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Class II Cavity Design and Restoration Guide

Class II cavities affect the proximal surfaces of posterior teeth and are detected using the bitewing technique. The cavity preparation involves creating access to remove carious dentine and establishing a sound enamel margin for restorative materials. Amalgam is used for moderate-to-large restorations, while composite is preferred for smaller lesions, with differences in tooth structure conservation and margin beveling.

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7 views27 pages

Class II Cavity Design and Restoration Guide

Class II cavities affect the proximal surfaces of posterior teeth and are detected using the bitewing technique. The cavity preparation involves creating access to remove carious dentine and establishing a sound enamel margin for restorative materials. Amalgam is used for moderate-to-large restorations, while composite is preferred for smaller lesions, with differences in tooth structure conservation and margin beveling.

Uploaded by

kanchan
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Cavity Design

Class II
GV Black Classification
What is class II cavity
Class II cavity is the one which carious process
effected on proximal (Mesial and Distal)
surface of the posterior teeth.
How we detected proximal
cavity?
Bitewing technique
Enamel preparation
The aims of cutting through enamel when operatively managing a carious are to:
1. Gain visual / instrumentation access to the full extent of the deeper carious dentine
requiring removal
2. Remove demineralized, weakened (and often unsightly) carious enamel
3. Create a sound peripheral enamel margin to which ab adhesive restorative material can form
a seal.
Cavity outline
The appearance of occlusal and
proximal cavity
Slot preparation
Cavity preparation procedure
In completing the proximal extensions, next make two cuts, one
starting at the facial limit of the proximal ditch and the other starting
at the lingual limit, extending toward and perpendicular to the
proximal surface (until the bur is nearly through the enamel at
contact level).

The side of the bur may emerge slightly through the surface at the
level of the gingival floor.
Used a matrix band may be used around the adjacent tooth to prevent marring its proximal
surface.
The isolated enamel, if still in place, may be fractured out with a spoon excavator or by
additional movement of the bur.
To protect the gingiva and the rubber dam when extending the gingival wall gingivally, a wooden
wedge should already be in place in the gingival embrasure to depress the soft tissue and rubber
dam.

Triangular wedge Indicated in deep Gingival extension


Type of matrix
Polishing
Amalgam polishing kit Composite polishing kit
ESSENTIAL QUALITIES
• Rigidity
• Help to re establish proper anatomic contour
• Help to re establish proper proximal contact
• To prevent over hang of the restoration and to maintain the health of the interdental gingival
Indication amalgam and
composite
AMALGAM COMPOSITE

a) Moderate-to-large restorations. a) Small to moderate sized lesions in


posterior teeth.
b) Restorations that are not in highly esthetic
areas of the mouth. b) In premolars and first molars where
esthetics is the main concern.
c) Restorations that cannot be well isolated.
c) When moisture control of operating site is
d) Restorations that have heavy occlusal possible.
loads.
What’s different Amalgam and
Composite cavity?
AMALGAM COMPOSITE
Need to drill more tooth structure to make Conservation of the tooth structure
retention
Bevel on the margin
No bevel
Step of Cavity class II
Clinical procedure of Amalgam restoration
Thank you!
Any Questions?

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