Laser Applications in Operative Dentistry
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Questions and Answers

What does the acronym 'laser' stand for?

  • Light Amplification by Stimulated Emission of Rays
  • Light Amplification by Stimulated Emission of Radioactive
  • Light Amplification by Stimulated Emission of Radio Frequency
  • Light Amplification by Stimulated Emission of Radiation (correct)
  • What are the three basic methods that pump energy into the active medium in a laser?

  • Thermal, electrical, and magnetic
  • Optical, electrical, and chemical (correct)
  • Optical, thermal, and electrical
  • Mechanical, thermal, and chemical
  • What is unique about laser light?

  • It is polychromatic, directional, and incoherent
  • It is monochromatic, directional, and coherent (correct)
  • It is monochromatic and has a high divergence
  • It is polychromatic and has a high divergence
  • What is the function of the active medium in a laser?

    <p>To amplify light through stimulated emission</p> Signup and view all the answers

    What determines the interactions, indications, and specificity of a laser's use in treatment procedures?

    <p>The wavelength of the laser's light</p> Signup and view all the answers

    What are the types of active mediums used in dental lasers?

    <p>Gas, liquid, and solid state crystal rod</p> Signup and view all the answers

    What is the wavelength of the argon laser used in detection of dental caries?

    <p>488 nm</p> Signup and view all the answers

    What is the primary mechanism of laser fluorescence systems for detection of dental caries?

    <p>Lack of fluorescence from carious enamel and dentine</p> Signup and view all the answers

    What is the wavelength of near-infrared soft-tissue lasers?

    <p>810 nm, 940 nm, 980 nm, 1064 nm</p> Signup and view all the answers

    What is the advantage of laser fluorescence in detecting dental caries in pits and fissures?

    <p>Greater sensitivity</p> Signup and view all the answers

    What is the wavelength of the far-infrared region laser?

    <p>10,600 nm</p> Signup and view all the answers

    What is the limitation of laser fluorescence in detecting dental caries?

    <p>Difficulty in detecting proximal lesions</p> Signup and view all the answers

    What is the main advantage of using the Er: YAG laser in cavity preparation?

    <p>It reduces the risk of pulp damage</p> Signup and view all the answers

    What is the characteristic appearance of ablation craters on enamel surfaces after cavity preparation using the Er: YAG laser?

    <p>A white, chalky appearance</p> Signup and view all the answers

    What is the reason why carious material is more easily removed using the Er: YAG laser?

    <p>It has a higher water content than healthy dental hard tissues</p> Signup and view all the answers

    What is the purpose of using dyes in conjunction with laser fluorescence?

    <p>To detect carious lesions in areas of poor clinical access</p> Signup and view all the answers

    What is the ablation rate in enamel using the Er: YAG laser?

    <p>20-50 μm/pulse</p> Signup and view all the answers

    What is the characteristic of dentine cavity margins after preparation using the Er: YAG laser?

    <p>They are sharp and dentinal tubules remain open without a smear layer</p> Signup and view all the answers

    What is the difference between the ablation threshold of healthy dentine and carious dentine?

    <p>The ablation threshold of healthy dentine is two times higher than the corresponding threshold of carious dentine.</p> Signup and view all the answers

    What is the effect of the Er: YAG laser on gold crowns and ceramic materials?

    <p>It cannot remove gold crowns and ceramic materials due to low absorption and reflection of the laser light.</p> Signup and view all the answers

    What is the result of micro-explosions during hard tissue ablation using the Er: YAG laser?

    <p>Both microscopic and macroscopic irregularities.</p> Signup and view all the answers

    What is the Er: YAG laser incapable of removing?

    <p>Amalgam restorations due to potential release of mercury vapor.</p> Signup and view all the answers

    What is the advantage of the Er: YAG laser over bur treatment in terms of vibration?

    <p>The Er: YAG laser produces less vibration than bur treatment.</p> Signup and view all the answers

    What is the efficiency of ablation of the Er: YAG laser compared to enamel and dentine?

    <p>The ablation efficiency is comparable to that of enamel and dentine.</p> Signup and view all the answers

    What is the effect of laser irradiation on the calcium to phosphate ratio in dental hard tissues?

    <p>It decreases the ratio</p> Signup and view all the answers

    What is the outcome of using an Er: YAG laser to desensitize hypersensitive dentine?

    <p>It is more effective than conventional desensitizing systems and has a longer lasting effect</p> Signup and view all the answers

    What is the objective of power bleaching using lasers?

