Podcast
Questions and Answers
What is the appropriate technique for removing excess primer from the canal?
What is the appropriate technique for removing excess primer from the canal?
- Blot with a microbrush repeatedly to remove excess. (correct)
- Let the primer evaporate naturally.
- Apply water to wash away the primer.
- Use a cotton swab to absorb the primer.
What should be done to the adhesive before applying it to the dentin surfaces?
What should be done to the adhesive before applying it to the dentin surfaces?
- Light cure it before application.
- Remove excess adhesive after application. (correct)
- Store it in a cold place.
- Dilute it with water.
Which step should NOT be performed after injecting cement into the canal?
Which step should NOT be performed after injecting cement into the canal?
- Light cure the cement immediately. (correct)
- Insert the post with moderate pressure.
- Wait for the cement to set.
- Remove any excess cement.
When is it indicated to repair a restoration instead of replacing it?
When is it indicated to repair a restoration instead of replacing it?
What is a potential consequence of replacing a restoration?
What is a potential consequence of replacing a restoration?
Which of the following statements about the Nayarr core is correct?
Which of the following statements about the Nayarr core is correct?
What should be ensured before repairing a restoration?
What should be ensured before repairing a restoration?
What is a characteristic of endocrowns?
What is a characteristic of endocrowns?
What is the main indication for a preventive resin restoration (PRR)?
What is the main indication for a preventive resin restoration (PRR)?
What is the recommended acid-etch time for the occlusal surface during a PRR procedure?
What is the recommended acid-etch time for the occlusal surface during a PRR procedure?
Which of the following methods is NOT used for tooth preparation in conservative composite restorations?
Which of the following methods is NOT used for tooth preparation in conservative composite restorations?
What is the purpose of using a rubber dam during a PRR procedure?
What is the purpose of using a rubber dam during a PRR procedure?
What should be done immediately after acid-etching the occlusal surface?
What should be done immediately after acid-etching the occlusal surface?
In the context of post and core restorations, when is it appropriate to use a post?
In the context of post and core restorations, when is it appropriate to use a post?
How long should the bonding agent be light cured during a PRR procedure?
How long should the bonding agent be light cured during a PRR procedure?
Which step in the PRR clinical procedure involves using various means like air abrasion and lasers?
Which step in the PRR clinical procedure involves using various means like air abrasion and lasers?
What is the purpose of selectively removing soft dentin in carious lesions?
What is the purpose of selectively removing soft dentin in carious lesions?
What is the minimum requirement of tooth structure or liner/base materials between the pulp and restorative material?
What is the minimum requirement of tooth structure or liner/base materials between the pulp and restorative material?
Which material should be placed if 1-2mm of dentin remains after caries removal?
Which material should be placed if 1-2mm of dentin remains after caries removal?
What is the recommended action if pulp exposure occurs and bleeding starts?
What is the recommended action if pulp exposure occurs and bleeding starts?
What is the function of protective biomaterials such as MTA or Ca(OH)2 in pulp capping?
What is the function of protective biomaterials such as MTA or Ca(OH)2 in pulp capping?
Which of the following is true regarding indirect pulp capping procedures?
Which of the following is true regarding indirect pulp capping procedures?
What happens to the configuration factor (C factor) when 2mm of dentin is present without pulp protection materials?
What happens to the configuration factor (C factor) when 2mm of dentin is present without pulp protection materials?
What is the first step after pulp exposure and bleeding occurs?
What is the first step after pulp exposure and bleeding occurs?
Which step is essential for preventing overhangs in an amalgam restoration?
Which step is essential for preventing overhangs in an amalgam restoration?
What is the purpose of placing the first increment of amalgam in the box during the procedure?
What is the purpose of placing the first increment of amalgam in the box during the procedure?
Why is strong condensation of amalgam important in the restoration process?
Why is strong condensation of amalgam important in the restoration process?
What should be done immediately after burnishing the overfilled amalgam?
What should be done immediately after burnishing the overfilled amalgam?
What is the primary reason for checking interproximal contacts with dental floss after an amalgam restoration?
What is the primary reason for checking interproximal contacts with dental floss after an amalgam restoration?
When checking occlusion after the restoration, what action should the patient perform?
When checking occlusion after the restoration, what action should the patient perform?
Which tool is utilized to remove excess amalgam, especially in the occlusal grooves?
Which tool is utilized to remove excess amalgam, especially in the occlusal grooves?
What is a key design requirement for tooth preparation intended for amalgam restorations?
What is a key design requirement for tooth preparation intended for amalgam restorations?
Which dental restorative material typically requires a more conservative tooth preparation design?
Which dental restorative material typically requires a more conservative tooth preparation design?
