EXAM 1 Flashcards
When placement of proximal retention locks in class II amalgam preparations is necessary, which of the following is not correct?
a. One should not undermine the proximal enamel.
b. One should not prepare locks entirely in the axial wall.
c. Even if deeper than ideal, one should use the axial wall as a guide for proximal lock placement.
d. One should place locks 0.2 mm inside the dentinoenamel junction (DEJ) to ensure that the proximal enamel is not undermined.
c. Even if deeper than ideal, one should use the axial wall as a guide for proximal lock placement.
- Many factors affect tooth/cavity preparation. Which of the following would be the least important factor?
a. Extent of the defect
b. Size of the tooth
c. Fracture lines
d. Extent of the old material
b. Size of the tooth
- In the conventional Class I composite preparation, retention is achieved by which of the following features?
a. Occlusal convergence
b. Occlusal bevel
c. Bonding
d. Retention grooves
e. b and d
f. a and c
g. a and d
h. b and c
f. a and c
- Restoration of an appropriate proximal contact results in all of the following except one. Which one is the exception?
a. Reduces or eliminates food impaction at the inter-dental papilla
b. Provides appropriate space for the interdental papilla
c. Provides increased retention form for the restoration
d. Maintains the proper occlusal relationship
c. Provides increased retention form for the restoration
- Bonding of resins to dentin is best described as involving _______.
a. Mechanical interlocking
b. Ionic bonding
c. Covalent bonding
d. Van der Waals forces
a. Mechanical interlocking
- Which of the following statements regarding the choice between using a composite resin or amalgam restoration is true?
a. Establishing restored proximal contacts is easier with composite.
b. The amalgam is more difficult and technique-sensitive.
c. The composite generally uses a more conservative tooth/cavity preparation.
d. Only amalgam should be used for Class II restorations.
c. The composite generally uses a more conservative tooth/cavity preparation.
- Eburnated dentin has which of the following characteristics? (Choose all that apply.)
a. Is sclerotic dentin
b. Indicates recent poor hygiene
c. Usually appears as a white patch
d. Is firm to the touch of an explorer
e. Is usually seen in older patients
a. Is sclerotic dentin
d. Is firm to the touch of an explorer
e. Is usually seen in older patients
- Rounding internal cavity preparation angles is part of what form in cavity preparation?
a. Resistance form
b. Retention form
c. Convenience form
d. Outline form
a. Resistance form
- For a mechanical pulp exposure that is non-carious and the exposure is less than 1.0 mm, what is usually the most appropriate treatment?
a. No pulp treatment
b. Direct pulp cap
c. Indirect pulp cap
d. Endodontic therapy
b. Direct pulp cap
- After completing the tooth preparation for the application of an etch-and-rinse (total-etch) three-step dental adhesive, what is the next step?
a. Apply adhesive
b. Rinse etchant and leave surface wet
c. Apply two to three layers of primer
d. Etch enamel and dentin with phosphoric acid for 10 to 15 seconds
e. Light-cure
d. Etch enamel and dentin with phosphoric acid for 10 to 15 seconds
- Major differences between etch-and-rinse (previously known as total-etch) and self-etching primer adhesive systems include all of the following except one. Which one is the exception?
a. Time necessary to apply the materials
b. Amount of smear layer removed
c. Bond strengths to enamel
d. Need for wet bonding
a. Time necessary to apply the materials
- From the following list, select the reasons associated with replacement of existing restorations. (Choose four).
a. Marginal ridge discrepancy that contributes to food impaction
b. Existing restoration has significant discrepancies and is a negative etiologic factor to adjacent teeth or tissue.
c. Light marginal staining not compromising esthetics and judged non-carious
d. Poor proximal contour or a gingival overhang that contributes to periodontal breakdown
e. Recurrent caries that can be adequately treated by a repair restoration
f. Presence of shallow ditching around an amalgam restoration
g. For tooth-colored restorations, unacceptable esthetics
a. Marginal ridge discrepancy that contributes to food impaction
b. Existing restoration has significant discrepancies and is a negative etiologic factor to adjacent teeth or tissue.
d. Poor proximal contour or a gingival overhang that contributes to periodontal breakdown
g. For tooth-colored restorations, unacceptable esthetics
- Match each pulpal condition with the most closely linked recommended pulp therapy.
a. Mechanical pulp exposure, non-carious (<1.0mm)____
b. Remaining dentin thickness greater than 2.0 mm over vital pulp____
c. Carious pulp exposure (>1.0 mm) with purulent exudate ____
d. Residual questionable dentin near pulp, asymptomatic tooth____
e. Endodontic therapy
f. No pulp therapy required
g. Direct pulp cap
h. Indirect pulp cap
a. Mechanical pulp exposure, non-carious (<1.0mm)___G_
b. Remaining dentin thickness greater than 2.0 mm over vital pulp__F__
c. Carious pulp exposure (>1.0 mm) with purulent exudate __E__
d. Residual questionable dentin near pulp, asymptomatic tooth__H__
- When removing caries, which of the following layers of dentin are affected, but not infected, and therefore do not need to be removed?
a. Turbid dentin
b. Infected dentin
c. Transparent dentin
d. Normal dentin
e. Subtransparent dentin
c. Transparent dentin
- Another name for root surface caries is senile caries.
a. True
b. False
true
- When restoring the embrasures of posterior teeth the contact should be formed slightly buccal from center.
This will create a wider facial embrasure.
a. Both statements are true
b. Both statements are false
c. The first statement is true, the second is false
d. The first statement is false, the second is true
c. The first statement is true, the second is false
- Studies have established that root sensitivity is due, in part, to open dentinal tubules at the root surface.
The hydrodynamic theory is the proposed mechanism for this sensitivity.
a. Both statements are true
b. Both statements are false
c. The first statement is true, the second is false
d. The first statement is false, the second is true
a. Both statements are true
- Operator skill is less of a factor for composite resin restorations as compared to amalgam restorations.
a. True
b. False
false
- What is the purpose of the clamp configuration?
a. Protecting the patient so they do not swallow the dam
b. Easy placement and holding the dam in place
c. A finger rest for the dentist
d. It is arbitrary
b. Easy placement and holding the dam in place
- Why is it important to have more than one tooth isolated by the dam?
a. To help with color matching of composite material
b. To assure proper orientation of the mouth and teeth
c. To help keep proper contacts and marginal ridge height
d. All of the above
e. B and C
d. All of the above
- Which of these teeth are the most difficult to place rubber dam clamps on?
a. Teeth 18 or 31
b. Teeth 8 or 9
c. Teeth 24 or 25
d. Teeth 22 or 27
d. Teeth 22 or 27
- Why is it hard to place a rubber dam clamp on tooth #2 and #15 (assuming third molars are not present)?
a. The coronoid process gets in the way when the mouth is open
b. The further back in the mouth you get, the darker it gets
c. Gingival hyperplasia is much more common around those particular teeth
d. The unique shape of maxillary second molars makes it difficult for manufacturers to create a proper clamp to fit around them.
c. Gingival hyperplasia is much more common around those particular teeth
- Why are there so many different configurations of rubber dam clamps?
a. Some were invented specifically to reduce reflection of lighting back into the clinician’s eyes
b. Teeth come in many different shapes and sizes, and so one size of clamp may be preferable to another when working with a particular tooth
c. Some are made “wingless” to mitigate bulk, making working around them easier for some dentists
d. Some are made with wings to provide extra retraction of the rubber dam from the field of operation
e. All of the above
e. All of the above
- Tying floss to the clamp is used to help retrieve the clamp in case it comes off the tooth. It is also used to push the rubber dam down into the interproximal spaces.
a. The first statement is TRUE. The second statement is FALSE.
b. The first statement is FALSE. The second statement is TRUE.
c. Both statements are TRUE.
d. Both statements are FALSE.
c. Both statements are TRUE.
- Another name for the corners of the mouth is __________.
a. Philtrum
b. Ala
c. Commisure
d. Vermillion Border
c. Commisure
- Why would a dentist put a rubber dam clamp gingival to the height of the contour?
a. Because it’s more exciting
b. So that the clamp will stay in place
c. It prevents gingivitis
d. B and C
b. So that the clamp will stay in place
- Which answer is not a purpose of the rubber dam?
a. Prevent the restorative materials from entering the mouth
b. Isolate the tooth from oral fluids
c. Improve bonding quality
d. Prevent the patient from talking
d. Prevent the patient from talking
- An advantage of a winged-clamp compared to a wingless clamps is:
a. Winged clamps are less painful for the patient
b. Winged clamps can be used on both the maxilla and the mandible
c. Winged clamps prevent tearing of the dam
d. Winged clamps allow a dentist to carry the dam to the tooth and place the dam and clamp simultaneously
d. Winged clamps allow a dentist to carry the dam to the tooth and place the dam and clamp simultaneously
- Why would you use floss on a clamp without wings?
a. To push the clamp in between the interproximal space of two teeth
b. To clean the tooth before performing restoration
c. To prevent the clamp from going down the patient’s throat
d. To wedge between the teeth to hold the clamp more secure
c. To prevent the clamp from going down the patient’s throat
- What do you do if a patient comes in and they need a rubber dam for a procedure but they cannot breathe through their nose?
a. Send the patient home until they can come back and breathe through their nose.
b. Put the rubber dam at an angle or put 2 by 2 cotton gauze in to prop the dam.
c. Don’t use a dam. Just use cotton rolls wedged on all sides of the teeth you are working on.
d. None of the above
b. Put the rubber dam at an angle or put 2 by 2 cotton gauze in to prop the dam.
- Why would you use a “wedjet” or part of the rubber dam as a wedge between teeth?
a. To add thickness to the rubber dam
b. To hold the rubber dam in place without a clamp
c. To avoid hitting the neighboring tooth
d. To make it more comfortable for the patient
b. To hold the rubber dam in place without a clamp
- When punching holes in the rubber dam, punching the holes too close together can cause the dam to _______, while punching the holes too far apart can cause the dam to __________.
a. Tear, bunch up
b. Bunch up, tear
a. Tear, bunch up
- When using Peak Universal Bond, according to the manufacturer, you etch the tooth with phosphoric acid for what length of time:
20 seconds
- The use of the rubber dam is best indicated for ______.
a. Adhesive procedures
b. Quadrant dentistry
c. Teeth with challenging preparations
d. Difficult patients
e. All of the above
e. All of the above