A new cavity classification
- PMID: 9707777
- DOI: 10.1111/j.1834-7819.1998.tb00156.x
A new cavity classification
Abstract
With the development of adhesive restorative materials and a far better understanding of the action of the fluoride ion it is suggested that the time has arrived for a reassessment of the traditional cavity classification as set out by G.V. Black over one hundred years ago. When preventive measures and remineralization fail and a carious lesion has progressed through the enamel into the dentine there is a need to remove the infected dentine, and possibly some of the affected dentine as well, to eliminate cavitation and avoid further accumulation of plaque. In most situations this will involve removal of enamel to achieve access to the infected dentine but, in the presence of fluoride, both enamel and dentine are capable of being remineralized and therefore conserved, at least to a degree. The principle of minimal extension must be encouraged to allow maximum preservation of natural tooth structure. A new cavity classification is proposed which is designed to make the most of the potential for healing which is inherent in both enamel and dentine. However, it must be accepted that a considerable proportion of restorative dentistry is carried out to replace failed restorations and, in this case, cavity design will be complicated by existing loss of tooth structure.
Similar articles
-
The effect of a resin-modified glass ionomer restorative material on artificially demineralised dentine caries in vitro.J Dent. 1998 Jul-Aug;26(5-6):527-31. doi: 10.1016/s0300-5712(98)00021-9. J Dent. 1998. PMID: 9699447
-
An in vitro study on the secondary caries-prevention properties of three restorative materials.J Prosthet Dent. 2013 Nov;110(5):363-8. doi: 10.1016/j.prosdent.2013.06.011. Epub 2013 Aug 30. J Prosthet Dent. 2013. PMID: 23998624
-
Classification and management of dental caries. New concepts.Indian J Dent Res. 2002 Jan-Mar;13(1):21-5. Indian J Dent Res. 2002. PMID: 12420564
-
Resin-modified glass ionomer cements (RM GICs) implications for use in pediatric dentistry.ASDC J Dent Child. 1997 Mar-Apr;64(2):131-4. ASDC J Dent Child. 1997. PMID: 9189004 Review.
-
Minimal intervention dentistry--a review. FDI Commission Project 1-97.Int Dent J. 2000 Feb;50(1):1-12. doi: 10.1111/j.1875-595x.2000.tb00540.x. Int Dent J. 2000. PMID: 10945174 Review.
Cited by
-
Ultrashort echo time (UTE) MRI for the assessment of caries lesions.Dentomaxillofac Radiol. 2013;42(6):20120321. doi: 10.1259/dmfr.20120321. Epub 2013 Feb 18. Dentomaxillofac Radiol. 2013. PMID: 23420857 Free PMC article.
-
The Latest Achievements in the Design of Permanent Fillings for Conservative Dentistry Based on Indenoquinoxaline Derivatives as Photoinitiators of Visible-Light Polymerization: Mass and Colour Stability.Int J Mol Sci. 2025 Jun 5;26(11):5424. doi: 10.3390/ijms26115424. Int J Mol Sci. 2025. PMID: 40508231 Free PMC article.
-
Behavioural and physiological outcomes of biofeedback therapy on dental anxiety of children undergoing restorations: a randomised controlled trial.Eur Arch Paediatr Dent. 2014 Apr;15(2):97-103. doi: 10.1007/s40368-013-0070-3. Epub 2013 Aug 2. Eur Arch Paediatr Dent. 2014. PMID: 23907736 Clinical Trial.
-
Comparison between indexes for diagnosis and guidance for treatment of dental caries.Acta Odontol Latinoam. 2021 Dec 31;34(3):289-297. doi: 10.54589/aol.34/3/289. Acta Odontol Latinoam. 2021. PMID: 35088817 Free PMC article.
-
Knowledge and opinions of French dental students related to caries risk assessment and dental sealants (preventive and therapeutic).Odontology. 2021 Jan;109(1):41-52. doi: 10.1007/s10266-020-00527-7. Epub 2020 May 29. Odontology. 2021. PMID: 32472405
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical