Class V Tooth Cavity Preparations for Amalgam Restoration Class V lesion is present on the gingival third of facial and lingual surfaces of all teeth. Amalgam is not indicated for anterior teeth except when esthetics is of no concern, for example in very aged patients. Causes of Cl. V cavitation: 1. Dental caries. 2. Erosion: tooth loss caused by non-bacterial acids (Fig. 1). 3. Abrasion: tooth loss at gingival third due to mechanical action...............