Direct Restorative Procedures Flashcards

1
Q

Possess uniform specified minimum thickness for strength

A

Resistance form

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2
Q

For maximum edge thickness at margin for amalgam

A

90 degree amalgam butt joint angle

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3
Q

How does amalgam self seal

A

By corrosion products in the meantime needs varnish to protect pulp

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4
Q

Polishing of amalgam is done

A

After 24 hours

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5
Q

For which tooth pulpal and gingival floors prepared parallel to occlusal surface

A

Mandibular 1st premolar

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6
Q

Internal angle of amalgam should be

A

Rounded

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7
Q

How much is adequate thickness of amalgam

A

1.5-2.0 mm in areas of occlusal contact
0.5 mm in axial areas

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8
Q

A beveled cavosurface margin will lead to

A

Fracture of thin amalgam

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9
Q

Occlusal of posteriors, occlusal thirds of facial and lingual of molars, palatal of max molars

A

Class I

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10
Q

Ideal cavity dimensions for class I amalgam

A

Depth: 1.5-2 mm
Width: 1.0-1.5 mm

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11
Q

Width of marginal ridges should be atleast how much for class I restoration

A

1.5 mm in premolars
2mm in molars

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12
Q

Mesial and distal cavity walls are prepared with slight occlusal divergence to

A

Ensure that proximal marginal ridges are not undermined

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13
Q

Dentinal depth of axial walls in class II preparation

A

If in enamel 0.5-0.6 mm in dentin
If in cementum 0.7-0.8 mm in dentin

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14
Q

Minimal proximal extension

A

0.5mm

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15
Q

Proximal contact areas in posterior teeth are located

A

More buccally

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16
Q

In class II amalgam preparation 90 degrees cavosurface margin achieved by

A

Reverse curve on buccal

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17
Q

Primary retention form in class II cavity preparation achieved to prevent restoration getting dislodged proximally is by

A

Dovetail

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18
Q

All external walls are prepared perpendicular to the external tooth surface in

A

Class V amalgam preparation

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19
Q

Retention achieved in class V amalgam restoration by

A

Two retention grooves
One of gingivoaxial and one on occlusoaxial

20
Q

What are the 3 types of retentive pins

A

Cemented, self threading, friction locked

21
Q

What is the most common type of retentive pin

A

Self threading

22
Q

Retentive pin holes depth and diameter

A

Depth: 1.3-2 mm ideally 2 mm
Diameter
0.04-0.1 mm smaller than diameter of pin

23
Q

What permits the insertion of threaded pin into a hole of smaller diameter

A

Elasticity of dentin

24
Q

Occlusal clearance for retentive pin

A

Should be sufficient to provide 2 mm of amalgam over the pin

25
What is done to reduce polymerization shrinkage in composite
2mm increment curing
26
Retention in composite is obtained by
Micromechanical retention by bonding
27
Composite bonds more reliably to
Enamel
28
To reduce polymerization shrinkage of composite in proximal boxes
Oblique increments
29
Darker shades of composite
Dark or opaque require increased curing time
30
For class III which approach is preferable
Lingual approach
31
Where can you leave unsupported enamel?
In non occlusal stress areas like class III
32
Extra retention can be achieved in class III by
Grooves or adding bevel
33
Bevel in class III composite can be
At 45 degrees For esthetic purposes
34
For class IV composite restoration retention by
Retention groove Enamel bevel to increased in width
35
Width of the bevel for composite restoration
0.5-2mm
36
When do you not use composite for class V preparation
Defects involving root surface for chemical adherence Decreased salivary function or lack of pt motivation for fluoride release
37
Enamel bevels for class V
Placed on occlusal margin but not on gingival margin
38
Acid etching of enamel
-Increases surface area -Increases surface free energy -37% phosphoric acid for 15 secs
39
How does bonding work on enamel
Creates resin microtags in enamel for adhesion
40
Organic and inorganic debris resulting from tooth preparation
Smear layer
41
Removes smear layer and demineralizes calcified tissue
Acid etchant
42
What happens to dentinal tubules after etching
Fluid in dentinal tubules exit out on enamel which is hydrophilic and bond is hydrophobic so primer helps with this
43
What does etching do to dentinal surface
Recuces surface energy so primer will increase surface energy
44
When primer and bonding agents applied to etched dentin they penetrate
Intertubular dentin to create hybrid layer Open dentinal tubules forming resin tags
45
Dentin close to pulp has less predictable bonding because
Wider dentinal tubules so less hybrid layer formation