Scribd
Upload
2K views14 pages

Class Iv Cavity Preparation: Presentation By: Dr. Tahara Jamil

A Class IV cavity involves the proximal surfaces of anterior teeth and includes the incisal angle, line angles, and point angles. There are two situations that can cause a Class IV cavity: an extension of a Class III cavity or trauma. For a Class IV cavity due to trauma, a wide scalloped bevel is often all that is needed for preparation, with no additional retentive elements required. Beveling the enamel margins enhances retention for composite bonding and improves aesthetics by blending the restoration with the tooth structure. For a Class IV cavity due to caries, a more conventional box-like preparation with flat floors may be needed, along with possible secondary retentive features like grooves or wider bevels.

Uploaded by

Omika Rani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
2K views14 pages

Class Iv Cavity Preparation: Presentation By: Dr. Tahara Jamil

A Class IV cavity involves the proximal surfaces of anterior teeth and includes the incisal angle, line angles, and point angles. There are two situations that can cause a Class IV cavity: an extension of a Class III cavity or trauma. For a Class IV cavity due to trauma, a wide scalloped bevel is often all that is needed for preparation, with no additional retentive elements required. Beveling the enamel margins enhances retention for composite bonding and improves aesthetics by blending the restoration with the tooth structure. For a Class IV cavity due to caries, a more conventional box-like preparation with flat floors may be needed, along with possible secondary retentive features like grooves or wider bevels.

Uploaded by

Omika Rani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
  • Class IV Cavity Preparation
  • Class IV Cavity
  • Line Angles and Point Angles
  • Diagram of Angles
  • Types of Class IV Cavity
  • Class IV Cavity Prep — Trauma
  • Class IV Cavity Prep — Trauma (Continued)
  • Bevel
  • First Bevel Illustration
  • Second Bevel Illustration
  • Clinical Images
  • Advantages of Beveling Enamel
  • Class IV — Caries
  • Diagram of Caries Preparation

CLASS IV CAVITY

PREPARATION
PRESENTATION BY: DR. TAHARA JAMIL
CLASS IV CAVITY

• PROXIMAL SURFACES OF ANTERIOR TEETH INVOLVING THE INCISAL ANGLE


LINE ANGLES AND POINT ANGLES

• LINE ANGLES: 11
• POINT ANGLES: 6
TYPES OF CLASS IV CAVITY

• THERE ARE TWO SITUATIONS THAT GIVE RISE TO A CLASS IV CAVITY:


• EXTENSION OF A CLASS III CAVITY TO INVOLVE THE INCISAL ANGLE
• TRAUMA
CLASS IV CAVITY PREP— TRAUMA

• CLASS IV FRACTURES TYPICALLY OCCUR IN CHILDREN AND YOUNG ADULTS


• THEY OFTEN REQUIRE NO OTHER PREPARATION THAN A WIDE, SCALLOPED
BEVEL
• THERE IS GENERALLY NO NEED FOR ADDITIONAL RETENTIVE ELEMENTS
• ETCHED ENAMEL WILL PROVIDE SUFFICIENT ADHESIVE RETENTION FOR
COMPOSITE RESTORATION
CLASS IV CAVITY PREP— TRAUMA

• SHADE MATCHING
• ANAESTHESIA
• ISOLATION
• PREPARATION
• REMOVE ANY DEFECTIVE, FRIABLE TOOTH STRUCTURE
• PROTECT THE PULP IF REQUIRED
• BEVEL THE ENAMEL MARGINS
BEVEL

• THE BEVEL IS PLACED AT 45 DEGREE ANGLE USING A FLAME SHAPED DIAMOND


BUR
• THIS REMOVES ANY FRIABLE ENAMEL
• A SECOND WIDE, SHALLOW, SCALLOPED BEVEL MAY BE PLACED TO AID IN
BLENDING THE COMPOSITE AND TOOTH STRUCTURE
• THE WIDTH OF THE BEVEL VARIES FROM 0.25 TO 2 MM DEPENDING ON THE
AMOUNT OF TOOTH STRUCTURE MISSING AND THE AMOUNT OF RETENTION
NECESSARY
ADVANTAGES OF BEVELING ENAMEL

• ENHANCED RETENTION AS IT INCREASES THE SURFACE AREA OF ENAMEL


AVAILABLE FOR BONDING TO COMPOSITE
• ENHANCED AESTHETICS AS IT AIDS IN BLENDING OF COMPOSITE AND TOOTH
STRUCTURE
CLASS IV—CARIES

• SIMILAR TO CLASS III BUT ALSO INVOLVES THE INCISAL ANGLE


• MORE CONVENTIONAL TOOTH PREPARATION FORM (BOXLIKE, FLAT FLOORS,
ETC.)
• SECONDARY RETENTION FORM FEATURES MAY BE REQUIRED (GROOVES, WIDER
BEVELS)

You might also like