Faculty of medicine, Dpt of restorative dentistry, ass.prof. L. Roubalikova1
Restorative dentistry 3rd year
Lecture 2a
Indications of dental materials
Classification of dental caries
Black
̶ I. class – pit and fissure caries
̶ II.class – caries on proximal surfaces of premolars and molars
̶ III. – caries on proximal surfaces incisors and canines without lost of
incisal edge
̶ IV. - – caries on proximal surfaces incisors and canines with lost of
incisal edge
̶ V- cervical caries
̶ ( VI. Caries on incisal edges or cusps)
Classification of dental caries
Mount and Hume
̶ Location
1. Occlusal
2. Proximal
3. Cervical
Size
1. Small
2. Medium
3. Large
Classification acc. to Mount and Hume
Occlusal caries
̶ 11 composit, amalgam
̶ 12 composit, amalgam
- 13 metal or adhesive inlay/onlay or amalgam with cusp
replacement
Classification acc. Mount and Hume
Proximal caries in posterior teeth
̶ 21 – composit, amalgam
̶ 22 – composit, amalgam, adhesive inlay, metal
inlay
̶ 23 – amalgam, adhesive or metal inlay
Classification acc. Mount and Hume
Proximal caries in anterior teeth
̶ 21,22,23 – composit
GIC – patients with worse cooperation (disabled, oral hygiene not
optimal)
24 (loss of incisal edge),
composit, veneer, crown
Classification acc. Mount and Hume
̶ Cervical caries
31 – 33:
Depends on location
Composit
Glassionomer
̶ Amalgam –posterior teeth, esp. In patients with worse level of oral hygiene
Indications of dental materials
Consideration
̶ Caries -Size - Location
̶ Regional circumstances
̶ Level of oral hygiene
̶ Intermaxillary relations Bite forces
̶ Patient -General health -Cooperation
Choice of the material