Dentistry Adhesion and Bonding Quiz
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Questions and Answers

What is the primary mechanism of adhesion in the etch and rinse bonding strategy?

  • Thermal adhesion
  • Hydrophobic interaction
  • Mechanical interlocking (correct)
  • Chemical bonding
  • Which of the following is an example of a primer used in dental bonding?

  • Bis-GMA
  • UDMA
  • HEMA (correct)
  • TEGDMA
  • What is the objective of etching in dental procedures?

  • To enhance the color of the resin
  • To add strength to the dentin
  • To increase the viscosity of the material
  • To remove or modify the smear layer (correct)
  • Which of the following bonding strategies typically involves the use of an acid etch step?

    <p>Etch and rinse bonding (C)</p> Signup and view all the answers

    What is a distinguishing feature of self-etch bonding systems?

    <p>They do not use acid etching (D)</p> Signup and view all the answers

    Which of the following compounds is NOT typically used for bonding agents?

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

    What type of bonding does the universal bonding strategy provide?

    <p>It allows for versatility in adhesion techniques. (B)</p> Signup and view all the answers

    Which of the following is a challenge associated with bonding to dentin?

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

    What is the primary composition of all-ceramic restorations?

    <p>Ceramics dominated by glass (B)</p> Signup and view all the answers

    Which impression material is known for greater accuracy and dimensional stability over time?

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

    What mechanism controls the setting time of alginates?

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

    What is an advantage of polyether impression materials compared to addition silicones?

    <p>Longer shelf life (C)</p> Signup and view all the answers

    Which of the following statements about elastomeric materials is correct?

    <p>They are flexible cross-linked polymers when set. (C)</p> Signup and view all the answers

    What is a characteristic of addition silicones in impression making?

    <p>They have high tear strength. (C)</p> Signup and view all the answers

    What impact does the thickness of all-ceramic restorations have on their use?

    <p>Requires more complex cementation methods. (A)</p> Signup and view all the answers

    Which impression material should not be stored in water due to absorption concerns?

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

    What is the classification requirement for a high noble metal alloy?

    <p>More than 40% gold content and greater than 60% noble metal content (C)</p> Signup and view all the answers

    Which characteristic is NOT associated with high noble alloys?

    <p>They contain no copper or silver (A)</p> Signup and view all the answers

    What does the liquidus temperature indicate in alloy processing?

    <p>The upper range temperature at which the alloy melts (B)</p> Signup and view all the answers

    Which type of metal alloys are characterized by having less than 25% noble metal content?

    <p>Predominantly base metal alloys (D)</p> Signup and view all the answers

    How is hardness in metals generally defined?

    <p>Ease of indenting or polishing the alloy (B)</p> Signup and view all the answers

    What is a significant disadvantage of predominantly base metal alloys?

    <p>Controversial biocompatibility and corrosion resistance (D)</p> Signup and view all the answers

    What is the relationship between yield strength, hardness, and polishing difficulty in metals?

    <p>Higher yield strength indicates higher hardness and difficulty in polishing (C)</p> Signup and view all the answers

    Why is density an important property for metal alloys?

    <p>It has implications for metal performance in restorations (D)</p> Signup and view all the answers

    What effect does increasing temperature have on setting and working times?

    <p>Decreases both setting and working times (D)</p> Signup and view all the answers

    How does the proportion of water to powder affect alginate materials?

    <p>Thinner mixes decrease mechanical strength (D)</p> Signup and view all the answers

    What happens to alginate when stored in water?

    <p>Alginate expands due to water absorption (D)</p> Signup and view all the answers

    Which property of impression materials refers to their ability to recover to the original shape after stress?

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

    Why is tear strength important for impression materials?

    <p>It helps the material to resist tearing in thin sections (C)</p> Signup and view all the answers

    What is the effect of loading speed on the mechanical response of dental materials?

