Lecture midterm Flashcards
two cavities should not be combined unless the separating ridge is less than
0.5mm
when can you extend into the oblique ridge of 1st maxillary molars
if its undermined by caries
isthmus width should not exceed ____ intercuspal distance
1/3
what depth into dentin should a cavity prep be
0.2-0.5mm
why do we prep cavities with converging buccal and lingual walls?
follows direction of enamel rods
how much of the marginal ridge should be conserved
1.6mm
prevents dislodgment of the restoration by lifting or tipping
retention form
increased surface area helps to increase friction for what cavity prep feature
retention form
opposing walls slightly converging is what type of prep feature
retention form
sufficient access to the cavity is what type of prep feature
convenience form
why is convince form import for visibility
removal of all decay
needs for access to the prep for instruments
convenience form
important prep feature to achieve the best marginal seal
finishing
removing jagged edges or rough outline is what type of prep feature
finishing
the final step before the prep receives restorative material
Debridement
rising the cavity with air/water spray and high suction
Debridement
removes smear layer from cavity prep
Debridement
dental shavings on cavity preparation
smear layer
remove moister (blood & saliva) from prep
Debridement
the junction between the external walls of the cavity preparation and the uncut tooth structure
cavosurface margin
the shape of the cavity preparation
outline form
what are the three factors that govern outline form
conservation of tooth structure
location & extend of caries
position of pits & fissures
unnecessary loss of healthy tooth structure
extension for prevention
preservation of remaining tooth structure- minimal extension
conservative approach
removal of carious area and any weak enamel
outline form
Helps the restoration to withstand the forces directed towards the long axis of the tooth
resistance form
primary resistance features
removal or undermine enamel flat floor adequate depth well defined line angles type of restorative material
cavosurface margin should not terminate on unsupported enamel
resistance form
minimum amalgam thickness to withstand forces
1.5mm
what makes the amalgam margin angle & smoothness so important
low edge strength
taper of a 330 bur
8 degrees
tapper of a 245 bur
4 degrees
what shape burs are 229-330
pear
length of 330 bur
1.5mm
length of 245 bur
3.0mm
diameter of 330
0.8mm
diameter of 245
0.8mm
not efficient at cutting ductile material (dentin)
abrasives / Diamond
recommend for intracoronal preparations
bladed cutting
force applied perpendicular to cutting edge
direct cutting
force applies parallel to the cutting edge
indirect cutting
can do lateral and direct cutting
enamel hatchet
cutting edge makes an angle to the long axis of the blade
marginal trimmer
what is a lesion caused by mechanical factors
none carious lesion
what rotary instrument runs at 12,000 - 20,000 rpms
Medium speed
type of bur that is used for extracoronal preps
diamond
In OSU’s lab do we use negative or positive rake angle burs?
negative
These burs are efficient at cutting but get clogged and break easily
Postive rake angle
Bur cuts by shearing layers of tooth structure
Bladed
Bur cuts by removing a mono layer
Diamond
The hard but brittle material that is used to make bladed burs
tungsten carbide
A bigger ____ angle created less friction on the tooth
clearance
Not for cutting just refining the cavity prep
Hand instruments
In hand instruments creates balance and directs the forces onto the cutting angle
contra angle
why don’t we use mono angle instruments in the mouth
forces out of balance
Rotary instrument that turns at a rate below 12,000 rpms
slow speed
Rotary instrument that turns at a rate above 20,000 rpms
high sleep
Besides cavity preps what is another use for the high speed instrument
removing old restorations
why is the neck of the bur constricted
visibility
A large number of blades on a bur give the prep a. . . .
smooth finish
dental Material is place in a soft state and contoured before it sets
Direct restoartion
Restoration is fabricated outside of the oral cavity then cemented or bonded to the tooth
indirect restoration