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Operative - Fundamentals lesson 2
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Graduate
11/28/2010

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Term
True
Definition
True or False: preparation design is based on the extend of pathology following principles of cavity preparation
Term
Cavity preparation
Definition
the mechanical alteration of a defective, injured or disease tooth in order to best receive a restorative material that will return the tooth and area to form, function and esthetics
Term
  • repair a carious defect
  • replacement of defective restorations
  • restore form and function to fractured teeth
  • restore congenitally absent form or function ( physical defects)
  • esthetics
  • fulfilling other restorative needs-abutments for fixed and removal partial dentures
  • prevention
Definition
reasons for restoring teeth
Term
  • potential for plaque to form
  • creation of an interface
  • even greater restoration
Definition
everytime you do a preparation or restoration:
Term

caries/caries susceptible pits and fissures

fracture

erosion/abrasion

wear attrition

missing tooth

developmental

antibiotic staining

esthetic undersized lateral incisor

occlusa surface of molars

prevention-sealants

Definition
another reason for restoring teeth
Term
  • fulfill requirements of restorative material
  • fulfill  requirements of removing pathology and protecting the pulp
  • fulfill needs of occlusion
  • fulfill the esthetic needs of the restoration
Definition
objective of cavity preparations
Term
primary caries
Definition

original lesion on teeth

i.e. pit and fissure caries , and smooth surface caries

Term
residual caries
Definition
caries left in a cavity preparation either by intent or omission
Term
residual caries left by intent
Definition

( isolate tooth with rubber dam - do an outline remove 70% of the caries ( wet and leathery)

dical ( bacteriostatic and irritant to pulp in a good - reparative dentin)

IRM ( zinc oxide eugenol - billows the pain )

 

Term
residual caries left by omission
Definition
cleaned everything out ( some caries is still left)
Term
incipient caries
Definition

Remineralizable - initial lesion that is reversible; white lesion , typically at the gingival margin

that is demineralizing but can start to remineralize

Term
cavitated lesion
Definition
not remineralizable; progressed lesion that must be restored ( enamel cavitation-cavity)
Term
wet dentin
Definition
caries ; infected
Term
#4, #6, # 8 round bur and put on slow speed without water
Definition
good for removal of caries
Term
dry dentin
Definition
affected, dark and dry - bacteria has died )
Term
smooth out extra on restoration
Definition
how to restore secondary caries
Term
abrasion
Definition
loss of tooth substance due to mechanical means such as tooth brushing with an abrasive paste
Term
attrition
Definition
loss of tooth structure caused by wear ( due to bruxism)
Term
erosion
Definition
loss of tooth structure by chemical processes , acid
Term
abfraction
Definition
stress corrosion of the cervical enamel margin of tooth caused by nonaxial forces on the incisal, occlusal and palatal surfaces of the tooth placing the hard tissue in tension and then compression (occurs at the CEJ)
Term
fracture
Definition
loss of tooth structure due to trauma
Term
erosion
Definition
anorexia nervosa causes :
Term
abrasion
Definition
smoker's toothpaste
Term
simple
Definition
involving one surface of a tooth
Term
compound
Definition
involving two surfaces of a tooth
Term
complex
Definition
involving three of morre surfaces of a tooth
Term

mesial

distal

buccal

pulpal

gingival

axial

Definition
walls of a cavity preparation
Term
line angles
Definition
intersection of two walls ( either internal/internal or internal/external )
Term
point angles
Definition
intersection of three walls
Term
cavosurface
Definition
unprepared tooth structure meets the prepared tooth structure
Term
axiopulpal line angle
Definition
intersection of axial and pulpal walls
Term
cavosurface angle
Definition
distoocclusal line angle
Term
axiodistogingival point angle
Definition
intersection of distal-axial -gingival walls
Term
buccopulpal line angle
Definition
intersection of buccal and pulpal walls
Term
  1. obtain outline form
  2. obtain resistance form
  3. obtain retention form
  4. obtain convenience form
  5. remove remaining carious dentin
  6. finish enamel walls  and cavosurface margins
  7. clean the preparation
Definition
black steps of cavity preparations
Term

outline form

final outline form is not established until all carious and overlying enamel is removed

Definition

based upon location and extent of carious lesion, tooth fracture, or erosion

  • established after penetration in carious dentin and removal of enamel overlying carious dentin

- determinant is extent of carious dentin

Term
resistance form
Definition

-design of cavity preparation so that the tooth and restorative material resist fracture in function

-for restorative materials based upon physical properties of the restorative material

-cavity prep that has a specific width and depth so that restorative material wil be stron enough

Term
retention form ( includes retentive grooves, pins , posts )
Definition

-form of cavity prep that holds restoration in the tooth prep

- includes shape and orientation of cavity walls ( includes adhesive bonding; includes accessory features to the cavity prep

Term

hydrophilic primer applied air evaporate solvent

hydrophilic adhesive in thin layer

Definition
bonding agent
Term
convenience form
Definition

refers to the form of the cavity that allows for adequate observation, accessibility and ease of operation during prep and restoration of tooth

- involves removal of sound , healthy tooth structure should be limited to what is necessary

Term
removing remaining carious dentin
Definition

-removal of remaining caries on pulpal and axial walls

-other carious tooth structure was removed when outline form was established

Term
finish enamel walls and cavosurface margins
Definition
using instrument, smooth all cut enamel wall and make the cavosurface margins regular
Term
clean the preparation ( toliet of the cavity)
Definition
  • washing and cleansing cavity prep of all debris
  • drying
  • inspect for prep cleanliness
  • debris remaining in prep or margins can detrimentally effect bonding and sealing of the tooth with restorative materials
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