Dental Materials and Fluid Control Quiz

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Questions and Answers

What was one significant reason for the decline in the popularity of all-ceramic crowns in 1940?

  • Higher strength compared to metals
  • Lower cost than acrylic resin
  • Increased brittleness of all-ceramic materials (correct)
  • Higher esthetic appeal than acrylic resin

Which method was introduced in 1965 to enhance the strength of porcelain?

  • Use of glass-alumina composite with alumina crystals (correct)
  • Introduction of quartz crystals
  • Application of CAD/CAM technology
  • Incorporation of metal substructures

What are the main components used to create porcelain?

  • Clay, silica, and feldspars (correct)
  • Alumina, quartz, and gypsum
  • Sodium, potassium, and carbonates
  • Metal oxides, wax, and kaolin

What significant disadvantage does acrylic resin present compared to all-ceramic crowns?

<p>Greater thermal expansion and contraction (C)</p> Signup and view all the answers

What is the primary role of kaolin in the production of porcelain?

<p>Provide a sticky mass when mixed with water (C)</p> Signup and view all the answers

What is one primary importance of fluid control in a clinical environment?

<p>To provide dry and clean operating field (C)</p> Signup and view all the answers

Which of the following is a patient-related source of moisture in a clinical setting?

<p>Blood from iatrogenic damage (A)</p> Signup and view all the answers

Which method is NOT a mechanical method of fluid control?

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

Which of the following chemicals is commonly used as an anti-sialagogue?

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

What is the contraindication for using anti-sialagogues?

<p>Use in patients with hypersensitivity to drugs (D)</p> Signup and view all the answers

Which technique is considered the best for gingival tissue displacement?

<p>Surgical technique with laser (C)</p> Signup and view all the answers

What is one advantage of fluid control during dental procedures?

<p>Reduces the risk of swallowing foreign bodies (D)</p> Signup and view all the answers

Which of the following statements about chemical methods of fluid control is true?

<p>They primarily involve local anesthetics and anti-sialagogues (B)</p> Signup and view all the answers

What is the optimal direction for proximal reduction during preparation?

<p>Labio-lingually (C)</p> Signup and view all the answers

Which instrument is used for smoothing all axial surfaces?

<p>Finishing stone (D)</p> Signup and view all the answers

What should be the amount of reduction during proximal preparation?

<p>1mm (C)</p> Signup and view all the answers

Which finish line type is recommended for shoulder refinements?

<p>1mm Round shoulder (A)</p> Signup and view all the answers

What is the purpose of rounding sharp line angles during preparation?

<p>To reduce stress concentration (C)</p> Signup and view all the answers

What motion is suggested for preparing the cingulum?

<p>Mesio-distal sweeping motion (B)</p> Signup and view all the answers

Which type of stone is used for creating the lingual fossa preparation?

<p>Wheel or football stone (B)</p> Signup and view all the answers

What is a common consequence of not rounding sharp line angles?

<p>Higher risk of fracture (A)</p> Signup and view all the answers

What type of finish line is recommended for both lingual fossa and proximal reduction?

<p>Deep chamfer (C), 1mm Round shoulder (D)</p> Signup and view all the answers

What might be used to refine the established shoulder finish line?

<p>End cutting bur (A), Hand cutting instrument (B)</p> Signup and view all the answers

Which of the following is NOT an effect of tooth loss?

<p>Increased dental sensitivity (B)</p> Signup and view all the answers

What is the definition of prosthodontics?

<p>The restoration of oral function and replacement of missing body parts (C)</p> Signup and view all the answers

What distinguishes fixed prosthodontics from removable prosthodontics?

<p>Fixed prosthodontics involves appliances that are not readily removable (C)</p> Signup and view all the answers

Which of the following is considered a fixed prosthesis?

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

What is one of the primary aims of fixed prosthodontic treatment?

<p>Restoring function and esthetics (A)</p> Signup and view all the answers

Which of the following materials is commonly used in fixed prosthodontics?

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

What is a possible psychological effect of tooth loss?

<p>Feelings of embarrassment or self-consciousness (C)</p> Signup and view all the answers

What condition may result from alteration of the occlusal plane due to tooth loss?

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

Which factor is considered when determining the scope of fixed prosthodontic treatment?