What should be done with shiny areas of amalgam before it is fully set?
What should be done with shiny areas of amalgam before it is fully set?
What is the most appropriate bur type for initiating a Class I tooth preparation for amalgam?
What is the most appropriate bur type for initiating a Class I tooth preparation for amalgam?
Which statement about amalgam tooth preparation is true?
Which statement about amalgam tooth preparation is true?
What is the recommended cavosurface angle for amalgam preparation?
What is the recommended cavosurface angle for amalgam preparation?
What is the purpose of beveling enamel during the repair of direct restorations?
What is the purpose of beveling enamel during the repair of direct restorations?
What must be considered when performing tooth preparation for restorative materials?
What must be considered when performing tooth preparation for restorative materials?
Which step is crucial before applying the bonding agent in the repair of direct restorations?
Which step is crucial before applying the bonding agent in the repair of direct restorations?
Why are slightly rounded internal line angles recommended in amalgam preparations?
Why are slightly rounded internal line angles recommended in amalgam preparations?
What material should be used to micro-etch before repairing indirect restorations?
What material should be used to micro-etch before repairing indirect restorations?
What is the primary purpose of accessing the lesion during tooth preparation for amalgam?
What is the primary purpose of accessing the lesion during tooth preparation for amalgam?
What is the primary reason for applying hydrofluoric acid during the repair of porcelain fused to metal restorations?
What is the primary reason for applying hydrofluoric acid during the repair of porcelain fused to metal restorations?
In the context of repairing indirect restorations, when is it unnecessary to use a primer?
In the context of repairing indirect restorations, when is it unnecessary to use a primer?
Which step should be performed after micro-etching and before applying the bonding agent?
Which step should be performed after micro-etching and before applying the bonding agent?
What is the purpose of using a resinous opaquer in the repair process?
What is the purpose of using a resinous opaquer in the repair process?
What is the recommended light curing time for the composite after placement during restoration repair?
What is the recommended light curing time for the composite after placement during restoration repair?
Flashcards
Amalgam Tooth Preparation
Amalgam Tooth Preparation
A type of tooth preparation meant to accommodate amalgam restorations. It involves accessing the lesion, applying SCR (selective caries removal) principles, and providing appropriate resistance and retention forms for the material.
Cavosurface Angle
Cavosurface Angle
The angle created between the tooth surface and the edge of the preparation. It helps to prevent the restoration from dislodging.
Selective Caries Removal (SCR)
Selective Caries Removal (SCR)
A key principle in preparing a tooth for restorations. It involves removing only diseased or decayed tooth structure, leaving healthy tissue intact.
Retention and Resistance Forms
Retention and Resistance Forms
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Isthmus
Isthmus
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Pear-Shaped Bur No. 330
Pear-Shaped Bur No. 330
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Continuous Bur Rotation
Continuous Bur Rotation
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Punch Cut
Punch Cut
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Indirect Pulp Capping
Indirect Pulp Capping
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Direct Pulp Capping
Direct Pulp Capping
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Pulp Protection/Base Material
Pulp Protection/Base Material
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Dentin Thickness
Dentin Thickness
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Configuration Factor (C Factor)
Configuration Factor (C Factor)
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Resin Modified Glass Ionomer Cement (RMGIC)
Resin Modified Glass Ionomer Cement (RMGIC)
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Glass Ionomer Cement (GIC)
Glass Ionomer Cement (GIC)
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Amalgam Restoration Preparation
Amalgam Restoration Preparation
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First Increment of Amalgam
First Increment of Amalgam
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Amalgam Condenser
Amalgam Condenser
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Overfilling Amalgam
Overfilling Amalgam
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Amalgam Burnisher
Amalgam Burnisher
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Amalgam Carving
Amalgam Carving
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Amalgam Burnishing (Post-carving)
Amalgam Burnishing (Post-carving)
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Occlusion Check
Occlusion Check
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Post Placement
Post Placement
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Post and Core
Post and Core
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Self-curing Cement
Self-curing Cement
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Light-cure Cement
Light-cure Cement
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Restoration Repair
Restoration Repair
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Peri-cervical Area
Peri-cervical Area
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Endocrown
Endocrown
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Preventive Resin Restoration (PRR)
Preventive Resin Restoration (PRR)
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Flowable Composite
Flowable Composite
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Alternative Tooth Preparation Techniques
Alternative Tooth Preparation Techniques
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Rubber Dam Isolation
Rubber Dam Isolation
