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Questions and Answers
What are the potential effects of using a temporary filling material if the cavity extends below the gums?
What are the potential effects of using a temporary filling material if the cavity extends below the gums?
It may irritate the gums.
Why is it important to follow the manufacturer’s P/L ratio instructions when mixing dental cement?
Why is it important to follow the manufacturer’s P/L ratio instructions when mixing dental cement?
Adhering to the P/L ratio ensures optimal consistency, flow, and minimizes irritation to the pulp.
Describe the correct process of incorporating powder into liquid when mixing dental cement.
Describe the correct process of incorporating powder into liquid when mixing dental cement.
The powder should be added to the liquid in small increments to achieve the desired consistency.
What steps should be taken to ensure a good working time when mixing dental cement?
What steps should be taken to ensure a good working time when mixing dental cement?
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What should be done to prevent cement from adhering to the spatula during application?
What should be done to prevent cement from adhering to the spatula during application?
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What effect does the reaction between zinc oxide powder and ortho-phosphoric acid have upon mixing?
What effect does the reaction between zinc oxide powder and ortho-phosphoric acid have upon mixing?
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What is the primary purpose of a dental base material in cavity preparation?
What is the primary purpose of a dental base material in cavity preparation?
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What are the main disadvantages of using zinc phosphate cement as a temporary filling material?
What are the main disadvantages of using zinc phosphate cement as a temporary filling material?
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Why should a cavity base material be bacteriostatic or bactericidal?
Why should a cavity base material be bacteriostatic or bactericidal?
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List two clinical advantages of zinc phosphate cement.
List two clinical advantages of zinc phosphate cement.
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In what scenarios is zinc phosphate cement indicated for use?
In what scenarios is zinc phosphate cement indicated for use?
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What are the two commonly used cavity base materials mentioned?
What are the two commonly used cavity base materials mentioned?
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When is it sufficient to use only a cavity liner instead of a full base material?
When is it sufficient to use only a cavity liner instead of a full base material?
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What is the contraindication for the use of zinc phosphate cement in certain teeth?
What is the contraindication for the use of zinc phosphate cement in certain teeth?
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What protective barrier does a cavity base material provide against chemical irritants?
What protective barrier does a cavity base material provide against chemical irritants?
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What happens to the acidity of zinc phosphate cement after it is mixed?
What happens to the acidity of zinc phosphate cement after it is mixed?
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How does a cavity base material protect the pulp from galvanic currents?
How does a cavity base material protect the pulp from galvanic currents?
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Why is zinc phosphate cement not preferred as a temporary filling material?
Why is zinc phosphate cement not preferred as a temporary filling material?
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How does zinc phosphate cement play a role in orthodontics?
How does zinc phosphate cement play a role in orthodontics?
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What property must a cavity base material have to resist external forces?
What property must a cavity base material have to resist external forces?
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Why is it important for cavity base materials to be radiopaque?
Why is it important for cavity base materials to be radiopaque?
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What are the three types of glass ionomer cement (GIC) classified based on their applications?
What are the three types of glass ionomer cement (GIC) classified based on their applications?
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Describe the mechanism of adhesion of glass ionomer cement to tooth structure.
Describe the mechanism of adhesion of glass ionomer cement to tooth structure.
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List two advantages of using glass ionomer cement in dental restorations.
List two advantages of using glass ionomer cement in dental restorations.
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Identify two disadvantages of glass ionomer cement.
Identify two disadvantages of glass ionomer cement.
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What precautions should be taken when the distance to the pulp is less than 0.5 mm?
What precautions should be taken when the distance to the pulp is less than 0.5 mm?
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How do occlusal forces and porosities affect the longevity of glass ionomer cement restorations?
How do occlusal forces and porosities affect the longevity of glass ionomer cement restorations?
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Explain the relationship between the size of glass ionomer cement particles and wear rate.
Explain the relationship between the size of glass ionomer cement particles and wear rate.
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What factors influence the solubility of glass ionomer cement at the margins?
What factors influence the solubility of glass ionomer cement at the margins?