<p>Overall dental health (A)</p> Signup and view all the answers

What term is used to describe any artificial replacement of a missing body part?

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

What is the primary purpose of Depth Orientation Grooves (D.O.G) in tooth preparation?

<p>To guide the amount of tooth structure removed during preparation (B)</p> Signup and view all the answers

How much occlusal reduction is generally recommended on functional cusps for full metal crowns?

<p>1.5 mm (C)</p> Signup and view all the answers

Which instrument is typically used for occlusal surface reduction during crown preparation?

<p>Tapered diamond bur with rounded end (A)</p> Signup and view all the answers

Why is it important to maintain a clearance of 1-1.5 mm during tooth preparation?

<p>To allow for adequate metal thickness for durability (B)</p> Signup and view all the answers

What is the recommended method to check occlusal reduction?

<p>Using a wax caliper with utility wax (D)</p> Signup and view all the answers

What happens if there is excessive occlusal reduction?

<p>Decreased occluso-gingival height (D)</p> Signup and view all the answers

Where are functional cusp bevels typically performed on full metal crowns?

<p>Buccal inclines of lower buccal cusps and palatal inclines of upper palatal cusps (D)</p> Signup and view all the answers

What could be a consequence of not using Depth Orientation Grooves during preparation?

<p>Increased likelihood of under or over preparation (C)</p> Signup and view all the answers

What is the primary reason for checking occlusal clearance in both centric and eccentric occlusal relations?

<p>To ensure proper contact with opposing dentition during all types of movement (C)</p> Signup and view all the answers

What is a potential result of inadequate occlusal clearance on non-functional cusps?

<p>Increased risk of crown fracture (D)</p> Signup and view all the answers

Flashcards

Fluid Control: Why is it important?

Maintaining a dry and clean operating field for better access, visibility, and patient comfort. It also prevents swallowing or aspirating foreign bodies, ensures the success of dental materials, controls infection, reduces aerosol production, minimizes mirror fogging, and prevents contamination.

Sources of moisture in the dental environment

Saliva, blood, and gingival crevicular fluids are all sources of moisture that can interfere with dental procedures.

Methods of fluid control

Methods of controlling moisture in the dental environment. They include techniques like mechanical barriers, chemical agents, and other innovative approaches.

Mechanical fluid control

Techniques that involve physical barriers or devices to prevent fluid from reaching the treatment area. Examples include rubber dams, suction tips, and high-volume vacuums.

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Chemical fluid control

Methods utilizing specific chemicals to reduce salivary flow. Commonly used drugs include anti-sialagogues and local anesthetics.

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Anti-sialagogues

Drugs that block the action of myoepithelial cells in salivary glands, reducing saliva production. Examples include Bromide, Propantheline bromide, Clonidine hydrochloride, and Atropine.

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Mechanical Gingival Displacement Techniques

These techniques involve mechanically retracting gingival tissues to expose the tooth, but they are often associated with complications like tissue trauma.

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Mechano-chemical Gingival Displacement Techniques

This technique combines mechanical retraction with a chemical agent like ferric sulfate to displace gingiva, providing better access and reducing bleeding.

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Prosthodontics

The branch of dentistry focused on restoring oral function, comfort, appearance, and health through replacing missing teeth with artificial substitutes.

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Fixed Prosthodontics

The area of prosthodontics that uses artificial substitutes that are fixed to natural teeth, roots, or implants.

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A Prosthesis

Any artificial replacement of a missing body part.

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Removable Prosthodontics

The area of prosthodontics that uses removable artificial substitutes to replace missing teeth.

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Fixed Prosthodontic Treatment

The process of restoring a damaged tooth or replacing a missing tooth with a permanent artificial substitute.

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Tooth Movement

The movement of teeth due to the absence of opposing teeth.

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Alveolar Bone Resorption

The loss of bone surrounding the teeth due to lack of function and pressure.

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Restore Function (Mastication)

The aim to restore proper chewing function, including the ability to grind and tear food.

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Restore Esthetics

Restoring the natural appearance of teeth, including shape, color, and alignment.

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Maintain Health and Integrity of Dental Arch

Maintaining the health of the remaining teeth and gums, preventing further tooth loss.

