Operative Final Flashcards

1
Q

Slow speed handpiece
Speed
efficiency
use

A

12,000 rpm
Less efficient, more controlled
Controlled removal, cleaning, finishing, polishing

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2
Q

High speed
speed
efficiency
use

A

> 200,000 rpm
high efficiency
tooth prep and removal of old restorations

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3
Q

Small hole
Big hole
Tiny holes on top
bottom small hole

A

Drive air
Exhaust
Coolant (water and air)
Fiber optic

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4
Q

Bladed instrument use

blades per bur

A

Excavating: 6 or 8
Finishing: 10-20

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5
Q

Finishing bur colors blades per bur
Red
Yellow
White

A

Red: 10-12
Yellow: 16-20
White: 30

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6
Q

Bladed instrument material

A

Tungsten carbide

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7
Q

Bladed instrument use

A

Intracoronal preps

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8
Q

Diamond type of cutting

use

A

abrasive

Extracoronal preps

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9
Q

Diamond color for abrasiveness

A
Yellow: superfine
Red: fine
Blue: medium
Green: coarse
Black: supercoarse
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10
Q

Types of other abrasives

A

Coated

Molded

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11
Q

330 bur
length
taper
diameter

A

1.5 mm
8 degrees
.8 mm

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12
Q

245 burr
length
taper
diameter

A

3 mm
4 degrees
.8 mm

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13
Q

End cutting number

A

900

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14
Q

Cross cutting number

A

500 and 700

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15
Q

Abrasive cutting is more efficient with ____ materials

A

Brittle (makes microcracks)

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16
Q

Ductile fracture

A

plastic deformation by shearing

Dentin

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17
Q

Brittle fracture

A

crack formation upon tensile loading

Enamel

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18
Q

Edge angle: between

A

rake and clearance surface

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19
Q

Rake angle: between

A

Radial line and rake face

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20
Q

Clearance angle: clearance between

A

cutting edge and tooth structure

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21
Q

Positive rake angle is a _____ angle with radial line _____ rake face

A

Acute angle with radial line in front of rake face

22
Q

Negative rake angle has _____ cutting efficiency and cutting edge is _____ likely to fracture

23
Q

Hand cutting instrument blade and handle material

A

Blade: carbon steel
Handle: stainless steel

24
Q

Angulation of blade is always less than

25
Hatchet scraping motion
From non beveled to beveled
26
Enamel hatchet use
Direct and lateral cutting
27
Gingival margin trimmer use
Lateral cutting
28
Excavator Family (4)
Ordinary hatchet Hoes Angle former Spoon
29
Recurrent/secondary caries
Caries under preexisting faulty restoration
30
Class I
occlusal surfaces of premolars/molars | lingual pit near cingulum of maxillary incisors
31
Class II
Proximal surfaces of premolars and molars
32
Class III
Proximal surfaces of incisors and canines
33
Class IV
Proximal surfaces of incisors and canines PLUS incisal edge
34
Class V
Gingival 1/3 of facial or lingual surfaces
35
Class VI
Incisal edge of anterior teeth or cusp tips of posterior teeth
36
Fundamenal concepts for all tooth preps
1: remove caries 2: removal weak tooth structure 3: pulp protection
37
Cavosurface margin is junction between | Must be ___ degrees
``` External walls of cavity prep and uncut tooth surface 90 degrees (butt joint) ```
38
Outline Form description Depends on
Shape of cavity prep, perimeter of prep in width, length depth Depends on location and extend of carious lesion Extension for prevention vs conservation
39
Conserve a ridge unless less than ____ mm of enamel
less than .5mm
40
Resistance form | Definition
ability to withstand forces that are directed toward the long axis of tooth
41
Resistance form principles (5)
``` Remove undermined surface enamel Flat pulpal floor and angulation Depth Rounded internal line angles Material ```
42
Amalgam must be ___ mm thick to withstand forces
1.5mm
43
Retention form
Making opposing wall parallel or converging toward the occlusal to prevent dislodgment by lifting or tipping forces
44
Convenience form | Properties (3)
Sufficient access to cavity for Visibility (complete removal of decay) Access to prep with instrument Insertion of restorative material
45
Finishing
finishing the cavosurface margin to prevent jagged outline
46
Debridement
Rinse with air/water to remove debris
47
Isthmus width shouldnot exceed
1/3 intercuspal distance
48
enamel prisms ______ more from central groove to cusp
Diverge
49
Minimal width of marginal ridge
1.6 mm
50
Consequences of Class II
Adjacent tooth damage Reduced tooth stiffness Stress concentrators-->fractures Margins in caries susceptible locations