Advantages of Conservative Tooth Preparation
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Questions and Answers

What is the limitation of the preparation?

  • Cementum only
  • Dentin only
  • Enamel only (correct)
  • Enamel and dentin

Which surface remains intact during the preparation?

  • Occlusal surface
  • Labial surface (correct)
  • Palatal surface
  • Lingual surface

What is one of the advantages of this preparation?

  • Conservative (correct)
  • Unesthetic
  • Invasive
  • Painful

Why is anesthesia not needed in this preparation?

<p>Because it is within enamel (C)</p> Signup and view all the answers

What is another advantage of this preparation?

<p>Esthetic (A)</p> Signup and view all the answers

What is the primary focus of fixed prosthodontics?

<p>Restoring natural teeth (A)</p> Signup and view all the answers

What is the bonding process in dentistry related to?

<p>Restorative and adhesive dentistry (D)</p> Signup and view all the answers

How many types of materials are used for RBB?

<p>Three (A)</p> Signup and view all the answers

What is one of the materials used for RBB?

<p>Metal (A)</p> Signup and view all the answers

Which of the following is NOT a material used for RBB?

<p>Glass (C)</p> Signup and view all the answers

What is the main component of adhesive resin cements?

<p>4-META (B)</p> Signup and view all the answers

What is the purpose of heating the alloy in precious alloys?

<p>To promote the bond between 4-Meta and copper rich deposit (A)</p> Signup and view all the answers

What is the name of the adhesive resin cement containing 4-META?

<p>C &amp; B Metabond (A)</p> Signup and view all the answers

What is the result of heating precious alloys?

<p>Formation of a copper rich deposit (C)</p> Signup and view all the answers

What is the brand of the adhesive resin cement containing 4-META?

<p>Parkell (A)</p> Signup and view all the answers

What was the problem with initial all-ceramic, two-retainer RBFPDs?

<p>High incidence of unilateral framework failure (A)</p> Signup and view all the answers

What happened to the pontic when unilateral framework failure occurred?

<p>It bonded to a single retainer in a cantilevered fashion (C)</p> Signup and view all the answers

What type of ceramic was used to make the all-ceramic RBFPDs?

<p>Glass infiltrated alumina ceramic (A)</p> Signup and view all the answers

What happened to the all-ceramic RBFPDs made from In-Ceram within the first years of clinical service?

<p>They showed a high fracture rate (A)</p> Signup and view all the answers

What was the design of the all-ceramic RBFPDs that showed a high fracture rate?

<p>Two-retainer design (C)</p> Signup and view all the answers

What is one type of structural damage that can occur in a dental restoration?

<p>Shade match deterioration (C)</p> Signup and view all the answers

What can cause shade match deterioration in a dental restoration?

<p>Natural tooth discoloration (B)</p> Signup and view all the answers

What is another possible cause of shade match deterioration?

<p>Porcelain changes (C)</p> Signup and view all the answers

What type of dental restoration is referred to as a 'Cantilever'?

<p>Single retained bridge (A)</p> Signup and view all the answers

Study Notes

Preparation and Advantages

  • Preparation is limited to enamel and the labial surface remains intact
  • Advantages include:
    • Conservative (within enamel)
    • No need for anesthesia
    • Esthetic
    • Fixed prosthodontics
    • Bonding

Materials for RBB

  • Three different materials can be used:
    • Metal
    • Ceramic
    • Fiber-reinforced

Adhesive Resin Cements

  • Contain 4-META, such as C & B Metabond (Parkell)
  • Heating the alloy (precious Alloys) promotes the bond between 4-Meta (resin cement) and copper-rich deposit formed by heating precious alloys

Potential Complications

  • Structural damage
  • Shade match deterioration, which can result from:
    • Natural tooth discoloration
    • Porcelain changes

Design and Retention

  • Single retained “Cantilever” or two retained RBB designs are possible
  • Two-retainer all-ceramic RBBPDs demonstrated a high incidence of unilateral framework failure, leading to a cantilevered design
  • All-ceramic RBFPDs made from glass-infiltrated alumina ceramic In-Ceram have a high fracture rate within the first years of clinical service, particularly with two-retainer designs

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Description

This quiz discusses the benefits of a tooth preparation method that only involves the enamel, preserving the labial surface intact.

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