Operative Dentistry Flashcards

1
Q

in terms of occlusion what are the 2 major mandibular movements

A

ROTATION
TRANSLOCATION (lateral translation)

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2
Q

describe the rotation movement in the mandible

A

occurs when the mandible makes a HINGE movement ( the condyle hinges within the articular fossa)

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3
Q

describe the translation movement in the mandible

A

Condyle and disc translate anteriorly as lateral pterygoid contracts

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4
Q

what does Posselt’s envelope of mandibular movement describe

A

border movements of the mandible in the Sagittal Plane

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5
Q

what is ICP

A

intercuspal position
- it is tooth position regardless of condylar position
- there is max interdigitation of the tooth
- can be called centric occlusion

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6
Q

describe protrusion (in Posselt’s envelope)

A
  • condyle moves forwards and downwards on articular eminence
  • only incisors +/- canines touch
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7
Q

at what point in Posselt’s envelope does it describe full translation of the condyle over the articular eminence

A

maximum opening

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8
Q

what is the Bennet Movement

A

bodily shift of the mandible at the working side

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9
Q

what is the Bennet angle

A

the path of the non working condyle in the horizontal plane during lateral excursion

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10
Q

In a relaxed upright patient what is the average distance in millimetres between ICP and resting position

A

2-3 mm

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11
Q

What TWO records are required for mounting casts on a semi adjustable or average value articulator?

A

Upper and lower impression
Facebow
a jaw registration

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12
Q

What is the average value of the sagittal condylar guidance angle which may be used on an articulator

A

set at 30degrees

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13
Q

What is the average value of the Bennet angle set at on an articulator

A

15 degrees

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14
Q

what are extrinsic causes of tooth colouration

A

smoking
tannins (tea, coffee, red wine)
chromogenic bacteria
chlorhexidine
iron supplements

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15
Q

what are intrinsic causes of tooth colouration

A

fluorosis
tetracycline
non-vitality
physiological
dental materials e.g. amalgam
porphyria (red primary teeth)
cystic fibrosis (grey)
Thalassemia, sickle cell anaemia
hyperbilirubinaemia

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16
Q

what causes discolouration in vital teeth

A
  • caused by the formation of chemically table, chromogenic products
  • these are long chain organic molecules
17
Q

how does external bleaching work?

A

it oxidises the long chain organic molecules
this leads to smaller molecules which are often not pigmented

oxidation can cause ionic exchange in metallic molecules leading to lighter colour

18
Q

constituents of bleaching gel

A

carbamide perioxide –> breaks down to produce H2O2 (active ingredient)
carbopol
urea
surfactant
pigment dispersers
preservative
flavour
potassium nitrate
calcium sulphate
fluoride

19
Q

factors that affect bleaching

A

time
cleanliness of tooth surface
concentration of solution
temperature (higher = quicker)

20
Q

warnings for patient prior to bleaching

A

sensitivity
relapse
restoration colour
allergy
might not work
compliance with regime

21
Q

indications for internal non-vital bleaching

A

non-vital tooth
adequate RCT
no apical path

22
Q

contraindications for internal non-vital bleaching

A

heavily restored tooth
staining due to amalgam

23
Q

what is a risk for internal non-vital bleaching

A

external cervical resorption - due to diffusion of H2O2 through dentine into PD tissues

24
Q

what is micro-abrasion

A

it removes discolouration limited to the outer layers of enamel
- it is a combination of erosion (acid) and abrasion (pumice)

25
Q

functions of a provisional crown in an EDP fracture + RCTd tooth

A
  • prevent sensitivity
  • establish/maintain aesthetics of tooth
  • provide occlusal stability
  • preserve function of mastication and speech
  • preserve tooth vitality
26
Q

types of prefabricated crowns

A

polycarbonate
clear plastic crown forms
metal (aluminium/ SS)