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176 Cards in this Set

  • Front
  • Back
Which of these has properties closest to that of glass ionomers?

A resin-modified glass ionomer

B compomer

C composite resin
A, resin-modified glass ionomer
True or False, compomers are mostly composite with some glass ionomer
True
Which has higher F- release?

glass ionomer or composite resin
glass ionomer
Which has higher F- recharge?

glass ionomer or composite resin
glass ionomer
Which has higher strength?

glass ionomer or composite resin
composite resin
Which has higher wear resistance?

glass ionomer or composite resin
composite resin
Which has better esthetics?

glass ionomer or composite resin
composite resin
Which has a CTE (coefficient of thermal expansion) very similar to tooth structure?

glass ionomer or composite resin
glass ionomer
Which is a 2 component system?

glass ionomer or composite resin
glass ionomer
Which type of glass ionomer cement is used for cementation?
type 1
Which type of glass ionomer cement is used for intermediate restorations?
type 2
Which type of glass ionomer cement is used as a base or liner?
type 3
What is the particle size for glass ionomer cement powders?
15-50 micrometers
What type of glass is used in the glass ionomer cement powder?
CaF aluminosilicate
What is another name for glass ionomer cement?
polyalkenoate cement
At what temperature (in C) is the glass ionomer cement powder created?
1100-1500
What 4 elements are used for radioopacity in glass ionomer cement?
La, Ba, Sr, Zn
What was the liquid in the glass ionomer cement ORIGINALLY?
polyacrylic acid in water (40-50%)
What is the liquid in the glass ionomer cement NOW?
co-polymer of polyacrylic acid with itaconic, maleic or tricarboxylic acid
The copolymer in the glass ionomer cement liquid...

(increases/decreases) reactivity

(increases/decreases) viscosity

(increases/decreases) tendency for gelation
increase reactivity, decrease viscosity, reduces tendency for gelation
What type of acid is added to the liquid in glass ionomer cement to improve handling and increase working time (but also shortens setting time)
Tartaric
The water-settable version of the liquid in the glass ionomer cement is (less/more) viscous and has a (longer/shorter) shelf life and setting time
less, longer
What does the acid do as the glass ionomer cement begins to set?
it leaches Ca, Al, Na, and F out of the glass
Which 4 elements are leached out of the glass particles via acid etching in the setting reaction of GIs?
Ca, Al, Na, F
Of these 4 elements - Ca, Al, Na, F - which two actually react to form cross-linked hydrogel matrix surrounding partially reacted particles?
Ca, Al
What does water do to the setting reaction in glass ionomer cement?
it helps the cross-linked phase "mature"
During what time frame will water loss in glass ionomer cement setting cause the matrix to desiccate?
24-48 hrs
Contamination with water (before it has properly set) does what to the glass ionomer cement?
dissolves matrix-forming ions
What is the working time for glass ionomer? Setting time?
3-5min; 5-9min
You can prolong working and setting time for glass ionomer by mixing on a (warm/cold) slab
cold
Glass ionomers behave like what type of material?
pseudoplastic
What is the film thickness of glass ionomer?
25-35 micrometers
Glass ionomers are (basic/acidic) on setting
acidic
With glass ionomers, excess cement should be removed (before/after) setting or by applying a separating medium (before/after) setting
before, before
What is the name for a bond formed by electron donation from TWO or more atoms to a METAL ion, forming a ring
Chelation bonding
What is the proposed mechanism of bonding of glass ionomer to tooth structure?
the polyacrylic acid in glass ionomer bonds with hydroxyapatite
Glass ionomers (mechanically/chemically) bond to teeth
chemically
Do glass ionomers bond more tightly to dentin or enamel?
enamel
Fluoride release in glass ionomers are high, but drop to __% of the original value after 1 month
10%
The coefficient of thermal expansion of glass ionomers compared to tooth structure is:

A. Higher
B. Lower
C. Very similar
D. Varies depending on bonding temperature
C. very similar
When comparing glass ionomer to zinc phosphate, complete these phrases with either SIMILAR, HIGHER, or LOWER:

Glass ionomer compressive strength is ___ to/than Zn phosphate

Glass ionomer diametral strength is ___ to/than Zn phosphate

Glass ionomer resistance to disintegration is ___ to/than Zn phosphate
Glass ionomer compressive strength is similar to Zn phosphate