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What is the purpose of applying 10% polyacrylic acid during tooth preparation?
What is the purpose of applying 10% polyacrylic acid during tooth preparation?
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How should the powder and liquid components of the restoration be mixed?
How should the powder and liquid components of the restoration be mixed?
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What is the recommended time frame for application of glass ionomer cement after it is mixed?
What is the recommended time frame for application of glass ionomer cement after it is mixed?
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Why should the spatula be dipped in alcohol during the cement application process?
Why should the spatula be dipped in alcohol during the cement application process?
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What materials can be used to protect the setting cement during its initial setting phase?
What materials can be used to protect the setting cement during its initial setting phase?
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What steps are involved in the initial finishing of a glass ionomer cement restoration?
What steps are involved in the initial finishing of a glass ionomer cement restoration?
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In which types of carious lesions are glass ionomer cement restorations indicated?
In which types of carious lesions are glass ionomer cement restorations indicated?
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What is the importance of covering the setting cement with a matrix band during initial setting?
What is the importance of covering the setting cement with a matrix band during initial setting?
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What components are added to conventional glass ionomer to create hybrid ionomer or resin-modified glass ionomer cement?
What components are added to conventional glass ionomer to create hybrid ionomer or resin-modified glass ionomer cement?
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Describe the dual-reaction curing mechanism of hybrid ionomers.
Describe the dual-reaction curing mechanism of hybrid ionomers.
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What is the 'umbrella effect' in the context of hybrid ionomers?
What is the 'umbrella effect' in the context of hybrid ionomers?
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How does the ionic activity of hybrid ionomers compare to conventional glass ionomer cements?
How does the ionic activity of hybrid ionomers compare to conventional glass ionomer cements?
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What impact does the pH difference between resin-modified glass ionomer and conventional GIC have on pulp irritation?
What impact does the pH difference between resin-modified glass ionomer and conventional GIC have on pulp irritation?
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Which mechanical properties of hybrid ionomer cement are superior to conventional GIC?
Which mechanical properties of hybrid ionomer cement are superior to conventional GIC?
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Explain why the fluoride release from hybrid ionomers is lesser than that from conventional GIC.
Explain why the fluoride release from hybrid ionomers is lesser than that from conventional GIC.
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What are the main components of the liquid used in resin-modified glass ionomer cement?
What are the main components of the liquid used in resin-modified glass ionomer cement?
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Study Notes
Cavity Base Materials
- Dental base is a material placed on the cavity floor, acting as a relatively thick layer.
- Its purpose is to protect the dental pulp by providing thermal insulation from temperature changes and absorbing occlusal forces.
- It can also be used to line out undercut areas of indirect restorations like gold or composite inlays.
Types of Base Materials
- Zinc phosphate cement and glass ionomer cement are commonly used.
Properties of Cavity Base Materials
- Bacteriostatic/bactericidal: Prevents bacterial increase.
- Non-toxic: Should not harm hard or soft tissues.
- Hermetic sealing: Prevents microleakage and secondary caries.
- Thermal insulation: Protects the pulp from temperature changes.
- Adhesion to tooth structure: Bonds to the tooth and fillings.
- Resistance to chewing pressure: Resists breakage and cracking.
- Radiopaque: Visible on radiographs for border detection.
- Suitable working time and setting time: Must harden quickly at mouth temperature.
Additional Considerations
- Protective barrier: Prevents chemical irritants from filling materials.
- Electrical/galvanic current protection: Prevents current from different metals in the mouth.
- Resistance to chewing pressure and damage.
- Radiopaque to assess margins
- Proper adhesion and bonding to adjacent materials and tooth.
- Sufficient working time and fast hardening time.
Zinc Phosphate Cement
- Powder: Zinc oxide, magnesium oxide, bismuth oxide, silica
- Liquid: Orthophosphoric acid, water
- Acidic (pH 3.5) during mixing, which decreases within an hour.
- Complete neutralization within 24 hours.
- Not preferred as a temporary filling because of quick surface breakdown and plaque accumulation.
