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Class V [Lecture by Dr.Wedad Etman @AmCoFam]

Class V [Lecture by Dr.Wedad Etman @AmCoFam]

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Categories:Types, Research, Science
Published by: AmericanCornerFamily on Jul 08, 2011
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07/31/2012

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• Smooth surface lesions • Located on the gingival third of labial, buccal & lingual surfaces of all teeth

Causative factor
CARIES may not be the only reason

Abrasion , Erosion & Abfraction could

ALSO be responsible for class V lesions

clinical characteristics
1. The carious lesion usually starts as a white or chalky line at the gingival 1/3 of the labial or buccal surfaces 2. Usually affects multiple teeth ( high caries susceptibility )

3. Spread mesially & distally to the axial angles of teeth 4. Causes Cervical sensitivity 5. The more convex is the surface more liable to cervical caries old6. More frequent among old-aged patients (senile caries)

The Outline Form
• Class V cavity usually

Trapezoidal outline with straight

margins and round corners, with the short arm being the gingival

Location of margins • Mesial & distal walls
extended to but not encroaching on axial line angles & Parallel to the M & D tooth outline

• Occlusal wall located at but not
including the height of contour

• Gingival wall straight & parallel to
occlusal plane at the gum margin

• Axial wall in dentin (0.5 mm
under DEJ)

• convex outwards Mesiodistally & occlusogingival following contour of facial surface……………

provides resistance & maximal pulp protection protection

Internal anatomy
• M & D walls are divergent outwards (flare mesially & distally )……..to follow the direction of enamel rods
………& to form 90° cavo-surface angle 90°

• provide strength for the tooth & amalgam

• & prevent undermined enamel walls

Internal anatomy

• Occlusal & gingival walls formed
of 2 planes: a.

Grooved internal dentin plane (mechanical retention lock) b. Outer enamel plane following the direction of enamel rods To form 90° cavo-surface 90° angle ………..resistance

• Gingival depth ……..…. . - mm • Occlusal wall is……….… - . mm

Slightly deeper at the occlusal wall where there is thicker enamel

If the gingival wall is located on cementum at the root, it is also formed of two planes * internal grooved plane made of dentin & * an outer flat plane made of dentin & cementum

Resistance and Retention

It is not subjected to a direct
functional loading Definite line & point angles Walls ⊥ to the floor A minimum dept of 0.5 mm in dentin uniform bulk of amalgam Grooves pins

Enamel hatchet or wedelstadet chisel
are used to finish the Enamel margins to provide a ° cavo-surface angle

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