Dental Preparation Standards Quiz

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Questions and Answers

What is the maximum allowable depth of the axial wall beyond the DEJ?

  • 2.0 mm
  • 1.5 mm
  • 1.0 mm
  • 0.5 mm (correct)

What is the maximum allowable width of the enamel cavosurface margin bevels?

  • 0.5 mm
  • 1.5 mm
  • 1.0 mm (correct)
  • 2.0 mm

Which of the following is considered a minimally substandard preparation?

  • A small area of unsupported enamel which is not necessary to preserve facial esthetics
  • A depth of the axial wall at the gingival level of 1.2 mm (correct)
  • A broken wall opposite the access extending beyond 1 mm
  • A gingival clearance of 0.2 mm

Which of the following is considered critically deficient?

<p>A restoration that exhibits changes from the ideal as described in the text (C)</p> Signup and view all the answers

What is the minimum allowable incisal-gingival length of the preparation?

<p>2.5 mm (A)</p> Signup and view all the answers

What is the minimum acceptable gingival wall clearance for a preparation?

<p>0.5 mm (D)</p> Signup and view all the answers

What is the maximum acceptable width of the incisal wall in a preparation?

<p>2.5 mm (C)</p> Signup and view all the answers

Which of the following would NOT be considered a minimally substandard preparation?

<p>A depth of the axial wall at the gingival level of 1.8 mm (D)</p> Signup and view all the answers

Which of the following characteristics of a prepared tooth would be considered a Class C defect in terms of resistance form?

<p>Excessive deviation from ideal convergence, resulting in walls converging more than desired (D)</p> Signup and view all the answers

How would a tooth preparation with "some deviation from ideal" convergence be categorized in terms of resistance form?

<p>Class S defect (A)</p> Signup and view all the answers

What aspect of a prepared tooth is most likely to significantly affect the retention form if it is poorly placed?

<p>Secondary retention features (A)</p> Signup and view all the answers

Which of the following is a characteristic of a Class S defect in terms of resistance form?

<p>Slightly rounded line and point angles (B)</p> Signup and view all the answers

What is the primary concern with poorly placed secondary retention features, as related to the retention form?

<p>Compromised resistance form (B)</p> Signup and view all the answers

Which of the following is a characteristic of a tooth preparation with a Class D defect pertaining to retention form?

<p>Excessive deviation from ideal convergence that affects restoration longevity (B)</p> Signup and view all the answers

What is the primary difference between a Class S defect and a Class D defect regarding convergence in the context of retention form?

<p>The degree of deviation from ideal convergence (B)</p> Signup and view all the answers

Which of the following factors is not directly related to the resistance form of a prepared tooth?

<p>The placement of secondary retention features (D)</p> Signup and view all the answers

Where should the facial cavosurface margin of a Class III preparation extend to?

<p>0.3 mm into the facial embrasure (A)</p> Signup and view all the answers

What is the purpose of a lingual bevel in a Class III preparation?

<p>All of the above (D)</p> Signup and view all the answers

When is it NOT recommended to place a bevel in a Class III preparation?

<p>All of the above (D)</p> Signup and view all the answers

What is the main reason for placing retention grooves in a Class III preparation?

<p>To increase retention (C)</p> Signup and view all the answers

What is the recommended procedure for placing retention grooves in a larger Class III preparation?

<p>Using a 1/4 round bur on a slow speed handpiece (D)</p> Signup and view all the answers

Which of the following is true about the placement of retention grooves in a Class III preparation?

<p>The gingival groove should be larger than the incisal groove (A)</p> Signup and view all the answers

What is the purpose of planing the gingival margin in a Class III preparation?

<p>To remove unsupported enamel that could fracture (B)</p> Signup and view all the answers

Which of the following statements is TRUE regarding retention in small, conservative Class III preparations?

<p>Acid etch bonding should provide sufficient retention (D)</p> Signup and view all the answers

What is the primary reason for the "No bevels in the preclinic Class III" category to have a "Severe impact on restoration"?

<p>The absence of bevels compromises the retention and esthetics of the restoration. (C)</p> Signup and view all the answers

What does "CS" refer to in the context of the table provided?

<p>Conservative Sub-errors (C)</p> Signup and view all the answers

How does "location" affect the "longevity" of the restoration in Class III preparations?

<p>Incorrect location can lead to excessive undermining of enamel, increasing the risk of fracture. (D)</p> Signup and view all the answers

What is the primary reason for the "Box-like internal walls meet" category to have a "Severe impact on restoration"?

