Professional Documents
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Lecture Outline
Objectives of tooth preparation Factors affecting tooth preparation Stages and steps of tooth preparation
The mechanical alteration of defective, injured, or diseased tooth to best receive a restorative material that will reestablish a healthy state for the tooth, including esthetic corrections where indicated, along with normal form and function.
pulp.
Extend the restoration as conservatively as possible. Form the tooth preparation so that under masticatory forces the tooth or restoration will not fracture or the restoration will not be displaced. Allow for functional & esthetic placement of restorative material.
The reason for placing the restoration in the tooth Periodontal & pulpal status
Esthetic factor
Relationship with other treatment plans The risk potential of the patient for other dental caries
Gross picture of the tooth both internally and externally must be visualized.
3. Patient Factors:
Restorations should be made as small as possible. Small tooth preparations result in restorations that has
Amalgam Vs resin composite. The ability to isolate the operating field. The extension of the problem (i.e. caries).
1. 2. 3. 4.
Initial Stage Outline form & initial depth Primary resistance form Primary retention form Convenience form
Final Stage
5. Removal of any remaining infected dentin 6. Pulp protection if indicated 7. Secondary resistance & retention forms 8. Procedures for finishing external walls 9. Final procedures: cleaning, inspecting & sealing
3 principles:
1. All weakened enamel should be removed. 2. All faults should be included. 3. All margins should be placed in position to afford good finishing of the margins of the restoration.
- Masticatory forces are directed along the long access of the tooth