Operative II-E3:Bonding and Materials Flashcards
Is a primer hydrophilic or phobic?
phillic
Is a primer acidic or basic?
acidic
Are primers monomers or polymers?
monomers
What are the two chemicals that primers are mixed with? What is their function?
alcohol and/or acetone…to evaporate and remove water
Function of PRIMER: to displace _______ and allow the _______ to penetrate the DENTINAL _______ matrix.
water….monomers….COLLAGEN
Dentin bonding primers: Promotes infiltration into _______
collagen
Dentin bonding primers: transforms hydro______ to hydro______
phillic to phobic
Dentin bonding primers: ________ is denatured
– Proteins are ________ from dentinal fluids
– Dentinal tubule ________ is decreased
collagen…. precipitated…permeability
In our 4th gen optioned FL what was the yellow container? black?
yellow-primer…black adhesive
What are the two types of solvent for the adhesives?
Ethanol and Acetone…like the primers!
WHICH GENERATION of Adhesives is the GOLD STANDARD???? How many steps are involved in this generation? What is an example product?
4th generation…3 steps-etch, primer,bonding resin…Example-OptiBond FL
How many steps AND What steps: 4th generation
3 steps-1.etch 2.prime 3.adhesive
How many steps AND What steps: 5th generation
2 steps-1.etch 2.prime+adhesive….OPTIBOND SOLO PLUS
How many steps AND What steps: 6th generation
2 steps: 1.Etch+prime 2.Adhesive
How many steps AND What steps: 7th generation
1 step: 1.etch+prime+adhesive
6th gen-2 step: pros- ____ can be lowered enough to etch uncut enamel
pH
6th gen-2 step: pros- Smaller _______/______ layer still has high initial bond strength
smear/hybrid
6th gen-2 step: pros- more or less technique sensitive?
LESS
6th gen-2 step: pros- does it help sensitivity?
YES! there is less sensativity
6th gen-2 step: Cons-pH is limited and ______ layer is retained
smear
6th gen-2 step: Cons- LIMITED ______ layer hybridization
smear
6th gen-2 step: Cons- you can get ______ entrapment in the hybrid layer!!!
WATER
6th gen-2 step: Cons- long term bond _______
HYDROLYSIS
7th-gen-all in one: pros— Most _______ to use
Less _______ sensitive
Convenient…technique
7th-gen-all in one: pros—Smaller _____/_____ layer still has high initial bond strength…and reduced ______
smear/hybrid…sensativity
7th-gen-all in one: cons….UNLIKE the 6th gen- pH is very limited and inadequate to etch uncut _______- resin compatibility
enamel
7th-gen-all in one: Cons—-______ layer retained
Limited smear layer ________…______ absorbed into resin
smear…hybridization…water
7th-gen-all in one: Cons—-Storage problems…Long term bond _______….Compatibility with ____ curing resins
hydrolysis…self
CAUSES OF HYDROLYSIS-the ______ component absorbs water!
RESIN
CAUSES OF HYDROLYSIS-maintaining the ______ layer
smear
CAUSES OF HYDROLYSIS-What are the two components of the smear layer and that substance increases activity with the smear layer?
smear layer: 70% dentin 30% bacteria…MMP activity
Hybrid composite has both ______ and _______ fillers
large and small
Microhybrid composite has mostly _____ fillers
small
Whats the difference between nano-composite and micro-hybrid composite?
nano has clusters of really small particles vs micro particles can only go down to the size of the nano cluster
NanoClusters-Larger nanoclusters do not pluck— individual particles do Leads to better long-term _____ retention
polish
What is the structure of a Giomer?
Surface of the silica particle is modified with Glass Ionomer and additional elements…you can get F- release with your restoration!
Each tooth should appear _____ times narrower than its mesial neighbor in a frontal view….but this amount _____ is more commonly accepted in the West.
1.618…1.4 in the West
What are the 3 equal proportions on an aesthetic face?
1/3 forhead-glabella…1/3 glabella to subnasion…1/3 subnasion to menton
What is the aesthetic proportions from the subnason to the mention?
1/3 subnason to upper lip, 2/3 upper lip to menton
YOUNG TEETH- have lower or higher value?
higher value (brighter)
YOUNG TEETH- have more or less chroma?
less chroma (color)
YOUNG TEETH- more or less surface texture?
MORE surface texture
YOUNG TEETH- more or less luster?
LESS luster (less reflective)
YOUNG TEETH-more or less morphology?
more
What are 2 examples of youthful features in teeth?
1.Perikymata 2.Mamelons
The avg length of the upper lip on females is ___-___mm on females and ___-___mm on males…it gets ______ with age…
female-20-22mm….male22-24mm…longer
IDEALLY there should be ___-___mm of GINGIVAL display in a full smile…this decreases with age and loss of muscle tone..
1-2mm
What does the ‘F’ or ‘V’ sound evaluate?
INCISAL LENGTH
What does the ‘E’ or ‘S’ or ‘66’ sound evaluate?
“speaking space” or interocclusal space/VERTICLE dimension
The ZENITH of each tooth’s gingival arch is positioned slightly ______
distal
What is the #1 most important factor in Tx Planning cosmetics?
OCCLUSION!!
What is the optimal distance to judge a smile?
18”…speaking distance
What is the weakest bonding system?
Glass Ionomer
Which material has a very strong affinity for phosphate bonding?
zirconia
What two materials do you not sandblast, what do you sandblast?
do not sandlast emax or vita…sandblast zirconia
Do you HF for zirconia?
NO