Who is responsible for the system of classifying lesions and preparations?
Dr. G.V. Black
Class I
all pit and fissure preparations
Class II
proximal surfaces of posterior teeth
Class III
proximal surfaces of anterior teeth NOT including the incisal edge
Class IV
proximal surfaces of anterior teeth including the incisal edge
Class V
gingival third of facial or lingual surfaces
Class VI
incisal edges of anterior teeth or occlusal tips of posterior teeth
all pit preparations
Class I
all fissure preparations
Class I
proximal surfaces of posterior teeth
Class II
proximal surfaces of anterior teeth NOT including the incisal edge
Class III
proximal surfaces of anterior teeth including the incisal edge
Class IV
gingival third of facial or lingual surfaces
Class V
incisal edges of anterior teeth or occlusal cusp tips of posterior teeth
Class VI
Class V - abfraction
cervical, wedge-shaped defects due to incorrect forces on the teeth (grinding/bruxism, malocclusion, aggressive brushing)
Class V - abrasion
abnormal tooth surface loss due to direct forces of friction between teeth and external objects (improper brushing, mechanical wear [ex. toothpicks], tobacco chewing)
Class V - erosion
loss of tooth surface by chemico-mechanical action, ex. stomach acid, acidic beverages or foods
retention form / primary retention form
the features of a tooth prep that keeps the crown from being dislodged (undercuts, grooves, slots, pins)
secondary retention form
3 types of minimally invasive preparation techniques:
rotating instruments
oscillating instruments
particle abrasion
rotating instruments: when to use high-speed/carbide burs
hard/highly calcified tissues (ex. enamel)
rotating instruments: when to use slow-speed carbide burs
softer/less calcified tissues (ex. carious dentin)
high-speed handpiece gear ratio
1:5
low-speed handpiece gear ratio
1:1