Op 2 - Inlays and Onlays Flashcards
A fixed intracoronal restoration made outside of a tooth to correspond to the form of the prepared cavity, which is then luted into the tooth
Inlay
A restoration that restores one or more cusps and adjoining occlusal surfaces or the entire occlusal surface and is retained by mechanical or adhesive means
Onlay
What are the 3 possible materials for inlays/onlays?
Metal
Ceramic
Metal
Inlay/Onlay restorations are recommended for teeth that are missing a large portion of tooth structure due to decay or fracture, but do not
require a _________
crown
Which inlay material would you use?
Intact B and L enamel
Ceramic
Which inlay material would you use?
Demand for esthetic
Ceramic
Which inlay material would you use?
Low caries rate
Ceramic
Metal
Which inlay material would you use?
Sufficient tooth structure
Ceramic
Metal
Which inlay material would you use?
Small carious lesion (max. 2 surfaces)
Metal
Which inlay material would you use?
Adequate dentinal support
Metal
Which inlay material would you use?
Deep subgingival prep
Metal
Which inlay/onlay material is contraindicated in the following situation?
Bruxism (high functioning pts)
Ceramic
Which inlay/onlay material is contraindicated in the following situation?
Inability to obtain moisture free environment for luting
Ceramic
Which inlay/onlay material is contraindicated in the following situation?
Deep subgingival preps
Ceramic
Which inlay/onlay material is contraindicated in the following situation?
High caries index
Ceramic
Metal
Which inlay material is contraindicated in the following situation?
Insufficient tooth substance
Ceramic
Metal
Which inlay/only material is contraindicated in the following situation?
Poor plaque control
Ceramic
Metal
Which inlay material is contraindicated in the following situation?
MOD carious lesions
Metal
Which inlay material is contraindicated in the following situation?
Poor dentin support
Metal
For a metal inlay, ideal occlusal depth is _____ mm in dentin. (flat floor)
1mm
For a metal inlay, divergence of buccal & lingual walls is ________ degrees total
6-10
For a metal inlay, you should place a _________ lock to resist _________ displacement
dovetail; proximal
For a metal inlay, buccolingual extension should be as ___________ as possible
minimal
Where should proximal grooves be on metal inlay preps?
Facially and lingually on axial wall
For a metal inlay, gingival floor should be ________ mm wide and ________ mm clearance from the adjacent tooth
1-1.5mm; 0.6mm
For a metal inlay, you need a gingival and occlusal bevel of _______ degrees
45
For a ceramic inlays and onlays, there is NO beveling around the margins, but you should have a ________ degree butt joint
90
Why is a 90 degree butt joint needed for ceramic inlays?
Bulk material needed to prevent fracture
Are grooves needed for ceramic inlays?
NO
For ceramic inlays, ________ all internal line angles to allow better seating of the restoration, reduce stress concentrations, and reduce voids during cementation
round
__________ inlays leak less than __________ inlays.
Ceramic; resin
___________ inlays are easier to add on chair-side in case of open contact
Resin
What are the 2 main advantages of gold inlays?
Longevity
Superior properties
Which inlay material is highly abrasive to opposing teeth? (although newer generations have shown no wear of opposing enamel)
Ceramic
Which onlay material would you use?
Demand for esthetics
Ceramic
Which onlay material would you use?
Intact B and L enamel for proper bonding
Ceramic
Which onlay material would you use?
Short clinical crown
Ceramic
Which onlay material would you use?
Low caries rate
Ceramic
Metal
Which onlay material would you use?
Worn or carious teeth w/ intact B and L cusps
Metal
Which onlay material would you use?
MOD amalgam replacement
Metal
Which onlay material is contraindicated in the following situation?
Short clinical crowns or extruded teeth
Metal
Which onlay material is contraindicated in the following situation?
Lesions extending beyond B and L line angles
Metal
The following are advantages of which material?
Esthetic
Durable
Ceramic
The following are advantages of which material?
Support of cusps
High strength
Longevity
Metal
The following are disadvantages of which material?
Abrasive
Difficult to adjust occlusion
Expensive
Wear of luting agent
Ceramic
The following are disadvantages of which material?
Lacks retention
Less conservative
May display metal
Expensive
Metal
For a metal onlay, place depth grooves on functional cusps of ________ mm deep, allowing 0.2 mm for smoothing
1.3mm
For a metal onlay, place depth grooves on non-functional cusps of ________ mm deep, allowing 0.2 mm for smoothing
0.8mm
What is the total occlusal reduction for functional cusps for metal onlays?
1.5mm
What is the total occlusal reduction for non-functional cusps for metal onlays?
1mm
For a metal onlay, prepare a ________ mm ledge on the functional cusp connecting to both proximal boxes
1mm
For a metal onlay, bevel of _________ degrees should be made all around the margins of the prep including ___________ and _____________ cusps
45; functional; non-functional
What is the total occlusal reduction for functional cusps for ceramic onlays?
2mm
What is the total occlusal reduction for non-functional cusps for ceramic onlays?
1.5mm
Is there a ledge on functional cusps for ceramic onlays?
NO
Which material for inlays/onlays?
Depend mainly on adhesives for retention (need more intact enamel for bonding)
Ceramic
Resin
Which material for inlays/onlays?
Depend on retention and resistance form
Metal
Which product can be used for a provisional inlay?
Fermit
Light cure resin temp filling material for inlay preps
Fermit
Easy removal, no handpiece required - remains slightly elastic and removes completely with an explorer
Fermit
Stiffer formulation for use in cusp replacement
Fermit-N