Dental Materials and Procedures Quiz
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Questions and Answers

What is the first step in the doffing procedure for PPE?

  • Gloves (correct)
  • Face Shield
  • Gown
  • Mask

Carbide burs have a higher grit and a higher number of blades compared to diamond burs.

True (A)

What is the primary purpose of rubber dams in dentistry?

Field isolation

The maxilla is located at the ______ of the jaw.

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

Which of the following clamps is designed for gingival retraction?

<p>#212 (D)</p> Signup and view all the answers

Match the type of dentition with the total number of teeth.

<p>Primary/Deciduous = 20 Permanent = 32 Diphyodont = 2 sets Succedaneous = Permanent teeth replacing deciduous teeth</p> Signup and view all the answers

Winged clamps are used specifically for molars.

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

List the three parts of a bur.

<p>Head, Neck, Shank</p> Signup and view all the answers

What is the purpose of coupling agents (silanes) in dental materials?

<p>To connect the matrix and filler particles (D)</p> Signup and view all the answers

Fluorescence involves shorter wavelength absorption and reflection.

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

What is the role of initiators in dental materials?

<p>To speed up the curing process</p> Signup and view all the answers

____ is used as a polymerization initiator breaking its O-O bond to produce free radicals.

<p>Benzoyl Peroxide</p> Signup and view all the answers

Match the following polymerization terms with their definitions:

<p>Initiation = Start of the polymerization process Propagation = Continuation of the polymerization reaction Termination = End of the polymerization process Chain Transfer = Transfer of the chain to another molecule</p> Signup and view all the answers

Which of the following factors contributes to polymerization shrinkage?

<p>Bonded surfaces/unbonded surfaces ratio (A)</p> Signup and view all the answers

Elderly patients typically have more enamel, causing their teeth to appear darker.

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

What is a common effect of polymerization shrinkage?

<p>Debonding, gaps, microleakage</p> Signup and view all the answers

To match the shade of dental materials, practitioners often use a _____ guide.

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

What is the polymerization shrinkage percentage range as monomers get closer together?

<p>2-10% (C)</p> Signup and view all the answers

Which of the following is NOT a contraindication for the use of posterior composite restorations?

<p>Primary carious lesions (C)</p> Signup and view all the answers

Composite restorations have a higher fracture toughness compared to indirect restorations.

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

What are the two types of etching methods mentioned for adhesive systems?

<p>Total etch and self etch</p> Signup and view all the answers

________ is a self-cured temporary direct restoration material that inhibits polymerization.

<p>Zinc-Oxide Eugenol</p> Signup and view all the answers

Which of the following is an advantage of composite restorations?

<p>Conservative approach (D)</p> Signup and view all the answers

Match the contraindications with their descriptions:

<p>Large restorations = Use indirect restoration Inadequate isolation = Poor bond strength Heavy occlusal stress = Increased fracture risk High caries risk = Likelihood of future decay</p> Signup and view all the answers

The first step in the protocol for posterior composite restoration is to check occlusion.

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

The adhesive system involves using __________ etchant during the cavity preparation.

<p>35% phosphoric acid</p> Signup and view all the answers

What is the main objective of tooth preparation?

<p>Preserve healthy tooth structure (A)</p> Signup and view all the answers

Abfraction is caused by chemical action on the tooth.

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

Name one feature of Convenience Form in tooth preparation.

<p>Accessibility for the procedure</p> Signup and view all the answers

Class III caries are categorized as M/D/L/F with no ____ on anterior.

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

Match the following loupe types with their characteristics:

<p>Simple Lens = Prone to distortion and magnifies objects Compound/Galilean Lens = No distortion, limited magnification due to length Prismatic/Kepler Lens = Multiple convex lenses, image can be angled Through-the-lens (TTL) Loupes = Custom-made, closest to eyes</p> Signup and view all the answers

Which of the following steps focuses on enhancing stability of a restoration?

<p>Primary Resistance Form (A)</p> Signup and view all the answers

Erosion is defined as friction with external objects.

