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1. Anaesthetizing
2. Disclosure: open and enlargement of carious cavity, use round burs
3. Nectroctomy
Nectroctomy – total
total or partial
4. Formation of carious cavity for placement of filling
5. Smooth out the edges of the enamel
33. Basic principles of preparation and formation of cavities?
34. Features of V class cavity preparation? For class V preparation, it should be an oval shape, walls and the bottom
should at right angle, and bottom is convex because of pulp proximity at cervical area thus preventing pulp exposure
35. Features of I class cavity preparation?
Cavity preparation should be with straight walls at right angle to the bottom, shape of the cavity should be cylindrical,
square, rhombic, x like
1. Main Cavity: is
Cavity: is prepared in place of pathological process
2. Additional cavities: are
cavities: are prepared on healthy tissue for retention of restorative materials
37. Basic principles of preparation and formation of cavities II, III, IV classes by Black?
Class 2: if there is no neighboring tooth and the cavity is below the equator it is formed on the proximal surface. If the
access is complicated, a cavity is extended to the occlusal surface and an additional cavity is formed there, the additional
cavity occupies 1/3 to ¼ length of the occlusal surface.
Class 3: the prepared cavity should have the shape of a triangle, it may be extended to the lingual surface where an
additional cavity is formed there.
Class 4: an additional cavity is formed either in the area of incisal edge or on the palatal/lingual surface within the limits
of dentin
39. Complications during the preparation of cavities II, III, IV classes by Black?
Restorations involving interproximal surfaces i.e. class 2 or class 4. The restoration of contact point will prevent the
development of further periodontal diseases.
Instruments used: matrix band is placed to help retain the restorative material during placement, to give shape to the
proximal surface
surface of the
the restoration
restoration and to allow close
close adaptation
adaptation of the restorative
restorative material to the cavity.
cavity. Common
Common types
types
of restorative material include:
1. Siqveland: straight
straight band and a holder. Both the band and the holder are removed from the tooth directly
sometimes results in removal of the part of newly packed amalgam
2. Tofflemine: in this system the holder is removed before the bend, this may prevent removal of the restoration with
the bend
3. Circumferential matrix: no holder, the band is tightened by spring mechanism
4. Ivory: metal band replaces only one proximal wall and th erefore can’t be used for the cavities involving both
proximal walls
walls
The next step is to place a wedge at the cervical region of the band normally from buccal aspect – functions
functions of the wedge:
Help retain band space
Shapes the band at cervical margin of tooth
Prevents excess material at the cervical area of the cavity forming a ledge
It separates the teeth slightly so that when the matrix band is removed there is no space between the adjacent teeth
and a tight contact is f ormed
38. Features of additional cavity formation during the preparation of II class by Black?