Advantages of Zinc Phosphate Cement
- Quick hardening
- Sufficient clinical resistance even at a low powder/liquid ratio
- Easy to manipulate
Disadvantages of Zinc Phosphate Cement
- Pulpal irritation
- Lack of antibacterial properties
- Brittleness
- Lack of adhesion
- Solubility in oral fluids
Indications for Cavity Base Materials
- Temporary sealing of cavities in permanent and deciduous teeth.
- Base material in cavities of deciduous and permanent teeth to ensure placement of permanent filling.
- Used in bonding of orthodontic bands, crowns, bridges, inlays, and for decayed teeth prior to crown-bridge fabrication.
Contraindications for Cavity Base Materials
- Deep caries with minimal dentin tissue exposed
- Teeth with sensitive pulps
- If used as a temporary filling, may irritate gums if the cavity extends below the gum line.
Manipulation of Zinc Phosphate Cement
- Powder/liquid ratio: Follows manufacturer instructions.
- Mixing: Mixing procedure should begin from powder to liquid and spatulated on a cool, dry glass slab in increments to prevent heat generation and increase working time.
- Application: Applied as small pieces to the cavity and subsequently coated on walls.
- Working time: 2-3 minutes
Glass Ionomer Cement
- Powder: Fluoroaluminasilicate glass, aluminum oxide, calcium fluoride, aluminum fluoride, and silicon oxide
- Liquid: Polyacrylic acid, tartaric acid, taconic acid, and distilled water
Classification of Glass Ionomer Cement
- Type I: Luting cement for crowns and bridges
- Type II: Restorative cement for aesthetic fillings
- Type III: Liner and base materials
Resin-Modified Glass Ionomer Cement
- Hybrid material between traditional glass ionomer cement and resin composite.
- Composition: Powder (fluoro-aluminosilicate glass, light, and chemical initiators), liquid (aqueous solution of polyacrylic acid and 10% 2-HEMA).
Setting Reaction of Resin-Modified Glass Ionomer Cement
- Dual-reaction curing mechanism (acid-base and polymerization).
- Polymerization reaction starts from the mixing of liquid and powder with chemical and light initiations.
- "Umbrella effect": Reaction protects against moisture contamination, providing greater initial strength.
- Acid-base reaction is the determining factor for the final strength of the material.
Advantages of Resin-Modified Glass Ionomer Cement
- Chemical bonding to tooth structure
- Caries preventive action
- Thermal compatibility with tooth structure
- Mild pulp response
- Tooth colored restorative material
- Easy manipulation
- Longer working time
- Superior wear resistance, fracture toughness, flexural and diametral tensile strength compared to conventional GIC
Disadvantages of Resin-Modified Glass Ionomer Cement
- Lower mechanical durability compared to composites
- Less aesthetic compared to composites
- Moisture sensitive during setting
Indications for Resin-Modified Glass Ionomer Cement
- Class V restorations
- Restoration of non-carious cervical lesions
- Class I and II restorations in primary teeth
- Liner/base under composite restorations (sandwich technique)
Manipulation of Resin-Modified Glass Ionomer Cement
- Polymerized by light
- Incremental layering techniques for reduced polymerization shrinkage
- Polishing can be done immediately but 24 hours is preferred.
Restoration Procedure
- Cleaning: Apply pumice slurry to the tooth surface.
- Conditioning: Apply 10% polyacrylic acid to the tooth surface for 10 seconds.
- Placement: Apply mixed GIC to the cavity using a condenser or cement carrier.
- Protection of cement: Cover with matrix band or varnish during setting and apply varnish, cocoa butter, or petroleum jelly after the first 24 hours.
- Finishing and polishing: Removal of excess material and final finishing.
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Description
This quiz covers critical concepts related to dental temporary fillings, cement mixing techniques, and the properties of various dental materials. It explores the importance of following manufacturer's guidelines, the benefits and disadvantages of using zinc phosphate cement, and the role of cavity base materials. Test your knowledge and understanding of these essential dental practices.