Dental Materials and Temporary Restorations Quiz
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Questions and Answers

What is one of the primary reasons for using a temporary restoration?

  • Cost-effectiveness of the temporary material
  • The need for extensive preparation before permanent restoration
  • Aesthetics of the temporary material
  • Patient urgency (correct)
  • In the context of dental restorations, what does 'lack of time' often refer to?

  • Time required for complex treatments and laboratory work (correct)
  • Dentist's busy schedule
  • Setting time of restorative materials
  • Patient's limited availability
  • What is dental amalgam primarily composed of?

  • Silver and tin
  • Porcelain and resin
  • Mercury and at least one other metal (correct)
  • Gold and platinum
  • Which term describes an amalgam composed of mercury and two other metals?

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

    What material property is described as the ability to undergo significant plastic deformation before rupture?

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

    What is the primary function of Tri-Calcium Phosphate (TCP) in dental procedures?

    <p>To promote hard tissue formation and bone regeneration (B)</p> Signup and view all the answers

    How does Tri-Calcium Phosphate (TCP) contribute to dentin bridge formation?

    <p>By direct apposition on the pulpal wall, minimizing inflammation (A)</p> Signup and view all the answers

    Which of the following is NOT a clinical application of Tri-Calcium Phosphate (TCP)?

    <p>Teeth whitening procedures (A)</p> Signup and view all the answers

    What is the main aim of temporary restorations in dentistry?

    <p>To protect the prepared tooth surface and maintain its function (D)</p> Signup and view all the answers

    Which of the following is a critical consideration when removing temporary filling material?

    <p>Ensuring the prepared cavity is not damaged during the process (B)</p> Signup and view all the answers

    Which of the following is NOT a component of a composite resin?

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

    What is the primary function of silane in composite resins?

    <p>Bonds the matrix and filler particles (B)</p> Signup and view all the answers

    Which material combines characteristics of composites and glass ionomers?

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

    What distinguishes organically modified ceramic (ORMOCER) from traditional composites?

    <p>Use of a polymer backbone with silicon dioxide (C)</p> Signup and view all the answers

    What type of reaction is involved in glass ionomer cements?

    <p>Acid-base reaction (B)</p> Signup and view all the answers

    How are compomers related to glass ionomer cements (GICs)?

    <p>Compomers are a type of polyacid-modified composite. (C)</p> Signup and view all the answers

    What is the role of the matrix in composite resin materials?

    <p>Binds the filler particles together (D)</p> Signup and view all the answers

    What is the inorganic phase of composite resin materials?

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

    What characteristic makes a dental material suitable as a base or filling?

    <p>High thickness and compactability (C)</p> Signup and view all the answers

    What type of reaction is involved in the setting of glass ionomer cements?

    <p>Acid-base (C)</p> Signup and view all the answers

    What is the role of polyacrylate chains in glass ionomer cements?

    <p>Creating cross-links to increase the material's strength (C)</p> Signup and view all the answers

    How many setting phases are there in glass ionomer cements?

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

    Which property describes the initial setting phase of glass ionomer cements?

    <p>Not stable and soluble in water (C)</p> Signup and view all the answers

    What occurs during the second setting phase of glass ionomer cements?

    <p>Hardening and formation of further cross-links (C)</p> Signup and view all the answers

    After the second setting phase, are glass ionomer cements soluble or insoluble in water?

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

    What happens if there is more powder than liquid in a glass ionomer cement?

    <p>The cement becomes more compact and thicker (B)</p> Signup and view all the answers

    What is the primary benefit of Ormocer's low polymerization shrinkage?

    <p>Enhanced micromechanical retention to the tooth structure (D)</p> Signup and view all the answers

    Besides low polymerization shrinkage, what is another key advantage of Ormocer materials?

    <p>Excellent biocompatibility, minimizing adverse reactions (D)</p> Signup and view all the answers

    What role do methacrylate groups play in Ormocer materials?

    <p>They facilitate cross-linking, contributing to the material's strength (B)</p> Signup and view all the answers

    What is a common application for temporary Ormocer restorations?

    <p>As an interim restoration before a permanent crown is placed (C)</p> Signup and view all the answers

    What are the primary functions of liners and bases in restorative dentistry?

    <p>To provide thermal insulation, structural support, and pulp protection (B)</p> Signup and view all the answers

    What are the three main objectives of using cavity varnishes, liners, and bases?

