Ch 43 Flashcards

1
Q

Restorative

A

the ability to remove decay or disease and bring proper function back to the tooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Esthetic

A

the recreating the tooth or teeth with an artistically pleasing appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Criteria for a new dental material

A

It must not be poisonous or harmful to the body

It must not be harmful or irritating to the tissues of the oral cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

criteria for new dental material

A

It must help protect the tooth and oral tissues of the oral cavity

It must resemble the natural dentition as closely as possible so as to be esthetically pleasing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

criteria for new dental material

A

It must be easily formed and placed in the mouth

It must conform to function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The Council on Dental Materials, Instruments and Equipment, a subcommittee of the American Dental Association,

A

works with federal agencies to ensure that strict specifications are followed by manufacturers in the development of new dental materials.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The following characteristics enhance the ability of dental materials to withstand the oral environment and allow for easy application….

A

Mechanical properties

Thermal changes

Electrical properties

Corrosive properties

Solubility

Application properties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

electrical and corrosive properties are…

A

important with metallic restorations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

thermal insulation is desirable for example…

A

under an extensive restoration and under a denture base we would like thermal transfer.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

mechanical properties

A

Materials must be able to withstand the biting and chewing force in the posterior area of the mouth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

force

A

any push or pull on matter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

stress

A

the reaction within the material that can cause distortion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

strain

A

the change produced within the material that occurs as the result of stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A restoration will eventually reach a breaking point…

A

causing permanent deformation (change) after a certain amount of both stress and strain is applied over a certain amount of time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Mechanical properties of a material placed in the anterior area should also withstand various forces caused by factors,

A

including occlusion and a patient’s habits.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Remember that different materials have different properties

A

under different types of force

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

tensile stress

A

pull and stretches the material

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

compressive stress

A

pushes the material together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

shear stress

A

breakdown of the material as the result of something sliding over 2 areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

a patient enjoys eating sticky candy

A

tensile stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

a patient reports clenching his teeth when he is concentrating hard at work

A

compressive stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

a patient has a habit of grinding her teeth at night or nocturnal bruxism

A

shear stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

ductility

A

the measure of the capacity of a metal to be stretched or drawn by pulling or tensile force w/o fracturing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

malleability

A

the measure of the capacity of a metal to be extended in all directions by a compressive force, such as rolling or hammering

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

thermal changes

A

A change in temperature in the oral cavity resulting from a hot or cold product.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

These thermal changes are of major concern because of

A

Contraction and expansion

The need to protect the pulp from thermal shock from extreme differences in temperature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

When the restorative material and surrounding tooth structure have different rates of contraction and expansion, ______ may occur

A

microleakage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Space between the tooth and the restoration allows _____or_______ to enter, causing sensitivity and/or breakdown of that interface and ultimately destroying the restoration and permitting decay in the tooth.

A

saliva or bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Space between the tooth and the restoration allows saliva or bacteria to enter, causing _________ of that interface and ultimately destroying the restoration and permitting decay in the tooth.

A

sensitivity and/or breakdown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Space between the tooth and the restoration allows saliva or bacteria to enter, causing sensitivity and/or breakdown of that interface and ________________

A

ultimately destroying the restoration and permitting decay in the tooth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what does galvanic shock feel like ?

A

an undesirable tingling sensation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Conditions that allow these electrical currents include:

A

Saliva contains salt, a good conductor
Two metallic components of different composition can act as a battery
Galvanic action, or shock,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Galvanic action, or shock…

A

is the coming together of all these conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

An electrical current, or galvanic action, in the oral cavity can take place ….

A

when there are two different or dissimilar metals present.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

One patient who may report such a feeling is someone who has teeth on opposing arches that contact each other in function….

A

The teeth contain restorations composed of different metals (e.g., a full gold crown opposing a large amalgam).

36
Q

Corrosive properties

A

The reaction of metals that occurs within a metal when it is exposed to corrosive products such as temperature, humidity and saline

37
Q

Most corrosion involves surface discoloration and can be removed easily with the use of

A

polishing agents

38
Q

What common drinks or foods have corrosive properties?

A

Soft drinks, concentrated lemonade, and other products that create a highly acidic oral environment.)

39
Q

Plaque that remains for an extended period on the margin between an amalgam and the tooth may also produce…

A

a more acidic environment locally

40
Q

An acidic environment (lactic acid under dental plaque)

A

drastically changes the solubility of tooth structure, such as enamel.

