Chapter 5 (fundamentals of cavity preparation)

* Choose the most suitable answer:

1] The form given to a cavity to resist displacement of the restoration in any direction is:
a) Outline form.
b) Retention form.
c) Resistance form.
d) Convenience form.

2] The retention form of class II amalgam preparation is achieved by:

a) A flat gingival wall.
b) Parallel facial & lingual walls.
c) Facial and lingual grooves placed at the axial line angle.
d- Walls converging in an occlusogingival direction.
f) All of the above.

3] Gold inlays have improved retention when:

a) There is large cement film thickness.
b) The opposing walls diverge towards the occlusal.
c) There is less surface area involved in the preparation.
d) The axial length in the cavity preparation is increased.

4] Retention form for composite resin restoration is achieved by:

a) A chemical bond with tooth.
b) Adhesion to the enamel & dentin.
c) Mechanical undercuts.
d) all of the above.
5] The primary reason for placing an occlusal dovetail in a mesio-occlusal cavity prepared
for a gold inlay on a maxillary premolar is to:
a) Support the distal marginal ridge.
b) Provide resistance to proximal displacement.
c) Satisfy the principle of extension for prevention.
d) Provide resistance to occlusal displacement.
e) Provide more surface area to support occlusal function.

6] The reason for placing an occlusal dovetail in a mesio-occlusal cavity prepared for a gold
inlay on a maxillary molar is to:
a) Support the distal marginal ridge.
b) Provide resistance to proximal displacement.
c) Satisfy the principle of extension for prevention.
d) Provide resistance to occlusal displacement.
e) Provide more surface area to support occlusal function.

7] When comparing the pulpal depth of a standard class II inlay cavity preparation with a
class II dental amalgam cavity preparation, the pulpal wall should be:
a) Deeper for the inlay.
b) Deeper in dentin for the amalgam.
c) The same depth for both restorations.
d) None of the above.

8] The area of tooth that is most sensitive during cavity preparation is the:
a) Dentin.
b) Enamel.
c) Cementum.
d) Cementoenameljunction.
e) Dentinoenameljunction.
9] Fracture of a class II amalgam restoration at the junction between the occlusal &
proximal portions is the result of inadequate:
a) Retention form.
b) Resistance form.
c) Convenience form.
d) Extension for prevention.

10] The occlusal isthmus of an MO dental amalgam restoration is more resistant to fracture
if the:
a) Pulpal depth is 1mm below DEJ.
b) Occlusal lock is present.
c) Axiopulpal line angle is rounded.
e) Unsupported enamel at the gingivo-cavosurface margin is planed.

11] The cavosurface angle for amalgam cavity should be:

a) 45º
b) 30º
c) 90º
d) 15-20º

12] The most common cause of fracture of isthmus of class II amalgam restoration is:
a) Delayed expansion.
b) Inadequate depth of isthmus.
c) Inadequate width of isthmus.
d) Moisture contamination.

13] The minimum thickness of dentin required below a cavity preparation should be:
a) 1mm.
b) 2mm.
c) 3mm.
d) 0.5mm.
14] The intercuspal width of an occlusal amalgam cavity preparation should be:
a) ¼
b) 1/3
c) ½
d) ¾

15] The purpose of the retention form in the cavity preparation is to prevent displacement of
the restoration by:
a) Lateral forces.
b) Occlusal forces.
c) a & b
d) None of the above.

16] Dental amalgam, when used in the restoration of a cusp should be:
a) Carved out of occlusion.
b) Supported by a pin.
c) At least 2 to 3 mm thick.
d) Supported by enamel.

17] Extension for prevention is directly related to:

a) Outline form of the cavity.
b) Removal of unsupported enamel rods from the proximal surfaces.
c) Rounding of the line angles.
d) Depth of the cavity.
e) Elimination of all carious dentin.

18] The principle mean of retention for cast gold restoration is:
a) Cement.
b) Frictional parallelism between walls.
c) Pins.
d) All of the above.
19] Prevention of caries recurrence during cavity preparation necessitates:
a) Removal of undermined enamel.
b) Removal of all carious enamel & dentin.
c) Extension of cavity margins or sealing of pits & fissures.
d) b & c.
e) All of the above.

