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PEDIATRIC DENTISTRY > L.6.7.8.9 Restoration of Primary Teeth, Sealants, RD > Flashcards

L.6.7.8.9 Restoration of Primary Teeth, Sealants, RD Flashcards

1
Q

Anterior pedo teeth are more ______ in their contours

A

rounded

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2
Q

What physiologic tooth pathology is common in primary teeth?

A

attrition (c/o growing jaw)

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3
Q

Indications for a Class ___? anterior proximal surface caries, lesions must be small, incisal edge not involved

A

Class III

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4
Q

Is a RD clamp necessary for Class III?

A

Not always (can use the oath tie)

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5
Q

2 principles of Class III preps in pedo are a ______ for retention and leave the _____ wall intact

A

dovetail…lingual/facial (whatever is opposite your prep) wall

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6
Q

How many dovetails are indicated for a Class IV prep?

A

2 (B and L)

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7
Q

How often is a Class IV done on Pedo teeth?

A

VERY SELDOM (NEVER DONE)

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8
Q

What does ITR/ART stand for?

A

Interim Therapeutic Restoration/Alternative Restorative Technique

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9
Q

minimal lesions, young children, caries control are all indications for what type of Tx?

A

ITR/ART

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10
Q

Do you use anesthetic with an ITR/ART?

A

Not usually

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11
Q

What material do you use for ITR/ART?

A

GLASS IONOMER

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12
Q

Do you leave any caries for an ITR/ART?

A

YES, you can…minimal preparation

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13
Q

How much enamel is present pre-op for a strip crown?

A

50%

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14
Q

How much incisal reduction is needed for anterior strip crown?

A

1-1.5mm

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15
Q

How much facial reduction is needed for an anterior strip crown?

A

1.0mm

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16
Q

How much lingual reduction is needed for an anterior strop crown?

A

0.5mm

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17
Q

How does the margin of your strip crown relate to your cervical ditch?

A

Make sure margin is cervical to the ditch!

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18
Q

How much incisal reduction is needed for a SSC in the anterior?

A

1.5 - 2mm

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19
Q

For acrylic faced SSC (Kinder____ and Nu____ crowns) you just reduce until it fits!

A

KinderCrowns…NuSmile

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20
Q

What are the two downsides to Acrylic Faced SSCs?

A

bulky and fragile

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21
Q

Which anterior crown option is this describing? more chair time, ok esthetics, greater durability, easy to repair…

A

Composite Window

22
Q

What % of Primary caries are pit and fissure?

A

44%

23
Q

Longevity! Sealants after 15 years ___% of teeth had NO CARIES!

A

74%

24
Q

When placing a sealant: poor isolation = poor _______

A

poor retention

25
Q

What is the benefit of using bond on a sealant?

A

Significantly LESS leakage!! (retention not affected)

26
Q

What does CAR/PRR stand for?

A

Conservative Adhesive Restoration / Preventative Resin Restoration

27
Q

A CAR is a combination of both _______ and _______

A

sealant and a composite

28
Q

CAR Type ___ =prep into dentin, fill with flowable

A

CAR Type II

29
Q

CAR Type __ =prep in enamel, fill with sealant

A

CAR Type I

30
Q

CAR Type ___ = prep into dentin, fill with packable

A

CAR Type III

31
Q

Flowable composite shrinkage is ____% greater than normal composites

A

25%

32
Q

Primary enamel rods in the GINGIVAL third of crown extend toward ________ in contrast to permanent cervical extension

A

occlusal

33
Q

Primary-constricted crown; _______ occlusal table; prominent cervical contour

A

narrow

34
Q

What are the two types of rubber dam clamps used in class II restorations?

A

26n or w8a

35
Q

Class II prep-B and L walls are ___ degrees to enamel

A

90 degrees (no S curves)

36
Q

Studies evaluating the durability and life span of SSCs and class II amalgams demonstrate the superiority of ________ for both parameters

A

CROWNS

37
Q

SSC Vs Amalgam: Crowns placed in children 4 years and younger have a success rate approximately _____ that of amalgams for each year up to 10 years

A

TWICE!!

38
Q

Rule of 4: A child less than ___ years of age with interproximal posterior lesions.
Any child with more than ___
interproximal posterior lesions.

A

4, 4

39
Q

Trim your SSC until its __mm BELOW the marginal gingiva at the level of the _____

A

1mm…CEJ

40
Q

When preparing the pre-fab SSC, ______ the crown FIRST, THEN _____ second

A

COUNTOUR…then…CRIMP

41
Q

When seating the SSC do so in a ______ to _____ direction

A

lingual to buccal

42
Q

What type of PLIER can be used to flatten the proximal wall of a SSC?

A

HOWE plier

43
Q

indications for RD: Most _______ procedures, and

ALL ________ in primary teeth…

A

restorative…pulp therapy

44
Q

With small kids leave excess RD in which area?

A

excess at the bottom

45
Q

What are the two common clamps for partially erupted teeth?

A

14A, 8A

46
Q

What are the two common clamps for second primary molars?

A

26,27

47
Q

General Sequence principles: work from _____ to _____ when doing more than one tooth

A

distal to mesial

48
Q

Sequence: do all _____ first, before ______

A

preps…restoring

49
Q

BOOM! What do you do first: SSC or Amalgam?

A

SCC first (todays exercise)

50
Q

BOOM! What do you do first: SSC or Composite?

A

COMPOSITE!!

PEDIATRIC DENTISTRY (11 decks)

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