Class III Flashcards

1
Q

What is the definition of class III caries

A

caries that occurs on the proximal surfaces of anterior teeth; does not include the incisal edge

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2
Q

What are the reasons for restoring class IIIs

A
primary caries (50%)
replacement of old restorations (50%)
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3
Q

What causes the replacement of old class III restorations

A

recurrent caries

esthetics; discoloration of restoration, wear of restoration, fracture

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4
Q

Where are class III caries most likely to be found

A

around and gingival to the contact area

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5
Q

This is used to detect caries via decalcified enamel and dentin absorb light; teeth are translucent

A

transillumination

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6
Q

What are two visual clues regarding class III caries

A

color - often darker

opacity - enamel undermined by caries often looks more opaque

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7
Q

What are the two components of the clinical examination that are used to assess caries

A

visual assessment

tactile assessment; hardness is the best clinical indicator of carious dentin

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8
Q

The undermined enamel may eventually fracture exposing what

A

carious dentin

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9
Q

This can be used to supplement the clinical examination for class III caries

A

radiographs

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10
Q

What two materials are used to class III restorations

A

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

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11
Q

What is the restoration technique regarding class III caries

A

lingual approach;
most common
least visible from smile
located just below the contact area

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12
Q

This is a type of class III preparation where the margins are all in enamel

A

beveled conventional

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13
Q

This is a type of class III preparation where the preparation is dictated by the extent of caries; more conservatibe

A

modified

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14
Q

With the conventional class III, what is the facial and axial depth of the preparation

A

facial depth; break facial contact minimally (1-1.5mm)

axial depth; .2-.5 into dentin (1mm lateral, 1.5mm central)

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15
Q

What is the main different between a bevel conventional preparation and a conventional preparation

A

the bevel preparation is beveled 45°

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