operative dentistry

Question 1

what is a direct restoration?

Answer 1

soft malleable material
tooth built up before material sets
single procedure

Question 2

what are indirect restorations?

Answer 2

fabricated outside of the mouth using impression of prepared tooth
inlays, onlays, crowns, bridges etc.

Question 3

what are teeth restored?

Answer 3

caries
NCTSL
replacement of failed restorations
aesthetics

Question 4

aims of restorations?

Answer 4

restore integrity of tooth surface
restore function
removed diseased tissue
restore appearance

Question 5

what is dental caries?

Answer 5

loss of tooth substance by bacterial action - acid productions caused by dietary factors

Question 6

what should be the approach re. stained fissure?

Answer 6

if high risk, medium risk or special needs
tooth within two years of eruption
fissure seal

Question 7

what should the approach be re. stained and decalcified fissure?

Answer 7

if low risk and reg. attender- sealant restoration (if rad evidence of dentinal involvement)
if not rad evidence of dentinal involvement- monitor
if not reg attender and high risk- restore
if cavitated- restore

Question 8

when to treat re. proximal caries?

Answer 8

enamel only- monitor

reached ADJ- restore if high risk, monitor if low

Question 9

when to restore re. dentinal caries?

Answer 9

outer 1/3 only if high risk

middle 1/3 always restore