Operative Flashcards

1
Q

what converts sucrose to glucans and fructons in s. mutans?

A

glucosyltransferase

*enamel carries

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2
Q

large molecules in saliva that agglutinate bacteria together to help eliminate them through swallowing?

A

glycoproteins

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3
Q

destroys cell walls and found in saliva

A

lysozyme

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4
Q

found in saliva and actively binds to iron (inactives iron)

A

lactoferrin

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5
Q

lactoperoxidase does what?

A

inactivates some bacterial enzymes

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6
Q

how much mineral loss must a tooth have before it is seen on xray?

A

30-40%

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7
Q

5 phases of txt planing

A

1) urgent
2) control
3) re-evaluation
4) definitive
5) maintenance

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8
Q

cutting vs
finishing vs
fine finish vs
ultra fine finish

A

cutting = 6 blades
finish= 12
fine finish= 18-24
ultra fine= 30-40

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9
Q

line vs point angle

A

line angle= junction of 2 walls

point angle= junction of 3 walls

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10
Q

outline form: extension to sound tooth structure at an inital depth of _____?

A

0.2mm into dentin

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11
Q

resistance form

A

prevention of fracture from occlusal forces

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12
Q

retention form

A

prevention of displacement

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13
Q

liner

A

CaOH

* used for direct or near pulp exposures and pulpal treatment for formation of tertiary dentin

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14
Q

desensitizer

A

GLUMA
* used for sensitivity, occludes dentinal tubules
5% glutaraldehyde
35% HEMA

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15
Q

gold only prep

A

collar= beveled shoulder around capped cusp for bracing

skirt= feather edge margin

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16
Q

base

A

RMGI

* used for metal restorations

17
Q

composite prep

A

used coarse diamond for rough walls

18
Q

amalgam prep

A

carbide bur for smooth walls

  • ** 1.5-2.0mm depth for thickness***
  • 90 degree cavosurface margin
  • 90 degree amalgam margin
  • occlusal convergence, grooves, slots, pins
19
Q

Eames Ratio

A

Dental Amalgam is 50/50 mercury/metal alloy

1) silver and copper for strength
2) tin for corrosion
3) sinc for deoxidizer but excess expansion if moisture contamination

20
Q

under tritration for amalgam

A

dry, dull, crumbly, sets too quick

21
Q

sphericalvs admixed alloy particles

A

spherical= easier to condense and stronger, microspheres of various sizes, sets faster

admixed= more condensation forces and better proximal contacts, mixture of irregular and spherical pieces

22
Q

3 mercury forms

A

1) methylmercury= organic, most toxic (fish)
2) elemental= liquid metallic, in dental amalgam
3) mercury salts= inorganic

23
Q

dentin or enamel is more mineral?

A

enamel is 88%

dentin only 50% mineral

24
Q

etch

A

phosphoric acid

  • makes microporosities and widens dentinal tubules
  • use gluma after
25
primer
HEMA (HydroxyEthyl MethAcrylate) * contact dermatitis * prevents collagen collapse
26
Bond/Adhesive
Bis-GMA (Bisphenol A-Glycidyl Methacrylate) *chemically bonds to both primer and composite
27
describe parts to resin
1) resin matric (Bis-GMA) 2) Filler particles (silica) 3) Coupling Agent (Sline)
28
initiator for self cure?
benzoyl peroxide
29
activator for self cure?
tertiary amine
30
photoinitiator for light cure?
camphorquinone (need 468nm light needed)
31
C-factor
* larger the c-factor the most stress/shrinkage/sensitivity/leakage * bound to unbound * inversely related to GV Black
32
glass ionomer
``` *weak, salt-matrix acid= polyacrylic acid base= fluoraluminosilicate glass *CHEMICAL bond * FLUORIDE release ```
33
composite resin
*stonger, resin-matrix * no fluoride *micromechanical bond Matrix= Bis-GMA Filler= barium silicate glass
34
resin-modified glass ionomers
light or chemical cure | *rapid polymerization and free radical initiation
35
compomers (polyacid-modified resin composites)
paste containing both CR and GI (except for water) | * SLOW polymerization, fluoride release
36
ionomer-modified composites
least common, has ion-leachable glasses in an attempt to achieve fluoride release