    <p>Higher loading speeds result in higher values of modulus (A)</p> Signup and view all the answers

    What is a disadvantage of alginate as an impression material?

    <p>It has low tear strength and limited elasticity (C)</p> Signup and view all the answers

    What is the main characteristic of impression materials behaving as viscoelastic materials?

    <p>They demonstrate both elastic and viscous behavior (D)</p> Signup and view all the answers

    What type of wax is primarily used to build the contours of dentures and hold the position of denture teeth before processing?

    <p>Base plate wax (A)</p> Signup and view all the answers

    Which type of base plate wax is suitable for use in a temperate climate?

    <p>Type II (medium) (C)</p> Signup and view all the answers

    What is a characteristic feature of boxing wax?

    <p>It has slight tackiness for attachment. (A)</p> Signup and view all the answers

    Which wax is used temporarily to assemble metallic or resin pieces in position?

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

    What is the primary use of bite-registration wax in dentistry?

    <p>For accurate articulation of opposing arches (B)</p> Signup and view all the answers

    What is the effect of using accelerators in gypsum setting?

    <p>Increases the rate of setting (D)</p> Signup and view all the answers

    How does an increase in the water-powder ratio affect gypsum products?

    <p>Increases setting time and decreases strength (A)</p> Signup and view all the answers

    What is one of the consequences of using too much water in gypsum mixing?

    <p>Increased porosity and decreased strength (C)</p> Signup and view all the answers

    What is the impact of temperature on setting time of gypsum materials?

    <p>Lower temperature prolongs setting time (D)</p> Signup and view all the answers

    Which type of stone experiences the highest expansion during setting?

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

    How does the presence of humidity affect gypsum materials?

    <p>Enhances setting expansion by increasing water absorption (C)</p> Signup and view all the answers

    What is the general effect of high hardness in dental stones related to alginate?

    <p>Higher hardness decreases compatibility with alginate (A)</p> Signup and view all the answers

    What role do hardening solutions play in gypsum?

    <p>Increase abrasion resistance and decrease setting time (A)</p> Signup and view all the answers

    Flashcards

    Mechanical Bonding

    Bonding materials using interlocking surfaces, creating a physical connection.

    Chemical Bonding

    Bonding materials using chemical reactions to create a true chemical bond.

    Acid Etching

    Removing or modifying the smear layer on tooth structure using acid.

    Smear Layer

    A thin layer of debris on the tooth surface created during preparation.

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    Etch and Rinse Bonding

    Tooth bonding strategy using acid etching, primer, and bonding agent.

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    Self-Etch Bonding

    Directly bonds to partially demineralized surface using a primer that contains functional monomers.

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    Universal Adhesive

    Versatile adhesive system for use with either etch and rinse or self-etch protocols

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    Bonding Challenges

    Difficulty in obtaining lasting bonding to dentin due to its complex structure and issues with retention.

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    High Noble Alloy

    Dental alloy with >40% gold and >60% noble metal content.

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    Noble Metal Alloy

    Dental alloy with >25% noble metal content, does not need gold.

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    Base Metal Alloy

    Dental alloy with <25% noble metal content, doesn't need gold.

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    Melting Range (Alloy)

    Range of temperatures over which an alloy melts and solidifies.

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    Liquidus Temperature

    The temperature at which all of an alloy melts.

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    Solidus Temperature

    Temperature at which all of an alloy freezes.

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    Alloy Density

    Measure of mass per unit volume of an alloy.

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    Alloy Modulus/Strength

    Properties determining alloy's ability to resist deformation/failure.

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    All-ceramic restorations

    Restorations made entirely of ceramic materials, replacing metal cores.

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    Veneering ceramics

    Glassy or glassy-dominated ceramics used for aesthetic purposes; translucent.

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    Impression materials

    Materials used to create records (impressions) of the teeth and mouth.

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    Alginate hydrocolloids

    Impression materials that are dissolving solids (solute) in a liquid (solvent).

