Class III Flashcards
What is the definition of class III caries
caries that occurs on the proximal surfaces of anterior teeth; does not include the incisal edge
What are the reasons for restoring class IIIs
primary caries (50%) replacement of old restorations (50%)
What causes the replacement of old class III restorations
recurrent caries
esthetics; discoloration of restoration, wear of restoration, fracture
Where are class III caries most likely to be found
around and gingival to the contact area
This is used to detect caries via decalcified enamel and dentin absorb light; teeth are translucent
transillumination
What are two visual clues regarding class III caries
color - often darker
opacity - enamel undermined by caries often looks more opaque
What are the two components of the clinical examination that are used to assess caries
visual assessment
tactile assessment; hardness is the best clinical indicator of carious dentin
The undermined enamel may eventually fracture exposing what
carious dentin
This can be used to supplement the clinical examination for class III caries
radiographs
What two materials are used to class III restorations
composite resin; particularly when surrounded primarily by enamel
resin modified glass ionomer; particularly when lesion is surrounded by cementum and dentin, high caries risk individuals
What is the restoration technique regarding class III caries
lingual approach;
most common
least visible from smile
located just below the contact area
This is a type of class III preparation where the margins are all in enamel
beveled conventional
This is a type of class III preparation where the preparation is dictated by the extent of caries; more conservatibe
modified
With the conventional class III, what is the facial and axial depth of the preparation
facial depth; break facial contact minimally (1-1.5mm)
axial depth; .2-.5 into dentin (1mm lateral, 1.5mm central)
What is the main different between a bevel conventional preparation and a conventional preparation
the bevel preparation is beveled 45°