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Dental Adhesives and Restoration Techniques

The document discusses various dental procedures and materials, focusing on adhesive systems, cavity preparation, and restoration techniques. It addresses specific questions regarding the application of primers, the effects of etching, and the types of restorations suitable for different dental conditions. Additionally, it covers the importance of tooth structure assessment and the selection of appropriate materials for effective dental restorations.

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Misho Medhat
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0% found this document useful (0 votes)
13 views6 pages

Dental Adhesives and Restoration Techniques

The document discusses various dental procedures and materials, focusing on adhesive systems, cavity preparation, and restoration techniques. It addresses specific questions regarding the application of primers, the effects of etching, and the types of restorations suitable for different dental conditions. Additionally, it covers the importance of tooth structure assessment and the selection of appropriate materials for effective dental restorations.

Uploaded by

Misho Medhat
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

1- According to manufacturer instructions are to apply the primer in multicoat ( 2-3 coats )

and it let it for self-dryness without air dryness . Could you identify the primer type ?
Acetone / Ethanol

2- Why it is not prefferable to restore to a cavity with an indirect tooth colored restoration
when the cavity is extended deep subgingival ? The gingival floor has no sufficient amount
of enamel

3- both dental caries and acid etching demeniralizes enamel. Depending on this information ,
what is the most correct statement ? Acid etching deminiralizes rod more than inter-rod
substance .

4- Accidently , you discovered that you have no composite material after you had already
etched the enamel margins of the prepared cavity . What is the simplest way to seal this
etched enamel before placing the temporary filling ? Ask the patient to rinse his mouth .

5- For total etch adhesives using a separate priming step . What is the function of primer ?
Rewetting of dentinal collagen fibers

6- For total etch adhesives , etching gel should be rinsed , followed by dryness of
conditioned dentin . What is the expected adverse effect of this technique ? Collapse of
dentin collagen network

7- The total removal of superficial smear layer and smear plugs will result in higher adhesion
bond . What is the adverse effect of that ? An increase of fluid flow onto exposed dentin

8- What is the correct statement describing the relation between surface energy and surface
tension to get the highest adhesive bond strenght ? Surface energy of adherend should be
higher than surface tension of adherent

9- which of the following conditions will show the poorest adhesive bond strenght ? The
adherend has low surface energy and adhesive is non-wetting

10- What should you do if saliva contaminated an etched enamel margin ? Re-etch for 10-15
sec

11- Which of the following adhesive bonding , post operative sensitivity is most likely to
occur ? Etch and rinse
12- A case of minor diastema between the two central inciaors that was planned to be
restored with bonded composite resin restoration a-traumatically without any preparation,
what type of these adhesive systems you should neglect its use as it will result in the poorest
adhesion ? Etch and rinse

13- When you buy a dentin adhesive . The acceptable bond stresses of composite resin is 17
MPa

14- You are using a three-bottle system adhesive , your assistant removed the label . How to
differntiate between the primer and the bond ? The liquid smells offensive

15- Which of the following bonding systems doesn't allow water rinse at any step ? 6th
generation

16- After a few days of restoring a patient tooth #26 with composite resin reatoration using a
properly bonding system. The patient complains from hyperaensitivity despite of good
isolation and putting composite in minmal increments . Explain the complaint . Applying
single coat of primer

17- Which of the following bonding systems does not remove the dentinal smear layer ? Self
etch - 2 steps

18- During your clinical operative session you asked your supervisor to inspect your cavity
prepared to receive composite resin restoration , he noticed you have already dispensed a
drop of primer and another drop of bond on a proper bad and you reported that you got them
from the beginning of the session 30 mins ago . He informed you that all your coming
bonding procedures will be failed . Could you explain why ? Evaporation of primer and curing
of bond

19- Which of the following dentin primers keep the cavity wall wet after conditioning , cannot
observe the frosted appearence of enamel that indicated that it has been etched ? Water
based

20- A patient has an indirect composite resin inlay in tooth #27 , the patient always lost
restoration as it gets out of the cavity every now and then after cementation . Each time the
operator inspects the prepared cavity and noticed that the cement is in place and adhered to
the cavity wall and remained undamaged while only the restoration is lost . Select the most
approperiate cause . The operator didn't apply solvent

21- What of the following forced the operator to increase the width at isthmus portion 1.5 - 2
mm ? Brittleness of the material

22- Explain why the occlusal divergence of the prepared cavity walls for indirect tooth
colored restoration is more than that of an indirect metallic . Brittleness of the material

23- Which of the following adhesive systems collapse, and incomplete coverage of exposed
dentin collagen network is expected ? Etch and rinse

24- which of the following adhesive systems needs to be risned in water then dentin is
dried ? Etching gel

