5. Should sealant application be limited to the first years after eruption/emergence? 5. Class 1. Some people might confuse a cavity with a stain and vice versa. can be used to fix minor flaws and larger damage. Treatment for mouth cancer depends on your cancer's location and stage, as well as your overall health and personal preferences. Cavities located in pits or fissures. buccal이라는 건 치아의 협면, 즉 바깥쪽을 이야기합니다. the buccal groove, so we should be conservative in our cavity preparation and make triangular outline form, the buccal pit located at the center of the triangle. Review the following example: Question: According to G. Tooth decay, also known as cavities or caries, is the breakdown of teeth due to acids produced by bacteria. all of the above are significant factors. caries-risk assessment2,3; 3. 1. Caries may extend from the palatal pit along the grooves present between marginal ridges and palatal fossa. While the clinical indication for. However, the levels of scientific evidence in orthodontic treatment planning have been weak, and it is unlikely to systematically. They are benign (non-cancerous and harmless). buccal pit decay. In a study conducted by Jung et al. Dr. If not, then alternative treatment such as root canal treatment may be considered to resolve the pain while keeping the tooth. ” 6 Cotton roll compression is another technique that can be employed. 2-4 Vitality testing is important as well. a. Minimally cavitated potentially cleansable lesions in non-occlusal regions like buccal pits. For nausea and vomiting from whatever cause. Acute Solitary Ulcers . Summary. Barbagli described the dorsal onlay. The surface may be ulcerated due to trauma, or become rough and scaly. Weddell and Klein examined 441 children who ranged in age from 6 to 36 months and resided in a community with water fluoridation. On the most basic level, pain is a major issue associated with a broken molar. Tooth #2. 3,4,5 Several studies noted that the buccal bone thickness should be at. Having thin tooth enamel can lead to: pits, tiny groves, depressions, and fissures. Tooth #30. 2- Retention of primary canine 3- Supernumerary teeth. As this is a congenital anomaly, it is present at birth, though it may not be obvious or. Use dentures or orthodontic dental appliances. terms: restorative treatment decisions, caries diagnosis, caries excavation, dental amalgam, glass ionomers, resin modified. Buccal pits that intrude into the dentin should be distinguished from pre-eruptive intracoronal resorp - tion (PEIR). Mandibular First Molars: Lingual (Compared to buccal: cusps, sized, and. 99° and 1. The second 8-mg film is taken 8 hours after the first dose. The distal buccal canal is typically the easier of the two canals to enter into, and the mesial buccal can be overlooked. distobuccal cusps and terminating in the buccal pit. The type of cavity depends on the location of the hole on the tooth. Oral lichen planus (OLP) is a chronic T-cell mediated inflammatory disease that affects the oral mucosa. At the annual examinations, all caries. “Buccal fat reduction, cheek thinning or buccal fat removal, whichever you call it, a procedure that popped up on Instagram a few years ago, and its medical name is bichectomy. Smooth surfaces, can occur on the circumference of the tooth or in between the teeth. Dental caries recurs if not completely excavated before restoration, and lesions appear as radiolucency adjacent to or beneath the restoration. • Larger mesial cusps make the tooth wider buccolingually than at the distal cusps. Symptoms include: Purple, shiny, flat bumps, often on the inner forearms, wrists or ankles. ) Bacteria and debris build up on tooth surfaces, and the bacteria produce acids that cause decay. In this in vitro study, 12 General Dental Practitioners and 13 Clinical Community Dental Officers examined the occlusal, buccal and palatal pits and fissures of 35 extracted molar teeth. 17° of distal tipping of the first molar while infrazygomatic and buccal inter-radicular TSADs resulted in 3. Pits and Fissure Sealants Vishesh Jain ; 3. Then, one 8-mg film is taken two times a day (every 12 hours) for. What instrument was recommended in lecture for carving a buccal pit amalgam? a. A 39-year-old male engineer in good health presented with defective amalgam restorations in the occlusal of tooth #29, the occlusal and buccal pit of tooth #30, and the occlusal of tooth #31. It is much better to place a small filling in them now to avoid a large one later. They're especially common in children, teenagers and older adults. During sealant Application, all the Caries susceptible Pits and Fissures, Including Buccal pits of the Maxillary molars and Lingual Grooves of the maximum Caries Protection. Crossbite can be seen commonly in orthodontic practice. Which is not a significant factor in occlusal