Tooth Preparation in Operative Dentistry

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Questions and Answers

What is the primary goal of tooth preparation?

  • To restore the integrity of the tooth surface and function (correct)
  • To remove diseased tissue only
  • To increase the size of the tooth
  • To change the color of the tooth

What is dental caries?

  • A type of tooth fracture
  • A genetic disorder affecting the teeth
  • A type of tooth restoration
  • An infectious microbiologic disease that results in localized dissolution and destruction of the calcified tissues of the teeth (correct)

What is nomenclature in the context of dentistry?

  • A type of dental instrument
  • A type of dental restoration
  • A set of terms used in communication by persons in the same profession (correct)
  • A type of dental disease

What is the term used to describe a tooth preparation that involves only one tooth surface?

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

What is the characteristic of pit-and-fissure caries?

<p>It forms a small area of penetration in the enamel at the bottom of a pit or fissure (A)</p> Signup and view all the answers

What is the shape of the carious lesion in pit-and-fissure caries?

<p>Two cones, base to base (B)</p> Signup and view all the answers

What is the abbreviation for a tooth preparation involving the mesial and occlusal surfaces?

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

What is the direction of the apex of the dentin cone in pit-and-fissure caries?

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

What is the term used to describe the surface of a tooth preparation that faces the adjacent tooth?

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

What type of caries affects the root surfaces of the tooth?

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

What is the term used to describe an internal cavity surface lying in the direction of the long axis of the tooth?

<p>Axial Wall (B)</p> Signup and view all the answers

What is the base of the cone in smooth-surface caries?

<p>On the enamel surface (B)</p> Signup and view all the answers

What is the term used to describe a prepared surface that extends to the external tooth surface?

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

What is the term used to describe the junction of two or more prepared surfaces?

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

What is the term used to describe an angle formed by the junction of two walls along a line?

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

What is the term used to describe a prepared wall that is reasonably flat and perpendicular to the long axis of the tooth?

<p>Floor (B), Seat (C)</p> Signup and view all the answers

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Study Notes

Definition of Tooth Preparation

  • Tooth preparation is the mechanical alteration of a defective, injured, or diseased tooth to receive a restorative material that reestablishes a healthy state for the tooth with normal form and function.

Objectives of Tooth Preparation

  • Remove diseased tissue as necessary
  • Restore the integrity of the tooth surface
  • Restore the function of the tooth to withstand mastication forces
  • Restore the appearance of the tooth

Nomenclature and Tooth Preparation Terminology

  • Nomenclature refers to a set of terms used in communication by persons in the same profession
  • Tooth preparation terms:
    • Simple: involving one tooth surface
    • Compound: involving two surfaces
    • Complex: involving three or more surfaces
  • Abbreviated descriptions of tooth preparations:
    • O: occlusal tooth preparation
    • MO: preparation involving mesial and occlusal surfaces
    • MOD: preparation involving mesial, occlusal, and distal surfaces

Tooth Preparation Walls

  • Proximal wall: surface facing the adjacent tooth
  • Internal wall: a prepared surface that does not extend to the external tooth surface
  • Axial wall: internal cavity surface lying in the direction of the long axis of the tooth
  • Pulpal wall: internal cavity surface lying horizontally in relation to the pulp, oriented perpendicular to the long axis of the tooth
  • External wall: prepared surface that extends to the external tooth surface, takes the name of the tooth surface it faces

Tooth Preparation Angles and Line Angles

  • Tooth preparation angles: junction of two or more prepared surfaces
  • Line angles: angle formed by the junction of two walls along a line
  • Examples of line angles:
    • Axio-pulpal line angle
    • Bucco-axial line angle
    • Gingivo-axial line angle

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