    <p>Preserving pulp health, preventing irritation, and sedating an irritated pulp (B)</p> Signup and view all the answers

    What is the percentage range of polymerization shrinkage for Ormocer?

    <p>1-3% (B)</p> Signup and view all the answers

    What types of irritation are liners and bases designed to protect the pulp from?

    <p>Chemical, thermal, and electrical (D)</p> Signup and view all the answers

    If a dental preparation encroaches deeply into dentin near the pulp, what type of restoration is typically indicated?

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

    What material property contributes to Ormocer's strong micromechanical retention?

    <p>Low polymerization shrinkage (A)</p> Signup and view all the answers

    What is the powder-to-liquid ratio for aesthetic restorative cements?

    <p>2.5-3:1 (D)</p> Signup and view all the answers

    Which type of cement is characterized by FAST SETTING?

    <p>Luting cements (D)</p> Signup and view all the answers

    What is a key advantage of GIC related to its polymer chain size?

    <p>Reduced post-operative sensitivity (C)</p> Signup and view all the answers

    What is a potential drawback of liner cements?

    <p>Sensitivity to drying (A)</p> Signup and view all the answers

    Which cement type is used for crowns and bridges?

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

    What contributes to the reduced pulpal irritation with GIC?

    <p>Large polymer chain size (A)</p> Signup and view all the answers

    What is the ideal powder-to-liquid ratio for fast-setting luting cements?

    <p>5:1 (C)</p> Signup and view all the answers

    Which restorative cement has a higher powder-to-liquid ratio?

    <p>Reinforced restorative cement (B)</p> Signup and view all the answers

    Flashcards

    Temporary Restorations

    Restorations used when urgency or time constraints exist, allowing for immediate dental care.

    Dental Amalgam

    An alloy of mercury mixed with other metals, commonly used in dental fillings.

    Binary Amalgam

    An amalgam containing mercury and one other metal.

    Ternary Amalgam

    An amalgam containing mercury and two other metals.

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    Ductility

    The ability of a material to undergo significant plastic deformation before breaking.

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    Antacid Base Reaction

    A chemical reaction involving an acid and a base that neutralizes each other.

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    Matrix in Composites

    The organic phase in a composite material that binds filler particles together.

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    Filler Particles

    Inorganic materials added to matrix to enhance properties of composites.

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    Silane Coupling Agent

    A substance that improves the bond between the matrix and filler particles.

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    Compomers

    Materials that are acid-modified composites, combining properties of glass ionomer cement and composites.

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    Glass Ionomer Cement

    A dental material made by mixing glass particles and organic acid.

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    Organically Modified Ceramic (Ormocer)

    A ceramic restorative material modified with organic components.

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    Bonding Agent

    A substance required to secure bonds in composite materials.

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    Tri-Calcium Phosphate (TCP)

    A biocompatible material used in bone regeneration and dentin bridge formation.

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    Osteoblasts

    Cells that promote bone formation by laying down new bone material.

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    Dentin bridge formation

    The process of creating a hard tissue barrier to protect the pulp after pulp capping.

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    Clinical Use of TCP

    Utilized for dentin bridge formation in pulp capping and as a graft for bone regeneration.

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    Ormocer

    A restorative material combining ceramics and composite resins.

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    Polymerization shrinkage

    The reduction in volume that occurs when a polymer hardens.

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    Micromechanical retention

    A method to achieve strong bonding by interlocking materials at a microscopic level.

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    Liners and bases

    Materials used to protect the dental pulp and provide insulation and support.

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    Biocompatibility

    The ability of a material to be compatible with living tissue.

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    Direct materials

    Dental materials applied directly to the tooth in one appointment.

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    Indirect materials

    Dental materials created outside the mouth and fitted later.

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    Sedating an irritated pulp

    Calming inflammation in the dental pulp to reduce pain.

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    Thermal insulation

    Protection against temperature changes affecting the pulp.

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    Luting Cements

    Types of dental cements used to bond crowns and bridges.

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    Restorative Cements

    Cements used to restore tooth structure, available in aesthetic and reinforced types.

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    Fast Setting Cements

    Cements that harden quickly, useful in urgent situations.

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    Liner Cements

    Cements designed to protect the pulp and seal tooth structures, less soluble than others.

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    Polymer Chain Size

    Refers to the size of polymer chains in cement, affecting its penetration into dentin.

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    Dentin Tubules

    Microscopic channels in dentin that can be irritated by certain dental materials.

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    Post-operative Sensitivity

    Pain or discomfort following dental procedures due to irritation of dentin.

