Class I&II Cavity Preparation for Composite Restoration
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Questions and Answers

What is the purpose of preoperative wedging in the gingival embrassure and bitine rings for Class II direct composite restorations?

  • To separate teeth and re-establish proximal contact with the composite restoration (correct)
  • To achieve proper occlusal relationship
  • To improve the adhesion of the composite restoration to the tooth surface
  • To prevent microleakage around the restoration

What type of tooth preparation design is indicated when only the proximal surface is defective, without any lesions on the occlusal surface?

  • Scooped-out appearance prep
  • Class II amalgam tooth preparation
  • Box-only tooth prep (correct)
  • Facial or lingual slot prep

What is the purpose of the proximal extensions prepared using another instrument with straight sides in a scooped-out appearance prep?

  • To create a bevel for better adhesion of the composite restoration
  • To maintain pulpal and axial depths uniformity
  • To prepare walls that are 90 degrees or greater (correct)
  • To aid in separating teeth for better access to the lesion

What type of tooth preparation design resembles a more traditional Class II amalgam tooth preparation for moderate to large Class II direct composite restorations?

<p>Occlusal step and proximal box (D)</p> Signup and view all the answers

Why is it contraindicated to use occlusal cavosurface margin bevel in Class II direct composite restorations?

<p>To avoid loss of sound tooth structure (D)</p> Signup and view all the answers

What is the purpose of placing conservative bevels in Class II direct composite restorations?

<p>To achieve more effective etching pattern (D)</p> Signup and view all the answers

What is the advantage of using an inverse or internal bevel at the gingival margins in Class II direct composite restorations?

<p>Reduces microleakage compared to butt joint (A)</p> Signup and view all the answers

Why is it important to extend the diamond over the DEJ with the tip positioned to create a gingival directed cut inside the DEJ in Class II direct composite restorations?

<p>To include the entire caries for removal (B)</p> Signup and view all the answers

Why is it not required to extend the proximal box beyond contact with the adjacent tooth in Class II direct composite restorations?

<p>To simplify matrix, composite insertion, and contouring procedures (C)</p> Signup and view all the answers

What does holding the diamond over the DEJ with a slightly convex arc outward aim to achieve in Class II direct composite restorations?

<p>Exposing enamel rods transversely for better adhesion pattern (A)</p> Signup and view all the answers

Why is it important to maintain enamel margins at the gingival margin during Class II direct composite restorations?

<p>For better adhesion of the composite restoration to tooth surface (C)</p> Signup and view all the answers

What is indicated if an external cavosurface margin forms a right angle with the tooth surface during Class II direct composite restorations?

<p>Beveling at facial and lingual proximal margins (D)</p> Signup and view all the answers

What is not required for strength in composite restorations, unlike in amalgam?

<p>Mechanical retention (B)</p> Signup and view all the answers

According to the clinical tip, what is unnecessary for the removal of a slightly undermined tooth?

<p>Bonded composite reinforcement (A)</p> Signup and view all the answers

Which type of caries is unnecessary for a Mesio-occlusal (MO) Class II direct composite restoration, according to the clinical tip?

<p>Occlusal secondary caries (B)</p> Signup and view all the answers

In the context of composite restorations, what reinforces tooth structure, including enamel?

<p>Bonded composite (D)</p> Signup and view all the answers

What does not require bulk for strength in composite restorations, as does amalgam?

<p>External and internal outlines with minimum width and depth (B)</p> Signup and view all the answers

What type of restoration is unnecessary for the removal of a slightly undermined tooth, according to the clinical tip?

<p>Mesio-occlusal (MO) Class II direct composite restoration (A)</p> Signup and view all the answers

What relies on adhesive instead of requiring mechanical retention in composite restorations?

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

What is unnecessary for a Mesio-occlusal (MO) Class II direct composite restoration, according to the clinical tip?

<p>Matrix application and placement of the adhesive (B)</p> Signup and view all the answers

What reinforces tooth structure, including enamel, in the context of composite restorations?

<p>Bonded composite reinforcement (C)</p> Signup and view all the answers

What does not require bulk for strength in composite restorations, as does amalgam?

<p>External and internal outlines with minimum width and depth (A)</p> Signup and view all the answers

Which of the following is NOT one of the objectives of cavity preparation for direct posterior composites?

<p>Providing mechanical retention for the restoration (C)</p> Signup and view all the answers

What type of preparations are required for small to moderate Class I direct composite restorations?

<p>Preparations with a scooped-out appearance (B)</p> Signup and view all the answers

In moderate to large Class I direct composite restorations, what areas should be preserved as much as possible?

<p>The cuspal and marginal ridge areas (C)</p> Signup and view all the answers

What provides the retention in tooth preparation for direct posterior composites?

<p>Chemical bonding (B)</p> Signup and view all the answers

Which type of bur is typically used for preparing small to moderate Class I direct composite restorations?

<p>Pear diamond bur (A)</p> Signup and view all the answers

What is the appearance of preparations required for small to moderate Class I direct composite restorations?

<p>Scooped-out appearance (D)</p> Signup and view all the answers

What form should be followed in moderate to large Class I direct composite restorations?

<p>Outline of decay only (A)</p> Signup and view all the answers

Which of the following should be preserved as much as possible in moderate to large Class I direct composite restorations?

<p>The cuspal and marginal ridge areas (A)</p> Signup and view all the answers

What is retained by bonding in tooth preparation for direct posterior composites?

<p>Bonded restorative material to tooth structure (B)</p> Signup and view all the answers

What type of feature is NOT necessary in tooth preparation for direct posterior composites due to the use of bonding?

<p>Mechanical retention features (C)</p> Signup and view all the answers

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