caries? a. has been extracted. Lesions on occlusal surfaces cavitated sooner than lesions on other surfaces, followed by buccal pits, lingual grooves, and interproximal sites, with time to cavitation longest on smooth surfaces (significant p values were p ≤ 0. Several approaches including direct visual internal urethrotomy (DVIU) and anastomotic or augmentation urethroplasty based on the use of flaps and graft have been reported []. Another issue increasing the risk of caries in this population is a low percentage of pit and fissure sealants; sealants in permanent teeth were the highest score per mouth for one third of evaluated children (34. Pit and fissure caries account for approximately 80 to 90 per- cent of all caries in permanent posterior teeth and 44 percent in primary teeth9. Have frequent sun exposure. Flashcards. 5 Individual tooth surfaces have vastly different susceptibilities to caries, with the pit and fissure (occlusal) surfaces the most susceptible, and the smooth (labial and lingual) surfaces the. Oropharyngeal dysphagia manifests as difficulty initiating swallowing, coughing, choking, or aspiration, and it is most commonly caused by chronic neurologic conditions such as stroke, Parkinson. These teeth are also the only premolars that normally have two roots, a buccal and lingual, although occasionally, only a single root is evident. Although not required. In the sealed group, 84. Buccal pit is present in both molars. Figure 9 shows a buccal pit that would have benefited from sealing. Created for people with ongoing healthcare needs but benefits everyone. 8 occlusal fissures and 1. Facial mask, eye mask, and massage of the shoulders and neck. Grooves and pits between the cusps need special attention while brushing. The treatment plan shall take into consideration: 1. ( a) Before lip surgery. The median line is located on the vertical axis of your face, between your central incisors. Some people might confuse a cavity with a stain and vice versa. The following lymph node locations are the easiest to palpate (i. What would be the correct Black's. , T/F Permanent mandibular first molars are the first permanent teeth to erupt. You'll find pit and fissure cavities on the chewing surfaces of the teeth. Fissure sealants should be placed on the occlusal fissure morphology, and also ensure the buccal pits of the lower first permanent molars and the palatal fissures of upper first permanent molars are sealed. 4, Labial-Buccal; 5, Cervical; 6, Incisal–Occlusal; 7, Pit on the palatinal surface of the upper molar and pit on the buccal surface of the lower molar; and 8, Occlusal fissure for statistical evaluation and comparison. Match. Common spot to get a cavity. Buccal Aspect Of Mandibular Molars • Grooves Of The First Molar – The. 1%. Dentistry 32 years experience Normal Tooth Anatomy: A "buccal pit" is a. 5%(n=73) were buccally placed while rest were present in the middle of the arch. May 1, 2022. They mostly occur as a result of infected cysts, mandibular or maxillary fractures, periodontal inflammation, necrotic teeth, and trauma. This pit is the junction of two primary developmental grooves: Buccal groove - The buccal groove extends from the central pit in a buccal direction until it passes onto the buccal surface. 53 Dental caries on pit and fissure surface penetrating into pulp K02. 4 It is bordered by a cervical ridge, formed by two curved segments with concavity facing the root. A pit is also. The frequency of root perforations has been reported to range from 3% to as high as 10%. In later stages of enamel. elenagcantwell PLUS. If the upper arch is crowded , maxillary canine may be squeezed buccal to it normal position. ) Class 2 caries on the proximal surface of a premolar and a molar. 일원동 치과 개포동치과 수서동 치과. Pit and fissure cavities: this type occurs in the chewing surface (occlusal) of teeth. This study aimed to determine the frequency of buccal. 1159/000448662. The descriptive data and the adjusted Poisson regression models revealed that children with at least one fissure sealant are less likely to have decayed. ) Lingual surface on the maxillary incisors. Treating Tooth Decay Fluoride. Effectively penetrating and sealing pits and fissures in the surfaces of teeth can prevent caries lesions and is part of a comprehensive caries management approach. Canine Space. the buccal groove, so we should be conservative in our cavity preparation and make triangular outline form, the buccal pit located at the center of the triangle. i often seal over these pits when I put sealants on kids. Paracetamol. Treatment for Swollen Lymph Nodes. They usually form inside the lower jaw bone or mandible in the premolar and molar regions. It is usually the same colour as the rest of the mouth lining but is sometimes paler or, if it has bled, may look a dark colour. classifications (mesial, distal, occlusal, lingual, or facial, including buccal and labial. pits and fissures b. 4 The . Caries is tooth decay, commonly called cavities. ) A two-surface posterior restoration is one in which the restoration extends to two of the five surface classifications. Enamel hypoplasia happens in the formation stage, resulting in the pitting, grooving, or even total absence of enamel. The American Dental Association defines the distal tooth surface as the “surface or position of a tooth most distant from the median line of the arch. When no cavitated caries lesion is diagnosed, the treatment decision is either to pursue no treatment or to place a pit-and-fissure sealant, particularly if the surface is at high risk for future caries. Black classification of carious lesions, sealants are placed on permanent molars as soon as they erupt to prevent: Class I caries; Class II caries; Class III caries; Class IV caries; Class V caries; Enamel sealants are generally applied on deep pits and fissures of the occlusal. a designated, dry, airtight container. Mesial – this is a side surface of the tooth; the side that is closer to the front of the mouth. Occlusal: This is known as the chewing surface of the posterior teeth. Place the wings of the clamp into the hole in the dental dam. In later stages of enamel. Accurate detection and diagnosis of carious lesions is the prerequisite for application of the most effective caries management approach. They are most common on the back teeth. Practice all cards. Coming to the lingual surface, it is the surface of a tooth that faces towards the tongue. position in the arch d. Pit and fissure sealant has been described asEnamel Hypoplasia Treatment Treatment for enamel hypoplasia generally depends on the severity of the condition. The buccal surface was represented as the line from the maxillary first molar buccal cusp tip to the cemento-enamel junction of the same surface ( Fig. 2018. Pits are small, pinpoint depressions that are most commonly found at the ends or cross-sections of grooves. all are found on the mandibular first molar. ( b) After lip surgery. natural appearance (tooth-colored) usually can be completed in one visit. Branchial cleft cysts are congenital anomalies arising from the first through fourth pharyngeal clefts. 12. A crossbite is a discrepancy in the buccolingual relationship of the upper and lower teeth. V. The buccal groove of the mandibular first permanent molar runs from the more mesial of the two central pits of the central groove towards the buccal surface between the mesiobuccal and distobuccal cusps and terminating in the buccal pit. The buccal groove. Occlusal surfaces of permanent molars and buccal pits of lower molars are most prone to the development of caries. The incidence of morsicatio buccarum was reported to be 2. 기본적인 치료 방법은 당연히 ' 구멍을 메꾸는 것 '입니다. These bacteria make a sticky substance called plaque that can eat away at a tooth’s enamel. Created by. 9,10 The concept of using a sharp explorer for the detection of pit-and-fissure caries has been discarded in favor of the visual appearance of enamel, radiographic diagnosis, and new types of. Buccal definition: . Treatment An amalgam used as a restorative material in a tooth. 20 They found dental caries in 4. Tooth #29. (a) Deep occlusal caries on 36 with abscess facing the tooth. Daniel Wolter answered. Treatment options include: Fluoride treatments. Caries found between 2 teeth or "between 2 adjacent surfaces". , sealing) remove only a few micrometers of hard tissues by etching; and. a. Underly ing the ename l tissue is th e dentine roo t, a bone-li ke tissue th at consist s of aDiscuss the options for restoring a buccal pit; Recommended Reading. The incidence of two canals in the mesio-buccal root is 60 % and one canal to be about 40 %. 2. When the pits are equally defective, the distal pit should be entered as illustrated. Recurrent aphthous stomatitis (RAS) is a chronic oral mucosa inflammatory disorder with an uncertain etiology. In the unsealed controls, only 31. 4 and 5. And last but not least –Buccal. Ridge 1 is the mesial cusp ridge of the buccal cusp; ridge 2 is the distal cusp ridge of the buccal cusp; ridge 3 is the more subtle buccal ridge of the buccal cusp; and 4 is the triangular ridge of the buccal cusp. When the smooth surface or any other part of the tooth is entirely healthy, it's called a sound surface. Found on the proximal (mesial and distal) surfaces of premolars and molars. Patients are given oral hygiene advice and are advised to cleanse above and below the growth with a mouthwash once a day to remove any food debris. 