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

What is the purpose of debridement in tooth preparation?

<p>To clean the area before final procedures</p> Signup and view all the answers

The smallest distance between two points that can be distinguished is called ___.

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

Which of the following statements is true about microscopes used in dental practice?

<p>They eliminate the need for declination angle. (B)</p> Signup and view all the answers

Which of the following statements about enamel tufts is true?

<p>Enamel tufts provide cushioning due to their hypomineralized nature. (C)</p> Signup and view all the answers

Dental fluorosis results in increased enamel porosity along Retzius lines.

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

What are the three types of dentin?

<p>Primary, Secondary, Tertiary</p> Signup and view all the answers

The main protein found in organic components of dentin is __________.

<p>Type I collagen</p> Signup and view all the answers

Match the type of dentin with its characteristics:

<p>Primary = Initial dentin formed after tooth eruption Secondary = Formed throughout the life of the tooth Tertiary = Formed in response to injury Sclerotic = Mineralized due to occlusion</p> Signup and view all the answers

What is the composition of dentin?

<p>50% inorganic, 30% organic, 20% water (B)</p> Signup and view all the answers

Amelogenesis Imperfecta is a condition that affects the quantity of enamel present.

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

Identify one common disorder associated with dentin.

<p>Dentinogenesis Imperfecta</p> Signup and view all the answers

The __________ process involves the reaction of odontoblasts to stimuli leading to the formation of tertiary dentin.

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

Which of the following best describes enamel lamellae?

<p>Fissure-like projections further from the DEJ (B)</p> Signup and view all the answers

What is the primary curing mechanism of Light-cured Resin?

<p>Light-cured (B)</p> Signup and view all the answers

Calcium Sulfate (gypsum) has a short setting time of 2 minutes.

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

What is the purpose of a Cavity Liner in Glass Ionomer Cements?

<p>To cover prep walls, seal tubules and pulp.</p> Signup and view all the answers

The three stages of tooth development are Bud, ____, and Bell.

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

Match the following materials with their applications:

<p>Resin Modified Glass Ionomer = Cavity restoration Calcium Sulfate = Temporary filling Light-cured Resin = Inlays and onlays Glass Ionomer Cements = Dental lining and base</p> Signup and view all the answers

What is the predominant inorganic component of enamel?

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

Ameloblasts are responsible for the secretion of enamel rods.

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

What is the average thickness of enamel in the Incisal 1/3 region?

<p>0.8 - 1.0 mm</p> Signup and view all the answers

Enamel is composed of _____% inorganic matter.

<p>88</p> Signup and view all the answers

Match the enamel structures with their descriptions:

<p>Striae of Retzius = Incremental growth lines Hunter-Schreger Bands = Structural adaptation increasing strength Enamel Cross Striations = Daily deposition of enamel Aprismatic Enamel = No pronounced rods</p> Signup and view all the answers

Which component is included in the composition of Resin Modified Glass Ionomer?

<p>HEMA (B), Methacrylate Polyacid (D)</p> Signup and view all the answers

Fluoride released from Glass Ionomer Cements can form fluoroapatite over time.

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

What happens during the Maturation Stage of amelogenesis?

<p>More minerals are secreted to harden enamel rods.</p> Signup and view all the answers

The _____ has a mixing time of 10 seconds in Resin Modified Glass Ionomer Cements.

<p>Fuji 2LC</p> Signup and view all the answers

Flashcards

PPE Donning/Doffing Protocol

The specific steps for putting on (donning) and taking off (doffing) Personal Protective Equipment (PPE), like gowns, masks, and gloves, in a dental setting.

Bur Anatomy

The parts of a dental bur, crucial for understanding bur use.

Absolute Isolation Technique

Using a rubber dam to create a barrier isolating a tooth for better treatment.

Rubber Dam Clamps: Types

Different types of clamps are available for teeth depending on their number and position.

