Lecture notes 2 Dr.

suhad

CLASSIFICATION OF TOOTH PREPARATIONS

I-Classification of tooth preparations that primarily relates to a comparison

between the more historical tooth preparation (conventional) and alterations
from that type of preparation. The altered preparation designs are referred to as
conventional preparations ,beveled conventional preparations and modified
preparations.
1- Conventional design preparation is typical for an amalgam restoration and
includes the following characteristics: (a) uniform pulpal and/or axial wall
depths, (b) cavosurface margin design that results in a 90-degree restoration
margin, and (c) primary retention form derived from occlusally converging
vertical walls.

2-Beveled conventional designs are characterized as conventional preparations

with beveling of some accessible enamel margins
.
3-Modified preparation designs may not have uniform axial or pulpal depths or
occlusally converging vertical walls. Furthermore, thin cavosurface margins may
result in more acute angles in the restoration. Amalgam tooth preparations only
use conventional designs, whereas composite preparations may be any of the
three designs

II-Classification depending on the number of surfaces involved; as simple,

,Compound, and Complex Tooth Preparations.
1- Simple if only one tooth surface is involved (see Fig. 1),for example
:occlusal(O),buccal(B) and labial(L).
2- Compound if two surfaces are involved (see Fig. 4),for example
:mesio-occlusal MO,and disto-occlusal DO
3- Complex for a preparation involving three (or more) surfaces for
example :mesio-occluso-distal MOD.

III- Black s classification:

according to the anatomic areas(location) involved as well as by the associated
type of treatment was presented by Black and is designated as Class I, Class II,
Class III, Class IV, and Class V Class VI. Class I refers to pit-and-fissure
lesions, whereas the remaining classes are smooth surface lesions.
1-Class I Restorations they are assigned to three groups, as follows.
-Restorations on Occlusal Surface of Premolars and molars (fig I,2,3).
1
-Restorations on Occlusal Two Thirds of the Facial and lingual surface of molars
the terms as in class V (figs 13,14,15).
-Restorations on Lingual Surface of Maxillary Incisors the terms as in class V
(fig13,14,15).
2-ClassII Restorations. Restorations on the proximal surfaces of posterior teeth
are Class II (figs 4,5,6).
3-Class III Restorations. Restorations on the proximal surfaces of anterior teeth
that do not involve the incisal angle are Class III (figs 7,8,9).
4-Class IV Restorations. Restorations on the proximal surfaces of anterior teeth
that do involve the incisal edge are Class IV(figs 10,11,12).
5-Class V Restorations. Restorations on the gingival third of the facial or lingual
surfaces of all teeth (except pit-and-fissure lesions) are Class V(figs 13,14,15) .
6-Class VI Restorations. Restorations on the incisal edge of anterior teeth or the
occlusal cusp heights of posterior teeth are Class VI (terms as occlusal pit-and-
fissure lesions).

2
FIG 1 Typical Class I tooth preparation
for amalgam on maxillary premolar.
FIG 4 Typical Class II esioocclusal
amalgam on maxillary premolar.
conventional tooth preparation for
fIG 2 Schematic representation
(for descriptive purpose) of Fig. 1 illustrati
ng tooth preparation walls: facial (f), distal
(d), lingual (I), mesial (m), and pulpal (p).
FIG5 Schematic representation (for
descriptive purpose) of Fig. 4 illustrati
ng tooth preparation walls: facial (f) of
proximal and occlusal portions, gingival
(g), lingual (I) of proximal and occlusal
portions, distal (d), pulpal (p), and axial(a)
3
fIG3 Schematic representation
(for descriptive purpose) of Fig. 1 illustrati
ng tooth preparation line angles and
point angles. Line angles are faciopulpal
(pp, distofacial (df), distopulpal (dp), distol
i ngual (dl), linguopulpal (Ip), mesiolingual
(ml), mesiopulpal (mp), and mesiofacial
(mf). Point angles are distofaciopulpal
(dfp), distolinguopulpal (dlp), mesiolinguopulpal
(mlp), and mesiofaciopulpal (mfp).
FIG 6 Schematic representation
(for descriptive purpose) of Fig.4
illustrating tooth preparation line angles
and point angles. Line angles are
distofacial (df), faciopulpal (fp), axiofacial
(af), faciogingival (fg), axiogingival (ag),
linguogingival (Ig), axiolingual (al), axiopulpal (ap),
l i nguopulpal (Ip), distolingual (dl), and distopulpal
(dp). Point angles are distofaciopulpal
(dfp), axiofaciopulpal (afp), axi
ofaciogingival (afg), axiolinguogingival
(alg), axiolinguopulpal (alp), and distolinguopulpal
(dip).
FIG 7 Class III conventional tooth preparation
on maxillary central incisor.
FIG .10Class IV conventional tooth preparation
for inlay on maxillary canine.
FIG 8 Schematic representation (for descriptive
purpose) of Fig. 7 illustrating tooth preparation
walls: facial (f), lingual (p, gingival (g), and
axial (a).
f I G . 11 Schematicrepresentation (for descriptive
purpose) of Fig. 10 illustrating tooth preparation
walls: facial (f) of proxi mal and incisal portions
gingival (g), lingual (I) of proximal and incisal
(fg), portions, axial (a), and mesial (m).
4
FIG 9 Schematic representation (for descriptive
purpose) of Fig. 7 illustrating tooth preparation line
angles and point angles. Line angles are
axiolingual (al), li nguogingival (Ig),
axiogingival (ag), faciogingival
(fg), axiofacial (af), and incisal
(i). Point angles are axiolinguogingival
(alg), axiofaciogingival (afg), and axioincisal
(ai). (Note that names for incisal line
angle and point angle are exceptions to
the general naming rule.)
f I C .12 Schematicrepresentation (for descriptive
purpose) of Fig. 10 illustrating tooth preparation
line and point angles. Line angles are mesiofacial,
(mf), faciopulpal (fp), axiofacial (af), faciogingival
axiogingival (ag), linguogingival (Ig), axiol
i ngual (al), axiopulpal (ap), linguopulpal
(Ip), mesiolingual (ml), and mesiopulpal
( mp). Point angles are mesiofaciopulpal
(mfp), axiofaciopulpal (app, axiofaciogingival
(afg), axiolinguogingival (alg), axioli
nguopulpal (alp), and mesiolinguopulpal
(mlp).
FIG 13 Class V conventional tooth
preparation.
FIG 14 Schematic representation
(for descriptive purpose) of Fig. 13
illustrating tooth preparation
walls: mesial (m), gingival (g), distal (d),
incisal (i) (or occlusal [o] if preparation
on posterior tooth), and axial (a).
5
FIG 15 Schematic representation (for
illustrating tooth preparation line
angles and point angles. Line angles
are mesioincisal (mi) ( or mesioocclusal
axiogingival (ag), distogingival
ImoD, axiomesial (am), mesiogingival (mg),
(dg), axiodistal (ad), distoincisal
( di) ( or distoocclusal ldoD, and axioincisal
(ai) (or axioocclusal IaoD. Point angles are
axiomesioincisal (ami), ( or axiomesioocclusal
lamoD, axiomesiogingival (amg),
axiodistogingival (adg), and axiodistoincisal
(adi) (or axiodistoocclusal ladoD.
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