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94 Cards in this Set
- Front
- Back
General amalgam principals
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no term on cusp tips, remove weakend enamel, smooth, 1.5mm depth
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Class II outline form
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carious fissures, pulpal depth 1.5, smooth curves, isthsumus ¼ intercuspal, gingival floor with 1-.5, axial wall contour, marginal ridge with (1.6/2)
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Class II retention
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convergence of walls and box, dovetails, bonding agent
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Class II resistance
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round line angles, flat pulpal floor, isthsmus, MD wall, margins, ridges, axial wall
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Class II convenience
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isthmus width, gingival/proximal clearance
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When to check occlusion
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prior to prep and after carving
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Indications for amalgam
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class 1,2,5,6; core buildup, large, poor isolation, heavy contact, abutment for dentures, temporary restorations
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Contraindications for amalgam
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esthetic, small restorations
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Advantages of amalgam
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easy, high compressive strength and wear resistance, long term, cost
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Disadvantages of amalgam
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non-esthetic, poor insulator, less conservative, weakens tooth, difficult prep, marginal leakage
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Spherical amalgam
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little condensation pressure, high early strength, large restorations, faster set
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Lathe cut
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irregular, more condensation pressure
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Admixed amalgam
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lathe + spherical
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Coef. Of expansion of amalgam
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2.5X tooth structure
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Compressive strength
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similar to tooth structure
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Tensile strength
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low
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Is amalgam brittle?
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Yes
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High or low edge strength?
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Low
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Good thermal conductor?
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yes
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Should you burnish matrix band?
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Yes
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Number of ways to make band
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three
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Band arch should go towards
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occlusal surface
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Wedges help prevent gingival overhang
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true
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Wedges help restore interprox. Contour
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true
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Wood wedges are made of
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sycamore
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Cool property of sycamore
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expands when wet
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Type of plastic wedge
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fender, for protection adjacent tooth
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Holder arm of matrix goes
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on buccal side of tooth
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Trituration
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mixing mercury and amalgam powder
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If properly triturated amalgam is
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homogeneous
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Under and over trituration can cause
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decreased strength
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Obj of condensation
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adaptation, compaction, reduce residual mercury
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Wich condenser is used first?
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Smallest
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Larger the nib
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less force per unit area
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First condense to
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deeps part of prep
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Overfill
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covering cavosurface with amalgam
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Overfill purpose
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eliminate voids, reduce mercury
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Precarve burnish
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ensures adaptation of amalgam at margins, smooth, pushes merc to surface
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Carving
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restore form/function, remove mercury rich layer, remove overhang
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Overcarving amalgam can cause
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weakness, undercontouring
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Undercarving amalgam can
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leave a layer of flash
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Flash
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is overhang, can fracture and cause a void
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Avoid chewing sticky things for
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24 hours after restoration has been placed
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In class II remove facial/lingual excess with
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hollenback or explorer
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Removing matrix band
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do not take off straight up
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What to use for polishing
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white stone, rubber abrasive point
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Repairing fracture when placing
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use highspeed to cut small prep then fill it
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The gama1 and 2 phase are present in low copper amalgam allow powder before its mixed with mercury
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false
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Epsilon and eta phase are present in
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high copper amalgams
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Metallic phase that’s most corrodible, softest, weakest
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gamma 2
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High copper amalgam allow powder contains
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more than 6% copper, tin, gamma phase
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Metal that may or may not be present
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zinc
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Correlation with low copper amalgam and
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increased margin breakdown, increased corrosion
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No relationship with mercery amalgam and medical problems
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true besides allergy
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Threshold limit for exposure to mercery vapor
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.o5 mg/cubic meter
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To reduce mercury vapor in office
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use spray/hivac, premeasured capsuls, ventilation
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Conditions for delayed expansion
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zinc, contamination, several days/weeks time
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Reasons for bulk fractor of amalgam
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inadequate condensation, wrong mercury/alloy ratio, high surfaces after carving
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Polishing should be delayed because
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strength of restoration increases with time
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Amalgam with more than 6% copper
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modern, high coper
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Zinc
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acts as scavenger during manufacturing
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Strongest phase set in amalgam
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gamma
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Weakest most corodable phase?
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Gamma 2
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Amalgamation reaction
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between mercury silver tin copper
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Amalgam used in posterior because
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high wear resistance, high compressive strength
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Dimensional change that occurs in zinc with moisture contamination is
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delayed expansion
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Increased copper leads to
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increased strength
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Gamma 2 phase is
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tin-mercury
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New amalgams use
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gallium, doesn’t work good
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Spherical has greater resistance to condensation than lathe
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false
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Delayed expansion occurs with contamination after set
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false (during set)
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Strength of dental amalgam
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increases with time
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amalgam with lower than 6% copper
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conventional (lower)
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beta phase
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silver-tin a
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gamma phase
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silver-tin b; INTERMETALLIC COMPOUND
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eutectic phase of amalgam
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silver-copper
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epsilon phase of amalgam
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copper-tin
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gamma 1 phase
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silver-mercury
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gamma 2 phase
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tin-mercury
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new (n) phase
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copper-tin (2)
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dispersalloy
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high copper amalgam used in lab
silver-tin-copper + mercury |
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amalgam setting reaction
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mercury disolves silver-tin around gamma phases
G1,G2,E,N phases form around unused gammas in that order |
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the gamma 2 phase is undesirable
the gamma 2 phase is incerased if partiles are not heat treated or if heat treated for too long |
true
true |
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which phase eliminates the gamma 2 phase in admix high copper?
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n
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why is burnishing done during carving?
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for better adaptation at margins
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positive effects of polishing amalgam are
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resistance to calculus
reduce tarnishing and corrosion |
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which type of amalgam has the most creep?
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low copper (2.00)
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which type of amalgam is the strongest (compresive and tensile)
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high copper SINGLE composition
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knoop hardness
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106-174
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why do northern eruopean contries ban the use of amalgam?
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to reduce the overall amount of mercury in their enviornment
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where should scrap amalgam be stored?
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under water in enclosed containers
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which is more affordable -amalgam or resin?
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amalgam
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which has a lower wear resistance and is more technique sensitive amalgam or resin?
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resin
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esthetics is a justifiable reason to use resin over amalgam
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true
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