Saturday, October 25, 2014

Practice #2: #14 MO Preparation and #12 MOD Restoration


#14 MO Composite Preparation
(Occlusal View)



Strengths

External Form:
  • Occlusal outline form is centered over the grooves, smooth, and flowing
  • Proper isthmus width
  • Margins: Visually clear of contact ~0.2 mm
  • Gingival floor: Clearance is ~0.5 mm
  • Proximal box: Meets external surface at a 90 degree angle

Internal Form:
  • Adequate pulpal floor depth (1.5-1.7 mm)
  • B/L walls are convergent

*Slight adjacent tooth damage that can be polished without changing the contact

Areas Needing Improvement

External Form:
  • Gingival margin of the proximal box is slightly friable
  • Gingival floor width slightly deviated from ideal (<0.5 mm)

Refinement:
  • Cavosurface margin is slightly friable
  • Walls of preparation need smoothing

#12 MOD Composite Restoration
(Occlusal View)


Strengths

Occlusal Anatomy:
  • Harmonious form of normal tooth anatomy
  • Marginal ridge even with adjacent tooth

 Margins and Contacts:
  • Proper distal contact and contour
Areas Needing Improvement

Occlusal Surface:
  • Needs more anatomy and definition
  • Slight amount of debris and/or staining

Margins and Contacts:
  • Interproximal contour is slightly over-contoured
  • Mesial Contact: Floss shredding/tearing due to over-contoured, tight contact


*Lingual view: #12 MOD Composite Restoration

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