Inlays, Onlays and Veneers Flashcards

1
Q

what are indirect restorations? give examples:

A

restorations fabricated outside the mouth by a technician in a laboratory
- crowns
- post & cores
- bridgework
- inlays & onlays
- veneers

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2
Q

what is an inlay?

A

Intra-coronal restoration made in lab (filling made outside mouth)

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3
Q

what are the different types of inlays?

A
  • gold
  • composite
  • porcelain
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4
Q

what can inlays be used for?

A
  • occlusal cavities
  • occlusal/interproximal cavities
  • replace failed direct restorations
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5
Q

in what teeth would an inlay be indicated?

A
  • premolars or molars
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6
Q

what are the advantages of placing an inlay as opposed to a direct restoration?

A
  • superior material and margins
  • won’t deteriorate over time
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7
Q

what are the disadvantages of placing an inlay as opposed to placing a direct restoration?

A
  • time
  • cost
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8
Q

what tools may be used to prepare an inlay?

A
  • No.170L burr
  • No. 169L burr
  • Coarse-grit flame diamond burr
  • Flame burr
  • Enamel hatchets
  • Binangle chisel
  • Gingival margin trimmers
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9
Q

What would the preparation margins be for a ceramic inlay prep?

A
  • 1.5-2mm isthmus width
  • 1.5mm depth
  • 1mm shoulder or chamfer margin
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10
Q

What would the preparation margins be for a gold inlay prep?

A
  • 1mm isthmus width
  • 1.5mm depth
  • 0.5mm chamfer margin
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11
Q

How would a temporary inlay be placed?

A
  • take impression of teeth
  • prep inlay
  • place temporary material into impression & reset it back onto tooth
  • trim temp restoration & cement in place
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12
Q

what are examples of direct temporal inlay materials?

A
  • Kalzinol (ZOE)
  • Clip (composite based material)
  • GI
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13
Q

what cement is used for ceramic inlays?

A

NX3 (nexus)

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14
Q

what cement is used with gold inlays?

A

AquaCem

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15
Q

what is an onlay?

A

extra-coronal restoration made in lab, like inlay but has full cuspal coverage

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16
Q

when would placement of an onlay be indicated?

A
  • sufficient occlusal tooth substance loss
  • remaining tooth substance weakened
  • pre-existing large restoration
17
Q

what are the alternatives to placing inlays/onlays?

A

Large direct restorations:
- amalgam
- composite
- GI

Crowns

Extractions

18
Q

what is a laminate veneer?

A

a thin layer of cast ceramic that is bonded to the labial or palatal surface of a tooth with resin

19
Q

what are the different types of veneers?

A
  • ceramic
  • composite
  • gold
20
Q

when are veneers indicated?

A
  • patient wants to improve aesthetics
  • change teeth shape/contour
  • correct peg-shaped laterals
  • reduce or close proximal spaces & diastemas
  • align labial surfaces of instanding teeth
21
Q

when would veneers be contraindicated?

A
  • poor OH
  • high caries rate
  • gingival recession
  • root exposure
  • high lip lines
  • heavy occlusal contacts
  • severe discolouration
22
Q

what are the different types of veneer prep?

A
  • feathered incisal edge
  • incisal bevel
  • intra-enamel (window)
  • overlapped incisal edge