Beruflich Dokumente
Kultur Dokumente
UNIVERSTY MALAYSIA]
[PRATICAL HANDOUT]
[OPERATIVE
DENTISTRY]
DR.SHAWFEKAR
[2009]
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Caries of Enamel Smooth-Surface Origin. Smooth-surface caries does not begin in
an enamel defect, but rather in a smooth area of the enamel surface that is habitually
unclean and is continually, or usually, covered by plaque.
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Cavity prepation for occlusal pit and facial caries.
Forward Caries. Forward caries is wherever the caries cone in enamel is larger or at
least the same size as that in dentin.
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Residual Caries. Residual caries is caries that remains in a completed tooth
preparation, whether by operator intention or by accident. Such caries is not
acceptable if at the DEJ or on the prepared enamel tooth wall.
Root-Surface Caries. Root-surface caries may occur on the tooth root that been
exposed to the oral environment and habitually covered with plaque
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Root surface caries
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Illustration indicating external and internal walls for an amalgam
Tooth preparation.
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Classification of tooth preparations
Illustrating tooth preparation walls: facial (f), distal(d), lingual (l), mesial(m),
and pupal (p)
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Illustrating tooth preparation line angles and point angles, line angles are
faciopulpal (fp), distofacial (df), distopulpal (dp), distolingual (dl), lingualpulpal
(lp), mesiolingual (ml), mesiopulpal (mp), and mesiofacial (mf), point angles
are distofaciopulpal (dfp), distolingualpulpal (dlp), mesiolingupulpal (mip), and
mesiofaciopulpal (mfp).
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Conservative Composite Restoration. Dotted line indicates the area to be sealed
around central pit tooth preparation.
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Instrument is move mesially to all faults
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Bevelling Facial groove extension (A) facial view, (B) occlusal view
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Sample of Class I Composite Restoration
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Caries can be diagnosed by radio graphically by translucencies in enamel or
dentin. (A) and (B) Proximal caries, (C) Occlusal caries , and (D) Recurrent
caries.
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Retract the lip using mouth mirror
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Recommended seating position for operator and chair side assistant
A B
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fg ag lg
fg
Illustration tooth preparation line angle and point angle. Line angle are
distofacial (df), Facialpulpal(fp), axiofaxial (af), fasiogingival (fg), axiogingival
(ag), linguogingival (lg), axiolingual (al), axiopulpal(ap), linguopupal (lp),
distilingual (dl) and distopupal. Point angle are distofasiopulpal (dfp),
axiofaciopulpal (afp), axiofaciogingival (afg), axiolinguogingival (alg),
axiolinguopulpal (alp), and distolinguopulpal (dlp).
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Class II Composite Conventional Tooth Preparation
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Class III, Class IV and Class V preparation
Modified preparation design for Class III, Class IV, and Class V
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Class III tooth preparation for maxillary central incisor
Illustrating tooth preparation wall, facial (f), axial (a), lingual (l),
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Illustrating tooth preparation for class III line angles and point angles. Line
angles are incisal (i), axiolingual (al) linguogingival (lg), axiogingival (ag),
faciogingival (fg) and axiofacial (af). Point angles are axiolinguogingival (alg),
axiofaciogingival (afg) and axioincisal (ai).
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Class IV conventional tooth preparation for inlay on maxillary canine.
Illustrating tooth preparation wall: facial (f) of proximal and incisal portions,
gingival (g), lingual (l) of proximal and incisal portions, axial (a), pulpal (p),
and mesial (m)
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Illustrating tooth preparation line angles and point angles. Line angles are
(mp),(mf), (fp), (af), (fg),(ag), (lg), (al), (ap), (lp), and (ml). Point angles are
(mfp), (afp), (afg), (alg), (alp), and (mlp).
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Clinical Procedure of Class IV Composite
Restoration
A B
C D
E F
G H
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I
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Illustrating tooth preparation walls: mesial (m), axial (a), gingival (g), distal (d),
and incisal (i) or occlusal (o) if preparation on posterior.
di
ad
dg
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Sample of Class V Caries
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Class V
AR
A B
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Caries Outline
form
Conventional Class V tooth preparation (A) leasoin entirely on the root surface,
(B) Intial tooth preparation with 90% carvosurface margin and axial wall depth
0.2mm, (C) remaining infected dentine exavated and incisal and gingival
retention form.
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Illustrating tooth preparation line angles and point angles. Line angles are
(ai),(mi), (am), (mg), (ag),(dg), (ad),and (di). Point angles are (adi),(ami),(amg),
and (adg)
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A
B
Example of function of sealant on first molar after 5 years(A), and
after 15 years (B) of clinical service.
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Composite restoration Class II and Class IV
Porcelain Pontics
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