COMPARISON OF CAVITY

PREPARATION OF DIFFERENT
RESTORATIVE MATERIALS

Department of Pediatric &

Preventive Dentistry

Presente
d By:

Rahul Mishra,

Junior Resident-I,

UPDC&RC, Lucknow.
PRINCIPL AMALGAM CAST COMPOSIT GOLD FOIL
ES GOLD E

OUTLINE Pulpal wall Pulpal wall Seldom a need Box shaped

FORM depth=1.5-2.0 mm. depth=1.5 for cavity cavity.
mm. extension for
Box shaped cavity. prevention. All walls converge
Box shaped occlusally.
Extension for cavity. In proximal
prevention. lesions contact Initial depth 0.5
Complete areas or parts mm below the
Line & point angles cavity walls of the contact DEJ.
rounded. parallel or area should be Convenience
diverge (2-5°). in tooth points on all four
Mesiodistal structure and point angles-
divergence (2-5°) & Line & point not in Buccomesiopulpal
Buccolingual angles restoration as ,
convergence (2-5°). rounded. far as possible Linguomesiopulpa
because these l,
Cavity margins 1/4th Cavity margins materials can linguodistopulpal
of the intercuspal 1/3 rd of the not maintain &
distance. intercuspal the integrity of Buccodistopulpal.
distance the contact or
Convergence of mesiodistal
proximal walls Proximal walls dimension for a
occlusally in Class II diverge or long time.
cavity preparation. parallel
(Proximopulpal Definite lines
angle=100°- with rounded
110°)in Class II junctions
cavity between these
Preparation lines.

RESISTAN Flat pulpal floor. No undercuts i. Acid - Performing

CE FORM so that inlay conditioning of proper STEPPING
Pulp floor within wax can be surface enamel. & avoiding
dentin. taken out BRIDGING
properly. ii. Retentive
All line & point cavity
angles rounded. All line & point preparation with
angles internal details.
Rounding of Axio- rounded.
Pulpal Line Angle in iii. Physico-
Class II cavity Plunger cusp chemical
Preparation. should not fall adhesion to
 on tooth some
Proximal Box restoration components of
Depth=0.8 mm. interface (true the tooth
for all structure.
Gingival floor apical restorations).
to the carious lesion iv. Pins and
or the contact point posts.
whichever is apical
with 0.5 mm v. Combination
clearance from of all of the
adjacent tooth above.
PRINCIPLE AMALGAM CAST COMPOSITE GOLD FOIL
S GOLD

RETENTION Bulk of Frictional Micromechanical Two types:

FORM amalgam. Wall retention Within the bulk of
retention aid restoration:
Dove tail by enamel & interatomic
formation. dentin, very forces.
less from the (WEDG
Secondary cement used ING)
retentive during To the tooth by
features luting). parallelism of
(slots, coves, walls (WELDING)
pins, grooves, Nearly -
etc.) parallel/ - Secondary
divergent retentive
cavity walls. grooves placed
on faciopulpal &
Secondary linguopulpal
retentive line angles.
features: -
REVERSE - Cavosurface
BEVEL- bevel (0.2 mm
Sliding Fit. width) of 30°-
40°.

CONVENIEN Straight line Proper Includes some Placement of

CE FORM visible access visibility & modifications in convenience
to the carious accessibility. outline form, points at all four
lesion & internal anatomy of point angles
restoration. Extension, cavity preparation, within the cavity.
taper & flare & instrumentation
Carrying the of the for convenience and
margins of the proximal wall preparation.
preparation in to permit Ex :
the self access for i. Separation,
cleansing area. disking & using different
bevel devices, helps to
 placement. gain access
proximally in
anterior teeth.

ii. Make the wall of

the access side
shorter and
divergent
compared to the
wall on the non-
access side.

iii. Reduce or
eliminate
convexity of the
axial wall.
PRINCIPLE AMALGAM CAST COMPOSITE GOLD FOIL
S GOLD

PULP Placement of Proper Placement of Placement of

PROTECTIO Proper sub cementation Ca(OH)2 in deep Proper sub base,
N base, base of cast inlay cavities. base followed by
followed by to prevent varnish
varnish any salivary Placement of ZOE placement.
placement seepage. contraindicated

FINISHING All unsupported All Removal of Smear All unsupported

OF THE enamel unsupporte layer followed by enamel removed
CAVITY removed. d enamel proper
WALLS removed. conditioning of
Rounding of all cavity walls.
line & point Rounding
angles. of all line & Bevelling of Labial
point surface of anterior
No angles. teeth so as to
undermining of merge the color of
enamel should No composite &
be present. underminin enamel. Also in
g of Class V cavity but
enamel only on occlusal
should be wall & not on
present. gingival wall.

SPECIAL CONSIDERATIONS FOR GLASS-IONOMER RESTORATIONS

 Glass Ionomer Restorations are typically indicated in Restorations of
low stress areas and in areas where esthetics though necessary are not of
prime considerations, they are generally indicated in Cl-V, conservative Cl-III
and conservative Cl-I & II Restorations.

 Retentive grooves may be indicated although bevels are not

generally used. Cavity preparations for slot restorations with GIC are similar
to amalgam slot preparations.

 A facial or lingual approach is used.

 Pulpal depth is limited to 0.75 to 1mm at the gingival aspect

increasing to 1 to 1.25mm at the occlusal wall.

 The external walls should form 90o cavosurface angle.

 Facial wall must be extended for convenience form.

 Retention grooves 0.2mm inside DEJ or 0.3 to 0.5mm from

cemental margin are placed into the occlusal and gingival walls, measuring
0.25mm in depth.