Fixed Exam 1 - Tx Planning Flashcards
What diagnostic data is needed for tx planning? (6)
Medical/dental hx
CC
COE
Pano
FMX
Diagnostic casts
The main factor to be considered = amount of dental structure to be prepared in order to achieve desired _________ and function
esthetics
Which crown material?
100-150 MPa
Feldspathic porcelain
Which crown material?
400 MPa
Pressed lithium disilicate (emax)
Which crown material?
360 MPa
Milled lithium disilicate (emax)
Which crown material?
250 MPa
In-ceram spinell
Which crown material?
600 MPa
In-ceram alumina
Which crown material?
700 MPa
In-ceram zirconia
Which crown material?
> 1000 MPa
Zirconia
Metal framework
What are the 6 things to look at when determining if a crown should be replaced?
Margins
Interproximal contacts
Contours
Occlusion
Shade
Phonetics
What do you look at when assessing the margins when determining if a crown should be replaced?
Open/closed
Recurrent decay
What do you look at when assessing the interproximal contacts when determining if a crown should be replaced?
Food impaction
What do you look at when assessing the contours when determining if a crown should be replaced?
Gingival health
Porcelain chipping
Occlusal wear
What do you look at when assessing the occlusion when determining if a crown should be replaced?
MIP
Excursive movements
Canine guidance/group function
What do you look at when assessing the shade when determining if a crown should be replaced?
Esthetics
What do you look at when assessing phonetics when determining if a crown should be replaced?
Speech (F, S, Th, T, L, V)
VDO
What crown material?
Bright white crown on X-Ray
Zirconia
Metal
What crown material?
Bright white crown with translucent cusps
PFM
What crown material?
Whole thing looks translucent
Lithium disilicate (emax)
Implants should be _______mm away from neighbor teeth
1.5mm
Implants should be ________mm between neighbor implants
3mm
Implants should be __________mm away from important anatomical structures (IAN, sinus, etc)
2mm
The isthmus width for a ceramic inlay is ______ minimum of intercuspal distance
1/3
(2mm)
The pulpal floor depth for a ceramic inlay is ______mm minimum
2mm
What is the divergence for a ceramic inlay?
6 degrees
What should you use to block out undercuts for a ceramic inlay?
GI
T/F: There should not be a bevel on any wall for a ceramic inlay
True
Eugenol bases and liners partially inhibit the _____________ of freshly mixed resin restorations and there is a __________ of the resin surface adjacent to the eugenol liner
polymerization; softening
(so make sure to use a non-eugenol cement!!)
What material has a rubbery consistency after it is fully cured?
Light cure composites
Should the glaze be extended to the intaglio of a restoration?
NO! Doing this will decrease bonding strength
A sign of acute apical inflammation
Vertical percussion
May also be caused by an occlusal interference or pulpitis (rare)
Vertical percussion
T/F: A negative test result for vertical percussion means there is no inflammation
FALSE, a negative result does not necessarily mean there isn’t any inflammation
Related to marginal and/or lateral periodontitis
Horizontal percussion
May also be caused by a vertical root fracture
Vertical and horizontal percussion
