Cavity Classifications and Nomenclature

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Questions and Answers

What is the primary purpose of cavity preparation?

  • To enhance the aesthetic appearance of the teeth
  • To increase the size of the cavity for better access
  • To reduce food retention and plaque build-up
  • To eliminate the lesion and establish a foundation for restoration (correct)

Which classification of cavities includes lesions that occur on the occlusal surface of molars?

  • Class II Cavities
  • Class I Cavities (correct)
  • Class IV Cavities
  • Class III Cavities

Which statement correctly describes Black's classification of cavities?

  • It focuses on the chronological age of the patient
  • It considers the color change of the tooth structure
  • It is based on the severity of pain associated with cavities
  • It is based upon the site of onset of the carious process (correct)

What type of cavity is classified as Class II according to Black's classification?

<p>Smooth surface lesions on proximal surfaces of posterior teeth (A)</p> Signup and view all the answers

What is one consequence of untreated cavities?

<p>Increased vulnerability to tooth fracture (D)</p> Signup and view all the answers

Which type of cavity lesions occur on the smooth surfaces of anterior teeth but do not involve the incisal angle?

<p>Class III Cavities (D)</p> Signup and view all the answers

What is an effect of cavities on the dentin-pulp organ?

<p>It leads to irritation of the organ (A)</p> Signup and view all the answers

Which of the following cavity classes would likely involve the incisal angle of anterior teeth?

<p>Class IV Cavities (B)</p> Signup and view all the answers

What defines Class V cavities?

<p>Lesions in the gingival third of buccal and lingual surfaces (D)</p> Signup and view all the answers

Which classification includes cavities on the incisal edge of anterior teeth?

<p>Class VI cavities (C)</p> Signup and view all the answers

How is a compound cavity characterized?

<p>Involves two surfaces (B)</p> Signup and view all the answers

Which of the following combinations of cavity classification describes a complex cavity?

<p>Mesio-occluso-distal (MOD) (D)</p> Signup and view all the answers

In the Si/Sta classification, what does Stage 0 represent?

<p>Initial lesion identified but not cavitated (A)</p> Signup and view all the answers

What distinguishes Class IV cavities from others?

<p>Always complex cavities (B)</p> Signup and view all the answers

Which of the following describes a simple cavity?

<p>Involves just the occlusal surface (B)</p> Signup and view all the answers

What type of cavity requires operative intervention according to the Si/Sta classification?

<p>Stage 2 (D)</p> Signup and view all the answers

What does the enamel wall of a prepared cavity consist of?

<p>Enamel from the dentino-enamel junction to the cavosurface angle (D)</p> Signup and view all the answers

Which portion of a cavity preparation is referred to as the isthmus?

<p>The junction between occlusal and proximal portions (D)</p> Signup and view all the answers

What does the cemento-enamel junction (CEJ) refer to?

<p>The junction of enamel and cementum (C)</p> Signup and view all the answers

Where is the cavo-surface margin typically found in a cavity?

<p>In enamel primarily, except in root cavities (A)</p> Signup and view all the answers

Which of the following is true about the dentino-enamel junction (DEJ)?

<p>It signifies the boundary between dentin and enamel (B)</p> Signup and view all the answers

What type of areas are defined as contact areas between teeth?

<p>Contact areas between anterior or posterior teeth (A)</p> Signup and view all the answers

What is the primary purpose of creating a cavity preparation?

<p>To access and remove decayed tooth structure (B)</p> Signup and view all the answers

Which cavity site is primarily associated with pits and fissures?

<p>Site 1 (D)</p> Signup and view all the answers

Flashcards

Cavities

Defects in tooth structure caused by harmful substances.

Cavity preparations

Surgical procedures for eliminating lesions, preventing infection, and preparing a tooth for restoration.

Anatomical cavity classification

Classifies cavities based on the area of the tooth most susceptible to decay.

Pits and fissure cavities

Cavities found in occlusal surfaces, buccal/lingual surfaces of molars, and palatal surfaces of anterior teeth.

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Smooth surface cavities

Cavities located on the smooth surfaces of teeth, excluding pits and fissures.

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Black's classification

A classification system based on the site of onset of the carious process.

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Class I cavities (Black's)

Pit and fissure lesions in occlusal surfaces of molars/premolars and occlusal two-thirds of buccal/lingual surfaces of molars.

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Class II cavities (Black's)

Smooth surface lesions on proximal surfaces of posterior teeth (mesial/distal).

