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Class V Cavity Preparation

Class V cavity preparations are used to restore defects on the facial or lingual cervical third of any tooth. The cavity outline follows the contour of the buccal and lingual free gingival margins, usually forming a bean shape. Using a tapered fissure bur, the cavity is prepared to an initial axial depth of 0.5mm inside the dentinoenamel junction. Retention grooves are prepared with a No. 1/4 bur along the incisoaxial and gingivoaxial line angles since the diverging cavity walls of Class V preparations do not provide inherent retention.

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47 views

Class V Cavity Preparation

Class V cavity preparations are used to restore defects on the facial or lingual cervical third of any tooth. The cavity outline follows the contour of the buccal and lingual free gingival margins, usually forming a bean shape. Using a tapered fissure bur, the cavity is prepared to an initial axial depth of 0.5mm inside the dentinoenamel junction. Retention grooves are prepared with a No. 1/4 bur along the incisoaxial and gingivoaxial line angles since the diverging cavity walls of Class V preparations do not provide inherent retention.

Uploaded by

ALI abd-alamam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Class V Cavity Preparation

‫ محمـد قاسم‬.‫د‬
By definition, include the gingival one third (i.e., cervical area) of the facial and
lingual surface of the tooth crown. To restore defects on the facial or lingual cervical
third of any tooth.
The Class V amalgam restoration can be especially technically sensitive
because of location, extent of caries, and limited access and visibility. Cervical caries
usually develops because the affected tooth surface is unclean and the patient has a
caries-inducing diet. Patients with gingival recession have a predisposition to
cervical caries, because dentin is more susceptible to demineralization than enamel.
Carious lesion follows the contour of the buccal and lingual free gingival
margins, so that the cavity outline is usually bean shape.
Using a tapered fissure bur (or straight fissure bur with suitable inclination or
perpendicularity on surface to be prepared) of suitable size, enter the carious lesion
(or existing restoration) to a limited initial axial depth of 0.5 mm inside the DEJ This
depth is usually 1 to 1.25 mm total axial depth, depending on the incisogingival (i.e.,
occlusogingival) location. (The enamel is considerably thicker occlusally and
incisally than cervically) However, if the preparation is on the root surface, the axial
depth is approximately 0.75 mm.

Once the entry is made, the bur is maintained to ensure that all external walls
are perpendicular to the external tooth surface and thereby parallel to the enamel
rods Often this requires changing the orientation of the handpiece to accommodate
the cervical mesiodistal and incisogingival (i.e., occlusogingival) convexity of the
tooth. Extend the preparation incisally, gingivally, mesially, and distally until the
cavosurface margins are positioned in sound tooth structure to establish an initial
axial depth of 0.5 mm inside the DEJ (if on the root surface, the axial depth is 0.75
mm) Because the axial wall follows the mesiodistal and incisogingival (i.e.,
occlusogingival) contours of the facial surface of the tooth, it will usually be convex
in both directions. In addition, the axial wall will usually be slightly deeper at the
incisal wall, where there is more enamel (i.e., approximately 1 to 1.25 mm in depth)
than at the gingival wall, where there may be little or no enamel (i.e., approximately
0.75 to 1 mm in depth).
Because the mesial, distal, gingival, and incisal walls of the tooth preparation
are perpendicular to the external tooth surface, they usually diverge facially.
Consequently, This form provides no inherent or primary retention, and retention
form must be provided because the primary retention form for an amalgam
restoration is macromechanical.
Use a No. 1/4 bur to prepare two retention grooves, one along the incisoaxial
line angle in a incisoaxial direction, and the other along the gingivoaxial line angle
in a gingivoaxial direction. Retention coves added in large extensive class V at
axiomesioocclusal and axiodistoocclusal point angles.

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