Lecture 1

Introduction

Mosby’s dental dictionary

Operative dentistry deals with the functional and esthetic restoration of the hard tissues of individual teeth.

Gilmore

Operative dentistry is that subject which includes diagnosis prevention, and treatment of defects of the natural dentition, both vital and nonvital so as to restore it to the best state of health, function and esthetics.

Sturdevant

Operative dentistry is defined as the science and art of dentistry which deals with diagnosis, treatment and prognosis of defects of the teeth which do not require full coverage restorations for correction. Such treatment should result in the restoration of proper form, function and esthetics while maintaining the physiologic integrity of the teeth in harmonious relationship with the adjacent hard and soft tissues, all of which should enhance the general health and welfare of the patient.

Greene Vardiman Black

Father of Operative Dentistry

1871 - Extension for Prevention

DIAGNOSIS

PREVENTION

INTERCEPTION

PRESERVATION

RESTORATION

MAINTENANCE

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Aims of OpDent

Diagnosis

Determination of nature of disease, injury or other defect by examination, test and investigation.

Prevention

To prevent any recurrence of the causative disease and their defects, it includes the procedures done for prevention before the manifestation of any sign and symptom of the disease.

Interception

It includes the procedures undertaken after signs and symptoms of disease have appeared, in order to prevent the disease from developing into a more serious or full extent.

Preservation

Preservation of the vitality and important anatomy in remaining sound tooth structure are utmost importance and this principle should prevail in every procedure in operative dentistry

Restoration

Includes restoring form, function, phonetics and esthetics.

Maintenance

After restoration is done, it must be
maintained for providing service for longer duration.

Dental Caries

Microbiological disease of the teeth which results in localized dissolution and destruction of calcified tissue, caused by the action of microorganisms and fermentable carbohydrates.

Pits and Fissures Carious Lesion

Smooth Surface Carious Lesion

Root Caries

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Types of Dental Caries

Attrition

Abrasion

Abfraction

Erosion

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Non-carious loss of the tooth structure

Attrition

Mechanical wear of opposing teeth commonly seen on contacting occlusal, incisal & proximal surfaces.

Abrasion

Loss of tooth material by mechanical wear other than contacting surfaces.

Commonly occurs due to improper brushing and use if abrasive tooth powder.

Erosion

Loss of dental hard tissue as a result of a chemical process not involving bacteria.

It shows broad, saucer-shaped depression on the tooth surface

Malformed, traumatized or fractured teeth

Traumatic injuries may involve the hard dental tissues and the pulp which require restoration

Esthetic improvement

Discolored teeth because of staining or other reasons look unesthetic and require restoration

Replacement or repair of restoration

Repair or replacement of previous defective
restoration is indicated for operative treatment

Developmental defects

Defects like enamel and dentin hypoplasia, hypomineralization, amelogenesis and dentinogenesis imperfecta tetracycline stains, peg-shaped laterals need operative intervention.

Goal of OpDent

To preserve the natural dentition or to restore to its maximum state of health, function and esthetics.