41
Q

Because enamel is the hardest substance in the body,

A

the plaque must have been present for a considerable amount of time for a cavity to occur

42
Q

solubility

A

The degree to which a substance will dissolve in a given amount of another substance

43
Q

sand has low solubility bc..

A

it does not dissolve easily

44
Q

sugar has high solubility bc…

A

it does dissolve easily

45
Q

The mouth is exposed to many kinds of acids,

A

which can dissolve materials

46
Q

many sodas and sports drink have a very _____ pH

A

acidic

47
Q

Citric acid is added to many food to give them….

A

a tart taste

48
Q

For a dental material to have specific mechanical properties, steps must occur in the

A

application of the dental material

49
Q

What are the different properties of dental materials that may affect the application properties?

A

(Flow, adhesion which includes wetting and viscosity, retention, and curing.)

50
Q

flow

A

dental materials are designed to have a certain amount of flow for placement

51
Q

this allows the material to fill in the preparation of the tooth

A

flow

52
Q

When ______ that help prevent decay are placed on newly erupted permanent molars that are deeply fissured,

A

sealants

53
Q

the sealant material ___________ to plug up and protect areas that are not easily cleaned.

A

must flow well

54
Q

adhesion

A

the strength that causes unlike materials to adhere to each other

55
Q

without proper adhesion,

A

micro leakage can occur and restoration could come out

56
Q

Characteristics of dental materials that can affect the adhesion process are:

A

wetting, viscosity, surface characteristics, film thickness

57
Q

wetting

A

ability to flow over a surface

58
Q

viscosity

A

property of a liquid that causes it not to flow easily

59
Q

surface characteristics

A

influence the wetting ability

60
Q

film thickness

A

thinner means stronger adhesive junction

61
Q

adhesion may be thought of as placing….

A

tape on paper

62
Q

hydrophilic

A

water loving

63
Q

hydrophobic

A

water hating

64
Q

a hydrophilic surface would not wet well by a…

A

hydrophobic liquid

65
Q

A consideration in wetting is whether two materials are ……

A

hydrophilic (water loving) or hydrophobic (water hater)

66
Q

example of ideal film thickness

A

think of piecing together a broken china ornament using Krazy Glue rather than the thicker glue used in grade school craft projects.

67
Q

retention

A

The ability of holding two things firmly together when they will not adhere to each other naturally

68
Q

Even though retention holds the material in place,

A

it does not completely seal the two structures together.

69
Q

_________ can occur if an additional material such as a bonding material is not placed to create a seal.

A

microleakage

70
Q

Microleakage can occur if an additional material such as a ___________ is not placed to create a seal.

A

bonding material

71
Q

________ is very important in the preparation of teeth that are to receive amalgam fillings.

A

retention

72
Q

Retention is very important in the preparation of teeth that are to ____________________

A

receive amalgam fillings.

73
Q

One of the ways in which retention is achieved is preparing ….

A

the opposing inside walls of the tooth to slant slightly inward

74
Q

One of the ways in which retention is achieved is preparing the opposing inside walls of the tooth to slant slightly inward so

A

that when amalgam is placed and set it will not slide out.

75
Q

there are 2 types of retention….

A

mechanical and chemical

76
Q

The application of sealant is an example of …..

A

mechanical retention

77
Q

The _______ increases the surface area for retention and the sealant material flows into all the nooks and crannies on the surface of the tooth.

A

etchant

78
Q

curing

A

A setting process of a dental material that is initiated by a chemical reaction or by light in a blue wave spectrum

79
Q

auto cured

A

material hardens as a result of a chemical reaction of the materials once mixed together.

80
Q

light cured

A

material does not harden until it has been exposed to a curing light.

81
Q

dual cured

A

material, some curing takes place as the material is mixed. The final cure does not occur until the material has been exposed to a curing light.

82
Q

Bonded materials are set (hardened) by various means, including exposure to light of a particular ______. chemical reaction (auto), or a combination of the two.

A

wavelength

83
Q

Bonded materials are set (hardened) by various means, including exposure to light of a particular wavelength, _____________ , or a combination of the two.

A

chemical reaction

84
Q

Bonded materials are set (hardened) by various means, including exposure to light of a particular wavelength, chemical reaction (auto), or _______________

A

a combination of the 2

85
Q

What is an example of a dental material that has been the subject of a lot of public discussion about its safety?

A

amalgam, due to the mercury content, and other alloys