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    Elastomeric impression materials

    Flexible, cross-linked polymers for more accurate impressions.

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    Addition silicones

    A type of elastomeric impression material, supplied as 2-part system, hydrophilic.

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    Polyether impression materials

    Elastomeric impression materials with good hydrophilic properties, but limited dimensional stability.

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    Alginate setting mechanisms

    Cross-linking of alginate chains by replacing Na+ ions with Ca++ ions.

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    What are casting waxes used for?

    Casting waxes are used to create the wax pattern for the metallic framework of removable partial dentures.

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    What is the purpose of base plate waxes?

    Base plate waxes shape the denture's contours and hold teeth in place before final processing.

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    What are the types of base plate waxes?

    Base plate waxes are classified by hardness: Type I (soft) for contouring, Type II (medium) for temperate climates, and Type III (hard) for tropical climates.

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    What is the primary use of boxing wax?

    Boxing waxes are used to create a box-like structure around impressions, ensuring accurate pouring of the cast.

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    What is the role of utility wax?

    Utility waxes are highly adaptable, used to adjust trays, provide rim support, and prevent irritation during impression taking.

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    Water-Powder Ratio (W/P)

    The amount of water added to 100 grams of gypsum powder.

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    W/P Effect on Setting Time

    Increasing the W/P ratio leads to a longer setting time for gypsum products.

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    W/P Effect on Strength

    Increasing the W/P ratio weakens the gypsum product.

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    Gypsum Expansion

    Gypsum materials expand during setting, impacting dimensional accuracy.

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    Expansion vs. Gypsum Type

    Plaster expands the most, followed by dental stone, then high-strength stone.

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    Hygroscopic Expansion

    Expansion of gypsum caused by absorbing ambient humidity or water on the surface.

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    Hardening Solutions

    Liquids that can increase gypsum hardness and abrasion resistance.

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    Gypsum Compatibility

    Gypsum products work well with various dental materials like alginate, silicones, and polyethers.

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    Working Time

    The time you have to mix and work with an impression material before it starts to set.

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    Setting Time

    The time it takes for an impression material to completely solidify, becoming rigid.

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    How does temperature affect setting time?

    Higher temperatures shorten setting time, making the material set faster. Lower temperatures extend setting time, making the material set slower.

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    How does water/powder ratio affect working and setting time?

    More water (thinner mix) increases working and setting time, making the material set slower. Less water (thicker mix) decreases working and setting time, making the material set faster.

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    Why is proper mixing important?

    Under-mixing or over-mixing weakens the material, impacting its overall strength and quality.

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    What is elastic recovery?

    The ability of an impression material to return to its original shape after being deformed.

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    How does loading speed affect alginate strength?

    Faster loading results in higher mechanical properties and greater strength in alginate.

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    What are some disadvantages of alginate?

    Alginate has low tear strength, limited elasticity, limited surface detail, and dimensional stability issues when stored.

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    Study Notes

    General Guidelines

    • Review all lecture content (online and live).
    • Midterm exam is cumulative.
    • Consult previous guidelines for the exam.
    • Read the recommended book chapters from the syllabus.
    • Complete the "Self-Test Questions" at the end of each book chapter.

    Adhesion and Bonding

    • Understand the different types of bonds used in dentistry (mechanical and chemical).

    • Mechanical interlocking uses surface roughness to create a bond.

    • Chemical bonding (true adhesion) uses chemical reactions between materials.

    • Both mechanical and chemical bonding can be used together.

    • Acid etching prepares the surface for bonding.

    • 37% phosphoric acid and EDTA are used to remove the smear layer without demineralizing the dentin layer.

    • Functional monomers (e.g., 10-MDP, 4-META, phenyl-P) are used in self-etching systems.

    • Identify compounds used for bonding agents, primers, and resin composites (e.g., HEMA, 4-META, Bis-GMA, UDMA, TEGDMA).