20] The first step in cavity preparation for amalgam restorations is:
a) Convenience form.
b) Removal of all carious lesion.
c) Outline form.
d) Resistance & retention form.

21] All the retentive features are formed in dentin except ----------can be formed in enamel:
a) Pins.
b) Grooves.
c) Acid etching.
d) None of the above.

22] Which of the following is considered a retentive feature:

a) Smooth pulpal floor.
b) Undercuts.
d) Roundation of line & point angles.
e) Increasing the depth of the cavity.

23] Class II cavity preparation for amalgam and cast gold are similar in having:
a) Occlusally converging mesial and distal walls.
b) Occlusally diverging mesial and distal walls.
c) Occlusally converging buccal and lingual walls.
d) Occlusally diverging buccal and lingual walls.
24] Frictional retention can be increased by:
a) Greater surface area.
b) Roughness of the cavity walls.
c) Smoothening of the cavity walls.
d) Parallelism of opposing walls.
e) a, b & c
f) a, c & d

25] Reverse bevel in cast gold cavities is performed as a feature of:

a) Resistance form.
b) Retention form.
c) Convenience form.
d) None of the above.

26] Counter bevel in cast gold cavities is performed as a feature of:

a) Resistance form.
b) Retention form.
c) Convenience form.
d) None of the above.

27] Cavosurface angle must be compatible with:

a) The direction of enamel rods.
b) The physical properties of restorative materials.
c) Both of the above.
d) None of the above.
28] When the pulpo-axial line angle in class II cavity preparation is not beveled/rounded,
stress is concentrated in:
a) Dentinal line angle
b- Amalgam surrounding line angle
c) Axial wall
d) Pulpal wall.
e) Only a and b

29] Retention grooves for class II amalgam cavity are placed in dentin of:
a) Gingival wall.
b) Buccal & lingual proximal walls.
c) Axial wall
d) None of the above.

30] In preparing a class II amalgam cavity, the proximal box surface has reverse curve
usually in:
a) Facial wall.
b) Lingual wall.
c) Axial wall.
d) None of the above.

 During cavity preparation, the following must be considered:

a) Direction of enamel rods
b) Type of the restorative material used
c) Location of the cavity margins
d) All of the above
e) Only (a) and (b)

 Removal of deep soft carious dentin can be carefully done using:

a) Sharp excavators
b) Dull excavators
c) Round carbide bur at low speed
f) Only (a) and (c)
d) Only (b) and (c)
  Proper pulpal depth of the prepared cavity for amalgam restoration is principally
considered as
a) Convenience form
b) Outline form
c) Retention form
d) Resistance form
e) None of the above

 Removal of deep soft carious dentin is preferably done with

f) Carbide burs
a) Abrasives
b) Spoon and discoid excavators
c) Only (b) and (c)
d) Only (a) and (b)

 Angulation of the cavosurface angle will

a) Depend on the used restorative material
b) Be considered as a resistance feature
c) Prevent the marginal ditching of the amalgam restoration if correctly made
g) All of the above
d) Only (a) and (c)

 Saucer-shaped cavities
a) Have poor retention
b) Have poor resistance
c) May cause splitting of cusps
h) All of the above
d) Only (b) and (c)

 The following factors should be considered in deciding the correct outline form for
different cavities
a) The extent of decay
b) Occlusion with opposing teeth
c) Esthetics
i) All of the above
d) Only (a) and (c)

 Removal of carious dentin is the step number:

a. two b. three
c. four d. two or four

 To prevent caries recurrence in a cavity preparation for amalgam you must:

a. give cavo-surface angle the correct angulation
b. leave friable undermined enamel c. extend outline to non vulnerable sites
d. all of the above e. only a and c are correct
 In compound class I cavity preparation for amalgam, the oblique ridge in upper molars
is crossed if:
a. Carious b. crossed by a fissure
c. Weak or thin d. Undermined
e. All of the above f. None of the above

