATION
DEFINITION Inlay is defined The amalgam
as a fixed cavity
intracoronal preparation
restoration, a form not only
dental removes the
restoration made fault in the
outside of a tooth and
tooth to remove
correspond to weakened
the form of tooth structure
prepared cavity, but also it
which is then must be
luted into the formed to
tooth allow the
(Rosensteil) amalgam
material to
function
properly.
INDICATIONS -It is an -Moderate to
alternative to large
amalgam and restorations.
composite when -Restorations
higher strength that are not in
and superior highly esthetic
control of areas of the
contours & mouth.
contacts is
desired.
-Used instead of
 amalgam in
patients with low
caries rate
Contraindicati -High caries rate -Esthetically
ons -Young patients prominent
-Esthetic areas of
concerns posterior teeth
-Small -Small to
restorations moderate
Class I and II
restorations
that can be
well isolated.
-Small class VI
restorations
ADVANTAGES Strength -ease of use
Biocompatibility -high
Low wear compressive
Control of strength
contours & -excellent wear
contacts resistance

DISADVANTAG Higher chair side -noninsulating

ES time & increased -nonesthetic
appointments -less
Temporary conservative
required cavity
between preparation
preparation & -weakens tooth
delivery structure
appointments -more
Cost factor technique
Technique sensitive when
 sensitive bonded
-initial
marginal
leakage
-more difficult
tooth
preparation
ARMAMENTAR -Tapered , round -no 245 and no
IUM & cylindrical 330 carbide
For cavity carbide burs burs
preparation -Mirror -Mirror
-Explorer & -Explorer &
periodontal periodontal
probe probe
-Chisels -Chisels
-Hatchet -Hatchet
-Gingival -Gingival
marginal trimmer marginal
-Excavators trimmer
-handpiece -spoon
Excavators
-handpiece
-tofflemire
retainer
-wedges

ARMAMENTAR -16 fluted Armamentariu

IUM finishing bur m:
For finishing with rounded -Rhein
and polishing angles trimmers
- Sandpaper disc (Discrepancies
(Improves in gingival
 rounding & area )
smoothing of -Bard parker
entire finishing knife number-
line) 12 (Bulky
- Abrasive paper overhangs )
disc -Narrow water
Finishing of walls resistant strip
& vertical edges (19)(Cervical
of boxes areas )
- Arkansas stone -small carrot
-Rubber cone shaped stone
(20) (Occlusal
margins )
-Rubber cup
(finish
accessible
proximal
surfaces as
well as
occlusal
contours)
-Abrasive
impregnated
silicon rubber
points and
cups
RETENTION Retention From parallel
ACHIEVED BY achieved by walls &
nearly parallel undercuts
opposing walls ;
close adaptation
of casting ;
 cementing
medium

RESISTANCE Good Resistance Poor

TO OCCLUSAL to occlusal forces resistance to
FORCES occlusal forces

INTERCUSPAL Intercuspal width Intercuspal

WIDTH AND is 1/3 rd of width is 1/4th
OUTLINE intercuspal of intercuspal
FORM distance distance
Outline form is Outline form is
wide narrow.
FLARES

CIRCUMFEREN
TIAL TIE
CAVITY Cavity walls are Cavity walls
WALLS kept parallel (no are kept
undercuts) convergent
occlusally(min
or undercuts)
MARGINS All Margins Requires right
beveled angle margins

REVERSE No Reverse Present

CURVE Curve

PROXIMAL More extensive 0.5mm

OUTLINE Proximal outline clearance
(0.5-1mm) [access for
[access for finishing, home
disking, care ]
 finishing, home
care
GINGIVAL Rounded Definite angle
CAVOSURFACE Gingival [for ease of
POINT cavosurface condensing
ANGLES point angles [for amalgam
ease of finishing
gold]

PROXIMAL Buccal and Buccal and

OUTLINE lingual proximal lingual
outline diverges proximal
occlusally outline
converges
occlusally

UNDERCUTS Preparation must Preparation

draw ; must not
no undercuts draw ;
retentive
undercuts
placed

GINGIVAL Gingival wall in 2 Flat gingival

WALL planes wall

AXIOPULPAL Axiopulpal line Axiopulpal line

LINE ANGLE angle is rounded angle is
to prevent voids rounded to
in the working prevent stress
die. on amalgam

CAVOSURFACE Cavosurface Cavosurface

BEVEL bevel is given bevel
contraindicate
d(butt joint is
to be given)

CAVITY DEPTH Less depth More depth

GROOVES Grooves are Grooves are
AND LOCKS given,locks are not given ,only
not given. locks are
given.
LINE ANGLES Line angles and Line angles
AND POINT point angles and point
ANGLES Are well defined angles are
rounded.
Reverse bevel Reverse bevel Reverse bevel
indicated not indicated

Text book References

Art & science of operative dentistry. 4th
edition Sturdevant
Fundamentals Of Fixed Prosthodontics 3rd
edition. Shillingburg
Text book of operative dentistry
Charbeneau
Text book of operative dentistry Marzouk