WOAH! Its been a while since I posted about amalgam preps (never actually, just a small section at the bottom of the
PROJECTS page...)! Well, we started pedo tech, and the first project was 2 preps: DO primary first molar and MO primary second molar. Easy right? Well, since we have spent the past year+ doing crown and bridge preps, it has been a while since I thought, "Undercuts are okay, undercuts are good, we need undercuts." But alas, walls must converge towards the occlusal to hold that amalgam in. Below you will see both preps but 1 fill. We had to choose the worster of the two preps and use that one to restore. The real difference between doing preps on primary (baby) teeth compared to secondary (adult) teeth, is that pulp horns and the pulp chamber are bigger/higher and need to be more conservative with your preps to avoid pulping the tooth.
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Left: Baby tooth, large pulp chamber, large pulp horn Right: smaller pulp chamber, with less prominent pulp horns Source: http://doctorspiller.com/images/Pedo/AdultVsDecid.jpg |
After having to quickly relearn some easy techniques from first year, and get around that pesky "NO UNDERCUTS EVVVVVVVVER" feeling from Fixed, I was able to get some good preps! Enjoy!
Unprepped Teeth
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Unprepped Primary 2nd Molar To Prep: MO for amalgam restoration |
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Unprepped Primary First Molar To prep: DO for amalgam restoration |
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Unpreppred Primary First Molar Buccal View |
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Unprepped Primary Second Molar Buccal View |
Preps
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Primary First Molar Occlusal View |
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Primary Second Molar Occlusal View |
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1st Primary Molar: Distal View. Good box size, good wall heights and good occlusal convergance! |
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2nd Primary Molar: Mesial view of the box. Not the best picture ever taken, but we can see the box is to size, not below the height of contour, and has good occlusal convergance |
Amalgam Restoration
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| Nicely done! |
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