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Class III cavities (Black's)

Smooth surface lesions on proximal surfaces of anterior teeth (mesial/distal), excluding the incisal angle.

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Class IV cavities (Black's)

Smooth surface lesions on proximal surfaces of anterior teeth, involving the incisal angle.

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Class V cavities (Black's)

Smooth surface lesions on the gingival third of buccal/lingual surfaces of all teeth; excluding pits on palatal surfaces of upper incisors.

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Class VI cavities (Black's)

Cavities on the incisal edge of anterior teeth and occlusal cusps of posterior teeth.

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Numerical classification

Classification based on the number of tooth surfaces involved in the cavity.

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Simple cavity

A cavity which involves only one surface of the tooth.

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Compound cavity

A cavity involving two surfaces of a tooth.

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Complex cavity

A cavity that involves more than two surfaces of a tooth.

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ICDAS

Classifies cavities based on the severity of the lesion.

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Mount and Hume Classification

A minimal intervention approach based on the site and stage of the defect.

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Site 1 (Mount and Hume)

Pits and fissures on occlusal surfaces of posterior teeth (Mount and Hume).

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Site 2 (Mount and Hume)

Contact areas between any pair of teeth (Mount and Hume).

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Site 3 (Mount and Hume)

Cervical areas related to gingival tissues (Mount and Hume).

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Enamel wall

The enamel portion of a prepared cavity.

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Dentin wall

The dentin portion of a prepared cavity.

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Dentino-enamel junction (DEJ)

The line of junction between enamel and dentin.

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Study Notes

Cavity Classifications and Nomenclature

  • Cavities are defects in tooth structure caused by harmful substances.
  • Cavity preparations are surgical procedures for eliminating lesions, preventing infection, and preparing for restoration.
  • Anatomical classification classifies cavities based on area of liability:
    • Pits and fissure cavities: occur in occlusal surfaces, buccal/lingual surfaces of molars, and palatal surfaces of anterior teeth.
    • Smooth surface cavities: occur on the smooth surfaces of teeth, excluding pits and fissures.
  • Black's classification classifies cavities based on the site of onset of the carious process:
    • Class I: Pit and fissure lesions in occlusal surfaces of molars/premolars and occlusal two-thirds of buccal/lingual surfaces of molars.
    • Class II: Smooth surface lesions on proximal surfaces of posterior teeth (mesial/distal).
    • Class III: Smooth surface lesions on proximal surfaces of anterior teeth (mesial/distal), excluding incisal angle.
    • Class IV: Smooth surface lesions on proximal surfaces of anterior teeth, involving the incisal angle.
    • Class V: Smooth surface lesions on the gingival third of buccal/lingual surfaces of all teeth, excluding pits on palatal surfaces of upper incisors.
    • Class VI: Cavities on the incisal edge of anterior teeth and occlusal cusps of posterior teeth.
  • Numerical classification classifies cavities based on the number of surfaces involved:
    • Simple cavities: involve one surface (e.g., simple occlusal (O), simple buccal (B)).
    • Compound cavities: involve two surfaces (e.g., occluso-mesial (OM), occluso-buccal (OB), disto-lingual (DL)).
    • Complex cavities: involve more than two surfaces (e.g., mesio-occluso-distal (MOD), occluso-bucco-lingual (OBL)).
  • ICDAS (International Caries Detection and Assessment System): classifies cavities based on the severity of the lesion.
  • Mount and Hume Classification (Si/Sta Classification): a minimal intervention approach based on the site and stage of the defect:
    • Site 1: Pits and fissures on occlusal surfaces of posterior teeth.
    • Site 2: Contact areas between any pair of teeth.
    • Site 3: Cervical areas related to gingival tissues.
    • Stages 0-4: Represent the severity of the lesion, from initial lesion to extensive cavity.
  • Cavity preparation nomenclature:
    • Enamel wall: the enamel portion of a prepared cavity.
    • Dentin wall: the dentin portion of a prepared cavity.
    • Dentino-enamel junction (DEJ): the line of junction between enamel and dentin.
    • Cemento-enamel junction (CEJ): the junction between enamel and cementum.
    • Cavo-surface angle: the angle formed by the junction of a cavity preparation with the tooth surface.
    • Cavo-surface margin: the actual junction itself.
    • Isthmus portion: the junction between portions of a compound or complex cavity preparation.

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