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Welcome
     To
  Dentistry!!
Class 1 Amalgam
Restorations (#30)

    Sam Christensen
 B.A., D.D.S. Class of ‘05
Location of Class I Cavities

 Pit and fissure cavities on the occlusal
  surfaces of pre-molars and molars
#30?! Which one is that??

  #6


                                   #19

#30
Class “Everything Else”

 Class 2: In the contact areas between
  back teeth
 Class 3: In the contact areas between
  front teeth
 Class 4: Contact areas between front
  teeth involving the incisal edge
 Class 5: At the gumline
 Class 6: On a cusp tip
Review of the Seven Steps in
     Cavity Preparation

       G.V. Black’s Seven Steps
  •   Establish Outline Form
  •   Obtain Resistance Form
  •   Obtain Retention Form
  •   Obtain Convenience Form
  •   Remove Remaining Caries
  •   Finish Walls and Margins
  •   Cleansing of cavity
Criteria for a Class I
              Amalgam Preparation
   Outline Form
   Smooth and fluid
   No sharp angles
   All pits and grooves
    removed, dovetails extend
    into buccal, lingual,
    proximal grooves
    Preparation centered on
    central developmental
    groove
PRIMARY GROOVES MARKED
CORRECT OUTLINE FORM
Isthmus just wide enough to accept
           #1 condenser
Marginal ridge walls 1/2 distance from
mesial and distal pit to the crest of each
           marginal ridge
Review of the names of
Class I Preparation Walls
Criteria for a Class I
               Amalgam Preparation
•Internal Form                   Bucco-Lingual View
•Buccal and Lingual Walls
are Parallel to each other and
to the Long Axis of the
Crown (Provides retention)
•Buccal, Lingual, and
Proximal Walls meet Pulpal
Floor at sharp angle
•Buccal and Lingual Walls
meet Proximal in smooth,
rounded form
Long
 axis of
the tooth
Long axis of
 the crown
PERPENDICULAR IN BUCCO-
   LINGUAL DIRECTION
PERPENDICULAR IN MESIAL-
    DISTAL DIRECTION
BUR ALIGNED WITH THE LONG
AXIS OF THE TOOTH- WRONG!




    The floor of the
    preparation
    could reach the
    pulp!
Bur aligned with
  long axis of
  the crown -
 CORRECT!
•Pulpal Floor mesio-distally is flat and
perpendicular to the long axis of the tooth
Caries removal with 330 bur

 ideal depth is 1.5 mm when smooth and
  finished CONTROL THE DEPTH OF
  YOUR PREPARATION
 at this step, go to depth of 1 mm
 extend up to mesial and distal pits
Caries removal with 330 bur
Extension and Smoothing with 56 bur with high
              speed handpiece
Rashad’s First Prep
Good Prep
Questions?
University of the Pacific
  School of Dentistry

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pp

  • 1. Welcome To Dentistry!! Class 1 Amalgam Restorations (#30) Sam Christensen B.A., D.D.S. Class of ‘05
  • 2. Location of Class I Cavities  Pit and fissure cavities on the occlusal surfaces of pre-molars and molars
  • 3. #30?! Which one is that?? #6 #19 #30
  • 4. Class “Everything Else”  Class 2: In the contact areas between back teeth  Class 3: In the contact areas between front teeth  Class 4: Contact areas between front teeth involving the incisal edge  Class 5: At the gumline  Class 6: On a cusp tip
  • 5. Review of the Seven Steps in Cavity Preparation G.V. Black’s Seven Steps • Establish Outline Form • Obtain Resistance Form • Obtain Retention Form • Obtain Convenience Form • Remove Remaining Caries • Finish Walls and Margins • Cleansing of cavity
  • 6. Criteria for a Class I Amalgam Preparation  Outline Form  Smooth and fluid  No sharp angles  All pits and grooves removed, dovetails extend into buccal, lingual, proximal grooves Preparation centered on central developmental groove
  • 9. Isthmus just wide enough to accept #1 condenser
  • 10. Marginal ridge walls 1/2 distance from mesial and distal pit to the crest of each marginal ridge
  • 11. Review of the names of Class I Preparation Walls
  • 12. Criteria for a Class I Amalgam Preparation •Internal Form Bucco-Lingual View •Buccal and Lingual Walls are Parallel to each other and to the Long Axis of the Crown (Provides retention) •Buccal, Lingual, and Proximal Walls meet Pulpal Floor at sharp angle •Buccal and Lingual Walls meet Proximal in smooth, rounded form
  • 14. Long axis of the crown
  • 15. PERPENDICULAR IN BUCCO- LINGUAL DIRECTION
  • 16. PERPENDICULAR IN MESIAL- DISTAL DIRECTION
  • 17. BUR ALIGNED WITH THE LONG AXIS OF THE TOOTH- WRONG! The floor of the preparation could reach the pulp!
  • 18. Bur aligned with long axis of the crown - CORRECT!
  • 19. •Pulpal Floor mesio-distally is flat and perpendicular to the long axis of the tooth
  • 20. Caries removal with 330 bur  ideal depth is 1.5 mm when smooth and finished CONTROL THE DEPTH OF YOUR PREPARATION  at this step, go to depth of 1 mm  extend up to mesial and distal pits
  • 22. Extension and Smoothing with 56 bur with high speed handpiece
  • 26. University of the Pacific School of Dentistry