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Occlusal Reduction

The amount of tooth structure removed from the occlusal surface during crown preparation.

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Depth Orientation Grooves (D.O.G)

Grooves placed on the surface of the tooth to guide the preparation, ensuring the right amount of tooth structure is removed.

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Occlusal Clearance

The space created between the prepared tooth and the opposing tooth during occlusion. It should be 1.5mm on functional cusps and 1mm on nonfunctional cusps.

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Functional Cusp Bevel

A beveled edge created on the buccal inclines of lower buccal cusps and palatal inclines of upper palatal cusps to improve the crown's fit and function.

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Axial Reduction

The process of reducing the tooth's axial (side) surfaces to create a proper shape for the crown. Includes buccal, lingual, mesial, and distal surfaces.

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Chamfer Finish Line

A type of preparation finish line that creates a smooth, rounded margin for the crown. It is commonly used for all-metal crowns.

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Occlusal Reduction Amount

The amount of tooth structure removed from the occlusal surface for a crown preparation. It should be 1-1.5mm to ensure enough metal thickness.

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Occlusal Preparation in Pulpless Teeth

Reducing the occlusal surface by preparing two planes, buccal, and lingual, to create a uniform thickness for the crown in pulpless teeth.

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Reduction Gauge

Tools used to measure the amount of tooth structure removed during the preparation process, ensuring the correct amount of reduction.

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Occlusal Reduction

The amount of occlusal surface preparation.

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Concave Lingual Fossa

A concave shape located on the lingual surface of the tooth, designed to ensure even clearance during tooth preparation.

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Cingulum

A rounded, mesio-distally curved contour on the facial surface of the tooth, offering retention and resistance during preparation.

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Wheel or Football Stone

This instrument is shaped like a wheel or oval and is used to prepare the concave lingual fossa.

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Tapered Stone with Flat End

This instrument has a tapered form with a flat end and is specifically designed for preparing the cingulum.

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Round Shoulder Finish Line

A preparation margin shape that has a smooth, rounded edge, creating a 1mm width.

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Deep Chamfer Finish Line

A preparation margin shape that has a sharp angle and is tapered to create a 1mm width.

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Proximal Reduction Amount

The amount of tooth structure removed in the proximal area during preparation. Typical reduction is 1mm.

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Proximal Reduction Direction

The direction of tooth reduction, starting from the labial side (front) towards the lingual side (tongue) of the tooth.

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Fine Tapered Instrument for Proximal Reduction

A fine tapered instrument that is used to initially open up the contact area between two teeth during proximal reduction.

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Finishing and Smoothening Tooth Preparation

This process includes smoothing all the surfaces of the tooth preparation, rounding sharp corners, and defining the finish line using specialized instruments.

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All-ceramic crown restoration

Type of dental restoration that covers the entire crown of a tooth with a non-metallic material, offering a more aesthetically pleasing alternative to metal crowns. These restorations are designed to restore the tooth's shape, function, and esthetics.

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What is porcelain?

A specific type of ceramic material typically composed of kaolin, quartz, and feldspars, often used in dental restorations to enhance aesthetics. Porcelain is known for its translucency, allowing light to pass through it, mimicking the natural appearance of teeth.

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What is Glass-Alumina Composite?

The addition of alumina crystals to traditional porcelain, resulting in increased strength and ability to withstand fracture. However, this higher strength comes at the cost of reduced translucency, making it opaque.

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What is a Veneered Core Material?

A technique where a stronger, opaque core material is placed within a tooth, and then covered with a thinner, translucent layer of ceramic to achieve the desired esthetics. Similar to a metal-ceramic crown, but the core is not metal!

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How were the inherent disadvantages of ceramics overcome?

Relatively new ceramic materials like zirconia often utilized in dental restorations. Known for strength, durability, and esthetics, they address the weaknesses of traditional ceramics. These materials are often incorporated with CAD/CAM technology to improve accuracy and efficiency.

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Study Notes

Introduction to Fixed Prosthodontics

  • Prosthodontics is the area of dentistry that deals with restoring oral function, comfort, appearance, and health.
  • Fixed prosthodontics focuses on restorations that are attached to natural teeth, roots, or implants and cannot be removed.
  • A prosthesis is any artificial replacement of a missing body part.
  • Removable prosthodontics involves restorations that can be easily removed.

