Restorative Dentistry Flashcards
Cavities
Cavity size crown or fill
Cavity position-aesthetic?
Tooth involved strength?
Extent endo treatment required?
Patients wishes uncooperative
DIFFERENT FILLING *temporary restoration-short term- Zinc oxide and eugenol cement Zinc phosphate cement Zinc polycarboxlate cement
- amalgam posterior teeth bad look
- composite-anteiror teeth good look use for posterior aswell
- glass ionomer resortation-baby teeth releases fluoride
Aim
Remove all the carrier remove minimum tooth avoid pulp exposed
To protect Pulp add lining or bases
Adhesive for some
Normal shape for no stagnation
Restore the function of the tooth the aesthetic
Blacks classification
CLASS I-occlusal buccal lingual Single surface
CLASS II- 2 surfaces molars premolars Mesial distal
CLASSIii-Canine and incisor mesial or distal
CLASSIV-same as 3 but extend to Insical edge
CLASS V-Cervical Margin any tooth
Cavity prep
All plaque and soft Dentine removed
Deepest layer dentine don’t remove pulp exposed
Standard of plaque control depends on longevity
Retention filling
Plastic filling- soft plastic set hard All temp cement Amalgam Glass inonmer cement Composite
Preconstructions in lays
Gold
Porecelain
Other cemetic materials
Some instruments Mouth mirror Right angled probe Excavators scoop soft dentine Amalgam plugger Burnisher Flat plastic College tweezers Gingival margin trimmer Enamel chisel remove unsupported enamel
Cavity lining
Fictions of cavity lining
Pulp protect temperature fluctuations
Chemical irritation non metallic materials
Seals pulp bacteria
Lining used
Moisture control
Control blood saliva cooling spray
Fluid inhalation’s
Visibility
Adhesion cements lining acid etch soft tissues
Dry guard cotton woll rubber dam
Dryer 3 in one
Low suction speed high speed
High speed and low speed suction
Suction
Saliva ejector
Ejector aspirator
Absort materials
Cotton wools dry guard at salivary glands duct
Rubber dam
Mariana dry mouth
Water irrigation helps cross infection
2 main uses
Endodontic treatment prevent inhalation of instruments
Avoid saliva contamination