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Conservative Dentistry 1- Dent 335 (Operative Dentistry)

Ghada Maghaireh BDS, MS


American Board in Operative Dentistry Jordanian Board in Restorative Dentistry

Outline
Scope of Operative Dentistry

Caries Classification
Cavity classification

Instrumentation

Operative Dentistry

The art & science of the diagnosis, treatment and prognosis of defects of teeth that do not require full coverage restoration for correction. Prevention, preservation, interception & restoration.

Dental Caries

Classification of Dental Caries

1)Prior condition of the tooth:

Primary (initial) Caries: The


process attacks the tooth surface for the first time, regardless of progression or extent.

Secondary (Recurrent ) caries:


The process attacks the tooth at the margin or margins of an existing restoration, regardless of extension or progression.

2)Situation of the tooth:

Acute Caries: Involves a


large number of teeth in the mouth, and destruction of tooth structure is usually quiet rapid.

Chronic Caries: Much lower


progression of the lesion, and the average lesion size is smaller than in acute caries.

Active caries: Describe


lesion that progressively destroys more tooth structure.

Arrested caries:
Occurs when the active degradative process is interrupted or ceases.

3)Stage of development:

Incipient caries: The lesion is


confined to enamel and does not penetrate the DEJ.

Advanced caries: The lesion


penetrates the DEJ.

4)Location of the Lesion:

Pit & fissure caries: originates in


developmental irregularities, most often in the occlusal surface of posterior teeth.

Smooth surface caries: In smooth


surfaces of crown of teeth.

Root caries: Does not originate in


crown of teeth, but rather on the root structure.

Classification of Cavities

Cavity: Describes the defect in the tooth, which


is the result of caries.

Cavity preparation (prepared cavity): Is the


result of specific operative procedure that has removed the caries or defect and shaped the tooth to receive and retain the restorative material.

Restorative material:
That is used to restore

the cavity, i.e. Amalgam.

Restoration: The cavity preparation plus the


restorative material.

Blacks Classification of Cavities


Class I Class II Class III Class IV Class V Class IV

Class I

Originate in structural defects of the tooth, such as pits and fissures.

Class II

Originate in the proximal surfaces of molars and premolars.

Class III

Originate on the proximal surfaces of anterior teeth ( incisors & canines) but do not involve the loss or removal of the incisal angle.

Class IV

Involve the proximal surfaces of anterior teeth, and include the loss or removal of the incisal angle.

Class V

Found in the gingival (cervical) third of the facial and lingual surfaces of the crown of any tooth. With the exclusion of cavities resulting from Class I pit or fissure caries.

Class VI
Located on incisal edge of incisors & canines And on cusp tips of canines & posterior teeth.

Classification by Complexity

Simple: Involve only one tooth surface. Compound: Involve two tooth surfaces. Complex: Involve three or more tooth
surfaces.

Classification by Surface
Prepared cavities or restoration take the name of that surface or surfaces.

One Surface: i.e. O Two Surfaces: i.e. MO, DO Three Surfaces: i.e. MOD

Components of Prepared Cavity

Wall: The inclosing side of a prepared cavity


that takes the name of the adjacent surface of the tooth , i.e. M, D.

Components of Prepared Cavity

Components of Prepared Cavity

Line angle: The line,


or angle formed when two walls of a prepared cavity meet. It is named by combining the names of intersecting walls, i.e. Linguopulpal line angle.

Components of Prepared Cavity

Point angle: The angle or


corner formed by the junction of three walls of a prepared cavity. It take the name of the three walls that join to form it, i.e. Linuoaxiogingival point angle.

Components of Prepared Cavity

Cavosurface angle:
The line or angle formed by the junction of a cavity wall with the unprepared surface of the tooth