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39 Cards in this Set

  • Front
  • Back
What is used for clean tissue management of subgingival margins?
Retraction Cord
Electrosurgury
Laser
Astringents (viscostat, Hemodent, Hemodette)
What is used for clean tissue management of supragingival margins?
Astringents (minimize bleeding points and gingival fluid)
What are astringements used for?
Both subgingival and supragingival margins.
Minimize bleeding points and gingival fluid.
What are some problems with stock trays?
Cannot Confine and Control
No Tissue Stops Possible
When should you fabricate custom trays?
Multiple units
When No posterior stop on unprepared tooth structure
What considerations should you contemplate when using Triple Trays?
Single units
Must have rigid, fast-setting material to form tray for wash
Less information = more error
What are the most commonly used Final impression materials?
PVS & Polyether
(historic: Gypsum, Rubber base, Zinc Oxide, Alginate)
What are the general properties of PVS?
Stable
Fast
Better Taste
What are the general properties of Polyether?
Stable
Longer Set
Objectionable taste
What is the Chroma of something?
Chroma = Amount (saturation) of color
What is the Hue of something?
Hue = Color
What is the Value of something?
Whiteness
Light/Dark
How do you increase the value of something?
Value can be increased by the addition of light or white
What does the following do to the value?
Inadequate reduction
Excessive opaque layer
Hypersmooth texture
Inadequate facial anatomy
Increases the Value
What does the following do to the value of something?
Excessive translucency
Inadequate opaque layer
Dark core under translucent restoration
Excessive facial anatomy
Decreases Value
What are four commonly used cements?
Zinc Phosphate
Resin Ionomer
Glass Ionomer
Resin
Which cement has a long set and is exothermic, water soluble over time, technique sensitive
Zinc Phosphate
Which cement has fluoride release, not water soluble, easy cleanup, and is less technique sensitive?
Resin ionomers
Which cement is water soluble, more forgiving of environment, and has HIGH fluoride release?
Glass Ionomers
Which cement is extremely technique sensitive, has high bond strength, multiple steps, and isolation is critical?
Resin
What are the two key factors in final adjustment?
Fit and Polish
What properties are desireable when determining the fit?
Passive
Adequate Contact
Appropriate Tissue Contact
Anesthetic
What features should you look for when evaluating the polish?
Matched texture
Never use course diamonds
Rubber wheels, cups, discs
What should you check when verifying and confirming the seat of a restoration?
Proximal contacts
Marginal integrity
Axial contour
Occlusion
What should be accomplished when trying in the restoration?
Isolate field & control fluids
Application of Throat Pack
Patient Position
Familiarize yourself with the path of insertion and removal
Verify and confirm the seat
What are some potential problems associated with improper cementation?
Premature occlusion
Pulpitis
Lack of Retention
Fractures of abutment or restoration
Recurrent Caries
When should you attempt to remove the excess cement?
Allow the cement to reach a final set prior to attempting to clean away any excess
T/F
Appropriate and adequate seating force is crucial to ensure a complete seat when cementing a restoration.
True
What types of cement are used for provisionals?
Zinc oxide Eugenol
Zinc oxide Non-Eugenol
What steps should you take prior to cementation?
Isolate the field
Verify path of insertion
Complete ALL polishing BEFORE cementation
Ensure that abutment is clean (prep scrub & Oil-free pumice)
What are the KEYS to Cementation Success?
Complete removal of excess material is vital to soft tissue rebound
Positive Seat
What can you use to clean the excess cement once it has reached a final set?
Explorer or scaler
Knotted floss through interproximal pontic region
Acid etch and bonding agen are added to the _____.
Abutment
Primer, catalyst, air abrasion is accomplished on the ______.
Restoration
How should you mix the cement?
Mix material according to manufacturer's directions on the appropriate mixing pad
A thin layer of cement should be applied to the _______ surface or the ______ with the _____
A thin layer of cement should be applied to the INTAGLIO surface or the RESTORATION with the CEMENT SPATULA
How should you mix cement?
USE MANUFACTURERS GUIDELINES
What is the primary source of retention?
The parallelism of the walls
T/F
a thin layer of cement provides retention
True