Glass ionomer diametral strength is higher than Zn phosphate

Glass ionomer resistance to disintegration is higher than Zn phosphate
Glass ionomer has (high/low/no) polymerization shrinkage
no
Glass ionomer has (high/low) solubility
low
True or false, "packable" material is actually weaker in compressive and flexural strength than traditional GI
False, stronger in both
Is glass ionomer chemical or light cured? Or both?
chemical
Which is more useful in ART (Atraumatic Restorative Technique), chemical or light-curing?
chemical
True or False, glass ionomers CAN be used with bonding agents?
True
What is the disadvantage to using bonding agents in glass ionomers?
it can interfere with fluoride release
Rank these from best to worst in terms of biocompatability

GI, ZOE, Zn Phosphate
ZOE - GI - Zn Phosphate
True or False, glass ionomers are relatively brittle
True
Compared to composite resins, glass ionomers have (higher/lower) compressive strength, (higher/lower) tensile strength, (higher/lower) fracture toughness, (higher/lower) resistance to wear
ALL lower
How does the elastic modulus of glass ionomer compare to Zn Phosphate?
it is HALF of the EM of Zn phosphate
True or False, glass ionomers reach full strength very quickly
False, takes time
About how long must the glass ionomer be kept free of excess moisture?
24-48 hours
What three things can be used to protect the margins of glass ionomers while it matures?
varnish, bonding agent, coating agent
Glass ionomers are (more/less) esthetic than resins and compomers
less
What can happen if a glass ionomer is over-dried?
it creates post-operative sensitivity
Glass ionomers have what kind of handling characteristics?
fair-poor
True or False, GI are great for cementing all ceramic crowns (Why or why not?)
False, GI have low elastic modulus
What is another name for resin-modified glass ionomer cements?
hybrid ionomer
What is found in the POWDER of resin-modified glass ionomer cement?
radioopaque fluoroaluminosilicate glass and catalyst
What is found in the LIQUID of resin-modified glass ionomer cement?
modified polyCARBOXYLIC acid containing hydroxyethyl methacrylate (HEMA), photoinitiator, activator, water
True or False, resin-modified glass ionomer cement is dual-cured
True
Does resin-modified glass ionomer cement bond chemically or mechanically?
chemically
Compared to traditional GI, resin-modified glass ionomer cement have:

(higher/lower) compressive, tensile, and flexural strength

(higher/lower) fracture toughness

(higher/lower) bond strength

(more/less) moisture sensitivity

(better/worse) wear resistance
Higher, higher, higher, less, better
Resin-modified glass ionomer cement, in general, have (poor/good) handling characteristics
good
About how thick is the film in resin-modified glass ionomer cement?
25 micrometers
Is resin-modified glass ionomer cement less or more technique sensitive than resins?
less
Resin-modified glass ionomer cement has (better/worse) F- release than traditional GI
worse
The coefficient of thermal expansion of resin-modified glass ionomer cement is (higher/lower) than tooth structure
higher
Resin-modified glass ionomer cement release what? (hint: OTHER than F-)
HEMA
True or False, like GI, resin-modified glass ionomer cement also need good moisture control
True
True or False, resin-modified glass ionomer cement are good under ceramic crowns
False
The word compomer is a combination of what two words? (Khajotia joke: It is not a combination of computer and Homer Simpson... come on guys I am joking!)
COMPosite resin, glass ionOMER
Compomers are best in (high/low) stress bearing situations
low
Compomers are good in what class of restorations?
3 and 5
True or false, compomers are either chemical or dual-cured
True
NEWER compomers can be used in more stress-bearing cavity preps such as Class _ and _
1, 2
True or False, compomers can be used a luting cements and as a base/liner
True
What type of restorative material is commonly used in pediatric and geriatric patients?
compomers
Which restorative material contains carboxylic acid modified dimethacrylate?
compomers
True or False, compomers contain fluoroaluminosilicate glass
True (note: so do GI's and resin-modified GI's)
An acid-base reaction occurs in compomers after the addition of what?
water
Are compomers a 1 or 2 paste system?
1
compomers have a (fast/slow) setting time
fast
compomers are relatively (insoluble/soluble)
insoluble
compomers bond (chemically/mechanically) to teeth
mechanically
compomers (do/do not) require a bonding agent
do (because they don't chemically bond on their own)
What generation of restorative system usually has low bond strengths to compomers?
6th gen, type 1
compomers should be placed:

