Conference Paper

Comparison of Carbide and Diamond Burs for Class-II Preparations

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Abstract

Objective: To compare the clinical performance and resulting cut characteristics of carbide and diamond burs used for class-II preparations. Method: 975 clinicians were surveyed to determine bur preferences in operative dentistry. Komet diamonds 830.314.008 and 835KR.314.008, and Midwest carbides 330 and 1156 pear and round-end cylinders were evaluated. Class-II preps were cut into 20 freshly extracted molars by two experienced clinicians using 2X loupes. Margins, axial walls, floors, and interproximal surfaces of adjacent teeth were examined by light microscopy, SEM, and photo-microscopy of fluorescent dye penetration. Result: * Clinicians stated that diamond burs exhibited greater control and better tactile feedback. Carbides experienced more slipping and jumping. * Speed and aggressiveness of cut was dependant on thickness of enamel and aggressiveness of clinician. Both diamonds and carbides were adequate. * Carbides cleared cutting debris well. Diamonds created a slurry that could hamper vision of prep. * Diamonds produced striated surfaces and jagged margins, creating greater potential for mechanical retention if material adaptation was adequate. Carbides produced smoother surfaces and straighter margins. * Both diamonds and carbides produced undulating walls and floors. * Both diamonds (100%) and carbides (100%) produced chips along the margins (particularly where the bur exited tooth structure) and cracks and micro-fracturing. * Clinicians nicked adjacent teeth 100% of time with both diamonds and carbides unless interproximal barriers were used. Diamond nicks were rougher, potentially increasing plaque retention. Conclusion: SEM and fluorescent dye penetration showed that both diamonds and carbides created chipped and fractured margins. Adjacent teeth were nicked unless interproximal barriers were used. Diamonds appeared to exhibit greater control and better tactile feedback.

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