<p>The box-like internal walls lead to poor adaptation and sealing of the composite resin, resulting in microleakage and decay. (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of a clinically acceptable Class III preparation?

<p>The box-like internal walls meeting the facial, gingival, and axial walls at a right angle. (D)</p> Signup and view all the answers

What is the most frequent contributor to "Total critical errors (CD)" in Class III preparations?

<p>Undermining of enamel due to excessive cavity preparation. (A)</p> Signup and view all the answers

What is the significance of understanding the principles of cavity preparation in the context of Class III restorations?

<p>These principles are fundamental to ensuring accurate and efficient cavity preparation, minimizing the risk of complications and enhancing clinical outcomes. (A)</p> Signup and view all the answers

What is the main difference between "Conservative Sub-errors (CS)" and "Critical Errors (CD)" in relation to Class III restorations?

<p>CS are minor deviations that do not significantly impact restoration longevity, while CD greatly compromise the lifespan of the restoration. (D)</p> Signup and view all the answers

If radiographic evidence indicates decay has progressed into dentin, what is the required procedure according to TUKSoD policy?

<p>Complete removal of decay through a surgical procedure (D)</p> Signup and view all the answers

What is the primary goal of the Restorative Dentistry II course?

<p>Developing skills for conservative operative dentistry (D)</p> Signup and view all the answers

What is the primary concern regarding the invasive sealant/ PRR technique?

<p>The removal of unnecessary tooth structure (D)</p> Signup and view all the answers

What is the main reason for performing an invasive sealant/ PRR?

<p>To improve the bond of the sealant to the tooth surface (B)</p> Signup and view all the answers

In cases where limited caries has reached the dentin, what procedure is recommended?

<p>Conservative composite preparation (CCP) (A)</p> Signup and view all the answers

What is the maximum amount of enamel that should be removed during a PRR procedure?

<p>1 mm (D)</p> Signup and view all the answers

When considering a PRR, what factors influence a clinician's decision?

<p>Caries removal philosophy and belief in the effectiveness of sealants (B)</p> Signup and view all the answers

According to the content, how is the cavity outline form in a CCP determined?

<p>The location of the caries (B)</p> Signup and view all the answers

What is the primary purpose of beveling enamel margins in composite restorations?

<p>To enhance esthetics and color blending (A), To improve marginal seal and bonding strength (B)</p> Signup and view all the answers

In which situations should beveling of enamel margins be avoided?

<p>When the gingival margin is close to the CEJ (C)</p> Signup and view all the answers

What is the purpose of a macro dentinal groove in a composite preparation extending onto the root surface?

<p>To create additional retention and minimize debonding due to tooth flexure (C)</p> Signup and view all the answers

When are box-like internal features preferred in composite preparations?

<p>For preparations extending onto the root surface (A), For large preparations requiring additional retention (B)</p> Signup and view all the answers

Which of the following is a recommended technique for removing unsupported enamel at the gingival margin?

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

What is the preferred cavity design for a conservative Class III composite preparation with a lesion entirely in enamel?

<p>A slot-shaped preparation without retention grooves or bevels (A)</p> Signup and view all the answers

Which of the following statements about composite cavity preparation design is TRUE?

<p>Conservative preparations often require additional retention features beyond acid etch. (C)</p> Signup and view all the answers

When is a 90° cavomargin and macro dentinal groove recommended in composite preparations?

<p>For preparations extending onto the root surface (D)</p> Signup and view all the answers

Flashcards

DEJ

Dentin-enamel junction, a boundary between enamel and dentin.

Decay Removal Policy

Complete removal of decay is required if it has penetrated past DEJ into dentin.

Invasive Sealant/PRR

A conservative procedure that involves removing some tooth structure to improve bonding.

Conservative Operative Dentistry

Minimal intervention techniques that focus on preserving tooth structure.

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Cavity Preparation

The preparation process for a cavity influenced by the extent of decay.

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Active Lesion

A carious area suspected to require mechanical intervention.

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Composite Preparation

A conservative approach to treating cavities, focused on limited tooth removal.

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Sealant Placement Philosophy

Clinicians decide when and how to place sealants based on caries management beliefs.

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Beveled enamel margins

Beveling improves marginal seal, bonding strength, and aesthetics.

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Microleakage

The leakage of fluids and bacteria at tooth-restoration interface.

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Marginal seal

The ability to prevent leakage between the tooth and restoration interface.

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Cavomargin

A 90° angle created at the margin for improved retention on root surfaces.

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Macro dentinal groove

A retention feature that enhances bond strength and minimizes debonding effects.

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Box-like internal form

A cavity design for large preparations to increase retention.