A. in increments
B. all at once
C. against the walls, then the center
D. it is flexible, it won't matter
A. increments
compomers fluoride release is (better/worse) than GI and resin-modified GI
worse
compomers have (better/worse) fluoride recharge than GI or resin-modified GI
worse
What does acid and amylase do to fluoride release in compomers?
decreases it even more
Coefficient of thermal expansion of compomers is (higher/lower) than tooth
higher
What is the polymerization shrinkage of compomers? (in %vol)
2.0-2.5%vol
Is it high or low viscosity compomers that have LOWER bond strengths and POORER wear resistance?
low viscosity
Overall, compomers are mechanically (better/worse) than resin composites
worse
True or False, compomers work very well in pulp-capping and core build-ups under ceramic crowns
False!!!
About how many shades are available for compomers?
12
Why are compomers less polishable then microfilled composite resins?
compomers have larger particles
What is the color stability like for compomers?
moderate-poor over time
High-strength cement bases provide mechanical support for ___ and thermal protection for ___
restorations, pulp
What is the thickness of high-strength cement bases?
> (or = to) .5mm
The thickness of ___ is an important factor in high-strength cement bases
dentin
What 5 things can high-strength cement bases be made from?
GI, hybrid GI, reinforced ZOE, Zn phosphate, Zn polycarboxylate
high-strength cement bases use a (higher/lower) powder to liquid ratio than luting cements
higher
True or false, mechanical properties of high-strength cement bases are better than luting cements
True
Low strength cement bases serve what purpose?
barrier against chemical irritation, soothes pulp
What 3 things can low strength cement bases be made from?
calcium hydroxide, GI, ZOE
What does ZOE stand for?
Zinc Oxide-Eugenol
True or False, ZOE can be used as a permanent cement
False, it is "long-term", but NOT permanent
What is the composition of the powder in zinc oxide-eugenol (ZOE)?
69% Zn ox, 29% rosin, Zn stearate, Zn acetate
What is the role of rosin in zinc oxide-eugenol (ZOE)?
reduces brittleness
What is the role of Zn stearate in zinc oxide-eugenol (ZOE)?
plasticizer
What is the role of Zn acetate in zinc oxide-eugenol (ZOE)?
increases strength
What is the role of the oils in zinc oxide-eugenol (ZOE)?
plasticizer
What is the origin of the eugenol in zinc oxide-eugenol (ZOE)?
from oil of cloves (what is this Hogwarts...?)
zinc oxide-eugenol (ZOE) should be mixed on a (warm/cool) and (wet/dry) slab
cool, dry
In zinc oxide-eugenol (ZOE), excess cement is removed (before/after) setting
after
True or False, water is a by-product of zinc oxide-eugenol (ZOE)
True, (also initiates the reaction!)
In zinc oxide-eugenol (ZOE), a (higher/lower) temp, (higher/lower) humidity, and (higher/lower) powder/liquid ratio all can accelerate setting
ALL higher
True or False, zinc oxide-eugenol (ZOE) has a sedative or palliative effect on dentin
True
zinc oxide-eugenol (ZOE) forms a (good/poor) seal with the tooth structure
good
What is the pH of zinc oxide-eugenol (ZOE) at the time of placement?
7 (neutral)
What is a residual benefit of zinc oxide-eugenol (ZOE) in terms of dentin?
It may stimulate formation of reparative dentin
True or False, zinc oxide-eugenol (ZOE) has residual leakage of eugenol
True (can cause allergies)
Why can zinc oxide-eugenol (ZOE) not be used before application of restorative resins?
it inhibits free-radical polymerization
The mechanical properties of zinc oxide-eugenol (ZOE) are (better/worse) than luting cements
worse
zinc oxide-eugenol (ZOE) has (good/poor) abrasion resistance
poor
zinc oxide-eugenol (ZOE) performs (well/poorly) in terms of disintegration in oral fluids
poorly
improved zinc oxide-eugenol (ZOE) has what 2 possible powder compositions?
80% Zn oxide coated w/ carboxylic acid and 20-40% metyl methacrylate particles OR 70% Zn oxide and 30% alumina
improved zinc oxide-eugenol (ZOE) has what 2 possible liquid compositions?
eugenol and other oils OR 37.5% eugenol, 62.5% ethoxy-benzoic acid (EBA)
Noneugenol products contain what acid instead of eugenol?
carboxylic acid
Noneugenol products contain what 5 components other than carboxylic acid?
ZnO, aromatic oil, petroleum jelly, oleic acid, and beeswax
What type of cement has the poorest mechanical properties of all of them?
ZOE
Improved zinc oxide-eugenol (ZOE) has (better/worse) overall mechanical properties than regular ZOE
better
Noneugenol products set (faster/slower) and (do/ do not) inhibit resin polymerization
slower, do not (remember, products WITH eugenol inhibit resin polymerization)
What is the main issue with improved zinc oxide-eugenol (ZOE) materials?
they are hard to remove
acrylic resin cement powder contains what?
methyl methacrylate polymer OR copolymer w/benzoyl peroxide
acrylic resin cement liquid contains what?
methyl methacrylate monomer w/amine accelerator
modified acrylic resin cement is the same as regular acrylic resin cement with the addition of what?
4-META (helps it bond to other materials, it's an adhesion promoter)
Dimethacyate cements are used for what types of restorations?
crowns, bridges, inlays, veneers
acrylic resin cements are used for what type of restorations?
cementation of veneers, restorations, and temporary crowns
True or False, dimethacrylate cements are available in light, chemical, or dual-cured
True
True or false, resin cements have high toughness and fracture resistance beyond all other cements
True!
Resins have (high/low) oral solubility
low
Resins have (good/poor) retention under ceramic restorations
good
Elastic modulus of resins is (higher/lower) than Zn phosphate
lower (this is bad!)
Why can't resins be used as base cements?
they aren't as rigid as other cements
Resins have relatively (thin/thick) films
thick
Excess flash should be removed when with resin cements?
after seating the restoration but NOT after polymerization
What are the two ways to classify resin cements?
1. according to mechanism of interaction w/smear layer

