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Current Concepts in Classification, Indication, Principles and Procedures of Cavity Preparation With Respect to Adhesive Restorations

Current Concepts in Classification, Indication, Principles and Procedures of Cavity Preparation With Respect to Adhesive Restorations

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Published by Dr. Nikhil saran

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Published by: Dr. Nikhil saran on Nov 19, 2009
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Macrodentistry is the density that has been practiced for centuries with the conventional concept of “Extension fo prevention” or cutting for immunity. A patient who has beenassessed as having a high caries risk is immediately worked onand preventive restorations have been given.
In the past few years the emerging techniques ooperative density dedicated to minimal invasion and minimalsacrifice of sound tooth structure have been explored anddocumented and they have become part of the mainstreamdentistry. As new techniques emerge and are adapted intodental disciplines, the usual intent and purpose of the originaltechnology often change in the course of adaptation.Microdentistry, the dental science of diagnosing,intercepting and treating dental decay on the microscopic levelis now emerging as an operative tool in science-basedmicrodentistry. The ultimate goal is prevention of extensionand restriction with conviction.
Historical aspects1. Historical aspects of G.V. Blacks Concept of cavitypreparationa. Introduction
When Black defined the parameters for his classification,the cavity designs were controlled by a number of factors,many of which no longer apply. Caries was rampant and thesignificance of fluoride was not understood. There werelimitations in the available instruments for cavity preparationas well as in the selection of restorative materials. The fivecategories of carious lesion were related to the site of thelesion and to the nature of the intended restoration, but theydid not take into account the increasing dimensions of a cavitynor the complexity of the method of restoration.
b. G. V. Black’s classificationClass I
All pit and fissure restorations are class I and they areassigned to the three groups as follows1.Restorations on occlusal surface of premolars and molars.2.Restorations on occlusal two thirds of facial and lingualsurfaces of molars.3.Restorations on lingual surface of maxillary incisions.
Class II
Restorations on proximal surfaces of posterior teeth
Class III
Restorations on proximal surface of class III which donot involve the incision angle
Class IV
Restorations on proximal surface of anterior teeth whichinvolve incisal edge
Class V
Restorations on gingival third of the facial or lingualsurfaces of all teeth
Class VI
Restorations on the incisal edge of anterior teeth or theocclusal cusp heights of posterior teeth
c. Materials
Amalgam, Direct filling gold, Cast metal
d. Principles
To remove tooth structure to gain access and visibility.
To remove all trace of affected dentine from the floor of the cavity.

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