CDT 4 Flashcards
4 functions of dental pulp?
- formative: produces dentine that surrounds it
- nutritive: nourishes dentine
- protective: carries nerves for sensitivity
- reparative: produces new dentine in relation to wear and insult
pulp protection: protect from?
- chemical attack: from constituents in restorative materials
- thermal shock: heat from cavity prep
- galvanic effects: metal corrosion
properties of ideal pulp protector?
- radiopaque
- compatible with wide range of restorative materials
- obtundant; reduce pain
general methods of pulp protection?
- varnishes
- cavity bases
name the 5 types of cavity bases used in pulp protection
- calcium hydroxide: dycal
- polycaboxylate cements: poly F
- zinc oxide eugenol: kalzinol
- zinc phosphate
- glass polyalkanoate: vitrebond
bonded restorations: what is used in resin composite restorations?
- acid etch for enamel
- dentine bonding agent
bonded restorations: what is used in dental amalgam?
- vitrebond
- acid etch
- scotchbond
- rely-x ARC (resin cement)
techniques of cavity lining in bonded restorations: what do these methods help with?
- prevent ingress of fluids and bacteria
- protects pulp
what to use: if cavity is of ideal depth?
no lining
what to use: if cavity is slightly deeper?
- dycal
- acid etch
- dentine bonding agent (if composite) OR vitrebond (if amalgam)
what to use: if cavity is grossly deep?
dycal
vitrebond
* do not extend lining to cavity periphery, only dentine on overlying pulp should be covered