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Maxilla and Mandible

The two main bones of the jaw, maxilla on top and mandible on bottom

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Primary vs. Permanent Teeth

Primary teeth are the first set of teeth, and permanent teeth replace them.

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Succedaneous Teeth

Permanent teeth that replace primary teeth.

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Non-Succedaneous Teeth

Permanent teeth that do not replace any primary teeth.

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Coupling Agents (Silanes)

Connects filler particles to the matrix in composite resin.

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Optical Modifiers (Inorganic)

Inorganic pigments added to composite resins to adjust shade.

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Fluorescence

Longer wavelength absorption/reflection in optical modifiers.

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Opalescence

Shorter wavelength scattering in optical modifiers.

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Opacity

Measure of light impenetrability in dental materials.

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Polymerization

Process where acryloyl monomers form a polymer.

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Polymerization Shrinkage

Contraction of composite resin during polymerization.

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C-Factor

Ratio of bonded surfaces to unbonded surfaces.

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Class I Caries

Cavity located on the occlusal surface of posterior teeth.

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Class II Caries

Cavity located on the proximal surfaces of posterior teeth.

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Composite Restorations

Restorations using composite materials for tooth repair, known for esthetics and conservation.

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Composite Advantages

Esthetics, conservative, lower complexity, less microleakage, and stronger supporting tooth structure.

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Composite Disadvantages

Polymerization shrinkage, lower fracture toughness compared to indirect restorations, technique sensitivity, potential for greater occlusal wear, and possible use of BPA.

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Composite Placement Protocol

Follows a specific procedure: anesthesia, pre-op occlusion check, cleaning, shade matching, isolation, cavity prep, bonding, composite placement, curing, checking occlusion, and finishing/polishing.

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Temporary Direct Restorations

Temporary fillings made of zinc-oxide eugenol, reinforced with PMMA, used as a protective base and preventing further damage.

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Zinc-Oxide Eugenol

A temporary filling material that inhibits polymerization and acts as a protective base. It's usually reinforced with PMMA for strength.

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Etching (Composite Placement)

Etching of dentin and enamel is essential in a composite restoration.

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Cavity Preparation

Drilling and shaping the decayed tooth area to create space for a restoration.

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Class III Preparation

Preparation of the tooth without involving the incisal/occlusal cusp tips.

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Class IV Preparation

Preparation of tooth involving the incisal/occlusal cusp tips and the gingival third of the facial/lingual surfaces.

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Abfraction

Wedge-shaped defects at the tooth's neck (cervical area) due to grinding forces.

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Point Angles

Junction points where three or more walls of a tooth preparation meet.

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Objectives of Tooth Preparation

Preserve healthy tooth structure, remove diseased areas, provide restorative form and esthetics.

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Initial Depth & Outline Form

First step in tooth preparation, determining the shape and depth of the preparation.

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Primary Resistance Form

Strength of the preparation against fracture by maintaining right angles to the axis.

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Primary Retention Form

Features that prevent the restoration from dislodging along the path of placement.

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Resolution (Vision)

Smallest distance between two points that can still be perceived as separate.

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Declination Angle

Downward angle of the eyes.

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Enamel's Hardest Layer

The outer layer of enamel is the hardest, containing high mineral density, and is more resistant to wear and tear.

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Inner Enamel Characteristics

The inner enamel layer, closest to the dentin, is more elastic and contains more organic content, aiding in force dissipation and cushioning.

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Enamel Tufts

Brush-like structures extending from the DEJ, composed of hypomineralized material, providing cushioning and flexibility.

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Enamel Lamellae

Fissure-like projections further from the DEJ, containing proteins, proteoglycans, and lipids, contributing to enamel's structure.

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Dental Fluorosis: What is it?

A condition where enamel porosity increases along Retzius Lines, leading to hypomineralized lesions due to excessive fluoride intake.

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Amelogenesis Imperfecta: Types

A genetic disorder affecting enamel formation, leading to hypocalcification, hypomaturation, or hypoplasia.