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Acid etch retention

A technique to enhance the bonding surface for composites using an acid solution.

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Class III composite cavity preparation

A preparation type mainly located in enamel, often without additional retention features.

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Restoration Longevity

The durability and lifespan of a dental restoration under certain conditions.

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Bevels in Preparation

Angle edges of cavities to enhance retention and esthetics in restorations.

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Cavity Descriptor Errors

Errors in cavity preparation that can impact restoration success or longevity.

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Location and Dimension Errors

Mistakes regarding the placement and size of cavity preparations that may affect outcomes.

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Adverse Effects of Errors

Negative consequences on restoration longevity due to errors in preparation.

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Critical Errors (CD)

Severe mistakes in preparation that significantly compromise restoration success.

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Conservative Cavity Preparation

Techniques that minimize tooth removal while achieving effective restoration.

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Internal Form Axial Wall

The axial wall follows the tooth's contours, depth should not exceed 0.5 mm beyond the DEJ.

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Gingival Wall Width

The gingival wall width should be 1.0 mm during preparation.

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Incisal Wall Width

The incisal wall width should measure 1.5 mm in the preparation.

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Retentive Features

Rounded internal retention features are placed in the dentin to stabilize the restoration.

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Isolation Dam

An isolation dam provides adequate visibility and accessibility by preventing debris and saliva.

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Gingival Clearance

Gingival clearance should be more than 0.5 mm but less than 1.0 mm.

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Cavosurface Margin

The cavosurface margins can be slightly irregular, with a maximum bevel width of 1 mm if present.

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Critically Deficient Restoration

A restoration not meeting standards is considered critically deficient and fails grading.

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Pulpal Health

The condition of the dental pulp, crucial for tooth vitality.

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External Tooth Contour

The outer shape of a tooth that should remain unaffected for structural integrity.

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Gingival Margin

The edge of the gum that meets the tooth, which must be properly supported.

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Retention Form

Design aspects of a cavity preparation aimed at keeping the restoration in place.

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Converging Walls

Walls of a cavity that come together towards the base, enhancing retention.

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Secondary Retention Features

Additional characteristics placed in preparations to improve restoration retention.

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Line Angles

The sharp edges formed where two walls meet in a cavity or preparation.

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Point Angles

The junction of three walls in a cavity prep, important for restoration longevity.

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Facial Cavosurface Margin

The margin extending 0.3 mm into the facial embrasure to ensure decay removal.

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Resistance Form

Cavity design with 90-degree cavosurface margins in non-beveled areas.

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Lingual Bevel

A placed bevel that enhances retention, aesthetics, and reduces microleakage.

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Gingival Groove

A groove placed in the gingival area to enhance retention in larger cavities.

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Unsupported Enamel

Enamel that lacks support and may fracture, requiring care during prep.

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Macro Dentinal Retention Features

Grooves and cove used in larger preparations for added bond strength.

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Cavosurface Margin Location

Positioning margins just below the contact point for effective prep.

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Study Notes

Posterior Composite Resin Preparations and Restorations

  • Composite dental restorative materials adhere to tooth tissues.
  • Enamel and dentin bonding agents, used with the acid-etch technique, provide a fast, economical, and conservative method for restoring carious and fractured tooth structure.
  • Other applications include pit and fissure sealants, enamel defect repair, cosmetic alterations, foundation restorations, crown support, and tooth splinting.
  • Cavity preparations for composite must follow Black's principles of outline, retention, resistance, and convenience forms, with modifications based on evidence.
  • Posterior composite preparations depend on decay severity. Unlike amalgam, variable thickness is possible for successful composite restorations.
  • Conservative approaches include decay removal, fissure sealing, and enamel retention with bonding.
  • Simple intervention for posterior pits and fissures involves sealant placement to prevent caries. This is a non-invasive procedure.
  • Tooth modification for enhanced sealant retention is not supported by clinical studies; however, removal of aprismatic enamel, organic content, decay, or aprismatic enamel is not routinely required.
  • Sealants are also used for secondary intervention to halt caries progression.
  • Operative intervention may be needed for active carious lesions with evidence of demineralization.
  • Criteria for determining the need for mechanical intervention before sealant placement include lesion extent, porosity levels, remaining tooth strength, and the need for any compromise in marginal seal.

Operative Intervention for Posterior Teeth

  • The simplest intervention for posterior pit and fissure anatomy is sealant placement.
  • This non-invasive approach can prevent caries initiation.
  • Cleaning teeth with toothbrush and air-water spray before sealant placement is adequate.
  • Mechanical removal of fissure enamel is not a routine procedure.

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