MDS PREP
Main feature of class V amalgam restoration
1) Occlusal wall is greater than gingival wall
2) Retention undercuts placed in the mesial and distal walls
3) Axial wall is flat and does not follow the contours of the tooth
4) Mesial and distal walls converge
Conservative Dentistry
Answer: 1
In Class V restorations, which are located at the gingival third of the facial or lingual surfaces of teeth, the occlusal wall is typically wider than the gingival wall. This design helps in providing retention and resistance to the restoration, as the occlusal wall is more subject to occlusal forces.
In modified class III cavity restoration, retention is obtained mainly by
1. Acid etching
2. Retentive groove/slot
3. Retentive point
4. Retentive pin
Conservative Dentistry
Answer: 1
Explanation: In modified Class III cavity restorations,
particularly those involving composite materials, retention is often achieved
through acid etching. This process creates micro-retentive features on the
enamel and dentin surfaces, allowing the bonding agent to penetrate and create a
strong bond with the tooth structure. While retentive grooves, points, and pins
can also be used, acid etching is a fundamental technique that enhances
retention in adhesive dentistry.
Pit and fissure caries can be best pre vented by
1. the use of adhesive sealants
2. topical fluoride application
3. diet control
4. effective plaque control
Conservative Dentistry Answer: 1
1. The use of adhesive sealants: Adhesive sealants are thin, plastic coatings
applied to the chewing surfaces of the back teeth. They fill in the grooves and
depressions, creating a smooth surface that is easier to clean. Sealants act as
a barrier, preventing food and bacteria from lodging in these areas and thus
reducing the risk of tooth decay. This is considered the best preventive measure
because it directly addresses the anatomical vulnerability of the teeth and can
be applied quickly and painlessly.
2. Topical fluoride application: While topical fluoride is beneficial in
preventing dental cavities, it is not as effective as sealants in preventing pit
and fissure caries. Fluoride helps to strengthen the enamel and makes it more
resistant to acid attacks from plaque bacteria. However, because the pits and
fissures are already deep and narrow, fluoride may not always reach these areas
effectively. Sealants, on the other hand, provide a physical barrier that
fluoride cannot always penetrate.
Which of the following restorative materials is likely to be eliminated in near future
1) Amalgams
2) Glass ionomer
3) Porcelain
4) Composites
Conservative Dentistry
Answer: 1
Dental amalgam has been a traditional restorative material for many years, known for its durability and strength. However, there is a growing trend towards the use of more aesthetic materials, such as composites and glass ionomers, which blend better with natural tooth structure.
Outline form of a class V amalgam cavity preparation is related to (or) External shape of the class V amalgam restoration is related to
1. Contour of marginal gingiva
2. Axial line angles
3. Direction of the enamel rods
4. None of the above
Conservative Dentistry
Answer: 1
Explanation: The external shape of a Class V amalgam
restoration is closely related to the contour of the marginal gingiva. This is
important for aesthetic and functional reasons, as the restoration must blend
seamlessly with the surrounding gingival tissue. The outline form should respect
the natural contours to minimize plaque accumulation and promote periodontal
health. While axial line angles and the direction of enamel rods are relevant to
the preparation, they do not primarily dictate the external shape of the
restoration.
By doubling the diameter of the condenser point and doubling the force applied, the operator is..............during condensation
1. Applying more pressure
2. Applying less pressure
3. Applying the same pressure
4. Pressure applied is variable
Conservative Dentistry
Answer: 2
By doubling the diameter of the condenser point and doubling the force applied,
the operator is actually applying less pressure during condensation. This is
because pressure is inversely proportional to the area of contact, which is
reduced by doubling the diameter of the condenser point. The increased force is
counteracted by the larger area of contact, resulting in a lower pressure per
unit area.
During cavity preparation, more incidence of exposure is in
1. Class V cavity in first premolar
2. Class II mesioocclusal cavity
3. Class II distoocclusal cavity
4. Class IV cavity
Conservative Dentistry
Answer: 1
During cavity preparation, the incidence of pulpal exposure is higher in class V
cavities on first premolars due to the proximity of the margins to the pulp
horns.
In conventional class III amalgam cavity preparation the axial wall in inciso gingival direction should be
1. Straight and parallel to the long axis of the crown, deeper incisally than gingivally
2. Convex and parallel to the long axis of the tooth
3. Concave and parallel to the incisogingival contour of the tooth
4. None of the above
Conservative Dentistry
Answer: 1
Explanation: In a conventional Class III amalgam cavity
preparation, the axial wall should be straight and parallel to the long axis of
the tooth. This design ensures that the restoration has adequate resistance form
and is less likely to dislodge under occlusal forces. The wall being deeper
incisally than gingivally helps to maintain the integrity of the tooth structure
and provides a stable base for the amalgam restoration.