36. Restorative Dentistry Flashcards
Tetralogy of denta caries
Diet - high sucrose diet
Host - tooth
Microorg
Time - frequency(more impt) and duration
Triad of thumbsucking
Duration(most impt) - 6hrs
Frequency - am/pm
Intensity - 1 room away
Microorg in enamel caries
Strep mutans
Dentin caries
Lactobacillus acidophilus or casei
Microorg in root or cemental caries
Actinomyces viscosus
1st bacteria to colonize oral cavity (24hrs*) (or 10-12hrs)
Most numerous in oral cavity
Strep salivarius
First to colonize plaque
24-48hrs after toothbrushing
Strep sanguis
BQ: best technique for caries examination?
Visual examination
BQ: What is the adhesive used by microorg to stick to the tooth?
Dextran
BQ: What is the sugar that prevents glucose from binding to cariogenic microorganism?
Xylitol
Is caries smaller or larger in radiograph?
Smaller
Saliva prevents caries by
Remineralization
Acts as a buffer for acids
Use proteins, enzymes, antibodies that kill microorg
Wash food away
Normal ph of saliva
6.2-7.0 (weak acid)
Critical pH = dental caries
5.5
If pH in saliva is lower that 5.5
Erosion
Ig in saliva
IgA
Stretchy property of saliva
Spinnbarkeit test
BQ: Relationship of the 2 triangles in Pits and Fissure caries in the DEJ
Base to base relationship in the DEJ
BQ: Relationship of 2 triangles in smooth surface caries in the DEJ
Apex to base / Base to apex
BQ: BEST preventive measure for Pits and Fissure caries
PFS
BQ: Best preventive measure for SMOOTH SURFACE CARIES
Fluoride
BQ: Most sensitive part of the tooth during cavity prep
DEJ
Theory about tooth sensitivity
Hydrodynamic theory
BQ: most common site of proximal caries
Between contact area and gingiva
Shape or form of the conventional preparation that RESISTS DISPLACEMENT or removal of restoration
Retention form
Prevents FRACTURE of tooth and resto matl; withstand masticatory forces
Resistance form
Adequate observation, accessibility, ease of operation
Convenience form
Primary retention form of Class 1 prep
Converging Bu and Li occ = 90
Or “diverging apically”
Wall outside the preparation
Cavosurface
Resistance form of Class 1 prep (2)
PARALLEL or (diverging) Mesial and Distal walls
+ Flat pulpal floor
Shape of enamel rods/enamel prism
Key hole
BQ: Depth in pit (class 1)
1.5mm - 2mm
BQ: Depth in DENTIN (Class 1)
0.2mm*
Or to 0.5mm
Preparation/isthmus width (1/3) is for what form
Convenience form
BQ: After cavity prep, proper outline form is made and there are still carious lesions, what is the next thing to do?
Extend outline form
BQ: During occ cavity prep, which permanent teeth is mostly subjected to accidental pulp exposure?
Mn 1st premolar 🐍
BQ: APLA is bevelled or rounded?
APLA : Bevelled
Bu, Li, and Gingival walls in Class 2 proximal prep should be extended into the EMBRASURES (“spillways”) because:
For prevention of secondary caries
Self cleansing
Minimum clearance during Class II prep
0.5mm
BQ: Depth of Retentive features
1/2 the size of a 1/4 round bur
0.25mm
Retentive features of Class 2 prep are placed in:
Axiofacial LA
Axiolingual LA
Bu and Li walls
Gold:
Am:
Bu and Li walls
Gold: diverge occ (LAPJOINT)
Am: converge occ (BUTT JOINT)
MD walls
Gold:
Am:
MD walls
Gold: parallel occ
Am: parallel occ
Depth into dentin
Gold:
Am:
Depth into dentin
Gold: 0.2mm
Am: 0.2mm
Internal line angles
Gold:
Am:
Internal line angles
Gold: sharp (convenience)
Am: rounded (resistance)
Reverse bevel in Class II gold inlay is placed in the
Axiogingival LA
Occ and Prox CSM Bevel
Gold:
Am:
Occ CSM
Gold: 40 degree
Am: 90 degree
Gingival CSM of Gold
30 degree
Counterbevel of Onlay
30 degrees
Gingival CSM in Class II Am
Perm:
Deciduous:
Gingival CSM in Class II Am
Perm: 15-20 bevel
Deciduous: no bevel!
BQ: Best resto matl for Distolingual surface of Canines
Gold
BQ: Best approach in preparing class III caries?
Lingual approach
BQ: When preparing carious tooth adjacent to each other, which one is prepared first and which one is restored first?
Prepare: larger first (for convenience)
Restore: smaller first
BQ: Best rx to assess proximal caries
Bitewing
Retentive features of Class III prep are placed in
Gingivoaxial and incisoaxial LA
Class IV
Line angle:
Point angle:
Class IV
Line angle: 11
Point angle: 6
BQ: Axial wall of Class V prep
A. Convex
B. Concave
C. Flat
Convex