CLASS V DIRECT

COMPOSITE
RESTORATION
NABILLA FARALIZA - 160110180049
 INITIAL CLINICAL
PROCEDURE
• Anastesi
• Pemilihan warna komposit
• Pada 1/3 servikal – warna gigi
lebih gelap dan opak
• Isolasi area kerja
• Rubber dam dan retainer No.
212
• Cotton roll dan retraction cord
 T O O T H P R E PA R AT I O N

• Preparasi gigi kelas V = berada di 1/3 gingival permukaan fasial dan

lingual gigi.
• Komposit digunakan pada lesi kelas V di gigi anterior dan premolar.
• Pada lesi yang melibatkan permukaan akar, diperlukan pertimbangan
dalam pemilihan bahan restorasi.
• Faktor:
• ↓ fungsi saliva
• ↓ motivasi/kemampuan untuk home care
• ↑ kesulitan dalam mengisolasi area kerja
• ↑ kesulitan melakukan perawatan karena kondisi pasien
• Indikasi utama penggunaan komposit = daerah yang
membutuhkan estetika.
• Preparasi kelas V direct composite meliputi :
• Membuat akses ke defek (karies, non-karies)
• Membuang defek (karies, enamel dan dentin yang defek, restorasi
dan base material lama)
• Membentuk convenience form
• Area sclerotic dentin = harus diperhatikan karena
bondingnya berbeda dengan dentin normal
 CONVENTIONAL CLASS V
T O O T H P R E PA R AT I O N

• Indikasi :
Bagian lesi karies/defek di seluruh/sebagian permukaan
fasial/lingual akar gigi.
• Features :
• Cavosurface angle 90
• Kedalaman axial line angle yang uniform
• Retention groove form
• Instrumen yang digunakan :
• Tapered fissure carbide bur (No.700, 701, 271) atau diamond bur
dengan bentuk yang sama.
• High speed dengan air-water spray.
• Pada akses minimal : round bur (No.1,2) atau diamond bur.
 tooth preparation stage, the extensions in every direc- are prepared 0.25 mm in depth into the external walls
tion are to sound tooth structure except that the axial and next to the axial wall at an angle that bisects the
depth should be only 0.75 mm (Fig. 12-41B). The tip junction between the axial wall and the gingival or

• Tapered fissure/diamond bur :

of the bur may be rotating in air, caries, or old restor-
ative material while establishing this initial depth. Any
occlusal (or incisal) wall. This should leave, between the
groove and the margin, sufficient remaining wall dimen-
infected dentin remaining on this initial axial wall is sion (0.25 mm) to prevent fracture (Fig. 12-41C). It is
• Dimasukkan dalam sudut 45 terhadap permukaan gigi (dimiringkan ke arah
removed during the final stage of tooth preparation.
Any old restorative material remaining may or may not
helpful while preparing the grooves to observe that this
remaining wall dimension is equal to half the diameter
distal) be removed according to the concepts stated previously.
The 0.75- mm axial wall depth provides adequate
of the bur head (which is 0.5 mm). The preparation is
cleaned, if indicated, and inspected for final approval.

• Perluasan ke distal : sumbu panjang bur

external wall width for (1) strength of the preparation
tegak
d Conve ntiolurus
wall, (2) strength of the composite, and (3) placement
Be ve le terhadap
nal Clas s V
of a retention groove if necessary. When the desired
To o th Pre paratio n.permukaan
The beveled conventional Class V tooth preparation has
eksternal gigi distal extension is obtained, one moves the instrument
beveled enamel margins and is indicated for the replace-
mesially, incisally (occlusally), and gingivally for indi-
ment of an existing, defective Class V restoration that

• Akan menghasilkan cavosurface margin

cated extensions, while maintaining the proper initial
initially used a conventional preparation or for a large,
new 90
depth and keeping the instrument’s long axis perpen-
carious lesion. The beveled conventional Class V
dicular to the root surface. The axial wall should follow
preparation initially exhibits 90-degree cavosurface
• Perluasan dilakukan hingga struktur gigi
margins yang sehatare beveled) and an axial
the original contour of the facial surface, which is convex
(that subsequently
outward mesiodistally and sometimes occlusogingivally.
wall that is uniform in depth (see Fig. 12-9E and F). The

• Axial depth = 0,75 mm

The outline form extension of the mesial, distal, occlusal
axial depth into dentin is only 0.2 mm when groove

A B C
F I G U R E 12-41 Co nve ntio nal Clas s V to o th pre paratio n. A, Lesion entirely on root
surface. B, Initial tooth preparation with 90-degree cavosurface margins and axial wall depth of
0.75 mm. C, Remaining infected dentin excavated and incisal and gingival retention form
prepared.
• Infected dentin yang tersisa = dibuang saat final stage.
• Kedalaman axial wall 0,75 mm :
• Memperkuat dinding preparasi
• Memperkuat komposit
• Penempatan retention groove
• Setelah perluasan distal tercapai, perluasan ke arah mesial,
incisal, dan gingival harus mempertahankan sumbu panjang
bur tegak lurus terhadap permukaan akar.
• Bentuk axial wall = convex ke mesiodistal atau
occlusogingival
 depth and keeping the instrument’s long axis perpen- new carious lesion. The beveled convention
dicular to the root surface. The axial wall should follow preparation initially exhibits 90-degree c
the original contour of the facial surface, which is convex margins (that subsequently are beveled) an
• Dinding eksternal preparasi harus terlihat dari
outward mesiodistally and sometimes occlusogingivally. wall that is uniform in depth (see Fig. 12-9E a
The outline form extension of the mesial, distal, occlusal axial depth into dentin is only 0.2 mm wh
arah fasial.
• Final stage :
• Membuang infected dentin/bahan restorasi lama
yang tersisa di axial wall
• Aplikasi liner CaOH2 dan base RMGI
• Pembentukan retention groove
• Pembentukan retention groove :
• Menggunakan bur no. ¼ disepanjang gingivoaxial
dan incisoaxial line angle
• Kedalaman 0,25 mm dari dinding A external B C
• Harus menyisakanFdinding
I G U R E yang
12-41 cukup untuk
Co nventio nal Clas s V to o th pre paratio n. A, Lesion entirely on root
mencegah fraktur surface. B, Initial tooth preparation with 90-degree cavosurface margins and axial wall depth of
0.75 mm. C, Remaining infected dentin excavated and incisal and gingival retention form
prepared.