Childrens 2

Front 1

Clamps and their uses

Back 1

27 - First and Second primary molars

26 & 14 - First permanent and Second primary molars

14A - Partially erupted permanent molars

W8A - Many difficult to clamp molars

Front 2

Pulp chambers of primary teeth

Back 2

Generally larger in proportion to crowns and permanent teeth

Mandibular pulp chambers are bigger with pulp horns extending higher into cusps and usually found in each cusp

Mesial cusp horns usually extend further into the cusps than the distal pulp horns

Front 3

Special anatomical considerations of primary molars

Back 3

Maxillary second primary molar restorations should avoid oblique ridge

Max first primary molar it is acceptable to include only mesial or distal half of the occlusal surface for proximo-occlusal restorations because of shallow anatomy.

Mandibular second primary - Has a deep fissured occlusal surface so proximal preparation requires extension across occlusal surface. So a continuous MOD is indicated if both proximal surfaces are carious.

Mandibular first primary molar - Has high elevated mesiobuccal and mesiolingual pulphorns toward the occlusal surface. Should not extend across elevated triangular ridge unless caries are present. So 2 separate proximo occlusal orestorations are preferred over one continuous MOD.

Front 4

General type of high speed bur used for operative procedures in primary teeth

Back 4

#330 bur for class I, II, and V

1/4 or 1/2 round burs for Class III

1/2 round bur or #35 inverted cone for point and line angle retentive undercuts

Front 5

Types of matrix bands

Back 5

Automatrix
Universal Band - Tofflemire matrix
Subgingival

Front 6

Cross sectional appearance of a tooth treated with bonded laminate veneer

Back 6

Dentin, Enamel, Etched enamel, bonding agent, Lutin resin, Bonding agent, Etched porclain, Porcelain

Front 7

Implications of punching holes in rubber dam too close or too far

Back 7

Too far - Dam won't fit well between contact area and bulk between teeth can become barrier to proximal restoration

Too close - Saliva leakage can contaminate operative field

Front 8

Basic steps of cavity prep and design for restoring primary incisor with incisal edge involvement

Back 8

Doyle introduced prep as jacket crowns which preserves midportion of incisal edge

Main point: Preserve part of incisal edge whenever possible

Front 9

Full coverage techniques for restoring anterior primary teeth

Back 9

Stainless steel crowns and direct resin crowns

Front 10

Clinical situation for bonded composite veneer

Back 10

Good for anterior crown fractures and for increasing mesial-distal widths of permanent anterior teeth

Improves color, contour, mask intrinsic discolorations

Front 11

Rationale for varnishes

Back 11

Painted on prep and as it evaporates, it leaves thin resin film behind. Prevents microleakage in the first couple of days but then fills in with corrosion material

Used to prevent microleakage and prevents metallic ions like tin from penetrating into enamel and dentin.

Front 12

Function of cement base

Back 12

Promote recovery of injured pulp and protects it against further insult

Acts as thermal insulator to replace missing dentin when used under metal restoration.

Must be 0.5mm and have strength so it won't fracture during condensation.

Front 13

Different cements

Back 13

Silicate Cements
Zinc Phosphate cements
Polycarboxylate cements
Glass ionomer cements
Zinc Oxide eugenol cements

Front 14

Silicate cements

Back 14

No longer used

- Was very resistant to development of recurrent caries b/c there was 15% flouride in the material being slowly released.

Front 15

Zinc phosphate cements

Back 15

Made of liquid phosphoric acid and powder zinc oxide

- Good handling characteristics but no anticariogenicity, doesn't adhere to tooth, not very biocompatible

Front 16

Polycarboxylate cements

Back 16

Liquid polyacrylic acid and powder zinc oxide

True adhesion to tooth structure with chemical bond with calcium in enamel and hydroxyapetite in dentin. Very good biocompatibility

Front 17

Glass ionomer cements

Back 17

Liquid polyacrylic or alkenoic acid with tartaric acid to improve handling.
Fluoro-aluminosilicate glass powder.

Releases flouride and has potential adherence to calcium in tooth

Front 18

Zinc oxide eugenol cements

Back 18

Acid base reaction to make this

- Low strength, high oral solubility, thus not recommended as permanent cement. But can be used for temporary.

Eugenol inhibits additional polymerizing resins so can interfere with subsequent use of resins

Front 19

Composite resin systems & compare

Back 19

Microfilled - Extremely small silica filler. Extremely smooth but has a high polymerization shinkage and thermal expansion.

Conventional composite - Macrofilled and normally bis-GMA or Urethane dimethacrylate resin. Reduced polymerization shrinkage and increased hardness. But can be rough.

Small particle - Between macro and micro. Best physical properties and can be used in areas of mechanical stress.

Hybrid - Combines two types of fillers which are smaller than small particle composites. Most universal and can be used in anterior and posterior.

Front 20

Amphetamine

Back 20

Ward off sleepiness, curb appetite, relieve depression

Front 21

Frankl Behavioral rating scale

Back 21

1- Definitely negative - Crying, refusing treatment
2 - Negative - reluctant to accept treatment, sullen, withdrawn
3 - Positive - accepts treatment
4 - Definitely positive - Lauging, interested

Good for shorthand office use but does not communicate enough clinical information for uncooperative child

Front 22

Characteristics of parents

Back 22

Overprotective - Prevents progress
Manipulative - Overly demanding
Neglectful - Misses appts