Dental Morphology and Terminology Quiz
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Questions and Answers

What describes the primary aspect of dental morphology?

  • The growth patterns of dental pulp
  • The relationship of teeth to the jaw structure
  • The traits of crowns and roots that may vary (correct)
  • The functionality of teeth during digestion
  • Which of the following correctly defines the interproximal space?

  • The space occupied by the periodontal ligament
  • The area of proximal height of contour of the tooth
  • The space between the gum and the tooth root
  • The triangular space between adjacent teeth (correct)
  • What is a key characteristic of a cusp in dental terminology?

  • A concavity located at the tooth's base
  • An elevation marking a developmental lobe (correct)
  • An irregular depression on the tooth crown
  • A linear depression found at the tooth surface
  • Which term refers to the ridge forming the occlusal margin of a tooth?

    <p>Elevation ridge</p> Signup and view all the answers

    What does a tubercle represent in dental anatomy?

    <p>An elevation made of additional enamel</p> Signup and view all the answers

    Which term best describes the gingival tissue located in the interdental space?

    <p>Interdental papillae</p> Signup and view all the answers

    What is referred to as a fissured groove?

    <p>A groove that sharply sinks into the tooth surface</p> Signup and view all the answers

    Which term accurately describes a groove in dental anatomy?

    <p>A linear depression on the tooth surface</p> Signup and view all the answers

    How is an oblique ridge characterized in dental terminology?

    <p>A ridge that crosses the occlusal surface diagonally</p> Signup and view all the answers

    What is the primary concern when applying primer in bonding procedures?

    <p>Achieving micro leakage due to improper technique</p> Signup and view all the answers

    Which generation bonding system utilizes a total etch method with three separate bottles for application?

    <p>4th generation</p> Signup and view all the answers

    What is the role of MDP in bonding systems?

    <p>To inhibit enzyme activity and preserve collagen</p> Signup and view all the answers

    What effect does an increased C-factor have on composite resin bonding?

    <p>Increases the likelihood of polymerization stress disrupting the bond</p> Signup and view all the answers

    Which of the following issues is NOT a contributing factor to the breakdown of dentin bonding?

    <p>Significant water retention within dentin</p> Signup and view all the answers

    What is a consequence of poor handling during the bonding process?

    <p>Formation of voids or porosity</p> Signup and view all the answers

    What characterizes a supplemental groove in dental anatomy?

    <p>It is supplemental to a developmental groove and usually not fissured.</p> Signup and view all the answers

    What does a pit in dental terms refer to?

    <p>A small pinpoint depression where the developmental grooves meet.</p> Signup and view all the answers

    In Palmer's notation, how are adult teeth numbered?

    <p>1 to 8 starting from the midline.</p> Signup and view all the answers

    What term describes the initial stage where tooth structure shows through the gingiva?

    <p>Emergence.</p> Signup and view all the answers

    Which of the following statements about tooth eruption timing is accurate?

    <p>Variations of 6 months either way are common.</p> Signup and view all the answers

    What is the primary focus of the chronology of eruption?

    <p>Tracking the sequence of mixed and permanent dentition.</p> Signup and view all the answers

    Which process does NOT occur during the pre-emergent eruption of teeth?

    <p>Movement of the tooth to occlusal contact.</p> Signup and view all the answers

    What does a line angle represent in dental anatomy?

    <p>Where two surfaces meet.</p> Signup and view all the answers

    Which notation is used for primary teeth in Palmer's classification?

    <p>Letters A to E.</p> Signup and view all the answers

    What is the significance of monitoring the eruption sequence in dental age assessment?

    <p>It is a useful index of maturity when combined with skeletal age.</p> Signup and view all the answers

    What is the primary mechanism of bonding in dental materials?

    <p>Micromechanical bonding</p> Signup and view all the answers

    Which statement is true regarding enamel bonding failures?

    <p>Cohesive failures are more common without a rubber dam.</p> Signup and view all the answers

    What can cause white lines in composite restorations?

    <p>Unsupported enamel cracking</p> Signup and view all the answers

    What role does the dentine conditioner play in bonding?

    <p>It modifies the smear layer.</p> Signup and view all the answers

    Which component of the primer bonds to hydroxyapatite?

    <p>Hydrophilic end group</p> Signup and view all the answers

    Which of the following solvents is NOT mentioned as part of the primer formulation?

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

    What can be a consequence of overheating composite during polishing?

    <p>Cracking of the composite</p> Signup and view all the answers

    What is a characteristic of mixed bonding strength?

    <p>It has varying effectiveness.</p> Signup and view all the answers

    What practice should be avoided to ensure enamel bonding success?

    <p>Over etching the enamel surface</p> Signup and view all the answers

    What is one reason that cohesive failures can occur in enamel bonding?

    <p>Use of rubber dams</p> Signup and view all the answers

    Which type of floss aid is specifically beneficial for patients with orthodontic wires?

    <p>Super floss</p> Signup and view all the answers

    Which statement about chlorhexidine mouthwash is accurate?

    <p>It is effective in treating gingivitis.</p> Signup and view all the answers

    What is the primary reason that fluoride varnish is preferred over gels and foams?

    <p>It remains in contact with teeth longer.</p> Signup and view all the answers

    Why should Betadine or iodine mouth rinses be avoided for pregnant women?

    <p>They have potential toxic effects.</p> Signup and view all the answers

    Which property of CPP-ACP makes it unsuitable for patients with lactose intolerance?

    <p>It contains casein proteins.</p> Signup and view all the answers

    What could be a consequence of using alcohol-containing mouth rinses?

    <p>Increased risk of soft tissue irritation.</p> Signup and view all the answers

    What is the main disadvantage of using essential oils in mouthwash?

    <p>They likely do not penetrate dental plaque effectively.</p> Signup and view all the answers

    Which of the following visual indicators suggests that a tooth is undergoing decalcification?

    <p>Pale blue coloration</p> Signup and view all the answers

    Why is reverse focus in electric toothbrushes sometimes beneficial?

    <p>To provide varied brushing action.</p> Signup and view all the answers

    What differentiates fluoride varnish from other topical fluoride forms?

    <p>It can be placed intraorally in any setting.</p> Signup and view all the answers

    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!

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