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Bonding Agent
Bonding Agent
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Light-Curing
Light-Curing
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Sealant
Sealant
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Composite Restoration Repair
Composite Restoration Repair
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Repair involving Enamel
Repair involving Enamel
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Micro-etching
Micro-etching
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Indirect Restoration Repair
Indirect Restoration Repair
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PFM Preparation for Repair
PFM Preparation for Repair
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Hydrofluoric Acid Treatment
Hydrofluoric Acid Treatment
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Resinous Opaquer
Resinous Opaquer
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Pink Opaquer
Pink Opaquer
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Study Notes
Clinical Operative Dentistry Guidelines
- These guidelines are a manual for dental students at European University Cyprus
- They provide guidance on operative dentistry techniques
- They use evidence-based contemporary techniques and materials
- They are a tool for calibration between clinical supervisors
- They complement theoretical and practical education
Introduction
- Operative dentistry studies the hard tissues of teeth, prevention and treatment of pathological conditions caused by disease, trauma, wear and/or abnormal development
- It aims to restore natural anatomical form and function, manage caries (by risk assessment), treat the disease, and improve oral health
- Conservative surgical approach to minimize tooth structure invasion is advocated
- Clinical courses are available for each year and semester
Examination of Patient and Oral Cavity
- Comprehensive caries management and prevention plans are to be established during the screening examination
- Examination of the patient's occlusal characteristics and any possible impact on masticatory muscles and TMJs
- Review of patient records, treatment plans, radiographs before every appointment
- Key factors include patient needs, tooth anatomy, operative procedure, restorative materials, home, risk status, age, cooperation aspects of anesthesia
- An examination of the aesthetic appearance is also part of the process.
Caries Assessment
- Questions to consider for clinical decision-making and treatment planning: does caries exist, how is it detected, where is it located, does it involve only enamel or dentin, is it cavitated, can it be treated without surgery, and what is the future caries risk for the patient.
- Caries detection methods include visual examination, bitewing radiographs, and Diagnodent laser fluorescence.
- Acceptable methods include proper vision, lighting, bitewing radiograph, and transillumination.
- An explorer should not be used as a primary diagnostic tool on smooth surfaces, only for roughness assessment.
- Caries lesions may present as non-cavitated white lesions in enamel, or involve both enamel and dentin, leading to significant destruction.
Caries Management by Risk Assessment (CAMBRA)
- This is a management philosophy for controlling caries disease using a medical model
- It evaluates pathological and protective factors to assess the risk of future disease development
- It leads to an individualized evidence-based management plan involving nonsurgical and surgical interventions
Pre-Operative Procedures
- Local anesthesia is commonly used during most operative procedures
- Shade selection (using Vita Classic shade guide) is done before any mouth work, as dehydration can affect the shade of teeth
- Proper isolation of the operating site using rubber dam isolation is the optimal method for direct and indirect restorations and endodontic procedures, as it minimizes airborne debris and aerosols and improves operator access and visibility.
Tooth Preparation
- The goal is the maximum preservation of tooth structure while optimizing restorative material strength and longevity
- Instruments are used to remove carious lesions, shape the tooth, assess the preparation and obtain retention and resistance forms.
- Hand instruments include excavators, hatchets, chisels, and gingival margin trimmers
- Rotary instruments include round burs, pear-shaped burs, cross-cut fissure burs, and finishing diamonds.
Restorative Procedures
- Restore natural tooth anatomy, protect pulp-dentin complex, and aid plaque control.
- Resin-based composite is a preferred restorative material today, followed by amalgam (in some cases) for its conservative preparation and bonding capabilities.
- The ICDAS, and various other classifications, are used for scoring caries severity, with scores ranging from 0 (no caries) to 6 (extensive caries)
- Clinical protocols, systems, and materials for various operative conditions are detailed for amalgam and resin-based composite restorations.
Management of Dental Caries and Pulp Protection
- Preservation of non-demineralized and remineralizable tissue is crucial.
- Sealing sound dentine with peripheral restoration and inactivating remaining bacteria are essential steps.
- Pulp health is maintained by avoiding unnecessary pulpal irritation, preserving remaining dentine, and preventing pulp exposure.
- Deeper lesions require preserving pulpal health as the first priority and removing all soft dentine for optimal restoration.
Selective Caries Removal (SCR) Protocol
- Caries is removed to normal (hard) dentin at DEJ.
- Moderate carious lesions do not reach the inner one-third but deeper lesions involve removal of soft dentine.
Placement of Pulp Protection/Bases and Liners
- Materials like MTA, Ca(OH)2, and Biodentine are used as barrier and thermal materials to protect the pulp.
- This is essential for deep or moderately deep lesions.
Indirect Pulp Capping
- For 1-2mm dentin, using RMGIC or GIC
- For 0.5mm or less then using MTA or Ca(OH)2 materials
- 1-year follow-up and periapical radiographs are suggested.
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