Effects of Tooth Loss

  • Tooth loss can affect the alignment of teeth (tilting, migration, rotation, and overeruption).
  • Occlusal planes may change.
  • Temporomandibular joint function and oral health are affected.
  • Alveolar bone resorption occurs.
  • There are changes to appearance and psychological well-being.

Terminology

  • Prosthodontics: deals with restoring function/comfort/appearance and health of the mouth via restoration or replacement.
  • Fixed Prosthodontics: restorative or replacement of teeth with non-removable artificial substitutes.
  • Prosthesis: a substitute for a missing body part.
  • Removable Prosthodontics: refers to removable artificial substitutes to replace missing teeth and adjacent oral structures.

Scope (Aims) of Fixed Prosthodontic Treatment

  • Treating a single tooth to rebuilding the entire mouth.
  • Restoring function (chewing and speaking).
  • Restoring appearance.
  • Maintaining dental arch health.
  • Maintaining temporomandibular joint health.

Types of Fixed Restorations

  • Crowns (covering the entire coronal portion of a tooth)
  • Bridges (connecting multiple missing teeth)
  • Inlays/onlays (filling damaged grooves)
  • Veneers (thin restorations covering part of a tooth)
  • Post crowns (for supporting teeth that have lost root structure)

Natural Crown

  • Anatomical crown: The part of the tooth that is visible covered by enamel which extends from the incisal edge to the cervical line.
  • Clinical crown: From the gingival crest to the incisal edge and shows increase by age, resulting from gingival recession.

Dental Crown (Artificial Crown)

  • Extracoronal artificial replacement that restores missing tooth structure.
  • Composed of materials such as cast metal, porcelain, or a combination of materials.
  • Permanently cemented onto the tooth or implant.

Restoration Types

  • Complete veneer crowns
  • Partial veneer crowns
  • Three-quarter crowns
  • Seven-eighths crowns
  • One-half crown veneers

Temporary Crowns and Bridges

  • Temporary restorations used to protect teeth while final restoration is being completed/constructed.
  • Fixed partial dentures (bridges) permanently span a gap of missing teeth supported by adjacent teeth.

Retainer (Attachment and Abutment)

  • A restoration that rebuilds a prepared tooth to support pontics (substitute for missing teeth).
  • Pontics are the replacement teeth of a bridge.

Connector Joint

  • Component joining pontic(s) with retainer(s).

Types of Bridges

  • Basic designs
  • Combinations
  • Variations
  • Fixed-fixed bridges
  • Fixed-supported bridges
  • Cantilever bridges
  • Spring cantilever bridges
  • Compound bridges

Temporary Crowns

  • Used to protect the prepared teeth until a final restoration is placed.

Bridge Terminology

  • Fixed partial denture
  • Fixed restoration
  • Fixed replacement
  • Fixed appliance
  • Fixed bridge
  • Rigid bridge
  • Stationary fixed bridge
  • Fixed-supported bridge

Temporary Crowns

  • Brief restorations used to safeguard teeth until the permanent replacement is constructed.

Cantilever Bridges

  • Single support of a pontic
  • It is unsupported on one end

Spring Cantilever Bridges

  • Supported by a metal arm
  • On one end

Classification of Fixed Restorations

  • Crowns (classified regarding the surface area covered)
    • Full crowns
    • Partial coverage crowns
  • Classify bridges regarding the supporting teeth.
    • Anterior bridges
    • Posterior bridges
    • Simple bridges
    • Compound bridges

Principles of Tooth Preparation (Lec. 2 & 3)

  • Teeth lack regenerative abilities after damage.
  • Restorations are used to re-establish form and function.
  • Tooth preparation considers biological, mechanical or aesthetic factors.

Biological Considerations

  • Affecting oral tissue health.

Mechanical Considerations

  • Ensuring restoration integrity & endurance.

Aesthetic Considerations

  • Affecting patient appearance.

Classification of Fixed Restorations(cont)

  • Crowns – classified according to surface coverage
    • Full coverage: covers all five surfaces.
    • Partial coverage: covers fewer than 5 surfaces of the tooth.
  • Bridges – classified according to support & retention methods
  • Various types of bridges (fixed, cantilever, etc.)

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