Differences In Cavity

Preparation For
Silver Amalgam And
Class II Cast Gold
Inlay
AMALGAM CAST GOLD INLAY
Amalgam restoration is direct procedure that can Cast inlay is an indirect procedure requiring two
be finished in one appointment. appointments. One for tooth preparation and the other
for delivering restoration.

Indicated in conservative and moderate carious Indicated in extensive carious lesions

lesions.

Indicated in young as well as old patients. Contraindicated in young patients, due to presence of
large pulp chambers and in old patients, due to lengthy
and multistep procedures.

Indicated as interim and caries control Contraindicated in patients with high caries rate.
restorations.

Superior control of contours and contacts can be

There is less control on the placement of proper achieved. It is indicated for diastema closure between
contours and contacts. teeth.

Inexpensive. More cost to the patient.

SILVER AMALGAM CAST GOLD INLAY

Less edge strength. High edge strength

Concern of mercury toxicity. Biocompatible as high gold dental

casting alloys are unreactive in oral
environment.

Less technique sensitive More technique sensitive.

Outline form

SILVER AMALGAM CLASS II CAST GOLD INLAY

 Outline form is narrow as there is  Outline form is wide as the surface
no surface involvement and walls involvement is more and cavity
converge occlusally. walls diverge occlusally
Cavity width

SILVER AMALGAM CLASS II GOLD INLAY

 1/4th the intercuspal distance  1/3rd the intercuspal distance
Burs

SILVER AMALGAM CLASS II CAST GOLD INLAY

 No. 245 and no. 230  No. 271 and 169 L
CAVOSURFACE ANGLE

SILVER AMALGAM CLASS II CAST GOLD INLAY

 90 degrees
 To establish butt joint with
amalgam.
 Metal margin is 90 degrees.
 130- 140 degrees to achieve a lap
sliding fit
 Metal margin is 30-40 degrees.
 BEVELS
SILVER AMALGAM CLASS II CAST GOLD INLAY

 Bevelling is done only on the  Bevels of 30- 40 degrees are

gingival cavosurface margin to placed at the occlusal and
remove unsupported enamel. gingival cavosurface margins to
achieve a lap sliding fit.
Gingival Bevel

Silver amalgam Class II cast gold inlay

 15- 20 degrees  30 degrees
AXIOPULPAL LINE ANGLE

SILVER AMALGAM CLASS II GOLD INLAY

 Rounded  Accentuated
 SILVER AMALGAM CLASS II GOLD INLAY
Undercuts improve retention Undercuts should be absent
SILVER AMALGAM CLASS II GOLD INLAY
Proximally, minimal clearance is provided not more Proximally more clearance is acceptable.
than 0.5mm from adjacent tooth.

Gingival seat should be located supragingivally. Subgingival extension of gingival seat is acceptable

Secondary retention is provided by grooves, slots, Secondary retention is provided by locks, slots, skirts,
pins. collars, and reverse bevel.

Flares are not indicated. Proximal margin show primary and secondary flare

Internal line angles are rounded Internal angles are well defined.

Reverse curve is provided in proximal outline. Reverse curve is not provided

Cements as bases or varnish are used for pulp Luting cements are used for cementation of inlay.
protection