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17 Cards in this Set

  • Front
  • Back
Definition of Class I Carious Lesions
1) Occlusal pit and fissure lesions on posterior teeth

2)Caries in the occlusal and middle third of posterior teeth

3)Caries in the lingual pits of maxillary anterior teeth

3) Groove extension preparations
Features: Walls of the Preparation
1) The walls are named after the surfaces they approximate

2) Wall names: mesial, distal, pulpal, buccal and lingual
Features of the Preparation
1) There are two additional walls: axial and gingival

2)The axial wall is parallel to the long axis of the tooth

3)The gingival wall is closest to the gingiva
Features: Angles of the Preparation
1) Line angle : the intersection of two walls that form a line

2)Point angle: the intersection of three walls that form a point
Outline Form
The placement of the cavity margins in the final positions they will occupy on the tooth
Ideal Outline Form
1) Preparation is centered over the grooves

2)Goes around the cusp (triangular) ridges

3)Cavosurface margins on sound tooth structure

4) Isthmus width is as narrow as possible
Occlusal Outline Form
1) Maintain mesial and distal marginal ridge integrity

2) Smooth flowing preparation
Bur Orientation
The bur should always be held perpendicular to the occlusal plane
Bur Orientation: Maxillary Teeth
the bur is oriented along the long axis of the tooth
Bur Orientation: Mandibular Teeth
bur will have a slight lingual tilt because of the orientation of the occlusal table to the root of the tooth
Resistance Form
The ability of the restorative material and the tooth not to fracture once placed into function
Retention Form
1) The shape of the prepared cavity that resists displacement or removal of the restoration from lifting or tipping forces

2) Facial and lingual walls are parallel or slightly convergent

3) Mesial and distal walls are divergent at the cavosurface margin to ensure there is dentin support
Convenience Form
The ability of the operator to visualize all remaining caries and to also be able to use the appropriate instruments in the preparation
Removal of Remaining Carious Dentin and Undermined Enamel
The elimination of any infected carious tooth or faulty restorative material in the tooth after the initial cavity preparation
Two ways the pulpal wall is modified only in the area of the caries
1) With a large round bur in the conventional speed handpiece

2) With a hand instrument such as a spoon excavator
Finish of the Enamel Walls
The further development of a specific cavosurface margin and degree of smoothness that produces the maximum effectiveness of the restorative material being utilized
Toilet of the Cavity
Ensuring that the preparation is free of debris before a base, liner, varnish and/or an adhesive or restorative material is placed