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汞齊的窩洞修形與充填
ClassI,II amalgam restoration
Instrument of cavity preparation
• High speed small round bur,fissure bur,inverted
  cone bur.(carbide or diamond)
• Low speed round bur.(carbide)
• Hand cutting instrument
Step of amalgam
          cavity preparation

• In shallow cavity,outline form design should be
  considered first.
• In deep cavity,convinience form and remove of
  deepest part of carious dentin must perform
  before any other step of cavity prepared.
Cavity preparation(I)
•   Cavity depth 1.5 mm or beneath DEJ 0.2 mm.
•   Isthmus width equal 1/3-1/4 B-L cusp width.
•   Cavity width should less than ½ of B-L cusp
    width.
•   Buccal-lingual converge and mesial-distal diverge.
•   Marginal ridge should preserve of 1.6 mm.
•   Pulpal wall parallel to occlusal plane.
•   Not involved oblique and transverse ridge, if it is
    unnecessary.
Criteria of carious dentin removed
• Remove unminerized dentin with excavater or
  low speed round bur.
• Tiny white powder without stagnation on bur
  surface.
• Light reflect over dentin surface.
Cavity preparation(II)

• Trunket cone in proximal box.
• In Class II cavity , proximal clearance 0.2 mm,
  gingival clearance 0.5 mm. Reverse curve in
  buccal surface.
• Axiopulpal line angle should be rounded or
  bevel, gingival line angle beveled.
• Gingival wall width should be 0.8-1.2 mm.
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汞齊的窩洞修形 0

  • 2. Instrument of cavity preparation • High speed small round bur,fissure bur,inverted cone bur.(carbide or diamond) • Low speed round bur.(carbide) • Hand cutting instrument
  • 3. Step of amalgam cavity preparation • In shallow cavity,outline form design should be considered first. • In deep cavity,convinience form and remove of deepest part of carious dentin must perform before any other step of cavity prepared.
  • 4. Cavity preparation(I) • Cavity depth 1.5 mm or beneath DEJ 0.2 mm. • Isthmus width equal 1/3-1/4 B-L cusp width. • Cavity width should less than ½ of B-L cusp width. • Buccal-lingual converge and mesial-distal diverge. • Marginal ridge should preserve of 1.6 mm. • Pulpal wall parallel to occlusal plane. • Not involved oblique and transverse ridge, if it is unnecessary.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. Criteria of carious dentin removed • Remove unminerized dentin with excavater or low speed round bur. • Tiny white powder without stagnation on bur surface. • Light reflect over dentin surface.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. Cavity preparation(II) • Trunket cone in proximal box. • In Class II cavity , proximal clearance 0.2 mm, gingival clearance 0.5 mm. Reverse curve in buccal surface. • Axiopulpal line angle should be rounded or bevel, gingival line angle beveled. • Gingival wall width should be 0.8-1.2 mm.