INTRODUCTION TO OPERATIVE

DENTISTRY

Dr.Ashraf Ibrahim

Assistant professor of
Esthetic and Restorative Dentistry

DEFINITION:
Is the Branch of dentistry that involves the art and
science where by hard tooth structure defects are
Diagnosed ,Eliminated, Progression inhibited, Recurrence
prevented and the tooth restored to function as
biomechanical and esthetic unit in masticatory system.

Operative Dentistry also known as:

Restorative Dentistry or
Conservative Dentistry

Hard tooth structure:

Enamel
Dentine
Cementum

DEFECTS AFFECTING HARD

TOOTH STRUCTURE )
INDICATIONS):
Caries
Attrition
Abrasion
Erossion
Discoloration
Hyperplasia
Hypocalcification.etc.

CARIES

ATTRITION

FRACTURE

Amelogenesis imperfecta

:SCOPE
Is the extent of activity of the operative
dentistry specialist.
It was about 90% but now about 60%.
In the past it was Drill And Fill but now it
includes several phases

PHASES OF OPERATIVE
DENTISTRY
1.
2.
3.
4.
5.

Diagnosis
Treatment planning
Operation
Restoration
Maintenance

PROBLEMS OF HARD TOOTH

STRUCTURE DEFECTS

1.
2.
3.

Pain
Loss of function ( mastication, phonatics)
Loss of esthetics

OBJECTIVE OF OPERATIVE
DENTISTRY

1.
2.
3.

Elimination of pain.
Restoration of function.
Restoration of esthetics.

SYLLABUS
Introduction.
Cavity classification.
Instruments.
Principles of cavity preparation.
Cavity preparation for different restorations.