Operative IV FINAL Flashcards

1
Q

Primary source of retention with a porcelain veneer is :

A

Mechanical

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2
Q

What do silanes do

A

Help resin wet the entire surface and form a chemical bond

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3
Q

T/F all cements require applying adhesive to silanated Veneer

A

False

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4
Q

When removing excess resin cement from a veneer, use micro brush in what direction

A

Gingival direction. Incisal will displace veneer

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5
Q

How is a surgical blade used

A

Secure finger rest
Short shaving strokes
Parallel to veneer margins

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6
Q

_ is used to remove excess cement

_ is used to recontour sealed margins

A

Flame shaped carbide

Flame shaped diamond

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7
Q

Why use thicker porcelain with extra die spacer in veneers

A

Deeper preps (discolorations)

More opacity in ceramic to mask discoloration

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8
Q

Ceramic veneers should be etched with

A

HF

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9
Q

In dentin, veneers _ more than _

A

De-bond more than fracture

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10
Q

Indications for cast metal restorations

A
Large, failing restorations
Teeth at risk of fracture
Endodontically treated teeth
Diastema closure
Occlusal plane correction
RPD abutment
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11
Q

Contraindications for cast metal restorations

A

High caries rate
Young patients
Esthetics
Small restorations

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12
Q

Primary retention features of cast metal inlays

Resistance?

A

Walls of isthmus and box

Dovetail, box forms, rounded internal line angles, adequate cusp thickness and dentin support

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13
Q

Cast metal primary flare vs. secondary flare

A

1˚ - B/L walls of proximal box

2˚ - bevel on exterior surface

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14
Q

Angle on gingival bevel

Why

Angle on occlusal bevel

A

30˚

Improves margin seal
Burnishability

40˚

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15
Q

Taper on metal vs tooth colored inlays

A

Metal 2-5˚

Ceramic 6-10˚

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16
Q

5 materials to make inlays/onlays

Strength/weakness

A
  1. Feldspathic porcelain
    - weaker
  2. Pressed Glass Ceramics
    - requires impression and wax pattern
  3. Lithium Disilicate
    - IPS, emax press/CAD
  4. CAD/CAM leucite reinforced Glass ceramic
    - empress, IPS emax, zirconia
  5. Lab processed composite restorations
    - CAD/CAM paradigm MZ100, lava ultimate
17
Q

Cast metal onlay cusp reduction is

A
  1. 5 mm functional

1. 0 mm non functional

18
Q

Reduction for esthetic onlay

A

2 functional
1.5 non functional
1-1.5 collar prep