    <p>To achieve an effective power bleaching process using the most efficient energy source</p> Signup and view all the answers

    What is the effect of laser irradiation on the enamel surfaces of teeth?

    <p>They become more acid resistant</p> Signup and view all the answers

    What is the mechanism of power bleaching using lasers?

    <p>It uses high-intensity light to raise the temperature of hydrogen peroxide, accelerating the chemical process of bleaching</p> Signup and view all the answers

    What is the benefit of using lasers in hard tissue applications for treating hypersensitive dentine?

    <p>It improves the success rate of treatment</p> Signup and view all the answers

    What is the primary mechanism of Bioglass in treating dentin hypersensitivity?

    <p>Formation of an apatite layer that occludes the tubules</p> Signup and view all the answers

    What is the main component of Bioglass that acts as a nucleation site for precipitation of calcium and phosphate?

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

    What is the role of NanoHAP in treating dentin hypersensitivity?

    <p>Occlusion of dentinal tubules with a dentinal plug</p> Signup and view all the answers

    What is the size of the components of nanomaterials used in dentistry?

    <p>Less than 100 nanometers in dimension</p> Signup and view all the answers

    What is the outcome of using NanoHAP in dentistry?

    <p>Both A and B</p> Signup and view all the answers

    What is the mechanism of action of arginine-based products in treating dentin hypersensitivity?

    <p>Arginine attracts a calcium-rich layer from saliva to block the dentinal tubules</p> Signup and view all the answers

    What is the objective of fluoride iontophoresis in treating dentin hypersensitivity?

    <p>To drive fluoride ions more deeply into the dentinal tubules</p> Signup and view all the answers

    What is the effect of 0.5% solution of prednisolone on exposed root surface?

    <p>It induces remineralization resulting in occlusion of dentinal tubules</p> Signup and view all the answers

    What is the role of saliva in reducing dentin hypersensitivity, according to the mechanism of arginine-based products?

    <p>Saliva provides a calcium-rich layer to infiltrate and block the dentinal tubules</p> Signup and view all the answers

    What is the characteristic of the dentin plug formed by arginine-based products?

    <p>It is rich in phosphate, calcium, and carbonate</p> Signup and view all the answers

    What is the advantage of laser therapy in treating dentin hypersensitivity?

    <p>It is a painless treatment for the patient</p> Signup and view all the answers

    What is the mechanism of action of potassium nitrate in dentifrices for treating dentin hypersensitivity?

    <p>It penetrates A delta fibers, reducing their excitability</p> Signup and view all the answers

    What is the purpose of applying fluoride-containing varnishes in in-office treatments for dentin hypersensitivity?

    <p>To decrease the dentinal permeability by precipitating calcium fluoride crystals</p> Signup and view all the answers

    How do dentin bonding agents help in treating dentin hypersensitivity?

    <p>They seal the dentinal tubules, reducing hypersensitivity</p> Signup and view all the answers

    What is the effect of oxalates on dentin hypersensitivity?

    <p>They precipitate and occlude the open dentinal tubules</p> Signup and view all the answers

    What is the role of fluoride in dentinal permeability?

    <p>It decreases the dentinal permeability by precipitating calcium fluoride crystals</p> Signup and view all the answers

    What is the purpose of using 5% glutaraldehyde in dentin bonding agents?

    <p>To cause coagulation of proteins inside the dentinal tubules</p> Signup and view all the answers

    What is the main effect of acid cleansing agents on dentinal tubules?

    <p>Increases their permeability</p> Signup and view all the answers

    What is the result of thermal irritation on the pulp?

    <p>Pulp becomes necrotic</p> Signup and view all the answers

    Why is water directed onto the tooth during cavity preparation?

    <p>To prevent thermal irritation</p> Signup and view all the answers

    What is the effect of radiation therapy on the salivary gland?

    <p>It decreases salivary flow</p> Signup and view all the answers

    What is the purpose of using cleansing agents in cavity preparation?

    <p>To remove the smear layer from the dentin</p> Signup and view all the answers

    What is the definition of erosion?

    <p>The superficial loss of dental hard tissue due to chemical process not involving bacteria</p> Signup and view all the answers

    What is a common source of industrial acid that can cause erosion of the labial surface of anterior teeth?

    <p>Gaseous form in heavily polluted areas</p> Signup and view all the answers

    What is the effect of frequent ingestion of acidic food and drinks such as low pH cola drinks on tooth structure?

    <p>It accelerates the loss of tooth structure due to chemical attack</p> Signup and view all the answers

    What is the most common cause of erosion of the palatal surface of the upper teeth?