    • Understand differences between bonding strategies (etch and rinse, self-etch, and universal), and the number of steps/bottles.

    Bonding to Dentin

    • Challenges of bonding include retention, sensitivity, failure, staining, secondary caries, and inflammation.
    • Degradation of biomaterials, technical preparation, and material handling affect bonding.
    • Water reduces surface energy in dentin, expansion of the collagen structure, and obstructs resin infiltration.

    Metals - Amalgam

    • Amalgam is a mixture of silver alloy and mercury.
    • Small quantities of zinc and palladium can be included.
    • Amalgamation is the reaction between copper, silver, and tin, dissolving into mercury.
    • Identify gamma phases (1, 2) in amalgamation.

    Differences between high copper and low copper amalgams

    • High copper amalgams have higher strength, less corrosion, reduced creep, and better longevity, but cause long-term expansion due to moisture.
    • Low copper amalgams are being replaced by high copper, which is stronger and doesn't expand as much.

    Differences in Silver Alloy Shapes

    • Irregular and spherical shapes have different properties (irregular having stronger compressive strength).

    Ceramics

    • Identify the composition, phases (crystal and glass), of dental ceramics.
    • Glass-dominated ceramics are used primarily for esthetics.
    • Crystalline-dominated ceramics have higher strength but may not be as translucent.
    • Crystal base materials of ceramics include leucite, fluorapatite, spinel, zirconia, alumina, lithium disilicate, and lithium silicate.

    Ceramic Manufacturing

    • Identify the different manufacturing methods for ceramics (stacking, pressing, milling, additive manufacturing, and slip casting).

    Ceramic Properties

    • Understand different properties of ceramics (mechanical, thermal).
    • Ceramics have high compressive strength and moduli, but low tensile strengths and elongation.
    • Hardness of most glassy or glass-dominated ceramics is substantially higher than enamel.
    • Understand the coefficient of thermal expansion (CTE) differences in debonding.

    Porcelain Fused to Metal (PFM)

    • Ceramics in restorations include all-ceramic crowns, porcelain fused to gold or metal crowns.

    Cements

    • Identify different types of cements (composition, reaction, main properties) in dentistry (GIC, RMGI, ZOE, Calcium hydroxide).
    • Types of cements (type I luting, type II for restorative, type III for liners or bases).
    • Different applications of cements (restorations, temporary fillings, base, pulp-capping agents).

    Impression Materials

    • Types of Impression materials (alginates, elastomeric).
    • Understand chemical reaction for alginates.
    • Working time, setting time for impression materials.

    Dental Stones

    • Identify different types of dental stones (differences):

    • Impression plaster (type I), Dental plaster (type II), Dental stone (type III), High strength/low expansion dental stone (type IV), and High strength/high-expansion dental stone (type V).

    • Understand and identify the different stone phases: dihydrate, hemihydrate).

    • Identifying different crystal shapes, forms, and porosity (plaster > dental stone > die stone).

    • Understand the effect of accelerators and retarders (accelerators increase setting time, retarders decrease it).

    • Properties of stones (water-powder ratio, hygroscopic, working-setting time, and dimensional accuracy).

    • Considerations for gypsum materials like set time increase or decrease, porosity and strength, etc,

    Dental Waxes (natural/synthetic) (different types)

    Understand their application (inlay waxes, casting waxes, base plate waxes) (processing waxes - boxing, beading, utility, sticky) (flow properties - effect of temperature, force, time, residual stress, thermal expansion).

    • Understand dental waxes - different types(natural & synthetic), effect of temperature on their flow properties (melting point, viscosity), and significance of time and force on flow properties (e.g., resistance to flow during processing).

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    Description

    Test your knowledge on the principles of adhesion and bonding in dentistry. This quiz covers mechanical and chemical bonding, surface preparation, and the compounds used in bonding agents. Prepare yourself for the midterm exam by reviewing these essential concepts.

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