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DEJ: Scalloped Appearance

The DEJ, or Dentino-Enamel Junction, has a scalloped appearance, with convexity towards the dentin, strengthening the enamel.

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Dentin Composition

Dentin is primarily composed of inorganic components (crystallites), organic components (collagen), and water.

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Dentinal Tubules: What are they?

Tiny holes extending from the DEJ to the pulp, filled with fluids and odontoblastic processes, connecting the pulp to the enamel.

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Peritubular Dentin: Hardness

The highly mineralized layer surrounding dentinal tubules, protecting them and contributing to dentin's resistance.

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What is the difference between GIC and RMGIC?

Glass Ionomer Cement (GIC) is a traditional cement material that relies solely on an acid-base reaction for setting. Resin-Modified Glass Ionomer Cement (RMGIC) adds a resin component to the mix, providing additional strength and bonding properties through light-activated polymerization.

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What are the benefits of a cavity liner?

A cavity liner, often made from GIC, provides a protective barrier on the prepared tooth surface. It seals tubules and the pulp (the tooth's living core), protecting it from the harshness of materials like amalgam.

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What are the stages of tooth development?

Tooth development involves three distinct stages: Bud, Cap, and Bell. The Bud stage begins with the formation of the tooth bud, the Cap stage sees the bud developing into a cap shape, and during the Bell stage, the crown of the tooth starts taking form.

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Enamel Composition

Enamel, the hardest tissue in the human body, is composed of 88% inorganic material (mainly hydroxyapatite crystals), about 2% organic proteins and 10% water.

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Amelogenesis

Amelogenesis encompasses the formation of enamel, which occurs in two main stages: secretory and maturation. During the secretory stage, ameloblasts secrete hydroxyapatite crystals, forming enamel rods. In the maturation stage, more minerals are deposited, hardening the enamel rods.

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Enamel Rods

Enamel rods are the building blocks of enamel, consisting of tightly packed hydroxyapatite crystals, each measuring approximately 5 µm in diameter and wrapped in a protein sheath. They are key to enamel's strength and resilience.

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Hunter-Schreger Bands (HSBs)

Hunter-Schreger Bands are sets of ten or more enamel rods that interweave, creating a unique, wave-like pattern visible under polarized light. This structural adaptation contributes to enamel's strength.

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What are Striae of Retzius?

Striae of Retzius are incremental growth lines within enamel, representing periods of enamel deposition. These lines indicate the pauses and fluctuations in enamel formation during development.

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What are Enamel Cross Striations?

Enamel Cross Striations are daily growth lines within enamel, reflecting the regular rhythm of ameloblast activity. They reveal the rate of enamel formation, with a typical growth of 4 µm per day.

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What is Aprismatic Enamel?

Aprismatic enamel is a specialized form of enamel found at the outermost layer of the tooth. It lacks the pronounced rod structure characteristic of other enamel areas, contributing to the tooth's overall resilience.

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What are Fuji 2LC and Fuji Triage?

Fuji 2LC and Fuji Triage are popular resin-modified glass ionomer (RMGIC) cements used in dentistry. They offer a blend of GIC and composite qualities, providing both chemical bonding to tooth structure and enhanced strength and durability.

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What are the key differences between GIC, RMGIC, and Compomers?

GIC, RMGIC, and Compomers are all restorative materials, with varying properties. GIC prioritizes chemical bonding and fluoride release, while RMGIC adds resin for extra strength. Compomers are similar to RMGIC but use a different resin system.

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What is the advantage of dual-curing in restorative materials?

Dual-curing materials, like Fuji 2LC, combine both light-curing and chemical setting. This allows for controlled hardening, ensuring proper bonding even in areas with limited light access.

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What is the role of HEMA in RMGIC?

HEMA (Hydroxyethyl Methacrylate) is a key ingredient in resin-modified glass ionomer cements. It acts as a bridge, linking the glass-ionomer component (for chemical bonding) with the resin component (for added strength) in RMGICs.

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Why is moisture sensitivity important for GICs?

