The document summarizes Class VI tooth preparations and restoration using amalgam. Class VI lesions involve wear of the incisal edges of anterior teeth or cusp tips of posterior teeth, exposing dentin. Amalgam is suitable for restoring posterior Class VI preps due to its wear resistance and longevity. The prep involves using a small tapered bur to extend the margins to sound enamel and dentin on diverging preparation walls. Conservative prep is important to avoid undermining thin enamel. Placement and carving of amalgam follows standard procedures. Finishing and polishing ensures optimal form, function and esthetics.
The document summarizes Class VI tooth preparations and restoration using amalgam. Class VI lesions involve wear of the incisal edges of anterior teeth or cusp tips of posterior teeth, exposing dentin. Amalgam is suitable for restoring posterior Class VI preps due to its wear resistance and longevity. The prep involves using a small tapered bur to extend the margins to sound enamel and dentin on diverging preparation walls. Conservative prep is important to avoid undermining thin enamel. Placement and carving of amalgam follows standard procedures. Finishing and polishing ensures optimal form, function and esthetics.
The document summarizes Class VI tooth preparations and restoration using amalgam. Class VI lesions involve wear of the incisal edges of anterior teeth or cusp tips of posterior teeth, exposing dentin. Amalgam is suitable for restoring posterior Class VI preps due to its wear resistance and longevity. The prep involves using a small tapered bur to extend the margins to sound enamel and dentin on diverging preparation walls. Conservative prep is important to avoid undermining thin enamel. Placement and carving of amalgam follows standard procedures. Finishing and polishing ensures optimal form, function and esthetics.
The document summarizes Class VI tooth preparations and restoration using amalgam. Class VI lesions involve wear of the incisal edges of anterior teeth or cusp tips of posterior teeth, exposing dentin. Amalgam is suitable for restoring posterior Class VI preps due to its wear resistance and longevity. The prep involves using a small tapered bur to extend the margins to sound enamel and dentin on diverging preparation walls. Conservative prep is important to avoid undermining thin enamel. Placement and carving of amalgam follows standard procedures. Finishing and polishing ensures optimal form, function and esthetics.
Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt
You are on page 1/ 14
Class VI
AMALGAM RESTORATION
Ashley M. De Vera CLASS VI
– Class VI lesion is sometimes referred to “Simon’s
Modification”. This is both mesial and distal proximal surface of bicuspid and molars that when restored will share a common isthmus or cavities in the insisal edges of anterior or cusp tip of posterior teeth – The Class VI tooth preparation is used to restore the incisal edge of anterior teeth or the cusp tip regions of the posterior teeth. – Such tooth preparations are frequently indicated where attrition has removed the enamel to expose the underlying dentin. – Wear pattern occurs more often in geriatric patients – Once the softer dentin is already exposed, it wears faster than the surrounding enamel, resulting in “Cupped-out” areas. – As the dentin support is lost, the enamel begins to fracture away, exposing more dentin and often causing sensitivity. - Sensitivity to hot and cold is a frequent compliant with Class Vi lesions, and some patients are bothered by food impaction in deeper depressions. – Class VI tooth preparations is also indicated to restore the hypoplastic pit occasionally found on cusp tips. Composite is generally used to restore Class VI preparations (anteriors) AMALGAM may be selected for posterior Class VI preparation because of its; Wear resistance Longevity Class VI Amalgam Preparation…
For the isolation you may use cotton rolls.
Enter the area with a small tapered fissure bur (No. 169L bur) Extend to a sufficient size to place the cavosurface margin on enamel that has sound dentin support The preparation walls may need to diverge occlusally to ensure a 90-degrees cavosurface margin. A depth of 1.5 mm is sufficient to provide bulk of material for strength. Retention of the restoration is ensured by the small under cuts along the internal line angels. Inserting, carving and polishing are similar to procedures described in Class 1.. ‼ Be careful not to remove the supporting dentin… ‼ Conservative tooth preparation is particularly important because it is easy to undermine enamel on incisal edge or cusp tips For MOD…
√ Occlusal Preparation.. External outline –butterfly shaped -occlusal outline form should form a devoid or sharp angles and the margins of which are located on smooth enamel. - dovetail are more parallel to the marginal oblique ridges to prevent leaking of stress bearing area. Internal outline -Cavity depth is .2-.5mm beyond DEJ - Pulpal floor should be flat. -Line angles and point angles are definite and sharp. Proximal box - Proximal box should be bend smoothly(s-curve/reverse curve) Insertion of Amalgam
Placement of matrix and tuffle mire and a wooden wedge on the
proximal area, to restore or bring back the anatomic proximal contour and contact areas. Mixing of amalgam. Using an amalgam carrier, inject the load of mix into the proximal areas and condensed on the gingival floor. √ Immediately removed excess amalgam from gingival margin using a explorer. √ Carve the proximal areas to contour. √ Use discord and cleoid carver to smooth and carve the anatomy of the tooth. √ Carefully remove the wooden wedge and truffle mire
Amalgam must be allowed to set for at least 24 hours
Finishing and Polishing….
Using the finishing bur, slightly smooth the entire occlusal surface of amalgam. A shaped rubber abrasive point may be used to polish occlusal anatomy. With a brush, polish the entire surface with a wet mix of pumice. Polish the entire surface with rubber cup using flour of pumice. THANKYOU!
