•

•
 Causative factor

CARIES may not be the only reason

Abrasion , Erosion & Abfraction could

ALSO be responsible for class V lesions
clinical characteristics

1. The carious lesion usually starts as a

white or chalkyy line at the gingival 1/3 of
the labial or buccal surfaces
2. Usually affects multiple teeth
( high caries susceptibility )
3. Spread mesially & distally to the axial
angles of teeth
4. Causes Cervical sensitivity
5. Th
The more convex is the h surface
f
more liable to
cervical caries
6. More frequent among old old--aged patients
(senile caries)
 The Outline Form
• Class V cavity usually

Trapezoidal outline with straight

margins and round corners,
with the short arm being the gingival
 Location of margins
• Mesial & distal walls
extended to but not encroaching on
axial line angles & Parallel to the M &
D tooth outline
• Occlusal wall located at but not
including the height of contour
• Gingival wall straight & parallel to
occlusal plane at the gum margin
• Axial wall in dentin (0.5 mm
under DEJ)
• convex outwards Mesiodistally &
occlusogingival following contour of
facial surface……………
provides resistance
& maximal pulp
protection protection
 Internal anatomy
• M & D walls are divergent outwards
(flare mesially & distally )……..to
follow the direction of enamel rods
………& to form 90
90°° cavo
cavo-surface
surface angle

• provide strength for the tooth & amalgam

• & prevent undermined enamel walls
 Internal anatomy

• Occlusal & gingival walls formed

of 2 planes:
a. Grooved internal dentin plane
(mechanical retention lock)
b Outer
b. O t enamell plane l f ll i
following
the direction of enamel rods
To form 90
90°° cavo-surface
angle ………..resistance
•
•
 If the gingival wall is located on
cementum at the root, it is also
formed of two planes
* internal grooved plane made
of dentin &
* an outer flat plane made of
dentin & cementum
 Resistance and
Retention
!

" # $
% #
A minimum dept of 0.5 mm in dentin
uniform bulk of amalgam
 # &

' ( #