Principles of Operative Dent Flashcards
Treatment of disease/defects of hard tissues of teeth that DO NOT REQUIRE FULL COVERAGE RESTORATION; Restores FORM, FUNCTION, and ESTHETICS
Operative Dentistry
Thickness of _____ varies by location and tooth type
Enamel
_____ have larger diameter near the surface and smaller near dentin borders; run perpendicular to long axis
Enamel rods
T/F: DO NOT LEAVE UNSUPPORTED ENAMEL
True
Can act as food/bacterial trap; Lead to decay
Fissures
______ are hypomineralized that extend into enamel
Enamel tufts
____ are thin faults between enamel rod groups that extend from enamel toward DEJ
Enamel lamellae
_____ are odontoblastic process crossed into enamel
Enamel spindles
Enamel is ____ soluble as you approach the DEJ
More soluble
_______ is Largest Portion of tooth, Forms walls of pulp chamber, Formed immediately prior to enamel, DEJ->pulp, Dentin formation continues throughout the life of the pulp, and Located in both coronal and root portions of tooth
Dentin
Dentinal tubules are lined with _______
peritubular dentin
Canals extending from DEJ/DCJ to pulp, Lined with peritubular dentin, Intertubular dentin, Diameter of tubules largest at pulp, Number of tubules/square mm greatest at pulp
Dentinal tubules
_____ are formed from secondary odontoblasts that respond to moderate irritant
Reparative dentin
Primary dentin that has changed (become more calcified); peritubular dentin widens and fills with calcified material
Sclerotic dentin
Fluid movement in the dentinal tubules causes _____
dentinal sensitivity (pain)
Hardness averages 1/5 that of enamel, Harder near DEJ than near pulp (3x), and 50% hydroxyapatite
Dentin
Odontoblastic process wrapped in nerves and fluid in dentinal tubules and Enamel/cementum removed during preparation= seal is lost Causing small fluid movements in tubules= distortions in nerve endings leading to pain
Hydrodynamic Theory of Pain Transmission◦
_____ is created whenever dentin is cut
Smear layer
____ is Gray, semi-translucent, Color depends on underlying dentin, Becomes temporarily whiter when dehydrated, and Shiny
Enamel
_____ is Yellow-white, Dull, opaque
Dentin
_____ is Softer than dentin and Formed continually
Cementum
Remove defects, Provide necessary protection to pulp, Extend restoration as conservatively as possible, Resist fracture when chewing, and Restore esthetics and function are objectives of _____
tooth preparation
T/F: In tooth prep, extend to sound tooth structure in all directions
True
Prep walls are designed to _____ restoration and ______ fracture
Retain restoration and resist fracture
____ is used to Remove remaining caries or old restorative material, Protect pulp, Minimize fracture, maximize retention, Finish walls and margins, and Final cleaning, inspection, sealing prep
Tooth prep
______ is a factor to consider in tooth prep including Enamel Rod orientation, Thickness of enamel and dentin, Size, location of pulp, Relationship of tooth to periodontium
Dental Anatomy
In operative dentistry, the goal is to ____ damage but _____ vitality
repair damage but preserve vitality
What are the 3 locations of primary caries?
Pit and fissure, enamel smooth surface, and root surface