The Technical Procedures in Filling Teeth By G.V. Black

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Examination with the exploring instrument shows the cavity to occupy about half of the mesial surface occluso-gingi- vally and the middle two-fourths bucco-lingually in its extension beneath the enamel, though the enamel opening is very much smaller.
Procedure. — In these cases it always becomes a question as to when the rubber dam and the Perry separator shall be adjusted. It may be done first, or it may be done after the cavity has been opened and the outline form roughly cut. But it must alw
...ays be done before the final shaping and trimming of the walls and margins of the cavity is undertaken.
Opening the cavity. — With straight chisel 15, preferably by mallet pressure, though hand pressure may be used, begin chipping away the mesial marginal ridge of enamel overhanging the decayed area, first toward the buccal, and then toward the lingual, and continue until the enamel is found supported by sound dentin. In the cutting, especially if done by hand pres- sure, the edge of the chisel should be set very close to the mar- gin to be chipped, and the enamel cleaved off in little flakes, the direction of the pressure and the motion being almost in the line EXCAVATION OF CAVITIES BY CLASSES.


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