Dental Cements Ch14 (W11) Flashcards

1
Q

What is a thin layer of resinous material placed on the floor and walls of prep to seal tubules and minimize micro-leakage

A

Cavity varnish

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2
Q

What is the purpose of a liner

A

Thin layer of material placed to protect the pulp

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3
Q

What is a thick layer of cement used to protect the pulp from chemical and thermal irritation

A

Base

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4
Q

What does luting refer to

A

Cementing two components togetehr

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5
Q

In dentistry when the cement is set how does it appear

A

Hard and brittle

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6
Q

Type I cements are

A

Luting agents

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7
Q

What would you use a type I cement for? (Luting agent)

A

Glue crowns, bridges, onlays& inlays
Cement or bond ortho band/bracket
*can be perm or provisional

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8
Q

Type II cements are used for

A

Provisional/intermediate restorations or long term

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9
Q

Type II cements may include

A

Glass ionomer cements
Dental sealants

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10
Q

Type III cements are

A

Bases or liners for cavity preps

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11
Q

Strength of a cement is controlled by amount of

A

Powder incorporated

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12
Q

The strongest dental cements are

A

Resin cements

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13
Q

The weakest dental cement is

A

Zinc oxide eugenol

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14
Q

Cements are ____ materials with good ____ strengths

A

Brittle; compressive

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15
Q

Resin containing cements are

A

Insoluble cements

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16
Q

Retention is accomplished by

A

Adhesion

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17
Q

What are two types of adhesion

A

Mechanical
Chemical

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18
Q

Interlocking of one material with another is what kind of adhesion

A

Mechanical

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19
Q

At molecular level- ionic bonding or covalent bonding describes what kind of adhesion

A

Chemical

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20
Q

In many dental applications, chemical and mechanical adhesion occurs

A

Together

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21
Q

Adhesive agent will decrease? It aids in ?

A

Decrease microleakage
Aids in retention

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22
Q

What are factors that may weaken the strength of adhesion between two materials

A

Coefficient of thermal expansion
Dimensional changes
Contamination

23
Q

Material with low viscosity =

A

Luting agent

24
Q

Luring cements help prevent microleakage by sealing the interface between the

A

Tooth and the restoration

25
Luring cements are classified according to their composition; what are the 3
Water based Resin based Oil based
26
Water based: zinc phosphate disadvantages
Pulp irritation Weaker than other cements Highly soluble (will wear away/wash away in time)
27
Water based: zinc carboxylate advantages
Adheres to tooth structures Non irritating to pulp Inexpensive
28
Disadvantages of zinc carboxylate
Higher solubility Short working time Lower strength
29
Water based: glass ionomer cement advantages
Chemical adhesion to tooth and metal FLUORIDE RELEASE Easy to mix Moderate strength
30
Water based: glass ionomer cement disadvantages
Postoperative sensitivity Does not bond to glazed porcelain Marginal solubility
31
Resin based luting cements help increase retention of crowns or teeth with less than ideal preps. What are the 4 groups? (Insoluble)
Esthetic resin cements Adhesive resin cements Self adhesive resin cements Provisional resin cements
32
Oil based luting cements: ZOE. What is it used for
Provisional cementation Provisional and intermediate restos Low strength bases Root canal sealers Perio dressing
33
ZOE should NOT be used when because it may inhibit the set of the resin
Under composite restos or as provisional cement before final cementation with resin modified glass ionomer or resin cements.
34
What causes pulpal irritation
Bacteria effect of caries Biologic response to chemicals in dental materials Cutting off tooth structure
35
What can be used to act as protective layers between the dentin and the restorative material
Cavity varnishes Liners Bases
36
Cavity varnish is applied in 2 or 3 thin layers where in the prep?
Floor and walls
37
Cavity varnishes are used under what restos? What are they not used under?
Used under amalgam restos NOT used under composite resins
38
What does a protective base do
Protects the pulp before the resto is placed
39
What does an insulating base do
Protects the tooth from thermal shock
40
What does a sedative base do
Soothes the pulp that has been damaged by decay or irritated by mechanical means
41
Low strength base is aka
A liner
42
Examples of low strength base (aka liner)
Calcium hydroxide (dycal) Class ionomer Zinc oxide eugenol (has sedative effect)
43
What does a low strength base aka liner do?
-Provides minimal strength to support forces of condensation -stimulates growth of secondary dentin -provides a barrier btwn pulp & resto -used as a direct pulp capping agent
44
High strength base is aka
Base
45
What does a high strength base aka base do
-Provides thermal insulation & support for resto
46
A base is placed in areas where there is less than
2mm of remaining dentin over the pulp
47
What thickness is a base placed in
0.5mm or greater
48
Examples of bases
Reinforced ZOE Zinc phosphate Zinc polycarboxylate Glass ionomer
49
What is the purpose of surgical dressings
Provide protection and support for the surgical site Patient comfort Helps control bleeding
50
What consistency are provisional and intermediate restorations mixed to
Secondary consistency
51
ZOE should not be used as a base or provisional cement if
Composite resin or resin bonding agents are used
52
Glass ionomer cements release what? Therefore what effect do they have
Release fluoride Have anti cariogenic effect
53
Do Products that do not release fluoride, only contain fluoride have antiocariogenic effects?
No