Professional Documents
Culture Documents
07
Important to differentiate carious and non carious
Non-Carious Class V lesion
- abrasion
- Erosion
- Abfraction (maybe)
- A combination of these entities
Non- Carious treatment options
- maybe non restorative
- eliminating the causative factors of the lesions
- regularly monitoring their progression
- periodontal treatment
- surgically cover the lesion with a connective tissue graft
- may result in a more natural gingival architecture
- Only connective tissue graft
o If there is no attached gingiva
o No enamel defect is present on the root
o ??
o Papilla length and fullness are adequate
o Esthetics is crucial restoring a more natural gingival contour
- Restorative treatment
o Lesion is active and no success in stopping its progression
o Integriy of the tooth structure is jeopardized
o A pulpal exposure becomes imminent
o Hypersensitivity does not subside with nonrestorative tx
o Lesion location compromises the planning of a removable prothesthesis
- Only restorative
o There is an adequate attached gingiva
o Defect is mainly I nenamel
o Lesion is deeper than 2mm horizontally
o Class III recession; there is some loss of interdental bone
o Esthetics is not of primary importance
o Tooth may still be taller than adjacent teeth after restorative treatment
- Combination treatment
o Flap
o Gingivectomy
o Gain access
Maintaining biologic width
- 3mm biologic width from gingival margin of direct restoration
- To gingival crest of bone
- Tx may involve??
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C. Nelson
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C. Nelson
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C. Nelson
Glass ionomers
- inherent chemical adhesion to tooth structure
- fluoride release
- but sensitive to moisture and dessication
- low fracture toughness
- low flexure strength
- low wear resistance
- relatively poor esthetics
One way to classify glass ionomers:
- how the material sets up
o conventional GI is a powder and liquid
powder: glass
liquid: acid
Vitrebond is a resin modified glass ionomer.
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C. Nelson