Dental Materials and Radiographic Analysis
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Questions and Answers

What is the pH threshold for enamel demineralization?

  • pH 5
  • pH 4.5
  • pH 5.5 (correct)
  • pH 6.5
  • What is an advantage of pre-endo build-up?

  • Provides better access for the root canal treatment (correct)
  • Decreases the need for temporary restorations
  • Increases the risk of root fracture
  • Helps in aesthetic restoration only
  • Which instrument is most appropriate for checking proximal areas after finishing a restoration?

  • Ball burnisher
  • Chisel
  • Explorer (correct)
  • Hollenback carver
  • How can coronal microleakage be prevented during endodontic treatment?

    <p>By removing defective restorations after RCT completion</p> Signup and view all the answers

    In a case where a patient reports toothache but feels fine during examination, what is the most appropriate initial response?

    <p>Placing a temporary restoration and monitoring</p> Signup and view all the answers

    When might a tooth be considered for extraction?

    <p>Severe periodontal disease with mobility</p> Signup and view all the answers

    Which of the following describes tacit knowledge accurately?

    <p>Challenging to communicate and often subjective</p> Signup and view all the answers

    What type of rotary cutting instrument is best suited for beveling?

    <p>Flame shaped diamond</p> Signup and view all the answers

    What is the best description for a carious lesion found next to an existing dental restoration?

    <p>Secondary caries</p> Signup and view all the answers

    Which statement is true regarding the treatment of premolars needing composite restorations?

    <p>Self-etching one bottle bonding agent should be used for sensitivity</p> Signup and view all the answers

    What does a radiolucency in the outer 1/3 of dentin indicate according to ICDAS scoring?

    <p>Moderate stage</p> Signup and view all the answers

    What is the preferred material for cuspal coverage of a mandibular 2nd molar with a short clinical crown?

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

    Which condition is not part of a patient's social history?

    <p>Medical history</p> Signup and view all the answers

    Which of the following is true about amalgam as a dental material?

    <p>It is insulating</p> Signup and view all the answers

    After endodontic treatment on a maxillary central incisor, which final restoration can be placed?

    <p>All of the answers</p> Signup and view all the answers

    What occurs when the remaining dentin thickness is less than 0.5mm in a preparation?

    <p>A liner/base should be placed</p> Signup and view all the answers

    Study Notes

    Temporary vs. Interim Materials

    • Temporary materials are quicker, cheaper, but have inferior aesthetics compared to interim materials.
    • Interim materials last longer and provide a better seal for weakened teeth.

    Radiographic Report

    • The provided X-ray images are not visible to me.
    • The report mentions various restorations, including Class I and Class II restorations and locations of caries lesions.
    • Key structures like #17, #16, #46, #45 feature restorations and caries.
    • Areas of concern include interproximal caries between teeth #16, #11, #150, and #14, as well as various other localized caries

    Explorer Use in Dental Clinics

    • Explorers evaluate proximal margins of restorations, removing excess cement and material.
    • They check for caries lesions and any damage to the tooth structure.
    • Also used for removing excess rubber material.
    • Important in periodontal exams, examining furcation and root surfaces.

    Teeth Requiring Extraction

    • Impacted teeth need extraction to remove bone/tissue impediment.
    • Accidents can cause needed teeth extraction.
    • Fractured or broken teeth often mandate extraction.
    • Periodontal diseases can cause need for extraction.
    • Severe decay/damage reaching the pulp may necessitate extraction.
    • Wisdom teeth, crowding can be reasons for extraction.

    Demineralization pH

    • Information on pH level for demineralization is not provided in the given text.

    Pre-Endo Build-Up Advantages

    • Information on the advantages of pre-end build-up is not supplied in this text.

    Anesthesia for Moderate Caries

    • Anesthesia suggestions are not included in this text.

    Tooth Ache Patient History

    • Key aspects to note during the pain history:
      • Timing (when the pain started)
      • Type of pain
      • Trigger factors (especially if pain subsides at times)
      • Pain severity on a scale
      • Pain characteristics (e.g., sharp, dull)
      • Location and areas affected
      • Frequency
      • Associated symptoms

    Dental Tissue Disease in Image

    • The image is not visible to me, and thus, the disease cannot be identified from the given context.

    Instruments for Proximal Area Check

    • Flat plastic material
    • Hollenback Carver
    • Explorer
    • Chisel
    • Ball burnisher

    Enamel Demineralization Threshold

    • The threshold for enamel demineralization is not mentioned explicitly.

    Preventing Coronal Microleakage

    • Leaving temporary fillings in place for 2-3 months is NOT a good option.

    Beveling Rotary Instruments

    • Flame-shaped diamond
    • Inverted cone carbide bur
    • Pear-shaped diamond
    • Wheel-shaped edge diamond
    • Straight carbide bur

    Responding to Patient with Deep Caries

    • Temporary restoration, monitor for weeks
    • Direct restoration, complete caries removal, pulp capping if needed.
    • Selective caries removal + liner
    • Perform root canal treatment.

    Restoration Failure Causes

    • Xerostomia (dry mouth) increases the chance of secondary caries.
    • Ideal oral hygiene minimizes caries.
    • Selective caries removal protocol helps ensure no caries remains after treatment.
    • Supragingival restorations (above the gum line) experience lower chances of secondary caries.

    Tacit Knowledge

    • Tacit knowledge is acquired through experience and not explicitly stated.

    Hard Dental Tissue Disease

    • Dental caries
    • Abrasion
    • Abfraction
    • Erosion

    Final Restoration Options After Root Canal Treatment

    • Full crown with a direct post
    • Full crowning with an indirect post
    • Direct composite restoration
    • Full crown without a post.

    Radiolucency in Dentin

    • Radiolucency in outer 1/3 of dentin is often related to advanced stages of dental disease but not necessarily an aggressive dental stage.

    Amalgam Properties

    • Amalgam promotes microleakage.
    • Amalgam does not bond to tooth structure
    • Amalgam preparation design requirements are minimal
    • Amalgam is not an insulator
    • Amalgam is associated with allergies for some.

    Composite Resin Restoration Planning

    • All the given aspects related to composite resin restoration planning and preparation apply to the process.

    Caries Adjacent to Existing Restorations

    • Primary caries is adjacent to an existing restoration.

    Material Usage

    • Dycal Ivory is a base in cavity preparation, used when dentin remaining is more than 0.5mm.

    Mandibular Molar Cuspal Coverage

    • Porcelain fused to metal could potentially be used for cuspal coverage.

    Specialist Referral Phase, Patient History, and Remaining Dentin Thickness

    • These aspects are important factors in treatment planning.
    • Details about patient history are needed for informed treatment plan.

    X-Ray Interpretation and Diagnosis

    • X-ray interpretation and clinical findings are crucial for diagnosis, and X-ray is not visible
    • Information may include a "bump" possibly associated to pulp necrosis or apical abscess.

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    Description

    This quiz covers the differences between temporary and interim dental materials, as well as the interpretation of radiographic reports in dentistry. Additionally, it reviews the use of explorers in dental clinics for evaluating restorations and the identification of teeth requiring extraction. Understand the key elements of dental care through this informative quiz.

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