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Questions and Answers
What describes the primary aspect of dental morphology?
What describes the primary aspect of dental morphology?
Which of the following correctly defines the interproximal space?
Which of the following correctly defines the interproximal space?
What is a key characteristic of a cusp in dental terminology?
What is a key characteristic of a cusp in dental terminology?
Which term refers to the ridge forming the occlusal margin of a tooth?
Which term refers to the ridge forming the occlusal margin of a tooth?
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What does a tubercle represent in dental anatomy?
What does a tubercle represent in dental anatomy?
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Which term best describes the gingival tissue located in the interdental space?
Which term best describes the gingival tissue located in the interdental space?
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What is referred to as a fissured groove?
What is referred to as a fissured groove?
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Which term accurately describes a groove in dental anatomy?
Which term accurately describes a groove in dental anatomy?
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How is an oblique ridge characterized in dental terminology?
How is an oblique ridge characterized in dental terminology?
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What is the primary concern when applying primer in bonding procedures?
What is the primary concern when applying primer in bonding procedures?
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Which generation bonding system utilizes a total etch method with three separate bottles for application?
Which generation bonding system utilizes a total etch method with three separate bottles for application?
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What is the role of MDP in bonding systems?
What is the role of MDP in bonding systems?
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What effect does an increased C-factor have on composite resin bonding?
What effect does an increased C-factor have on composite resin bonding?
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Which of the following issues is NOT a contributing factor to the breakdown of dentin bonding?
Which of the following issues is NOT a contributing factor to the breakdown of dentin bonding?
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What is a consequence of poor handling during the bonding process?
What is a consequence of poor handling during the bonding process?
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What characterizes a supplemental groove in dental anatomy?
What characterizes a supplemental groove in dental anatomy?
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What does a pit in dental terms refer to?
What does a pit in dental terms refer to?
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In Palmer's notation, how are adult teeth numbered?
In Palmer's notation, how are adult teeth numbered?
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What term describes the initial stage where tooth structure shows through the gingiva?
What term describes the initial stage where tooth structure shows through the gingiva?
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Which of the following statements about tooth eruption timing is accurate?
Which of the following statements about tooth eruption timing is accurate?
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What is the primary focus of the chronology of eruption?
What is the primary focus of the chronology of eruption?
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Which process does NOT occur during the pre-emergent eruption of teeth?
Which process does NOT occur during the pre-emergent eruption of teeth?
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What does a line angle represent in dental anatomy?
What does a line angle represent in dental anatomy?
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Which notation is used for primary teeth in Palmer's classification?
Which notation is used for primary teeth in Palmer's classification?
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What is the significance of monitoring the eruption sequence in dental age assessment?
What is the significance of monitoring the eruption sequence in dental age assessment?
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What is the primary mechanism of bonding in dental materials?
What is the primary mechanism of bonding in dental materials?
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Which statement is true regarding enamel bonding failures?
Which statement is true regarding enamel bonding failures?
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What can cause white lines in composite restorations?
What can cause white lines in composite restorations?
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What role does the dentine conditioner play in bonding?
What role does the dentine conditioner play in bonding?
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Which component of the primer bonds to hydroxyapatite?
Which component of the primer bonds to hydroxyapatite?
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Which of the following solvents is NOT mentioned as part of the primer formulation?
Which of the following solvents is NOT mentioned as part of the primer formulation?
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What can be a consequence of overheating composite during polishing?
What can be a consequence of overheating composite during polishing?
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What is a characteristic of mixed bonding strength?
What is a characteristic of mixed bonding strength?
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What practice should be avoided to ensure enamel bonding success?
What practice should be avoided to ensure enamel bonding success?
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What is one reason that cohesive failures can occur in enamel bonding?
What is one reason that cohesive failures can occur in enamel bonding?
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Which type of floss aid is specifically beneficial for patients with orthodontic wires?
Which type of floss aid is specifically beneficial for patients with orthodontic wires?
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Which statement about chlorhexidine mouthwash is accurate?
Which statement about chlorhexidine mouthwash is accurate?
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What is the primary reason that fluoride varnish is preferred over gels and foams?
What is the primary reason that fluoride varnish is preferred over gels and foams?
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Why should Betadine or iodine mouth rinses be avoided for pregnant women?
Why should Betadine or iodine mouth rinses be avoided for pregnant women?
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Which property of CPP-ACP makes it unsuitable for patients with lactose intolerance?
Which property of CPP-ACP makes it unsuitable for patients with lactose intolerance?
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What could be a consequence of using alcohol-containing mouth rinses?
What could be a consequence of using alcohol-containing mouth rinses?
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What is the main disadvantage of using essential oils in mouthwash?
What is the main disadvantage of using essential oils in mouthwash?
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Which of the following visual indicators suggests that a tooth is undergoing decalcification?
Which of the following visual indicators suggests that a tooth is undergoing decalcification?
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Why is reverse focus in electric toothbrushes sometimes beneficial?
Why is reverse focus in electric toothbrushes sometimes beneficial?
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What differentiates fluoride varnish from other topical fluoride forms?
What differentiates fluoride varnish from other topical fluoride forms?
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Study Notes
Dental Morphology
- Dental Morphology studies the features of the crowns and roots of teeth.
- Dental Anatomy encompasses the development, morphology, function, and identity of teeth.
Orientation Terminology and Charting
- Interproximal space refers to the triangular area between teeth.
- Interdental papillae is the gingival tissue within the interproximal space.
Cusp and Fossa Terminology
- A cusp is an elevation on the tooth crown.
