Class I lesion affects

The pit and fissures of posterior teeth

Surfaces involved are:
– Occlusal surfaces of premolars & molars
– Occlusal 2/3 of the facial & lingual
surfaces of molars
Palatal surfaces of maxillary incisors
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 CLASS I
SIMPLE OCCLUSAL CAVITY
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 Resistance form
is obtained by
• Outline placed equidistance from the
defective pits ,fissures on smooth ,sound
tooth structure
• Sufficient width to include the defects,
pits & fissures and permit insertion of small
condenser for placement of amalgam

But otherwise as narrow as possible

(preservation of tooth structure)
 Resistance

Extension for prevention

Black suggested that it was necessary to

• remove additional tooth structure to gain access
& visibility
• extend the cavity to self-cleansing areas to
AVOID RECURENT CARIES

Black’s cavity width

1/3 intercuspal distance
 Resistance

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No extension for prevention

 Resistance

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 Resistance

Outline should consist of smooth

curves on occlusal surface
(no sharp line angles)

To avoid stress concentration

 Resistance

• Box form (mortis form)

* flat floor
* definite line & point angles

Distribution of force
 Resistance

• Cavosurface margin is 90° butt joint

• Remove any undermined enamel (enamel
supported with dentin)
 Resistance

• Depth
* 0.5mm below DEJ (cavity in dentin)
* The whole cavity depth is about
1.5 - 2 mm
from cavity margin to pulpal floor

D
Pulpal floor
 Resistance

Minimal extension into the marginal

ridge (only enough to remove the
defect) without removing dentinal
support
Mesial & distal walls
* divergent
di t occlusally(
l ll ( 10°) to
t ffollow
ll
the direction of enamel rods &
prevent undermining of the marginal
ridge
 Resistance

• Join weekend ridge between two

cavities (<0.5 mm apart)
 Retention form
Is obtained through

• Converging Buccal and lingual walls

occlusally (undercut)
• Parallelism of the walls
• Griping action of dentin
 Retention

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Prepared at the line angle between

floor of the cavity & its walls with
a ¼ round bur
 Convenience form

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Infected carious dentin should be removed
by:
• Excavators ((spoon
p or discoid))
soft caries
• Large carbide Rose head at low speed
hard caries
* Until the tooth structure feels hard &
firm
* lesion is lighter in color
The removal of carious dentin should not
affect resistance form

Create a flat floor peripheral

to the excavated area
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 Compound class I

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Cavity preparation
Occlusal box follows the same principles for
class I simple occlusal cavity

After preparing the occlusal cavity

* #245 bur is held to the pulpal floor &
parallel to the long axis of the tooth crown
* moved towards the buccal/lingual
direction along the fissure maintaining
uniform depth until the bur reaches the
buccal/lingual surface
• The step is prepared keeping the bur
parallel to the buccal/ lingual surface
of the corresponding groove
So The axial wall will follow the contour of
the buccal/lingual surface at a
uniform depth of 0.5mm inside
the DEJ (0.2mm is permissible)
• Axiopulpal line angle is
rounded
Resistance
• Extend the lingual box gingivally to
terminate at the buccal/lingual groove
creating a flat gingival seat for
…………. Resistance
• Gingival wall meets the tooth surface at 90°
& the axial wall makes an obtuse angle with
the pulpal floor ……………..Resistance
• Mesial & distal walls of the B/L BOX
are made parallel to each other with
slight occlusal convergence
………………………………..Retention
• Mesial & distal walls are butt joint with the
cavity margins………………… Resistance
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