Contact about Links References search Home


back to grid

Cervical

Description
Lesions that are so complex that they fit in to this category are generally found in replacement dentistry where old restorations have broken down and the lesion becomes one circumferential cavity covering two or more sides of the tooth. Glass-ionomer is the material of choice for restoration because of its remineralisation potential and ease of placement with a guaranteed adhesion between restoration and tooth structure.

Click on images to view full size.
Click on the image to see a larger version
figure1
The patient presented with 6 lower anterior teeth only and a partial lower denture. The caries rate was apparently increasing because of changed circumstances and existing restorations were in poor form and required replacement. This shows the cervical composite restoration on the lower right canine from the labial.
Click on the image to see a larger versionfigure2 The same tooth showing the root surface caries on the lingual and distal surfaces. There is a temporary restoration of zinc oxide and eugenol at the distal.
Click on the image to see a larger versionfigure3 The old composite resin restoration has been removed from the labial cervical margin and the walls have been cleaned down to sound dentine.
Click on the image to see a larger versionfigure4 The completed cavity from the lingual. Again the margins are all in sound dentine to ensure good adhesion with the glass-ionomer.
figure5 The completed restoration in resin modified glass-ionomer viewed from the labial. The restoration was placed incrementally in three stages.
figure6 The completed restoration viewed from the lingual.
figure7 The completed restoration viewed from the labial photographed 2 years after placement. The end result is satisfactory
figure8 The completed restoration viewed from the lingual photographed 2 years after placement. The end result is satisfactory


Top^

Copyright © 2003 Graham J Mount