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CAVITY DESIGN

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CAVITY DESIGN

  1. 1. CAVITY DESIGN PRIYA AHUJA DENTAL ( INTERN)
  2. 2. DEFINATION - CAVITY DESIGN IS ESSENTIALLY A BOX IN FORM OF FLOOR [PULPAL] AND FOUR WALLS. THREE TYPES OF CAVITIES-  smooth surface cavities  root cavities  pit and fissure cavities
  3. 3. TOOTH PREPARATION WALLS  Internal wall- preparation which Is not extended into external surface.  Pulpal wall  Axial wall  External wall- wall in the prepare Tooth that extends into external surface.  Floor or seat  fascial wall  Distal wall  Lingual wall
  4. 4. TOOTH PREPARATION ANGLE Line angle- it is a junction of two surfaces of different orientations along the line. Point angle-it is a junction of three planes surfaces or three line angles of different orientation. Cavosurface angle- formed by junction of prepared tooth wall and external surface of tooth.
  5. 5. CLASS 2 CAVITY DESIGN
  6. 6. SIMPLE COMPOUND AND COMPLEX TOOTH PREPARATIONS  SIMPLE- if only one surface is involve example occlusal preparations. COMPOUND- if two surfaces are involved example mesio-occlusal preparations. COMPLEX-if preparation involve more than two surface example MOD preparations.
  7. 7. G.V BLACK CLASSIFICATION OF CAVITY [THE GRAND OLD MAN OF DENTISTRY]  CLASS 1 CAVITY  CLASS 2 CAVITY  CLASS 3 CAVITY  CLASS 4 CAVITY  CLASS 5 CAVITY
  8. 8. G .V BLACK CLASSIFICATION OF CAVITY CLASS 1 RESTORATIONS  All pit and fissure restorations are class 1 and are assigned to three groups as follows-  restorations on occlusal surface of premolars and molars.  Restorations on occlusal two third of the facial and lingual surfaces of molars.  restorations on lingual surface of maxillary incisor. CLASS 2 RESTORATIONS  restorations on proximal surfaces of posterior teeth are class 2.
  9. 9. CLASS 3 RESTORATIONS  Restorations on the proximal surfaces of anterior teeth that do not involve the incisal edge are class 3. CLASS 4 RESTORATIONS  restorations on the proximal surfaces of anterior teeth that do involve the incisal edge are class 4. CLASS 5 RESTORATIONS  Restorations on gingival third of the facial or lingual surfaces of all the teeth except pit and fissure lesions are class 5. CLASS 6 RESTORATIONS  Restorations on the incisal edge of anterior teeth or the occlusal cusp heights of posterior teeth are class 6
  10. 10. CLASS 1 CAVITY PREPARATION  Need to provide increased resistance – resistance to fracture of teeth.  Enter the bur in distal pit area [ inverted cone diamond bur – parallel with the long axis of crown] –permits better vision.  The mesio-distal length will be prepared.  Pulpal floor initial depth 1.5mm -0.2mm inside DEJ.  Lingual facial depth could be greater 1.75mm.  Cuspal and marginal ridge area preservation as much as possible.  Outline form should be conservative as possible.
  11. 11.  Extension toward cusp tip should be as minimal as possible.  Fascial and lingual extension and width are directed by the caries ,old restorative material or fault.  1.6 mm thickness of marginal ridge for premolars and 2mm for molars.  Extending the outline form to sound tooth structure, remaining caries should be removed.
  12. 12. CLASS 2 CAVITY CONVENTIONAL DESIGN OCCLUSAL STEP- -similarly like class 1 -conservative connection between occlusal and proximal portion. -1.5 mm initial occlusal depth -Initial extension toward the proximal area -Go through the marginal ridge, initial pulpal floor depth exposing the DEG -DEG serve as a guide for preparation. -Inverted cone diamond, parallel with long axis of teeth crown – occlusal convergence.
  13. 13. PROXIMAL BOX  Faciolingual width as narrow as possible.  Initial depth 1.5mm than follows the rise and fall of the underlying DEG.  Pulpal floor relatively flat.  Preservation of cuspal area.  Not to cut the adjacent tooth.  Ideally there is no preparation beyond the proximal contact.  Bur always parallel with the long axis of teeth.  Axial wall 0.2mm inside DEG.
  14. 14.  Inverted cone diamond resulted occlusal convergency.  Remove gingivally any unsupported enamel margins.  PREPARATION ON THE ROOT- 90 degree cavosurface margin Depth is 0.75-1mm

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