2. according to method polymerization
Rank these systems from high to low strength

self-adhesive
self-etching
etch-and-rinse
etch-and-rinse > self-etching > self adhesive
What are the three classifications of curing?
light, chemical, dual (light + chemical)
What is the brand name for calcium hydroxide cement?
Cavit
Rank the hardness of these three products:

Cavit, Cavit-G, Cavit-W
Cavit > Cavit-W > Cavit-G
Which of these is used as a liner?

Cavit
Cavit-G
Cavit-W
Cavit
Which of these is used as direct or indirect pulp capping?

Cavit
Cavit-G
Cavit-W
Cavit-LC
Cavit-W, Cavit-LC
Which of these is used a temp filling of inlay preparations?

Cavit
Cavit-G
Cavit-W
Cavit-LC
Cavit-G
Which of these contains ZnO, Zn sulfate, Ca sulfate, and Ba sulfate?

Cavit
Cavit-G
Cavit-W
Cavit-LC
Cavit, Cavit-W, Cavit-G
What combines with the components in calcium hydroxide cements to initiate setting reaction?
water
calcium hydroxide cements are (radiopaque/radiolucent)
radiopaque
What are the components of Cavit-LC?
methacrylate co-monomers, camphoroquinone initiator, pyrogenic silica and strontium glass fillers, complex fluoride
What does calcium hydroxide cement do for dentin?
stimulates formation of reparative dentin
What type of calcium hydroxide cement contains Ca(OH)2?
liners
What are the components of calcium hydroxide cement BASE paste?
Ca tungstate, Ca phosphate, ZnO in glycol salicylate
What are the components of calcium hydroxide cement CATALYST paste?
Ca hydroxide, ZnO, Zn stearate
What are the main uses of cavity varnish?
protect dentin from chemicals such as the pH of Zn phosphate || minimize microleakage of new amalgams and seal dentinal tubules
The following describe what material?

natural gum, rosin, organic solvent
cavity varnish
What are 3 examples of organic solvents used in cavity varnishes?
acetone, chloroform, ether
cavity varnishes canNOT be used under what two restorative matierals? Why not?
GI or restorative resins; interferes with polymerization
What are the relative thermal and mechanical properties of cavity varnishes?
None, very thin film
What material(s) can be used as a gingival tissue pack?
ZOE
What material(s) can be used as periodontal dressing?
ZOE, Zn oxide preparation
What material(s) can be used as root canal sealers?
ZOE, GI, resin cements
What material(s) can be used to cement ortho brackets?
resin cements, bonding agents, hybrid ionomers, Zn phosphate