57 Corpus ID: 80315428; Relationship between Pre-Eruptive Buccal Pit Radiolucency and Restoration in Mandibular First Molar @article{Jung2018RelationshipBP, title={Relationship between Pre-Eruptive Buccal Pit Radiolucency and Restoration in Mandibular First Molar}, author={Seo-Hyun Jung and Ji. Small hole on buccal pit (?). outline area in blue and fill in with diagonal lines; write "GF" in box in blue. Class I. Can sealants be placed effectively on buccal and lin-gual pits and fissures? Position Paper The computed tomography scan revealed bone resorption of the buccal cortical plate of tooth 85 with the mesiobuccal (MB) root being in contact with the oral soft tissues and a radiolucent area in the crown extending from the occlusal surface into the dentin under the MB cusp (Figs 3 and and4). g. In a normal sagittal occlusion, also called Angle Class I, the mesio-buccal cusp of the maxillary first molar occludes with the mesio-buccal groove of the mandibular first molar . Mesio-distal extension Buccal Pit Cavities: The outline of these cavities usually described as a triangle with its base forming the gingival wall and its sides forming the mesial and distal. Difficulty swallowing. Study with Quizlet and memorize flashcards containing terms like extracted, according to the patient, DO amalgam, buccal pit amalgam and more. Sometimes, the invagination is merely a deep pit at the cingulum. It looks well beyond the observing point imo. 18 years. Generalized form: Erythema, alopecia, papules, plaques, pustules and crusts where large areas, more than 5 areas, or paws are involved (Fig. It is an uncommon cause of oral inflammation in dogs. It's a buccal pit cavity. 10 These data also indicate that around 40 percent of chil-dren aged 2 to 8 years have experienced dentalBuccal fat removal is a surgery to remove the fat in this area of your face. 61 Dental caries on smooth surface limited to enamel K02. triangular ridge d. The buccal surface is rounded compared to the flatter lingual surface. It appears similar to the mandibular canine because of the large buccal cusp and small lingual cusp. Fillings, also called restorations, are the main treatment option when decay has progressed beyond the. The exclusive focus on restorative care is value-blind because the outcome of the treatment is providing high quality restorations and not the control nor prevention of dental caries. Mucositis most commonly affects your mouth and the inner lining of your cheeks (buccal mucosa). Amalgam restorations for conservative class I. MI composite resin. 1984. Fluoride, diligent dental. The development of dental caries within the mouth followed a fixed hierarchy indicating that tooth surfaces show variation in caries susceptibility. - Congenital lip pits - Foramen cecum cystic lesion - Abnormally short frenulum. When the pits are equally defective, the distal pit should be entered as illustrated. The most common type is torus palatinus or palatal tori. Small occlusal lesions, buccal and lingual pit cavities, are better studied clinically, as radiography plays a small role in the detection of these lesions. To provide the most beneficial treatment tailored to a given level of current risk and. 5. Figure 4a: This patient was referred due to continued pain following root canal treatment in teeth Nos. Buccally erupted maxillary canine PROF Dr Hla Hla Yee. Root cavities. The buccal space (also termed the buccinator space) is a fascial space of the head and neck (sometimes also termed fascial tissue spaces or tissue spaces). This is usually the first choice of material. If you look closely at a lower molar, on the cheek side, you'll see two lobes which come together with a small groove between them. In some specimens, the lingual cusp is similar in shape to a cingulum. Occlusal surfaces of permanent molars and buccal pits of lower molars are most prone to the development of caries lesions . 22. Fillings, also called restorations, are the main treatment option when decay has progressed beyond the. Distal caries(D)- caries on the back ‘interproximal’ surface. An abscess in your mouth may cause a severe toothache. The treatment for pulpitis depends on the type and the cause. Caries that extend to or through the DEJ and into denting but does not extend through. Sealant was missing from 6. 10. Summary. Dry mouth (xerostomia). 2. Distobuccal developmental groove, which separates the distal and DB cusps. SKIN TYPE: All skin typesBasic principles of caries treatment as manifested in cavity preparation. The incidence of more than one disto-buccal or palatal root is rare (<1 %) [13–21]. buccal pit that it can protrude the dentin in some cases. – His classification system adequately. The informal term canker sore is also used, mainly in North America, although it may also refer to other types of mouth ulcers. The mandibular first premolar is the first posterior tooth in the mandibular dental arch. Fillings. 2% of the children 12 to 17 months of age, 19. 