W4. Cavity preparation designs for direct restorations Flashcards

1
Q

I. Preparation types
1. What are the 3 preparation types?

A
  1. MACRO retention
  2. MACRO + MICRO retention
  3. MICRO retention
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2
Q

I. Preparation types
2. Describe MACRO retention

A
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3
Q

I. Preparation types
3. Describe MACRO + MICRO retention

A
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4
Q

I. Preparation types
4. Describe MICRO retention

A
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5
Q

II. Conventional preparation
1. Which principle is conventional preparation based on?

A

Based on Black’s principles

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6
Q

II. Conventional preparation
2. What are Black’s principles?

A
  1. Extension for prevention
  2. Preparation is always extended into dentin
  3. BOX shape
  4. CONVERGENT/ parallel walls, Isthmus, Dovetail
    (retention form)
  5. Flat pulpal and gingival walls (resistance form)
  6. MARGINS- on sound structure
  7. SECONDARY retention form
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7
Q

II. Conventional preparation
3. What does extension for prevention mean by Black’s principles?

A
  1. Preparation is extended into the not decayed surface
  2. Extension to self-cleaning surfaces (ducally orally)
  3. Unsupported enamel is always removed
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8
Q

II. Conventional preparation
4. What does Preparation always extended into dentin for prevention mean by Black’s principles?

A

Amalgam-minimalthickness1,5

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9
Q

II. Conventional preparation
5. What does MARGINS mean by Black’s principles?

A

ARGINS- on sound structure
-> Amalgam- 90 degrees

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10
Q

II. Conventional preparation
6. What does SECONDARY retention form mean by Black’s principles?

A

Retention lock, grooves, coves, skirts, pins, slots

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11
Q

II. Conventional preparation
7. Identify

A
  1. Dovetail
  2. Isthmus
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12
Q

II. Conventional preparation
8. Identify

A
  1. Amalgam
  2. Inlay (metal)
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13
Q

II. Conventional preparation
9A. Describe outline form?

A
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14
Q

II. Conventional preparation
9B. Describe retention form?

A
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15
Q

II. Conventional preparation
9B. Describe resistance form?

A
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16
Q

II. Conventional preparation
9B. Describe convenience form?

17
Q

II. Conventional preparation
10. What is the indication for conventional preparation?

A

The restorative material adheres to the tooth macromechanically.
1. Occlusally convergent walls (amalgam)
2. Almost parallel (1-2° divergent) walls (metal inlay)
3. NO enamel- NO micromechanical retention (adhesive technique)

18
Q

III. Beveled conventional preparation
1. Describe Beveled conventional preparation

A
  1. Conventional preparation + beveling of enamel margins + optionally secondary retention elements
  2. MACRO + MICROretention
19
Q

III. Beveled conventional preparation
2. What is the indication for Beveled conventional preparation?

A
  1. Changing old amalgam filling to composite
    (the shape and size of the cavity is defined by the existing restoration)
  2. Not enough enamel surface
    - Caries extends onto root surface
20
Q

IV. Beveling of enamel margins
1. Describe Beveling of enamel margins

A
  1. Only in enamel
  2. SURFACE ENLARGEMENT
  3. Width of bevel: 0,5-1mm, 45°
21
Q

IV. Beveling of enamel margins
2. When should we have NO Beveling of enamel margins?

A
  1. Occlusally- The thin edge breaks on occlusal forces
  2. In case of narrow vestibulo-oral aproximal box
22
Q

IV. Beveling of enamel margins
3. When should we have Beveling of enamel margins?

A
  1. In case of wide vestibulo-oral approximal box
  2. Enamel margins where there is no contact with the antagonist
23
Q

V. Minimal invasive preparation
1. Describe Minimal invasive preparation

A
  1. Composite fillings (use adhesive technique)
  2. Defect-oriented
  3. NO preventive extension
  4. NO special cavity design
24
Q

V. Minimal invasive preparation
2. When should we have no beveling during Minimal invasive preparation?

A
  1. Occlusally (masticatory forces)
  2. Enamel margins where there is contact with the antagonist
  3. Approximally-in case of narrow vestibulo-oral approxima lbox
25
V. Minimal invasive preparation 3. When should we have beveling during Minimal invasive preparation?
1. Enamel margins if there is no contact with the antagonist (not in occlusal) 2. Approximal - in case of wide vestibulo-oral approximal box
26
VI. Extra 1. Which material is used for the filling of class I caries?
27
VI. Extra 2. What type of preparation should we use for class II caries?
1. Conventional 2. Beveled conventional 3. Minimal invasive
28
VI. Extra 3. What type of preparation should we use for class III caries (Root surface caries)?
1. Conventional 2. Beveled conventional 3. Minimal invasive 4. Beveled conventional+ Conventional
29
VI. Extra 4. What type of preparation should we use for class IV caries?
1. Conventional 2. Beveled conventional 3. Minimal invasive
30
VI. Extra 5. What type of preparation should we use for class V caries?
1. Conventional 2. Beveled conventional 3. Minimal invasive 4. Modified conventional
31
VI. Extra 6. What type of preparation should we use for class VI caries?
Minimal invasive preparation
32
VI. Extra 7. What type of preparation should we use forRoot surface caries?
Conventional preparation