    <p>Gastric acid</p> Signup and view all the answers

    What is the effect of taking concentrated hydrochloric acid through a straw or glass tube on the teeth?

    <p>It causes the erosion of the lingual surface of the upper teeth</p> Signup and view all the answers

    What is the effect of using silicate filling material without liners on the pulp tissue?

    <p>It causes irritation of the pulp tissue</p> Signup and view all the answers

    What is the characteristic of the dental lesions caused by erosion in the early stages?

    <p>A rounded, cupped-out defect</p> Signup and view all the answers

    What is D-Abrasion in dentistry?

    <p>Abnormal tooth surface loss due to direct frictional forces</p> Signup and view all the answers

    What is the most common example of tooth brush abrasion?

    <p>Sharp wedge-shaped notch in the gingival portion of the facial aspect of teeth</p> Signup and view all the answers

    What is the primary cause of pulp death or inflammation related to incisal wear?

    <p>Attrition exceeding the rate of deposition of reparative dentin</p> Signup and view all the answers

    What is the importance of determining the underlying cause of tooth wear?

    <p>To achieve effective treatment</p> Signup and view all the answers

    What is the effect of heat generated during tooth preparation?

    <p>Dehydration of dentine and aspiration of moisture through dentinal tubules</p> Signup and view all the answers

    How can hypersensitivity be relieved in teeth?

    <p>By applying topical fluoride, fluoride rinse, dentinal bonding agents, or restoration</p> Signup and view all the answers

    What is the purpose of rinsing the area with sterile saline or anesthetic solution during pulp tissue repair?

    <p>To facilitate hemostasis and dry the area</p> Signup and view all the answers

    What is the difference between pure calcium hydroxide and hard-setting calcium hydroxide liner such as Dycal?

    <p>Pure calcium hydroxide causes tissue necrosis, while Dycal does not</p> Signup and view all the answers

    What is the purpose of removing the coronal portion of a vital pulp in a pulpotomy procedure?

    <p>To preserve the vitality of the remaining radicular portion</p> Signup and view all the answers

    What is the indication for performing a pulpotomy procedure?

    <p>For emergency relief of symptoms</p> Signup and view all the answers

    What is the purpose of placing a capping material over the canal orifices or remaining radicular tissue after pulpotomy?

    <p>To preserve the vitality of the remaining radicular portion</p> Signup and view all the answers

    What is the recommended procedure for teeth that are not large enough to allow for additional tissue loss through necrosis?

    <p>Apply hard-setting calcium hydroxide liner such as Dycal</p> Signup and view all the answers

    What is the primary objective of direct pulp capping?

    <p>To facilitate the formation of reparative dentin and maintain the vital pulp</p> Signup and view all the answers

    What is the recommended treatment for pulp exposure during caries removal?

    <p>Disinfecting the cavity with chlorhexidine and gently rinsing with anesthetic or sterile saline</p> Signup and view all the answers

    What is the purpose of applying a hard-setting calcium hydroxide liner in direct pulp capping?

    <p>To facilitate the formation of reparative dentin</p> Signup and view all the answers

    What is the benefit of using a glass ionomer base/liner material in direct pulp capping?

    <p>It provides a better seal and protects the calcium hydroxide dressing</p> Signup and view all the answers

    What is a contraindication for direct pulp capping?

    <p>Pulp tissue jeopardized by acute inflammation</p> Signup and view all the answers

    What is the final step in the direct pulp capping procedure?

    <p>Sealing the cavity preparation with a dentin/enamel bonding system</p> Signup and view all the answers

    What is the purpose of removing 1-2 mm of the superficial pulp tissue during partial pulpotomy?

    <p>To expose healthy coronal pulp tissue</p> Signup and view all the answers

    Why is re-entry to remove the residual minimal carious dentin after capping with calcium hydroxide questioned by some clinicians?

    <p>Because it may not be necessary if the final restoration maintains a seal</p> Signup and view all the answers

    What is the primary goal of partial pulpotomy?

    <p>To preserve the remaining coronal and radicular pulp tissues</p> Signup and view all the answers

    What is the benefit of maintaining a seal in the final restoration after indirect pulp capping with calcium hydroxide?

    <p>It prevents the need for re-entry</p> Signup and view all the answers

    What is the potential risk of re-excavation during re-entry?

    <p>Pulp exposure</p> Signup and view all the answers

    What is the similarity between direct pulp capping and partial pulpotomy?

    <p>Both are considered comparable procedures</p> Signup and view all the answers

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