01 Restorative Flashcards
5 Advantages of Rubber Dam
Improved Child Management Improved Working Conditions Aseptic field for pulp treatment Protection of Patient Increased Efficiency
Key Factors of Rubber Dam Use
Set up prior to seating child Obtain good local anesthesia Explain the procedure Place the rubber dam and frame as a unit Ligate with floss
What teeth is the W8A clamp designed for?
Primary molars and some smaller permanent first molars
How are the jaws of the W8A clamp oriented?
Cervically
Which clamp has wings? The W8A or the 8A
8A
W stands for wingless
Which teeth is the 14A designed for?
Permanent first and second molars which are not fully erupted
What are the two rubber dam methods used?
Slit Dam
Individual Tooth
What is the main advantage, and the main disadvantage of the slit dam technique
Faster
Less Isolation
When using the slit dam technique, which holes do you punch out in the dam?
One hole for the most posterior tooth and a second hole for the most anterior tooth
Why are modification to restorative techniques needed?
To account for anatomic differences and different restorative materials
What is the most common mistake in the restoration of primary teeth?
Over-extension of the preparation
What is the treatment of choice when caries require excessive tooth structure to be removed?
Extra coronal SSC
4 Desirable characteristics of primary preparations
Conservative
Extended sufficiently to remove all caries
Prep design should provide adequate retention for resto. material
Pulpal floor should be of uniform depth and slightly rounded
What are the two primary restorative materials used
Amalgam
Composite
Which common adult restorative material does not hold up well
Glass Ionomer