Questions and CORRECT Answers
critical pH of enamel - CORRECT ANSWER - 5.5
critical pH of enamel with fluoride - CORRECT ANSWER - 4.5
critical pH of dentin - CORRECT ANSWER - 6.2-6.7
3 ways fluoride prevents tooth decay - CORRECT ANSWER - 1. remineralization of tooth
structure
2. decrease enamel solubility
3. interfere with metabolic activity of cariogenic bacteria
4 main factors required for caries development, Keyes-Jordan diagram - CORRECT
ANSWER - plaque, sugar, host, time
Pit and fissure lesions are what shape? - CORRECT ANSWER - inverted V shape
Smooth surface lesions are what shape? - CORRECT ANSWER - V shape
infected dentin - CORRECT ANSWER - superficial, wet, soft, mushy, necrotic
affected dentin - CORRECT ANSWER - deeper, dry, leathery, demineralized but not
invaded by bacteria
order of cavity formation - CORRECT ANSWER - enamel demineralization -->
dentin demineralization -->
,enamel cavitation -->
dentin cavitation
simple caries - CORRECT ANSWER - 1 surface (O)
compound caries - CORRECT ANSWER - 2 surfaces (MO, DO, etc.)
complex caries - CORRECT ANSWER - 3+ surfaces (MOD, MODBL, etc.)
bacteria in enamel caries - CORRECT ANSWER - Streptococcus mutans
bacteria in dentin caries - CORRECT ANSWER - Lactobacillus
bacteria in root caries - CORRECT ANSWER - Actinomyces
4 cariogenic factors of S. mutans - CORRECT ANSWER - 1. glucotransferase (GTF) =
create extracellular polysaccharide matrix
2. acidogenic
3. aciduric
4. bacteriocins = kill competing microbes
protective factors in saliva - CORRECT ANSWER - 1. buffers
2. glycoproteins
3. lysozymes
4. lactoferrin
5. lactoperoxidase
6. sIgA
7. ions to promote remineralization (Ca2+, PO4-, F-)
,8. proline-rich proteins to promote remineralization (statherin, cystatin, histatin)
What is the gold standard radiograph for caries detection on anterior teeth? - CORRECT
ANSWER - PA
What is the gold standard radiograph for caries detection on posterior teeth? - CORRECT
ANSWER - bitewing
Amalgam restoration should be replaced if it has ____mm marginal ditching. - CORRECT
ANSWER - >0.5mm
erosion - CORRECT ANSWER - caused by acidic foods or gastric acid
abrasion - CORRECT ANSWER - loss of tooth structure by non-tooth mechanical wear
e.g. toothbrush or porcelain
attrition - CORRECT ANSWER - occlusal wear with opposing natural teeth
abfraction - CORRECT ANSWER - loss of tooth surface in cervical area due to tooth
flexure
# blades for cutting on carbide burs - CORRECT ANSWER -6
# blades for finishing on carbide burs - CORRECT ANSWER - 12
# blades for ultra fine finishing on carbide burs - CORRECT ANSWER - 30
dimensions of 330 bur - CORRECT ANSWER - pear-shaped
, 1.5mm length
0.8mm width at tip
dimensions of 245 bur - CORRECT ANSWER - pear-shaped
3mm length
0.8mm width at tip
initial depth of cavity prep should extend ____mm into dentin - CORRECT ANSWER -
0.2mm
extend walls of box prep to achieve ____mm clearance - CORRECT ANSWER - 0.5mm
friable enamel - CORRECT ANSWER - demineralized, needs to be removed because
bonding agent is not as effective
primary retention features of cavity prep - CORRECT ANSWER - convergent walls,
dovetail, bond
secondary retention features of cavity prep - CORRECT ANSWER - grooves, slots, pins
minimum thickness for amalgam - CORRECT ANSWER - 1.5-2mm
liner material - CORRECT ANSWER - CaOH (Dycal)
base material - CORRECT ANSWER - RMGI (Vitrebond)
secondary retention form for gold onlays - CORRECT ANSWER - collar (beveled
shoulder around capped cusp)
skirt (feather-edge margin around capped cusp)