MDS PREP
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.
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.
Retention grooves are placed in a class V cavity for non-adhesive restoration in
1. Mesioaxial and distoaxial line angles
2. Occlusoaxial and gingivoaxial line angles
3. All line angles of the cavity
4. None of the above
Conservative Dentistry
Answer: 2
Retention grooves in a class V cavity for non-adhesive restoration are placed in
the mesioaxial and distoaxial line angles. These grooves help hold the
restoration in place by providing mechanical retention and reducing the risk of
microleakage.
When punching holes to place a rubber dam for a class V cavity on facial surface
1. Punch holes larger and facially
2. Punch holes smaller and lingually
3. Punch holes larger and lingually
4. Punch holes smaller and facially
Conservative Dentistry
Answer: 1
When punching holes to place a rubber dam for a class V cavity on the facial
surface, punching holes larger and facially provides better access and
visibility. This allows for easier placement and removal of the dam, as well as
less risk of damaging the adjacent tissue
In class V preparation the wall which is not present at all
1. Pulpal
2. Distal
3. Mesial
4. Axial
Conservative Dentistry
Answer: 1
In class V preparation, the pulpal wall is not present at all, as the cavity is
confined to the cervical third of the tooth. It does not extend into the pulp
chamber.
The mesial and distal cavity margins for class V gold restoration
1. Should end at the line angles of the tooth
2. Should be converging
3. Should extend into the proximal surfaces
4. All of the above
Conservative Dentistry
Answer: 1
For a class V gold restoration, the mesial and distal cavity margins should end
at the line angles of the tooth to ensure proper adaptation and prevent
overhangs. This is important for both functional and aesthetic reasons
The product that is formed on the surface of the amalgam restoration and frequently results in discolouration is
1) Sulphide
2) Gamma I phase
3) Gamma II phase
4) Oxide
Conservative Dentistry
Answer: 1
The discoloration of amalgam restorations is often due to the formation of silver sulfide on the surface, which can occur due to the reaction of silver with sulfur compounds in the oral environment. The gamma I phase is a strong component of amalgam, while the gamma II phase is weaker and less stable. Oxides can form as well, but sulfides are more directly associated with the discoloration observed in clinical settings.
Lingual approach to the distal surface in canine for class III amalgam restoration is related to
1. Retention
2. Outline form
3. Resistance
4. Aesthetics
Explanation: The lingual approach to the distal surface of a canine for Class III amalgam restoration is primarily related to aesthetics. This approach minimizes visibility of the restoration from the facial aspect, which is important for maintaining the natural appearance of the tooth. Aesthetic considerations are particularly significant in anterior teeth, where the visibility of restorations can impact the overall smile and facial aesthetics. While retention, outline form, and resistance are important factors in cavity preparation, the lingual approach is specifically chosen to enhance the aesthetic outcome.