L.6.7.8.9 Restoration of Primary Teeth, Sealants, RD

Question 1

Anterior pedo teeth are more ______ in their contours

Answer 1

rounded

Question 2

What physiologic tooth pathology is common in primary teeth?

Answer 2

attrition (c/o growing jaw)

Question 3

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

Answer 3

Class III

Question 4

Is a RD clamp necessary for Class III?

Answer 4

Not always (can use the oath tie)

Question 5

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

Answer 5

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

Question 6

How many dovetails are indicated for a Class IV prep?

Answer 6

2 (B and L)

Question 7

How often is a Class IV done on Pedo teeth?

Answer 7

VERY SELDOM (NEVER DONE)

Question 8

What does ITR/ART stand for?

Answer 8

Interim Therapeutic Restoration/Alternative Restorative Technique

Question 9

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

Answer 9

ITR/ART

Question 10

Do you use anesthetic with an ITR/ART?

Answer 10

Not usually

Question 11

What material do you use for ITR/ART?

Answer 11

GLASS IONOMER

Question 12

Do you leave any caries for an ITR/ART?

Answer 12

YES, you can…minimal preparation

Question 13

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

Answer 13

50%

Question 14

How much incisal reduction is needed for anterior strip crown?

Answer 14

1-1.5mm

Question 15

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

Answer 15

1.0mm

Question 16

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

Answer 16

0.5mm

Question 17

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

Answer 17

Make sure margin is cervical to the ditch!

Question 18

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

Answer 18

1.5 - 2mm

Question 19

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

Answer 19

KinderCrowns…NuSmile

Question 20

What are the two downsides to Acrylic Faced SSCs?

Answer 20

bulky and fragile

Question 21

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

Answer 21

Composite Window

Question 22

What % of Primary caries are pit and fissure?

Answer 22

44%

Question 23

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

Answer 23

74%

Question 24

When placing a sealant: poor isolation = poor _______

Answer 24

poor retention

Question 25

What is the benefit of using bond on a sealant?

Answer 25

Significantly LESS leakage!! (retention not affected)

Question 26

What does CAR/PRR stand for?

Answer 26

Conservative Adhesive Restoration / Preventative Resin Restoration

Question 27

A CAR is a combination of both _______ and _______

Answer 27

sealant and a composite

Question 28

CAR Type ___ =prep into dentin, fill with flowable

Answer 28

CAR Type II

Question 29

CAR Type __ =prep in enamel, fill with sealant

Answer 29

CAR Type I

Question 30

CAR Type ___ = prep into dentin, fill with packable

Answer 30

CAR Type III

Question 31

Flowable composite shrinkage is ____% greater than normal composites

Answer 31

25%

Question 32

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

Answer 32

occlusal

Question 33

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

Answer 33

narrow

Question 34

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

Answer 34

26n or w8a

Question 35

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

Answer 35

90 degrees (no S curves)

Question 36

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

Answer 36

CROWNS

Question 37

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

Answer 37

TWICE!!

Question 38

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

Answer 38

4, 4

Question 39

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

Answer 39

1mm...CEJ

Question 40

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

Answer 40

COUNTOUR...then...CRIMP

Question 41

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

Answer 41

lingual to buccal

Question 42

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

Answer 42

HOWE plier

Question 43

indications for RD: Most _______ procedures, and | ALL ________ in primary teeth...

Answer 43

restorative...pulp therapy

Question 44

With small kids leave excess RD in which area?

Answer 44

excess at the bottom

Question 45

What are the two common clamps for partially erupted teeth?

Answer 45

14A, 8A

Question 46

What are the two common clamps for second primary molars?

Answer 46

26,27

Question 47

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

Answer 47

distal to mesial

Question 48

Sequence: do all _____ first, before ______

Answer 48

preps...restoring

Question 49

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

Answer 49

SCC first (todays exercise)

Question 50

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

Answer 50

COMPOSITE!!