Restorative & Materials · single question

How does the isthmus of an amalgam preparation differ from that of a cast gold inlay preparation?

  1. Both converge occlusally, but the inlay isthmus is wider
  2. The amalgam isthmus converges occlusally; the inlay isthmus diverges occlusally
  3. The amalgam isthmus diverges occlusally; the inlay isthmus converges occlusally
  4. Both diverge occlusally, but the amalgam isthmus is deeper
Show answer and explanation

Correct answer: B. The amalgam isthmus converges occlusally; the inlay isthmus diverges occlusally

  • A. The inlay does not converge — a converging preparation would make a rigid casting impossible to seat.
  • B. CORRECT. The difference follows directly from how each restoration is placed. AMALGAM is condensed INTO the preparation as a plastic mass, so the walls CONVERGE occlusally to lock it mechanically in place. A CAST INLAY is fabricated outside the mouth and must be seated along a single path of withdrawal, so its walls must DIVERGE occlusally, conventionally by 2–5°.
  • C. This reverses both designs.
  • D. The amalgam preparation does not diverge; divergence would allow the restoration to displace occlusally.

Note: The governing principle: plastic materials that are placed in bulk need UNDERCUT retention. Rigid materials fabricated indirectly need a PATH OF WITHDRAWAL, which forbids undercuts entirely.

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