 In a cavity preparation for amalgam, the cavosurface angle should be beveled by an

angulation of:
a. 120o b. 45 o c. 30 o d. none of the above

 When preparing an OM cavity for inlay in a maxillary molar, the oblique ridge should
never be crossed if:
a. There is no caries in the distal fissure b. the oblique ridge is undermined
c. extension to distal fissure is needed for retention d. the oblique ridge is crossed by a fissure

 According to GV Black: in deep carious lesions, the second step in cavity preparation is
a) convenience form
b) resistance and retention form
c) removal of caries
d) finishing of enamel walls and margins

 In class II cavity preparation for amalgam restorations, proximal grooves are prepared
at expense of buccal and lingual walls in
a. dentin
b. dentinoenamel junction
c. enamel
d. cementum

 Cavosurface angle plus the corresponding angle in the restoration make:

a. 90º
b. 180º
c. 360º
d. 45º

 Flatting of the pulpal floor in class I cavities for amalgam is considered a:

a) retentive feature
b) resistance feature
c) outline form
d) convenience form

 Instruments used in finishing of the enamel walls

a) chisels
b) enamel hatchets
c) plane fissure burs
d) all of the above
* State whether True (T) or False (F):
1] In class III cavities where esthetics is a priority, it is advisable to remove labial undermined
enamel. F

2] If enamel is exceedingly friable, the cavo-surface angle must be trimmed to a stronger obtuse
angle. T

3] Full bevel is not on the expense of retention. F

4] There is no harm to leave hard but discolored dentin found at a correct depth cavity seat. T

5] The retention can be provided by extensions onto the other side, e.g., buccal extension to
increase retention of an occluso-lingual cavity in lower molars in compound cavities. T

6] The lateral spread of caries along the D.E.J. has no relation to the outline form. F

7] The box form is a design that can provide both resistance & retention as well. T

8] If the cavity margin is located in stress-bearing area, bevel the cavo-surface angle to a strong
obtuse angle & use R.M. e high edge strength to support & protect the E. margin against
excessive stresses. T

9] The oblique ridge in upper first molars is always crossed during compound class I cavity
preparation. F
10] Finishing of the cavity walls and margins is done by finishing burs. F

11] The cavity floor must be extended beyond DEJ in order to detect the lateral spread of caries
which is maximum at this weakest plane. T

12] The cavity floor in simple class I cavity for amalgam must be parallel to the occlusal table
while all the axial walls must converge to an occlusal direction. T
13] Dove tail is designed in preparation to retain the compound class II amalgam restoration in
an axial direction. F

14] Isthmus fracture may result from failure to provide independent proximal retention in
compound class II cavity preparation for gold inlay restoration. F

15] Increase in width of the cavity will lead to increase in bulk of brittle restorations. F

16] Counter bevel means removal of 2 mm of the cusp tip of a weak cusp. F

17] In amalgam restorations, acute CSA will lead to fracture of tooth while obtuse one will lead
to fracture of restoration. T

18] Reverse bevel is done to prevent fracture of undermined enamel F

19] Extension for retention means cavity extension into caries immune areas. F

20] In stress bearing areas, the cavo-surface angle should be bevelled to protect the enamel
margins, and any metallic restorative material should be used F

21] The pulpal floor and gingival wall of class II amalgam cavity preparations should be
prepared perpendicular to the long axis of the tooth to prevent dislodgement of the restorations.
(F)

22] As a principle, all undermined enamel should be removed in all cavity designs with no
exceptions. T

23] Roundation of the axio–pulpal line angle at the isthmus area of class II for amalgam
restoration is mandatory. (T)

24] In case of deep caries, the step of removal of decay should precede outline form. F
25] The mesial and distal walls in class I cavity preparation for amalgam should converge
occlusally for retention. ( F)

26] The oblique ridge in upper first molars is always crossed during compound class I cavity
preparation. (F)

27] After cavity preparation, the cavity is cleaned with alcohol (F)

28] Convergence of cavity walls occlusally is an auxiliary retentive mean in class I cavity
preparation for amalgam. (F)

29] The cavity for amalgam requires a beveled CSA. (F)

III- Answer the following question:

In the following figure, is it indicated to cross the oblique ridge? Justify your answer by two
reasons.
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