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)