Cavity Preparation Principles and Factors
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Which of the following factors is NOT classified under patient factors affecting cavity preparations?

  • Esthetic concern
  • Medical conditions
  • Isolation ability (correct)
  • Economic concerns

Biological principles in cavity preparation aim to maximize irritation to the tooth pulp.

False (B)

What are the four forms of biological principles in cavity preparation?

Pulp protection, prevention of caries recurrence, aseptic procedures, protection of gingival and periodontal tissues.

The main functions of the pulp include formation of the dentin, nutrition of the dentin, and __________ responses.

<p>sensory</p> Signup and view all the answers

Match the type of irritation to its prevention method:

<p>Mechanical = Avoid direct traumatic injuries Thermal = Control temperature of instruments Chemical = Use biocompatible materials Unnecessary pressure = Avoid undue force</p> Signup and view all the answers

What is a major concern of biological principles during cavity preparation?

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

Age of the patient is considered when assessing factors affecting cavity preparation.

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

Name one mechanical irritation that should be avoided during cavity preparation.

<p>Direct traumatic injuries to the pulp.</p> Signup and view all the answers

The __________________ of enamel and dentin is a dental factor that affects cavity preparation.

<p>thickness</p> Signup and view all the answers

Adequate synchronization between biological and mechanical principles results in what?

<p>Durable restorations (D)</p> Signup and view all the answers

What should be avoided during cavity preparation to reduce heat generation?

<p>Working without coolant (D)</p> Signup and view all the answers

Proper wedging of the matrix can help protect gingival and periodontal tissues.

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

Name one objective of mechanical principles in cavity preparation.

<p>Provision of adequate retention to the restoration.</p> Signup and view all the answers

Caries removal is one of the steps followed during cavity preparation, ensuring ________ of the cavity.

<p>cleanliness</p> Signup and view all the answers

Match the following components of cavity preparation with their descriptions:

<p>Outline form = Design of the cavity to allow for effective restoration Resistance form = Shape that withstands forces during function Retention form = Features that hold the restoration in place Convenience form = Allows for easy access during restoration procedure</p> Signup and view all the answers

Which action would be inappropriate when preparing a cavity?

<p>Using irritating chemicals near gingival margins (A)</p> Signup and view all the answers

Cavity preparation aims to maximize the amount of tooth structure preserved.

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

What is the first step in the final stages of cavity preparation?

<p>Finishing external walls</p> Signup and view all the answers

To prevent chemical irritation, avoid using ________ for cleaning the cavity.

<p>caustics</p> Signup and view all the answers

According to G.V. Black, which is NOT a principle of cavity preparation?

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

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Flashcards

Biological Principles of Cavity Preparation

The process of preparing a cavity in a tooth for a restoration, aiming to minimize harm to the living pulp tissue within the tooth. This involves techniques to protect the pulp from damage during the preparation process.

Pulp Protection

Maintaining the tooth's pulp health by avoiding direct injury, excessive pressure, and improper instrument use.

Prevention of Caries Recurrence

Minimizing the risk of decay by creating a smooth, well-defined tooth surface that prevents plaque and bacteria buildup.

Aseptic Procedures

Adhering to sterile techniques during cavity preparation to avoid introducing harmful microorganisms into the tooth.

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Protection of Gingival and Periodontal Tissues

Protecting the gums and surrounding structures from damage during the preparation process.

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Cavity Preparation

The process of preparing a cavity to receive a restoration while preserving tooth structure and providing adequate retention and resistance to the restoration.

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Outline Form

The outline of the cavity preparation, which determines the shape and size of the restoration.

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Resistance Form

The shape given to the cavity preparation to resist forces that could cause the restoration to fracture, providing strength to the tooth.

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Retention Form

The shape given to the cavity preparation to prevent the restoration from being dislodged, ensuring it stays in place.

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Convenience Form

The shape given to the cavity preparation for easy access and visibility during preparation and placement of the restoration.

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Caries Removal

The removal of all decayed enamel and dentin, ensuring a clean and healthy foundation for the restoration.

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Secondary Retention and Resistance Forms

Additional retentive features and forms created to further strengthen the cavity preparation and prevent the restoration from breaking.

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Finishing External Walls

The final smoothing and finishing of the external walls of the preparation, ensuring a smooth and contoured surface for the restoration.

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Cleaning, Inspecting, and Desensitizing

The essential final steps of cavity preparation, including cleaning, inspecting, and desensitizing the prepared tooth.

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Study Notes

General Principles of Cavity Preparation

  • Cavity preparation aims for beauty, pulp protection, and resistance/retention.
  • Objectives include removing defects, upholding a conservative approach, protecting the pulp, and ensuring resistance and retention.
  • Factors influencing cavity preparation include dental and patient factors, as well as restorative material considerations.

Objectives of Cavity Preparations

  • Adequate retention for the restoration.
  • Correct resistance to prevent fracture in the tooth and restoration.
  • Conservation of maximum tooth structure.

Factors Affecting Cavity Preparations

  • Dental Factors:

    • Diagnosis (assessing pulp and periodontal status, occlusal status, and the relationship to other treatments).
    • Dental anatomy (direction of enamel rods, enamel and dentin thickness, pulp size and position, and tooth-supporting structures).
  • Patient Factors:

    • Aesthetic concerns.
    • Economic concerns.
    • Medical conditions.
    • Patient age.
    • Caries risk assessment.
  • Restorative Material Factors:

    • Patient preferences (economic and aesthetic).
    • Isolation ability.
    • Extent of the lesions.

Classification of Cavity Preparation Principles

  • I - Biological Principles:

    • Definition: Steps minimizing pulp irritation during cavity preparation.
    • Forms:
      • Pulp protection (against mechanical, thermal, and chemical irritation).
      • Prevention of caries recurrence (removing carious enamel and dentin, extending cavity margins for self-cleaning, removing undermined enamel, and properly inclining the cavity preparation with the indicated restoration)
      • Aseptic procedures (use of sterile/clean instruments and application of rubber dam).
      • Gingivale and periodontal tissue protection (avoid overhang, proper matrixing, wedging, avoiding slippage, and avoiding irritating chemicals near the gingival margins).
  • II - Mechanical Principles:

    • Definition: Steps preserving tooth and restoration structural integrity by decreasing tensile stresses within tolerance levels.
    • Objectives:
      • Retention of the restoration.
      • Resistance to fracture in the tooth and restoration.
      • Conservation of maximum tooth structure.
  • Steps of Cavity Preparation (according to G.V. Black):

    • Outline form.
    • Resistance form.
    • Retention form.
    • Convenience form.
    • Removal of carious lesions.
    • Finishing of the cavity.
    • Toilet (cleaning) of the cavity.
  • Important Note: If the cavity is deep or the caries extensive, step 4 (convenience form) may be adjusted with step 2 (resistance form) to determine cavity depth and extent of lesion.

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Description

This quiz explores the fundamental principles of cavity preparation in dentistry, focusing on objectives such as beauty, pulp protection, and resistance. It covers various influencing factors, including dental anatomy and patient considerations, ensuring a comprehensive understanding of the subject.

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