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33 Cards in this Set

  • Front
  • Back
Which layer is "infected" and which is "affected" in Carious dentin?
Outer layer is "infected"

Inner layer is "affected"
In a Caries Detector, what does the dye bond to, and where is this present?
Bonds to denatured collagen which is in the outer "infected" dentin.

Not present in the inner "affected" dentin.
How should you ALWAYS excavate caries?
ALWAYS excavate from the PERIPHERY inward.
What 2 locations should you NEVER start the excavation of decay?
Never start at center of pulpal floor or along axial wall.
What is Benzalkonium Chloride (BAC)?
An antibacterial agent which creates a residual bacterial inhibition zone of up to 7 microns.
How does GLUMA work?
By coagulating plasma proteins and forming a series of occluding coagulation plugs and also by killing bacteria.
An 11 degree (C) increase in pulpal temperature can result in a ___% chance of necrosis.
60%
What are the criteria for a successful Indirect Pulp Cap?
Positive pulp vitality
No recurring or spontaneous pain except thermal
No apical pathology
Not tender to percussion
No swelling
Criteria for a successful Direct pulp cap?
no spontaneous or recurring pain except thermal
no swelling
normal vitality tests
not tender to percussion
no periapical pathology
pink pulp
able to arrest bleeding pulp with peroxide or sodium hypochlorite
3 Steps in indirect pulp capping?
Calcium hydroxide base (Dycal) placed over dentin <0.5mm thick.

Glass-ionomer liner (Vitrebond) placed over the CaOH.

Add resorative material
What do you treat pulpal exposure with?
MTA - Mineral Trioxide Aggregate
What is the basis of all composites
Bis-GMA
What is Bis-GMA thinned with and why?
diluents

to increase flow, strength, and improve handling
If there are more filler particles, will there be more or less shrinkage?
LESS
Why do flowables shrink more?
Because they are mainly the monomer, with little filler
Shrinkage is proportional to....
the volume of resin in the cured composite
How are Fillers classified?
Shape - spherical or irregular

Size - Macro (>1 micron), Micro (< 1 micron), Nano (1000th of a micron)
What are some examples of filler materials?
SILICA, barium, quartz...
What are coupling agents used for?
to improve adherence of the resin to the silica filler
What coupling agent chemically coats filler surfaces and increases strength by transferring stress to the filler particles?
Silane
What is Silane very sensitive to?
moisture
What 3 types of catalysts are there?
chemical (mixing base and accelerator)

photochemical (use of blue light to set)

Heat
What type of bond is formed between bonding agents to enamel and dentin?
Micro-mechanical
What type of bond is formed between composite and the bonding agents?
chemical
What is the 2 step total-etch adhesive procedure?
etch with acid, rinse, prime+bond
What allows us to add subsequent layers of composite?
oxygen inhibition layer
The hybrid layer is approx. ___% resin and ___% collagen.
70% resin and 30% collagen
What gets rid of water in the prep?
Priming agent.
What is the most common source of post-operative sensitivity from composite restorations?
Microleakage
Bevels ______ the surface area of bondable enamel.
increase
Beveling is designed to do what?
expose the enamel rods end-on.
What are the types of dental composite?
Flowable - light body
Microfills - medium body
micromatrix - medium body
packable - heavy body
What is the peak wavelength of camphoroquinone?
468nm