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Class Ii Lower Premolar Mod Amalgam Preparation & Restoration

1) The document provides instructions for preparing a Class II amalgam restoration on a lower premolar or molar tooth. 2) Key steps include checking occlusion, outlining the preparation form with 1mm isthmus width and floors parallel to the buccal-lingual line, and placing proximal boxes through the marginal ridge to break contacts by 0.5mm. 3) The preparation should have smooth walls, an occlusal depth of 1.5mm, isthmus width of 1.5mm, and all proximal contacts opened by 0.5mm or more.

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Kizzy Sarria
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89 views4 pages

Class Ii Lower Premolar Mod Amalgam Preparation & Restoration

1) The document provides instructions for preparing a Class II amalgam restoration on a lower premolar or molar tooth. 2) Key steps include checking occlusion, outlining the preparation form with 1mm isthmus width and floors parallel to the buccal-lingual line, and placing proximal boxes through the marginal ridge to break contacts by 0.5mm. 3) The preparation should have smooth walls, an occlusal depth of 1.5mm, isthmus width of 1.5mm, and all proximal contacts opened by 0.5mm or more.

Uploaded by

Kizzy Sarria
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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CLASS II AMALGAM PREPARATION —

MOD LOWER PREMOLAR #21/#28 or Lower Molar #19/#30


ARMAMENTARIUM/Instruments:
Mirror
Explorer
# 10-8-14 Hatchet (Small Hatchet)
Periodontal Probe
#29 Gingival Margin Trimmer (Mesial)
#330 Bur
#56 Bur
#169 Bur
1. Check the occlusion: Use articulating ribbon and tap the jaws of the manikin. Remember the
location of the marks and use them as an aid in carving the restoration.
2. Outline Form: The outline form should be identical to that of the occlusal amalgam
preparation for the corresponding tooth.
a. The isthmus width between the two cusps should be 1.0 mm.
b. The floor of the preparation should be parallel to an imaginary line connecting the
buccal and lingual cusp tips.
3. No mesial or distal dovetail is created.
4. a. The lingual extension of the preparation extends directly to the marginal ridge (mesial and
distal) in a manner that will break the lingual contact by 0.5 mm.
b. The mesial/distal buccal extension of the preparation is prepared with an “S” shaped curve in
a manner that will break the buccal contact by 0.5 mm.
c. A distal proximal box is placed through the marginal ridge that breaks the gingival contact by
0.5 mm.
d. A mesial proximal box is placed through the marginal ridge that breaks the gingival contact
by 0.5 mm.
e. The axial depth of both proximal boxes is 1.0 mm and duplicates the convexity of the
proximal surface of the tooth.
The proximal boxes described above can be created by the following method:
5. Prepare the buccal portion of the mesial/distal dovetail as you normally would, using care not
to extend the dovetail buccally farther than the contact area.
6. Prepare the lingual of the prep by extending it from the isthmus slightly lingual to the
mesial/distal pit.
7. Using the #169 bur, connect the two sides of the preparation, while moving the bur
mesially/distally and gradually thinning the marginal ridge, leaving only a thin shell of material
between the bur and the adjacent tooth.
8. Using a slight pendulum motion, move the bur from side to side, gradually deepening the
prep to approximately 3.5 mm.
9. With the small hatchet, break away the final pieces of material protecting the adjacent tooth.
10. With the #169 bur expand the box to the proper dimensions (the small hatchet and gingival
margin trimmer can aid you in this task).
Do not try to remove too large a piece of tooth structure with the hand
instruments or use a dull instrument for this task. This will cause the manikin
tooth to chip and ruin your preparation.
Use care not to break any of the proximal contacts (buccal, lingual, gingival) by more than O.5
mm (this can be measured by passing the first 1.0 mm of the #23 explorer through the
contact, if any more of the explorer passes through, the contact is too wide).
The axial wall height of the box should be 1.0 mm measured from the pulpal floor, with a
convexity reflecting that of the unprepared proximal wall.
The buccal and lingual walls should converge slightly (approx. 3 o).
11. Smooth all walls of the preparation with the appropriate burs and hand instruments.
The walls of both proximal boxes should have smooth cavosurface margins.
12. Use the gingival margin trimmer to bevel both axio-pulpal line angles.

Grading Criteria
• The occlusal depth should be 1.5 mm (measured at the central groove).
• The isthmus width must be 1.5 mm.
• The axial wall height should be 1.0 mm (a minimum of 0.5 mm).
• All proximal contacts should be open a minimum of 0.5 mm.
• The pulpal floor should be smooth and parallel to an imaginary line connecting the buccal and
lingual cusp tips.
• The gingival floor should be smooth and perpendicular to the long axis of the tooth; all walls
should be smooth.
• The outline form should conform to that described in the text.
SELF-EVALUATION FORM INSTRUCTIONS: CLASS II MOD PREMOLAR PREPARATION
Evaluator: _____________________________ Date: __________________

ID Number: ____________________________ Tooth No.: ______________

Circle One: Faculty Student Prep: __________________

Class II Amalgam Preparation (MOD) Grade Sheet (#28/#21 or #19/#30)

Points Awarded 3+ 2+ 1+ 0

1. Occlusal Depth 1.5 - 2mm 2 - 2.5mm 2.5 – 3.0mm >3.0mm

1.0 – 1.5mm <1.0mm

2. Isthmus Width 1.5mm 1.0 - 1.5mm <1mm >2.0mm

1.5 – 2.0mm

3. Axial Wall Convex Convex Flat, Concave Flat, Concave


(Depth) (1.0mm) (0.5 – 1.0mm) (0.5 – 1.0mm) (<0.5mm)
1.0 – 1.5mm >1.5mm

4. Proximal All contacts open ≥ 2 contacts ideal ≥1 contact ideal Closed Contact/
Contacts (.5mm) open (0.5 – 1.0) open (0.5 – 1.0) Contact Open
(mb, ml, db, dl, (mb, ml, db, dl, (>1mm)
(Min. Axial Wall dg) dg) (mb, ml, db, dl, dg)
Ht. = 0.5 or score
0)

5. Pulpal Floor Smooth, Slight Deviation Moderate Unacceptable


Gingival Floor Perpendicular Deviation

6. Outline Form Proper Form Slight Deviation Moderate Unacceptable


(Other Deviation
Considerations)

Total: ________

A score 0 on items 1, 2 or 4 is an automatic failure.

A= 16-18 points B= 12-15 points

C= 09-11 points F= <09 points


Class II Amalgam Restoration (MODL) Grade Sheet (#19 or #30)

Points 3+ 2+ 1+ 0
1. Margin No marginal Detectable Marginal excess or Marginal excess or
Integrity excess or marginal excess or deficiency >0.2-0.5 deficiency >0.5
deficiency deficiency <0.2 which can include mm which include
detectable pits and voids at pits and voids and
(visually or with the cavosurface have open margins
tine of explorer) at margins
the cavosurface
2. Surface Finish Uniformly smooth Slightly grainy Rough, exhibits Grossly rough and
and free of pits rough but free of significant uneven and/or
and voids pits and voids irregularities, pits fractured
and voids
3. Contour Reproduces the Slight variation in Does not Grossly over-
normal the normal reproduce the contoured or
physiological contour, not normal contour under-contoured
contour of the expected to and expected to and severely affect
tooth adversely affect severely affect the the tissue surface
tissue health tissue health

Total: ________

A= 8-9 points B= 6-7 points

C=4-5 points F= <3 points

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