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Design Principles
CLASS V
OCCLUSAL WALL
DBC DC MBC
DISTAL WALL
MBC
DBC
AXIAL WALL
OUTLINE FORM
PRINCIPLE RATIONALE
rounded trapezoid in gingival third G & O outline straight & parallel to occlusal table
EXTENSION
a balance between conservation of tooth structure and the need for access and to remove defective tooth structure
EXTENSION
PRINCIPLE RATIONALE
eliminates infected tissue eliminates weakened tooth structure maximizes restoration lifespan
OCCLUSO-GINGIVAL EXTENSION
PRINCIPLE RATIONALE
occlusally to height of contour or extent of lesion gingivally to extent of lesion (frequently subgingival)
MESIO-DISTAL EXTENSION
PRINCIPLE RATIONALE
AXIAL DEPTH
PRINCIPLE RATIONALE
sufcient bulk of amalgam to prevent fracture sufcient O & G wall length for retention
1.5-1.75mm 1-1.25mm
AXIAL WALL
PRINCIPLE RATIONALE
optimize adapatation of amalgam to wall uniform bulk of amalgam to prevent fracture maximum pulpal protection
A-A
A B
B-B
B A
optimize adaptation of amalgam to walls optimizes strength of both amalgam and enamel at margin
B-B
OCCLUSAL WALL
PRINCIPLE RATIONALE
optimize adaptation of amalgam to walls easier to visualize & carve following condensation optimizes strength of both amalgam and enamel at margin opposes G-wall (retention)
OCCLUSAL RETENTION
PRINCIPLE RATIONALE
retention groove 0.5mm deep placed in occlusal wall 0.5mm deep to DEJ
only required when preparation is overextended occlusally because occlusal & gingival walls will be divergent
GINGIVAL WALL
PRINCIPLE
RATIONALE
optimize adaptation of amalgam to walls easier to visualize & carve following condensation helps lock restoration in tooth (retention) elimination of weak tooth structure
70 90
gingival wall
90
CAVITY REFINEMENT
PRINCIPLE RATIONALE
maximizes amalgam resistance to dislodgement reduces stress concentration & risk of subsequent tooth fracture
CAVITY REFINEMENT
PRINCIPLE RATIONALE
reduces stress concentration & risk of subsequent tooth fracture difcult to condense viscous amalgam into sharp external angles
CAVITY REFINEMENT
PRINCIPLE
RATIONALE
easier to visualize & carve following condensation optimize adaptation of amalgam to margins eliminates weak tooth structure maximizes marginal integrity
CLEANLINESS
PRINCIPLE RATIONALE
facilitates adaptation of amalgam to the cavity improves physical properties of the restoration by elimination of voids & foreign material
CLASS V AMALGAM
Preparation Technique
CEJ
maintain even depth just shy of bur head length (3mm) as trench follows curvature of surface from M to D
starting shy of 3 mm allows room for rening the axial wall later
create a second trench near the G-line this one is less than 2mm deep (1/2 length of bur head)
rough out axial wall maintain curvature & O-G depth change
begin M & D walls just shy of pencil line keep bur perpendicular to surface of tooth
being slightly shy of these measures is preferable at this point to allow room for smoothing
Bow
Fa beak
Wedelstaedt chisel
111 hoe