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Class III Caries Lesion

• Proximal contact of anterior teeth
• Begins at ginigval edge of contact area
• Requires higher risk than pit & fissure caries

Mandibular incisor

Maxillary lateral inciso .

Maxillary canine .

cavitated lesion at contact area .

Class III Preparation Features • Labial or Lingual Access .

#9-M Class III cavity preparation lingual-approach caries lesion contact area .

#9-M Class III cavity preparation lingual-approach Lingual access outline form best esthetics .

#9-M Class III cavity preparation lingual-approach preserves marginal ridges Labial access outline form .

Class III Preparation Features • • • • Labial or Lingual Access Outline Form: Lesion-Specific Extension: Incisal wall still in contact Proximal Depth & I-G Dimension prescribed .

25 mm 3 mm .0-1.1.

Class III Preparation Features • • • • • • • Labial or Lingual Access Outline Form: Lesion-Specific Extension: Incisal wall still in contact Proximal Depth & I-G Dimension prescribed Walls: smooth Internal Line Angles: rounded. free of loose enamel . smooth. no retentive features Cavosurface Margins: crisp.

enamel lip #245 bur .

smooth. no retentive features Cavosurface Margins: crisp.Class III Preparation Features • • • • • • • • Labial or Lingual Access Outline Form: Lesion-Specific Extension: Incisal wall still in contact Proximal Depth & I-G Dimension prescribed Walls: smooth Internal Line Angles: rounded. free of loose enamel Cavosurface Bevel .

bevel fades out continuous bevel bevel fades out Purpose of Bevel: • better etch pattern • increases enamel surface area being bonded • increases overall retention • improves marginal seal • eases shade transition .

free of loose enamel Cavosurface Bevel Cleanliness: free of debris. uncontaminated by saliva or blood . no retentive features Cavosurface Margins: crisp.Class III Preparation Features • • • • • • • • • Labial or Lingual Access Outline Form: Lesion-Specific Extension: Incisal wall still in contact Proximal Depth & I-G Dimension prescribed Walls: smooth Internal Line Angles: rounded. smooth.

Isolate from #5 to #12 .

#8-D .

Shaft of bur should not be parallel to proximal plane #2 round bur high speed .

Access through labial embrasure .

Center on gingival edge of contact area .

#2 round bur: head diameter 1.0 mm

Rounded box form 3 mm I-G X 1-1.25 mm M-D

Access through labial embrasure

Extend lingually until contact broken .

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Gingival Labial wa Lingual w Proximal Contact Area Axial wal Incisal wa .

Lingual contact broken .

Error? .

Error? Lingual still in contact Incisal contact broken .

Error? .

Error? Centered on contact Incisal contact broken .

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111 Hoe .

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#7902 Needle finishing bur .

5-1.0 mm bevel 20-45 .0.

#9-M Lingual Approach .

No .

Ye .

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Jeffery 7 (Jeffery 7 LH) .

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7902 Needle finishing bur .

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9-M(Li) .

8-D(F) 9-M(Li) .

#10-D Lingual Approach No .

Ye .

No .

Ye .

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Error? .

Error? Facial contact .

Error? .

Error? Unsupported enamel .

Error? .

Error? Centered on contact .

Error? .

Error? No gingival wall .

Error? .

Error? No incisal contact .