Tooth Restorations

1. Patient preparation and procedure area

The most common visit is the appointment for examination and prevention, but the restoration of
teeth is the most popular treatment associated with the dental office.

The purpose of dental restoration is to:

- Remove the carious lesion

- Prepare the site for a restorative material of choice with the needed bases and liners;
- Restore the tooth to its normal function and esthetic appearance.

Table 10-1 classification of Caries

Class I: pits and fissures

Class II: Interproximal of posteriors

Class III: Interproximal of anteriors

Class IV: Interproximal of anteriors with incisal edge involved

Class V: smooth surfaces

Class VI: decay or abrasions of chewing surfaces

2. Isolation of the operative site

- The operative site must be isolated throughout the restoring process, from before tooth
preparation through the final polishing stage. Site isolation provides for better viewing and
a drier climate for the proper use of dental materials.
- Oral evacuation by saliva ejectors and the assistants evacuation tip remove saliva and
cooling water from handpieces.
- Cotton rolls
- Isolation helps to control the tongue.
- To assure total tooth isolation, a dental dam may be applied.

Dental dam
Also called rubber dam, serves two main functions:
- Isolation: Exposed to the procedure
- Barrier: protects against infection, damage from caustic materials, accidents to adjacent
tissues. Swallowing of small objects and contamination of the site.
Three steps are involved in preparing the dental dam material and positioning it in the mouth:

- Place the ligature: Small pieces of floss or dam material are place into the interproximal
areas
- Invert the material
- Stabilize:

3. Preparation of the restorative site

4. Matrix placement
5. Cement, liners, and base materials
6. Restorative materials
7. Finishing methods