Quiz 2-caries classification Flashcards
G.V. Black
1908-a work in operative dentistry
Caries Class 1
caries on pit and fissure
Caries Class 2
Proximal Surfaces of molars and premolars
Class III lesions
proximal surfaces of anterior teeth not involving incisal edge
Class IV
caries affecting proximal and incisal
Class V
Caries Affecting gingival 1/3 of facial or lingual of all
Class VI
never described by G.V. black, affects cusp tips of molars, premolars, and cuspids (other ant do not have a tip)
Molars weird caries
Can have class I and Class V b/c there is a pit and smooth part on buccal
Simple lesion/restoration
1 surface
Compound
2 surfaces
Complex
3 or more
smooth surface
sides of teeth
Pit and fissure
occlusal grooves and pits
increases restoration longevity
achieving proper outline form for tooth prep
another word for floor or seat
wall
name for wall
seat or floor
Types of walls/seats
Pulpal floor
Gingival floor/wallseat
most likely wall to be missing
gingival
Axial wall
parallel to long axis of tooth, vertical plane
internal walls
axial and pulpal
pulpal wall
perpendicular to long axis
Ling angle
junction of two walls
Point angle
junction of three walls (i.e. disto-facial-pulpal)
margin
junction of cavity wall and external tooth surface- aka cavosurface margin- angle at the junction
cavosurface margin
junction of cavity wall and external tooth surface
first step in Black’s Steps
outline form, visualize; place cavity margins in the tooth
factors influencing outline form
location of lesion, size, anatomy, material, esthetic, adjacent structures, function, retention
Primary determinant of outline form
Size of lesion-spreads laterally
Lesions spread quickly _____
laterally
unsupported enamel
not supported by dentin, needs to be removed for prep
Resistance Form
Shape and placement of prep walls to enable restoration and withstand without fracture through force in long axis
Resistance form keys
flat, perpendicular walls/floor; conservation w/o keeping weak tooth feature, proper material
angle of amalgam at cavosurface
90
Retention Forms
keeps filling in, shape or form that resists displacement or removal
Retention form factors
dovetails, convergent walls, grooves, pins, acid etch,
dovetail
hook at the end of prep
convergent wall
pulpofloor to occlusal surface, narrows occlusally
convergence where
occlusal-smaller
pins
used less now, large replacements
Convenience Form
modification to outline form which allows access to prep the lesion
Removing caries dentin and idea depth
prep .5 mm inside the DEJ-clinical would be dictated by type/size of lesion
Remove carious dentin from
only the affected area, preserve healthy tooth structure
finishing
smooth, easier to clean and maintain; prevent recurrent caries
direction of enamel rods
converge from DEJ to surface in pits and grooves and diverge from DEJ to cusps/ridges
Rod orientation in primary teeth
different
____ from DEJ to surface in pits and grooves
converge
Goal for enamel rods
rest on sound dentin
____ from DEJ to cusps/ridges
diverge
distal-mesial cross section rods are ____ from pulpa to occlusal
divergent occlusally (wider at the occlusal)