Black’s Classification

Devised by American dentist G.V. Black (1836–1915).
Cavities were classified according to the part of the tooth the caries affected

Class I

cavities in pits/fissures of occlusal surfaces in posterior teeth (premolars/molars), buccal/lingual molar pits, lingual pit near the cingulum of the maxillary incisor


Class II

cavities in proximal surfaces of posterior teeth (premolars and molars)


Class III

cavities in proximal surfaces of anterior teeth (incisors and canines) that do not involve the incisal angle


Class IV

cavities in proximal surfaces of anterior teeth (incisors or canines) that involve the incisal angle


Class V

cavities in the cervical/gingival third of the oral/buccal surfaces of any tooth


Filling Materials

Amalgam-I,II

Indications
  • large cavities
  • low aesthetics
  • heavy occlusal contacts
  • poor isolation
  • extension onto root surface
Contraindications
  • aesthetic areas
  • small/medium restorations that can be well isolated (use composite)

Composite-III,IV

(I,II,III,IV,V with modern composite systems)

Indications
  • small/medium cavities
  • aesthetics
Contraindications
  • poor oral hygiene (use amalgam instead)
  • poor adhesion conditions
  • likelihood of falling out

GI-V

Indications
  • preventive filling/Very small filling
  • to release flouride ions
Contraindications
  • poor strength

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