Inlays/onlays/veneers Flashcards

1
Q

What are the 4 clinical stages of indirect restorations?

A
  • Preparation
  • Temporisation
  • Impressions and occlusal records
  • Cementation
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2
Q

What are 2 advantages of Chairside restorations? (CAD/CAM)

A
  • quick
  • no temporary needed
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3
Q

Describe an inlay?

A

intracoronal restoration made in lab

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4
Q

3 materials for inlays?

A
  • Gold
  • Composite
  • Porcelain
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5
Q

5 indications of inlays?

A
  • premolars and molars
  • occlusal restorations
  • mesioocclusal or disto-occlusal restorations
  • Narrow MOD
  • low caries rate
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6
Q

What are 2 advantages of inlays over direct restorations?

A
  • better material and margins
  • less likely to deteriorate over time
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7
Q

What are 2 disadvantages of inlays?

A
  • Time
  • Cost
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8
Q

Describe an Onlay?

A

extra-coronal restoration made in lab

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9
Q

3 materials of onlays?

A
  • Gold
  • Composite
  • Porcelain
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10
Q

2 indications for onlays?

A
  • sufficient tooth substance loss
  • Remaining tooth substance is weakened
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11
Q

when is cast metal inlays/onlays are preferable to amalgam? 2

A
  • higher strength is needed
  • significant tooth recontouring is needed
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12
Q

Give 4 cases where you would use an onlay?

A
  • tooth wear cases to increase ovd
  • fractured cusps
  • restoration of root treated tooth
  • replace failed direct restorations
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13
Q

Why would you choose an onlay over a crown?

A

Less destructive than crowns

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14
Q

Describe a veneer?

A
  • A thin layer that is bonded to the labial or palatal surface of a tooth with resin
  • Can be ceramic, gold or composite
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15
Q

Give 5 indications of veneers?

A
  • improve aesthetics
  • change teeth shape or contour
  • correct peg shaped laterals
  • reduce or close proximal spaces and diastemas
  • align labial surfaces of instanding teeth
  • Enamel defects
  • Discolouration
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16
Q

Give 5 intrinsic causes of discolouration?

A
  • non-vital teeth
  • Ageing
  • Trauma
  • Medication - tetracycline
  • Erosion and abrasoin
  • Amelogenesis imperfecta
17
Q

5 contraindications to veneers?

A
  • Poor OH
  • High caries rate
  • High lip line
  • Gingival recession
  • Heavy occlusal contacts
18
Q

What 3 reductions are done in preparing a tooth for veneers?

A
  • Cervical reduction
  • Midfacial reduction
  • Incisal reduction
19
Q

Cervical reduction for veneer in mm?

A

0.3

20
Q

midfacial reduction for veneer in mm?

A

0.5

21
Q

Incisal reduction for veneer in mm?

A

1-1.5mm

22
Q

How would you prepare the margin for a veneer?

A

Chamfer margin supragingival or slightly subgingival

23
Q

4 types of veneer preparation?

A
  • feathered incisal edge
  • incisal bevel
  • window
  • overlapped incisal edge
24
Q

Give 3 alternatives to veneers?

A
  • Micro-abrasion
  • Resin infiltration
  • Direct composite restoration
25
Q

What would you include in your veneer prep to aid retention?

A

Depth cuts

26
Q

Briefly explain the gurel technique?

A
  • it is a technique for placing veneers with minimal preparation
  • Take impression and construct casts with wax ups of desired veneer
  • Construction of a vacuum formed stent on case
  • intra-oral mock up
  • prepare the mock up ( use depth cut)