GICs are sensitive to moisture during the setting process. Excess moisture can interfere with the chemical reaction, weakening the material. Careful isolation and protection are essential for optimal curing.

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What is the powder to liquid ratio for GICs?

The powder-to-liquid ratio is crucial for GICs, as it determines the material's final properties. The optimal ratio is typically 0.4 grams of powder per 0.11 milliliters of liquid. This balance ensures proper mixing and setting.

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Study Notes

Lecture 1 - Intro to Cario, PPE

  • PPE Protocol involves donning (putting on) and doffing (taking off) personal protective equipment.
  • Donning sequence: gown, mask, goggles/loupes, face shield, gloves.
  • Doffing sequence: gloves, face shield, goggles/loupes, mask, gown.

Lecture 2 - Burs and Handpieces

  • Bur Anatomy includes the head, neck, and shank.
  • Materials used for burs include carbide, diamond, steel, and ceramic.
  • Grit size is described as diamond ^ grit, v microns and carbide ^ grit, ^ # of blades.
  • Handpiece data:
    • Friction Grip (FG): 1.6 mm, 1:5 gear ratio, 500-200,000 speed range, 0.7 Ncm torque
    • Right-Angle Latch (RA): 2.35 mm, 1:1 gear ratio, 60-40,000 speed range, 3.5 Ncm torque
    • Bur Width
    • Gear Ratio
    • Speed Range
    • Torque

Lecture 3 - Rubber Dam

  • Field Isolation
    • Relative isolation - uses cotton rolls, gauze, HVE, saliva ejectors, etc.
    • Absolute isolation - uses rubber dams to reduce airborne particles (90-98% w/ HVE)
  • Rubber Dam Clamps
    • Types: Butterfly (anteriors), Winged (canines and premolars), Wingless (molars) for specific teeth
  • Placement Techniques
    • Entire set (clamp, rubber dam, frame) placed at once
    • Ingraham Technique - clamp and rubber dam placed first, then frame
    • Clamp First - place clamp, then rubber dam + frame
    • Rubber Dam First - place rubber dam + frame, then clamp

Lecture 4 - Tooth Nomenclature

  • Dentition
    • Maxilla (on top), mandible (on bottom)
  • Tooth Types and Numbering
    • Primary/Deciduous (20 teeth), Permanent (32 teeth)
    • Incisors, canines, premolars, molars
    • Universal numbering system uses letters and numbers from upper right quadrant
  • Tooth Curvatures
    • Curve of Spee (anterior/posterior)
    • Curve of Wilson/Mesiolateral (lingual)
  • Tooth Numbering Systems
    • Universal system
    • FDI system (international)

Lecture 5 - Tooth Structures/Anatomy

  • Tooth Anatomy
    • Diastema - space between teeth
    • Embrasure - triangular spaces between teeth (faciolingually, incisal/occlusal, cervical)

Lecture 6 - Resin Composites

  • Matrix (organic component) - glue-like material ending in dimethyl acrylate and thickest is BIS-GMA.
  • Filler (inorganic component) - quartz, lithium aluminum silicate, zirconia, glasses.
  • Size/concentration facts: Size decrease + percentage of FP increases. Current nano-hybrid (2-7.5 nm @ 72-78% comp. weight) is common
  • Filtek Supreme XT is a specific example with 78.5% filler, good for polishing, high strength.
  • Coupling agents (silane) - connect filler and matrix.
  • Optical modifiers (inorganic) - pigments for shade matching.
  • Fluorescence -Longer wavelength absorption/reflection
  • Opalescence- shorter wavelength scattering
  • Opacity- measure of light impenetrability
  • Halo- translucency at incisal edge

Lecture 7 - Cavity Classifications and Principles of Cavity Preparation

  • Caries Classification:
    • Class I (occlusal), Class II (proximal), Class III (proximal), Class IV (proximal), Class V (gingival), Class VI (incisal and/or cusp tip)
  • Objectives of Tooth Preparation: (1) preserve, (2) remove, (3) provide, (4) re-implant

Lecture 8 - Magnification

  • Resolution - the smallest distance between 2 points that can be perceived separately
  • Ergonomic positioning (1-4), each position = 15 deg increase
  • Head angle = head tilt angle
  • Loupes types - simplex, compound/Galilean, prismatic/Kepler
  • Magnification is through lenses
  • Through-the-lens (TTL) Loupes are custom made for close eye distance.

