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f | 0. 6-2 Graphic example of cones of caries (decay) in pit and fissure of tooth {A) and on facial
(B) and proximal (C) surfaceswhen caries has penetratedapproximately same depth into dentin.
Note differencesin loss of dnamel on external surfaces.D, Sectional view of initial stage of tooth
preparations for lesions in A and B showing cavosurfaceangle (cs/,'axialwall tal,.pul pal wall (p);
enamel wall (e/,'dentinalwall (d/,'margin (m); and der.rtinoenameljunction (,r/.Note in upper ex-
pfoded view that cavosurface angle /cs,fcan be visualized by imaginary projections (w,) of the
preparationwall and (us'/ of the unpreparedsurfacecontiguouswith margin.forming angle cs,.
Ang les (cs) and (cs') are equal because.oppositeangles formed at the intersection of two strailTht
fines are equal. Likewise,minimal restorative material angle (rm) is equal to angle (rrn,/,

'lfiastication.However, in areas of no masticatory action


fineglected mouths, caries may develop in a groove or
fossa.
Caries of Enamel Smooth-Surface Origin. Smooth-
surfacecaries does.not begin in an enamel defect, but
rath.erin a smooth area of the enamel surface that is ha-
bitually unclean, and is thereby continually, or usually,
coveredby plaque (see Fig. 6-2, B and C). It is empha-
sized in Chapter 3 that plaque is necessary for caries,
and that additional oral conditions also must be present
for caries to ensue. The disintegration in.the enamel in
smooth-surface caries also may be pictured as a cone,
but rvith its base on the enamel surface and the apex at,
or directed to, the DEj. The caries again spreads at this
junction in the same manner as in pit-and-fissure caries.
Thus, fhe apex of the cone of caries in the enanrel con-
tactsthe base of the cone of caries in the dentin
Backward Caries. \Arhen the spread of caries along
the DEJ exceeds the caries in the contiguous enamel,
cariesextends into this enamel from the junction and is
termed backwardcaries(Fig.6-3).
Forward Caries. Forward caries is wherever the | | [.6-3 Backward
cariesextends
cariescone in enamel is larger or at least the same size
asthat in dentin26(see Fig. 6-2, A). wali (Fig. 6-4, AandB;
T:;il*lli)
Residual Caries. Residual caries is caries that re- ceptable, however,
rnainsin a completed tooth preparation, urhether by op- near the pulp (see ,alieh€I'!.>l i'
erator intention or by accident. Such caries is not ac- Root-SurtaceCaries. caiiesin;)'-$df
ceptable if at the DEj or on the prepared enamel tooth on the tooth root that has