1 Provided there are not significant amounts of plaque present there is no. The buccal cusp is usually 1 mm or more longer than the lingual cusp. . and more. 3 When. Treatment options include: Fluoride treatments. Clinical Considerations for Posterior Teeth. Cavities are decayed areas in the teeth, the result of a process that gradually dissolves a tooth’s hard outer surface (enamel) and progresses toward the interior. 4). During bruxism, there is forceful contact between the biting surfaces of maxillary and mandibular teeth. This can reverse the early signs of cavities. Removing this fat can highlight the bone structure in your face, especially your cheekbones and the hollowed-out areas between your cheeks and jawline. Differences between Maxillary and Mandibular IncisorsIn particular, buccal pits are found on the facial surfaces of molars. These cancers usually occur in the thin, flat cells called squamous cells that line the buccal. Preeruptive intracoro-nal resorption was. As well as occlusal surfaces, buccal and palatal pits should also be considered for sealing. Crossbite correction by moving palatal segments laterally in the presence of extensive palatal scarring is difficult and often unsuccessful. The incidence of root fusion of two or three roots is approximately 5. lingual groove e. fill w/ glass ionomer, compomer, composite etc. Pit & Fissures A pit is defined as a pinpoint depression located at the junction of grooves present over the grinding surfaces of the teeth. The expression rate of the buccal pits was 29. 025) indicates that the frequency of pits is significantly higher among individuals under ca. The prevalence of defective buccal pits was 7. 2 %. Develop hand skills. Lingual Treatment of an Adult Patient with a Simplified Extraction Protocol In literature, it has been reported in the range of 10 -25%. Study with Quizlet and memorize flashcards containing terms like T/F The first molars are the largest permanent teeth. 11. It is a potential space in the cheek, and is paired on each side. Sometimes during tooth development this groove doesn't fuse all the way, leaving a small. Class 2. A guideline panel convened by the American Dental Association (ADA) Council on Scientific Affairs and the American Academy of Pediatric Dentistry conducted a systematic review and formulated recommendations. Hypoplastic primary molars. These indications include buccal pits (particularly mandibular molars), small lesions in other nonaesthetic areas (small occlusal pits, lingual grooves of maxillary molars, lingual pits of maxillary incisors), and any repair to an existing. Cavity treatments include: Fluoride. g. SEQUENCE OF PREPARATION INITIAL TOOTH PREPARATION Enter the deepest or most carious pit with a punch cut using No. This study is to report the rare localization of a radicular groove on the palatal aspect of the maxillary lateral incisor and to discuss the pathology and management of the concomitant endo-periodontal defect. Smooth, shiny surfaces on the teeth, a sign of mineral loss. The sealant bonds to the enamel surface of the tooth so that plaque bacteria cannot colonize within the pits and fissures. If a hole in a tooth is painless, a person may put off a trip to the dentist. They will also call out the tooth number which it relates to: Buccal caries (B)- caries on the outside surface of the tooth, the one facing the cheek. Pit. 12. developmental status of the dentition; 2. Radiographic detection of lesions – Buccal and lingual surfaces often occur in enamel pits and fissures of teeth. Test. This can increase the chance of further decay in the future, and maybe its best to fill. Buccal, not buckle: The word buccal refers to the cheek-side of your posterior tooth (molar or premolar) as opposed to the occlusal (biting surface), lingual (tongue side surface of the tooth), mesial (toward the front of the mouth) or distal (toward the back of the mouth tooth surface). Sealants were registered on 1. Alternative routes of antiseizure medication administration (eg, rectal, intramuscular [IM], buccal, or intranasal) should be used if IV administration is not possible within the first five minutes. Restorative treatment is based upon the results of a clinical examination and is ideally part of a comprehensive treatment plan. Beltrán-Aguilar, DMD, DrPH, Centers for Disease Control andPrevention, Atlanta; Susan Griffin, PhD, Centers for Disease. Retention groove also can be added following the same rule as in buccal pit. The American Dental Association Council on Scientific Affairs and the expert panel thank the following people for their contribution to this project: Laurie Barker, MSPH, Centers for Disease Control and Prevention, Atlanta; Eugenio D. • Compound Occlusal Cavity • Occluso-Buccal • Occluso-Palatal / lingual • Complex Occlusal Cavity • Buccal Pit FIG 17-14 Mandibular molar. Mesial – this is a side surface of the tooth; the side that is closer to the front of the mouth. Dentoalveolar fistula is a pathological pathway between the oral cavity and alveolar bone. Optimal surface treatment method for bonding orthodontic attachment can be different among different resin composite surfaces. C, the bur should be perpendicular to the occlusal surface. Labial: This is the surface of an anterior tooth which is facing towards the lips. DOI: 10. (b) Retro alveolar showing pulpal involvement by decay and. According to Madeira and Rizzolo [ 5 ], the distal occlusal pit is the largest, and between both occlusal pits (mesial and distal), the distal one is the. Treatment of swollen lymph nodes depends on the underlying cause. But sometimes it happens for no apparent reason. 