Lecture 9 - Posterior Composite Restorations

  • Composite Advantages: aesthetics, conservative, lower risk of microleakage, increased strength.
  • Composite Disadvantages: shrinkage, lower fracture toughness, more technique sensitive.

Lecture 10 - Temporary Direct Restorations

  • Zinc-Oxide Eugenol, Calcium Sulfate(ie CAVIT), Light-cured Resin (ie Telio Onlay 20s LC), Glass Ionomer Cements.

Lecture 11 - Enamel and Dentin

  • Stages of Tooth Development: Bud, Cap, Bell.
  • Structure: Enamel and the tooth development, ameloblasts, enamel rods, HA crystals Organic - amelogenin, ameloblastin, enamelin, tuftlelin.

Lecture 12 - Caries

  • Caries Composition: microbial interactions with fermentable carbs.
  • Factors: Vertical & Horizontal transmission, oral flora, protective factors(saliva, protein), pathological factors (acidogenic bacterial, fermentable carbs, xerostomia).
  • Stephan Curve: shows critical value where enamel is demineralized. Time impacts more than overall concentration.

Lecture 13 - Dental Adhesion

  • Enameling and Dentin require modifications for bonding
  • Smear layer - layer made by handpiece on dentin. Impedes bonding and made of amorphous material (1-5um), residual debris, and oil.
  • Carbide burs are greater than diamond burs in damaging the enamel.
  • Etch is typically 35% Phosphoric acid to create more surface area, decalcifying the enamel.
  • Primer is used to diffuse the etchant.
  • Bifunctional monomers are materials that are hydrophilic to enamel/dentin, but hydrophobic to resin.
  • Solvent removes water and allows for better bond.

Lecture 14 - Ergonomics

  • MS Disorders Prevalence: 62% dentists, 28% surgeons, 10% physicians
  • Early Retirement Age prevalence: 15% under 40
  • Areas of MS disorder prevalence: Neck: 70-80%, Shoulder: 65-75%, Low-Back: 60-70%, Hand/Wrist: 60-70%, Arm/Hand: 40-50%

Lecture 15 - CAMBRA/ Caries Risk

  • Protective Factors (SAFER), Risk Factors (BAD): bad bacteria, absence of saliva, destructive habits, indicators, etc.

Lecture 16 - Fluorescence/Radiographic Methods

  • Diagnodent, Quantitative Light Fluorescence (QLF), SIROInspect, etc.

Lecture 17 - Polymerization

  • Polymerization definition, Photoinitiators, etc.

Lecture 18 - Non-Invasive Caries Management (emphasis on diet/sugars)

  • Types of sugars (Polysaccharides/Disaccharides)

Lecture 19 - Caries Excavation

  • Zone of destruction, reactionary/reparative, demineralization, different stages of caries.

Lecture 20 - Resin Infiltration

  • When to use Resin Infiltration (CODE D2990***), stages of progression, etc.

Lecture 21 - Clinical Considerations for Resin Infiltration

  • Factors that affect Resin Infiltration: time, contact angle, surface tension, viscosity, radius, and diffusion paths.

Lecture 22 - Indications for Interproximal Infiltration

  • Protocol for interproximal resin infiltration, refractive indices, etc.

Lecture 23 - Bleaching Through Resin Infiltration

  • Results of bleaching through resin infiltration (graph).

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Description

Test your knowledge on dental materials, procedures, and anatomy with this quiz. It covers topics such as PPE doffing, rubber dams, bur parts, and polymerization in dentistry. Perfect for dental students and professionals looking to refresh their understanding.

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