25- Although it is same material , but the mechanical properties of indirect composite is
higher than direct ? The rate of conversion is higher

26- All indirect restorative techniques are time consuming . Which of the following could be a
single visit in direct technique ? CEREC

27- The function of cavity lining is not only to protect pulp . Explain. It all allows to block out
any cavity undercutscuts

28- What is the most recommended cavity liner for indirect tooth colored restoration ? Resin
modified glass ionomer

29- All of the free radicals of composite resin material are consumed when used indirectly.
According to this information, how can the bond of the resin cement to the composite be
improved ? Its fitting surface shoud be treated with solvent

30- As a general rule for cavities of an indirect composite resin restoration should have no
undercuts . How to manage cavity undercuts in cavitied prepared for indirect tooth colored
reatoraion ? Blocked with suitable base material

31- Which of the following cements should be used for cementation of ceramic or composite
inlays ? Dual cured Adhesive resin
32- Undercuts of cavities prepared to receive indirect tooth colored restoration could be
completed or ignored according to the type of impression technique used . Identify the
technique used for this. CEREC Inlays

33- why indirectly processed composite resin restoration should be covered by vaseline
curing inside a special oven ? Because of Oxygen inhibition

34- How to avoid light reflection of optical impression of prepared cavity for machined
ceramic inlays ? The cavity should be coated with titanium oxide

35- All indirect tooth colored restorations are fragile , you perform occlusal adjustment of
indirect cermaic inlays if needed ? Done after cementation

36- Two years after restoring tooth #16 with an indirect tooth colored restoration in a patient
with parafunctional occlusal habits . Clinical examination revealed increased wear of the
occlusal surface of tooth #16 . What is the expected material of the cemented tooth colored
restoration of tooth? composite resin

37- which of the following requirements of the material selected to be a liner to receive an
indirect restoration ? Should not block the transmission of curing unit

38- which of the following adhesive strategies showed a reduced amount of porosities , more
homogenous resin infiltration and a better protection of the dentinal collagen fibrils ? Self
etching adhesives

39- Being bonded restoration , composite resin restorations are more likely to fail when they
are bonded to highly sclerotic dentin . how could you manage such a problem? Light
roughning of sclerotic dentine with diamond bur

40- which of the following adhesive generations totally removes the smear layer of dentin ?
4th and 5th

1- Explain why removal of 1 carious and defective tissue should be firstly performed during
diagnostic procedures of badly destructed teeth.
A. To determine the number of pins required to retain the final restoration
B. To determine the type of pins required to retain the final restoration
C. To determine the Dental practicality index of the tooth
D. To determine the type of indirect restoration if required
2- Which of the following 3 pin types requires a pin hole with a diameter smaller than the pin
diameter ?
A. TMS pins
B. Markely pins
C. Markely & Self-Shear pins
D. UniTeak & TMS pins

3- Which of the following pin types requires a pin-hole with diameter larger than the pin
diameter?
A. TMS pins
B. Markely pins
C. Self-Shear pins
D. Uni Teak pins

4- Which of the following pins types shows the highest retention with dentin ?
A. Frictional-Locked pins
B. TMS pins
C. Markely pins
D. UniTeak pins

5- Which of the following pin types could be bent and trial fit ?
A. Markely pins
B. TMS pins
C. Frictional-Locked pins
D. UniTeak pins

6- Which of the following DOES NOT affect the retention of pin inside dentin of TMS system ?
A. Pin hole diameter
B. Type of dentin
C. Pin hole depth
D. Type of cement used to retain the pin

7- What is the importance of determining the amount of remaining healthy tooth structure of
mutilated teeth in its management decision ?
A. Identify the pulpal status
B. Identify the type of pin used
C. Select resistance and retention forms
D. Select the type of final restoration

8- A badly destructed molar tooth was decided to be extracted rather than restored.
According to the Dental Practicality Index, what is the score of this tooth?
A. 6 or more
B. Less than 2
C. Between 4 and 6
D. Between 2 and 4

9- Badly destructed lower 7 with missing mesial surface and healthy normal pulpal condition,
the neighboring 5 and 6 are missed and the patient is planned to receive a partial denture.
What is the most appropriate restoration for the lower 7 ?
A. Surveyed crown
B. Pin-retained amalgam restoration with cemented pin
C. Indirect composite restoration
D. Pin-retained amalgam restoration with TMS pin

10- Badly destructed lower 5 with missing mesial surface and healthy normal pulpal
condition, the case is planed to undergo orthodontic treatment. What is the most appropriate
restoration for this tooth ?
A. Direct pin-retained composite restoration
B. Direct pin-retained amalgam restoration
C. Surveyed crown
D. Cast restoration

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