1. In mandibular molars, enamel dramatically increases in thickness at the buccal pit area and progresses occlusally due to an extensive concavity in the buccal dentinal core. Tobacco and alcohol use are the main risk factors for this condition. Caries. Therefore, the ICDAS criteria was developed by an international team of caries researchers to integrate several new criteria systems into one standard system for caries detection and assessment. The. Cavity. Signs or symptoms of pulp pathology. treatment plan:. 24. Pit and Fissure Cavities You'll find pit and fissure cavities on the chewing surfaces of the teeth. From this view, as from the lingual, the buccal cusp is noticeably longer than the lingual cusp on maxillary first premolars, compared to the second premolar, which has two cusps of nearly equal length ( Appendix 6c ). The central groove runs roughly in a straight line between the two pits, in contrast to the crescent shape of the U type. > these restoration are used in _____lesions, affecting the pits and fissures of the teeth. Have a personal history of allergies. 99° and 1. The two buccal cusps, the mesiobuccal and distobuccal cusps, are about equal in length as are their cusp outlines. Pits and fissures pose a non-cleansable. anticipated parental compliance and likelihood of recall; 5. Buccal mucosa is another name for the inside lining of the cheeks. This epidemiological study aimed to compare the diagnostic outcome of the WHO criteria, ICDAS II criteria, laser fluorescence measurements, presence of plaque and roughness as activity scores on occlusal fissures and buccal/palatal pits of the first permanent molars. Pain that moves. Mandibular tori are bony growths. The steps in this treatment protocol for the restoration of anterior teeth with caries infected lingual pit/groove defects included the following: 1. Sublingual and buccal medication administration are two different ways of giving medication by mouth. Site 2: proximal enamel in relation to areas in contact with adjacent. 12. Non-cavitated caries lesions were recorded in average on 1. [1] Diagnosis is based on medical history and clinical findings. Answer: (A). You may have just one type of treatment, or you may undergo a combination of cancer treatments. If you look closely at a lower molar, on the cheek side, you'll see two lob. It has two well-developed roots, one mesial and one distal, which are. Create flashcards for FREE and quiz yourself with an interactive flipper. Destroyed tooth structure. The caries lesion, the most commonly observed sign of dental caries disease, is the cumulative result of an imbalance in the dynamic demineralization and remineralization process that causes a net mineral loss over time. lingual groove e. 14-3, C). With proper placement. Recurrent aphthous stomatitis, or canker sores, is the most common ulcerative condition of the oral cavity 1 – 3 ( Figure 1). Normally, the mandibular first molar is the largest tooth in the mandibular arch. The first molar distalization was 2. Rapid treatment can prevent long-term damage to the orofacial structures and save the teeth. That’s called a buccal pit, and it’s a fairly common place to have staining or a cavity. A lower right third molar with an occlusal amalgam and buccal extension would be an OB-A, #32. But in more serious situations, the fold extends to the root of the tooth and either perforates the pulp or opens into the periodontal ligament, which is the connective tissue in the middle of a tooth. This was not a small mom-n-pop dentist but. A buccal pit is a prominent point-like depression that appears at the cervical end of the mandibular molar developmental grooves. Sliver-tinVol. It often leads to or white patches of pus in your mouth. Pt assessed at low risk. • Compound Occlusal Cavity • Occluso-Buccal • Occluso-Palatal / lingual • Complex Occlusal Cavity • Buccal Pit FIG 17-14 Mandibular molar. 6 Proximal caries involving dentin with 6 Pit and fissure caries with 78 6 Restoration :. 4) Lingual – the tooth’s inner surface facing the tongue. (c) Mumps. So distal tooth surfaces are those that are away from this line.