- A fossa is a depression or concavity on the tooth crown.
- A marginal ridge is a linear elevation on the tooth surface.
- An oblique ridge crosses the occlusal surface of some maxillary molars.
Tubercle and Cingulum terminology
- A tubercle is a small elevation on the crown caused by extra enamel.
- A cingulum is a convexity on the cervical portion of an anterior tooth.
Groove Terminology
- A groove is a linear depression on the tooth surface.
- A fissured groove is a deep groove, a result of developmental lobe fusion.
- A supplemental groove is not fissured and is an accessory to a developmental groove.
- A pit is a small depression where developmental grooves meet.
Angle and Line Angle
- An angle is where two lines meet.
- A line angle is where two surfaces meet.
Palmer's Notation
- Palmer's notation uses a symbol to indicate the quadrant and a number for tooth position.
- Adult teeth are numbered 1 to 8 starting from the midline.
- Primary teeth are denoted by letters A to E, counting distally from the central incisor.
- Digital communication has transitioned to uppercase letters for quadrants (UR, UL, LL, LR).
FDI Notation
- FDI notation uses a two-digit code with the first digit indicating the quadrant and the second digit the tooth position.
- 1 - 5 represent permanent teeth, and 6 - 8 represent primary.
Tooth Formation
- Eruption is the continuous movement of a tooth from its bud to occlusal contact.
- Emergence is when a tooth first shows through the gingiva.
Eruption Timing
- Eruption times are approximate and vary based on factors like ethnicity, gender, and individual variation.
- Variations up to 6 months are common.
- Teeth tend to erupt late rather than early.
- Girls usually erupt permanent teeth earlier than boys.
Pre-Emergent Eruption
- Pre-emergent eruption begins shortly after root formation.
- It involves bone resorption and primary tooth resorption.
Toothbrushes
- Soft, nylon, round-ended toothbrushes are recommended.
- Electric toothbrushes are generally superior to manual ones.
- Rotating, oscillating, and pulsating electric brushes are more effective than sonic.
Oral Hygiene Visual Tools
- Blue staining indicates decalcification, with pale blue being the most severe.
Floss Aids
- Super floss is beneficial for under bridges or orthodontic wires.
- Patients struggling with floss should consider interproximal brushes.
Mouthwashes
- Chlorhexidine has antibacterial properties and is available in 0.12% and 0.2% concentrations.
- Essential oil mouthwashes contain menthol, thymol, methyl salicylate, and eucalyptol.
- Avoid alcohol-based mouthwashes for patients with soft tissue sensitivity or risk factors.
- Betadine or iodine possess antibacterial, antifungal, and antiviral properties.
CPP-ACP
- CPP-ACP is a milk-based product used for remineralization and caries prevention.
- It should not be used on patients with milk protein allergies or lactose intolerance.
- It helps buffer plaque pH and can be delivered in crème or chewing gum form.
Professionally Applied Topical Fluoride
- Individuals can be classified as low, moderate, high, or very high risk for dental caries.
- Fluoride varnish is used on patients at moderate, high, or very high risk.
Topical Fluoride Forms
- Topical fluoride comes in gels, foams, and varnishes.
- Varnish has surpassed other forms due to patient compliance, higher fluoride ppm, longer contact time, and placement flexibility.
Enamel Bonding
- The bonding mechanism is micromechanical, relying on enamel structure.
- Bonding strength varies between prismatic and interprismatic enamel.
- Mixed enamel bonding strength is inconsistent.
- All forms provide acceptable bonding strength.
Enamel Bonding Failure
- Avoid excess etching and ensure proper rubber dam use.
- Beveling enamel margins (except occlusal) increases bonding surface.
White Lines in Composite Bonding
- Can be caused by unsupported enamel, thin composite sections, or composite overheating.
Dentin Bonding
- Dentin conditioner removes the smear layer and modifies the dentin surface.
Primer (Coupling Agent)
- Bifunctional monomers with hydrophilic and methacrylate ends bond to hydroxyapatite and collagen.
- Primer application method impacts micro leakage.
- Deep demineralization may hinder primer penetration.
Dentin Bonding Systems
- 4th-generation: etch and rinse (total etch) + prime + bond (3 bottles)
- 5th-generation: etch and rinse (total etch) + prime-bond (2 bottles)
- 6th-generation: self-etching primer (no rinse) + bond (2 bottles)
- 7th-generation: self-etching no rinse, one-bottle system (MDP-based)
- 8th-generation/universal: self-etching no rinse, one-bottle, multimodal system (MDP, silane, nano fillers)
MDP
- 10-methacryloxydecyl dihydrogen phosphate, chemically bonds to metals, metal oxides, and hydroxyapatite.
- Preserves collagen by enhancing resistance to enzymes and inhibiting MMP activity.
Challenging Dentin Structural Variation
- Dentin structure varies based on age, location, and health, impacting adhesion.
Breakdown of Dentin Bonding
- Polymerization shrinkage, stress on the bond, poor handling, and thermal expansion differences can lead to failure.
- C-factor (ratio of bonded to unbonded surfaces) impacts polymerization stress.
Effect of Bond Area on Polymerization Shrinkage Stresses
- Higher C-factor increases the risk of bond disruption due to reduced surface area for stress relief.
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Description
Test your knowledge on dental morphology by exploring the features of teeth, including crowns, roots, and key terminologies. This quiz covers important concepts such as cusps, fossae, tubercles, and grooves, essential for understanding dental anatomy. Dive into the details of dental structures and enhance your comprehension of oral health!