Clinical Aspects Of Adhesion

Question 1

Question 2

Not from lecture (from Google for understanding )

Question 3

What is a DBA?

Answer 3

Dentine bonding agent

Question 4

What are the different types of DBAs?
Examples?

Answer 4

Question 5

What is the link between caries and bonding?

Answer 5

Question 6

What is very important to remember for adhesion?

Answer 6

Seal is the deal
Currently: remove all Caries Infected Dentine (CID) and some Caries Affected Dentine (CAD) put some can be left on cavity floor to protect the pulp . MINIMAL INTERVENTION AND PREVENTION WHERE POSSIBLE.

Question 7

How much caries we remove is dependant on?
Minimally invasive rationale is dependant on?

Answer 7

Question 8

What did this study show?

Answer 8

Question 9

Findings part 2?

Answer 9

If sealant is intact, carious lesions do not progress

Question 10

Analysis of bacteria surviving under dental restorations (nutrient stress)
Do we need to remove all of the decayed tissue?

Answer 10

Bacteria cannot survive happily under dental restorations (nutrient stress)
There is a huge reduction in total aerobic /anaerobic count
‘The seal is the deal’

Question 11

Why is there limited Bacterial survival under dental restorations.

Answer 11

• Harsh, uniform, nutrient limited environment selected for specific genotypes and relevant phenotypes [simplification].

‘The seal is the deal’

Question 12

Which part of caries do we remove ?
Layers of dentine?

Answer 12

Question 13

Decision making for operative intervention

Answer 13

Question 14

How much caries do we remove
What might future treatment look like

Answer 14

Question 15

If we are going to restore a tooth with minimally invasive dentistry, what options for the restorative material do we have?

Answer 15

Question 16

Structure of enamel

Answer 16

Question 17

Enamel etching

Answer 17

Etching removes the smear layer and increases surface roughness

Question 18

Adhesion of composites

Answer 18

Question 19

Adhesion of composites

Answer 19

Question 20

Lateral walls of proximal cavities

Answer 20

Question 21

What is a problem with shrinking composites

Answer 21

Question 22

Link between how you etch and shrinkage

Answer 22

Question 23

How do we reduce risk of fracture are the interface

Answer 23

Question 24

Lifetime perspective of bonding with resin

Answer 24

Question 25

Historically was dentine easy to bond to

Answer 25

Question 26

How do we categorise adhesives

Answer 26

Question 27

Classification of DBAs Type 1 How does it work? Examples?

Answer 27

Gold standard

Question 28

Classification of DBAs Type 2 How does it work? Examples?

Answer 28

Question 29

What is the concept of wet bonding and how is it relevant to DBAs? Which DBAs is it relevant to ?

Answer 29

Question 30

Classification of DBAs Type 3 How does it work? Examples?

Answer 30

Ignore the concept of wet bonding area

Question 31

Classification of DBAs Type 4 How does it work? Examples?

Answer 31

Question 32

Concept of wet bonding part 2

Answer 32

Question 33

Concept of wet bonding part 3

Answer 33

Question 34

Control of moisture / wet bonding steps

Answer 34

Question 35

What can happen with resins in dentistry

Answer 35

Question 36

How do we take care when handling resins

Answer 36

Question 37

What are self etch adhesives

Answer 37

Type 3 and 4

Question 38

Make Q

Answer 38

Question 39

Toothwear make q

Answer 39

Question 40

What is L Pop Prompt What’s the etching component

Answer 40

Self etch adhesive

Question 41

Make q

Answer 41

Question 42

What is sevitron cavity seal

Answer 42

Question 43

What is The most important development in adhesion technologies?

Answer 43

Simple instructions and simplification of methods Easier for dentists to use

Question 44

Morphology of adhesive interface

Answer 44

Question 45

What data can we use to tell us whether an adhesive is working well or not

Answer 45

Question 46

Relationship between bond strength tests and clinical outcomes

Answer 46

Question 47

What is 3MESPE Universal Bond What type is it What does it contain

Answer 47

Question 48

What is the 3MESPE Universal Bond Self etch

Answer 48

Question 49

Developments in adhesive restorative systems

Answer 49

Question 50

Why do adhesive materials degrade

Answer 50

Question 51

What does Durability of adhesive restorations depend on

Answer 51

Question 52

What are examples of MMP inhibitors

Answer 52

BB94 GM6001

Question 53

To determine whether we could prevent breakdown of collagen what was investigated

Answer 53

Question 54

Determining role of MMP inhibitors in the biological system

Answer 54

Question 55

Make q

Answer 55

Question 56

Micro tensile bond testing

Answer 56

Question 57

Microtensile bond testing part 2

Answer 57

Question 58

Mean micro tensile bond strength results Type 1

Answer 58

Question 59

Mean micro tensile bond strength results Type 2

Answer 59

Question 60

Mean micro tensile bond strength results Type 4

Answer 60

Question 61

Active care: decontamination

Answer 61

Question 62

GIC Maturation

Answer 62

Question 63

GIC ion exchange with carious dentine

Answer 63

Question 64

Glass ionomer mineralising carious dentine?

Answer 64

Question 65

MTA? biodentine?

Answer 65

Question 66

Biodentine part 2

Answer 66

Question 67

Biodentine part 3

Answer 67

Question 68

Calcium tri-silicate cement: dentine interactions

Answer 68

Question 69

Micropermeabilty interfacial dentine modification: Biodentine no / GIC yes

Answer 69

Question 70

Interfacial dentine collagen modification: Biodentine yes / GIC no

Answer 70

Question 71

Make q

Question 72

Look at slide 70 onwards