Assessment of Dental Restorations

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Questions and Answers

What is the most commonly fractured part of the tooth in cracked tooth syndrome?

Nonfunctional cusps (correct)

Dentin

Root structure

Functional cusps

Which age group shows the greatest occurrence of cracked tooth syndrome?

Under 20 years old

33-50 years old (correct)

51 years and older

21-32 years old

Which of the following is considered the most definitive means of localizing a crack in a tooth?

Radiographic analysis

Percussion test

Visual examination

Biting test (correct)

What should be expected during a transillumination test of a cracked tooth?

Light transmission is interrupted at the crack Signup and view all the answers

What type of treatment is typically used for incomplete tooth fractures?

Cuspal coverage restoration Signup and view all the answers

Which of the following is a common esthetic problem related to restorative dentistry?

Stained or discolored anterior teeth Signup and view all the answers

Which method is considered a conservative therapy for esthetic problems in dentistry?

Micro abrasion Signup and view all the answers

What aesthetic issue might be caused by excessive gingival display?

Gummy smile Signup and view all the answers

What is the most consistent clinical indicator of inflammation in the periodontium?

Bleeding on probing Signup and view all the answers

Which of the following factors should be evaluated when assessing periodontal tissue health?

Tissue color and texture Signup and view all the answers

What clinical situation necessitates a radiographic examination?

Swelling and mobility of teeth Signup and view all the answers

What is the potential risk when interpreting radiolucencies in a radiographic exam?

Misdiagnosing a restoration as carious Signup and view all the answers

During the evaluation of the periodontium, which aspect is crucial for future restorations?

Location of margins Signup and view all the answers

What should be noted alongside qualitative assessments of periodontal tissue?

Presence of local factors like plaque and calculus Signup and view all the answers

Which of the following is an indication for evaluating periapical radiolucencies?

History of trauma or pain Signup and view all the answers

What radiographic phenomenon occurs when a radiolucency appears due to less tooth thickness?

Cervical burnout Signup and view all the answers

What can cause gingival inflammation around a crown?

Allergic reaction to the crown material Signup and view all the answers

What should be assessed using thin dental floss during an examination?

The interproximal contacts Signup and view all the answers

What may occur if restorations are significantly infra-occlusal?

Super eruption of opposing teeth Signup and view all the answers

What is a common esthetic problem associated with tooth-colored restorations?

Discoloration or poor shade match Signup and view all the answers

Which of the following should be evaluated to assess occlusal function?

Number and position of occlusal contacts Signup and view all the answers

What condition is commonly associated with incomplete tooth fracture?

Cracked-tooth syndrome Signup and view all the answers

What intervention may help prevent excessive occlusal wear due to parafunction?

Occlusal resin appliance usage Signup and view all the answers

Which factor significantly influences the selection of restorative materials?

Number and position of occlusal contacts Signup and view all the answers

What does the evaluation of structural integrity entail?

Determining if the restoration is intact or has fractures Signup and view all the answers

How should marginal gaps be treated in composite restorations?

They should always be repaired or replaced Signup and view all the answers

What is indicated by the presence of a radiolucent area surrounding a restoration?

The presence of a caries lesion Signup and view all the answers

What affects the periodontal health related to existing restorations?

The presence of biologic width impingement and surface roughness Signup and view all the answers

What is the significance of marginal ditching in amalgam restorations?

It has no effect as the margins are well sealed Signup and view all the answers

Which of the following is a reason for replacement of a restoration involving glass ionomer cement?

Caries in adjacent tooth structure Signup and view all the answers

What common problem can contribute to inflammation within the periodontium?

Interproximal overhangs Signup and view all the answers

Which condition is NOT a criterion used to evaluate existing restorations?

Adjunctive orthodontic needs Signup and view all the answers

What must dentists be cautious about when diagnosing caries beneath existing restorations?

Certain radiolucent dental materials may mimic carious structure. Signup and view all the answers

Which factor is NOT considered when planning the restoration of individual teeth?

The total cost of the treatment plan. Signup and view all the answers

What is the purpose of using a semi-adjustable articulator in dentistry?

To evaluate occlusal relationships and plan restorative treatment. Signup and view all the answers

How should the treatment sequence in restorative dentistry be determined?

By the severity of the disease process. Signup and view all the answers

What is one of the final steps in establishing a restorative dentistry treatment plan?

Sequencing the treatment. Signup and view all the answers

Which type of material is typically used in direct restorative procedures?

Amalgam, resin composite, or glass ionomer. Signup and view all the answers

At each dental appointment, how should restorative treatment be prioritized?

In the area with the most acute need for treatment. Signup and view all the answers

Which of the following options is a goal when completing restorations quadrant by quadrant?

To optimize the use of time across multiple appointments. Signup and view all the answers

Study Notes

Evaluation of Existing Restorations

Structural Integrity: Assess if restorations are intact; fractures or missing portions require replacement.
Marginal Opening: Amalgam restorations may not need replacement if marginal ditching is present due to corrosion sealing; composite restorations require careful evaluation for gaps.
Caries Detection: Use visual, tactile, and radiographic exams; radiolucencies around restorations often indicate caries that need repair or replacement.
Restoration-Related Periodontal Health: Evaluate surface roughness, interproximal overhangs, and biologic width integrity; issues can lead to inflammation and periodontal problems.
Occlusal and Interproximal Contacts: Interproximal contacts should allow smooth floss passage; issues can cause discomfort or occlusal trauma requiring treatment modification.
Esthetics: Common issues include visible metal, poor shade match, contour problems, and adverse periodontal responses in anterior restorations.

Evaluation of Occlusion and Occlusal Wear

Assess occlusal interferences in centric relation versus maximum intercuspation.
Evaluate the quantity and position of occlusal contacts; stress on contacts influences material selection.
Check for patterns and amounts of attrition; excessive wear may require protective appliances.

Evaluation of Tooth Integrity and Fractures

Cracked-Tooth Syndrome: Common in patients aged 33-50; presents with cold sensitivity and localized pain during chewing.
Diagnose using transillumination and biting tests; treatment may involve splinting with various material types.

Esthetic Evaluation

Conduct a comprehensive esthetic assessment of the dentition, addressing stained teeth, contour issues, and aesthetic color of adjacent tissues.
Treatment options range from conservative techniques like micro abrasion to more invasive procedures such as veneers or crowns.

Evaluation of the Periodontium

Assess periodontal health to determine impacts on restorative planning and health.
Use clinical assessments of attachment levels, mobility, and tissue health; watch for inflammation indicators like bleeding on probing.

Evaluation of Radiographs

Essential for diagnosing conditions such as trauma or deep restorations; evaluate for radiolucencies and marginal openings carefully to avoid misdiagnosis.

Evaluation of Diagnostic Casts

Utilize diagnostic casts for insights into inaccessible areas during clinical exams; casts on semi-adjustable articulators aid in treatment planning for multiple missing teeth.

Treatment Planning

Consider remaining tooth structure, functional and aesthetic needs, and overall treatment objectives when developing a restoration strategy.

Treatment Sequence

Sequence restorations by severity of disease, aesthetics, and time efficiency; aim for quadrant treatments for better management and efficiency during appointments.

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Description

Explore the evaluation criteria for assessing existing dental restorations, including structural integrity, marginal openings, and caries detection. Understand the impact of restorations on periodontal health and evaluate occlusal contacts for patient comfort and aesthetics. Perfect for dental professionals and students eager to enhance their skills in restoration assessment.