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    Radiopaque

    Property of materials that blocks X-rays, appearing white on radiographs.

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    Acid-Base Reaction

    A chemical process where an acid reacts with a base to form salts and water, crucial in several dental materials.

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    Polyacrylate Chains

    Long molecular structures that create crosslinks in materials, enhancing strength and stability.

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    Crosslinks

    Connections between polymeric chains that enhance material strength and resistance.

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    Setting Phases

    Stages that glass ionomer undergoes during curing, influencing its final properties.

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    Water Solubility

    The ability of a substance to dissolve in water, affecting its stability and application.

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    Hardening Phase

    The second phase of glass ionomer where the material becomes less soluble and more stable after initial curing.

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    Water Resistant

    Property of a material that prevents dissolution in water, important for longevity in dental applications.

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    Study Notes

    Class IV Cavity Preparation

    • Involves proximal surface of anterior teeth, including the incisal edge.
    • Conventional, beveled conventional, and minimally invasive preparations are described.
    • Initial steps involve preparing a class III cavity mesially, using a diamond round bur.
    • The class III cavity is then transformed into a class IV cavity by extending it incisally.
    • Incisal edge is removed using a fissure bur with oblique reduction.
    • Buccal enamel is beveled using a flame-shaped bur (0.5-1mm bevel).

    Treatment of Crown Fractures of Anterior Teeth

    • Fractures can be enamel, crown without pulp involvement, and crown with pulp involvement.
    • Fracture type classification involves 6 types (1 - 6) and 9 squares. Class 1 is 1 or less, Class 2 ≤ 2.5, and 3-6 are extensive involving 3 to 6+ squares.
    • Class 1 - loss of 1 unit or less of tooth structure (distal or mesial edge)
    • Class 2 - loss of tooth structure not exceeding 2 squares (distal or mesial edge)
    • Class 3 - loss of tooth structure not exceeding 2.5 squares covering 2/3 of incisal edge
    • Class 4 - extensive fracture (at least 3 squares covering 2/3 of incisal edge)
    • Class 5 - fracture covering 3 squares containing full incisal edge
    • Class 6 - fracture covering 6 squares containing full incisal edge

    Cervical Lesions

    • Can be carious or non-carious.
    • Classification based on anatomy and etiology (carious crown only, crown and root, only root).
    • Non-carious cervical lesion (NCCL) is a broad term for wear, erosion, abfraction, and abrasion.

    Cavity Varnish, Liner, and Base

    • Preserves dental pulp health, prevents irritation (chemical, thermal, and mechanical).
    • Used for medium and deep preparations (into dentin): varnish and liner, or cavity liner and base.
    • Varnish is not used under composite.
    • Varnish, liner, and base materials are incompatible with composites and block adhesion.

    Temporary Restorations

    • Aim is to save the prepared tooth surface and involve the tooth in function or release it from loading.
    • Minimize possibility of fracture, drift or gingival growth into the cavity.
    • Used in urgency, time-consuming treatment, multiple appointments or as needed for laboratory work, or treatment of pulp, separation, root canal treatment, walking bleach, prosthetic, or orthodontic treatment.

    Amalgam (Dental Amalgam)

    • An alloy of mercury with other metals (e.g., silver, tin, copper, zinc).
    • Has properties such as volumetrical stability, non-toxicity, mechanical resistance, ductility, thermal conductivity, electrical conductivity, and corrosion resistance.
    • Different types of amalgam can have different compositions and properties.

    Composites (Resin-based Materials)

    • Classify composites by their consistency (flowable/compactable).
    • Classify by layer thickness (liners, layered, bulk-fill).
    • Classify by polymerization type (self-curing, light-curing, dual-curing).
    • Key components are organic matrix, inorganic filler particles and the coupling (binding) phase silane.
    • Monomers like BIS-GMA, UDMA, TEGDMA link to form a cross-linked polymer structure which is initiated by light.

    Glass-ionomer cements(GIC)

    • Involve an acid-base reaction forming a polyalkenoate cement.
    • Composed of a liquid matrix and a powdered filler.
    • Filler particles are reactive silicate glasses (i.e., Ca-Al-F silicate glass and/or Sr-Al-F silicate glass)

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    Description

    Test your knowledge on dental materials, specifically focusing on temporary restorations and the role of Tri-Calcium Phosphate (TCP). This quiz covers key concepts, compositions, and the functions of various dental materials in clinical applications. Challenge yourself with questions that explore both fundamental and advanced topics in dental restoration.

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