Day 2 Lecture 1.5 Flashcards
Class V prep
lesions involve smooth surfaces apical to the height of contour on the facial and lingual surfaces of all teeth.
Ideal/small lesions (classical/more conservative)
Cervical/ apical to the height of contour, Confined between mesial and distal line angles, Do not extend to the cemento-enamel junction
Non ideal lesions/modified
Extends to HOC/occlusal to HOC, Extension into mesial and distal, extension to become root surface caries (into CEJ).
Axial depth
Exactly what it sounds like. Class Vs require a certain depth. For amalgam, uniform depth needed - must go 0.5 mm past DEJ in small cavity prep (usually around 1 mm).
Restorative material for class V
amalgam, tooth colored restorations (4 of them).
Amalgam as a material
Unaesthetic, requires butt joint margin, uniform axial depth, secondary retention (reinforcement - requires more tooth to be removed). More forgiving in terms of moisture, which is why it is used often for class V. Must be 1 mm in depth.
Tooth colored restorations
Composites, compomers, glass lonomers, resin modified glass ionomers.
Class V prep shape
Kidney
Thickness of enamel
tapers near CEJ - uneven thickness changes prep shape.
Enamel rod direction
Run at around 90 degree angles to tooth tangent. Interior may be different. As such, cavity walls must be near parallel to original enamel surface. Oblique, horizontal, vertical.
Axial depth
Clinically has to be 0.5 mm into dentin. Incisal is around 1.25, gingival is around 1 mm. Convex due to following tooth contour.
Secondary retention
Retention grooves - made at the line angles of the prep. *class v do not have primary retention measures.
330 tip
Does not cut.