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71+ quick-fire dental facts • tap a card to flip

Showing page 1 of 8 (71 total shorts) — subject: "Conservative Dentistry"
#1 Conservative Dentistry
Porcelain jacket crowns (PJC) have several contraindications due to material properties and clinical considerations:
Excessive vertical overlap without sufficient horizontal overlap: This condition can lead to high occlusal stress on the crown, increasing the risk of fracture due to the porcelain's brittle nature.
Young teeth with large pulp chambers: The preparation for a PJC requires significant tooth reduction, which increases the risk of pulp exposure or trauma in teeth with large pulp chambers.
Adolescent persons engaged in contact sports: The risk of trauma to the anterior teeth is higher in contact sports, and a PJC is more susceptible to fracture compared to other types of crowns. 
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Answer
Porcelain jacket crowns are often contraindicated in
1) Excessive vertical overlap without sufficient horizontal overlap
2) Tooth which are young and with large pulp chambers
3) Adolecent persons engaged in contact sports
4) All of the above
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#2 Conservative Dentistry
Roughening the old restoration and re-etching it allows for better bonding of the new composite material.
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Answer
An old composite restoration is to be replaced. The best method is
1) To remove entire restoration, re-etch and refill
2) To roughen the old restoration, re-etch and refill
3) Composite restoration cannot be replaced or refilled
4) None of the above
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#3 Conservative Dentistry
Reducing occlusal forces: Excessive biting or grinding forces can exceed porcelain's fracture toughness (typically 2–4 MPa·m¹/²).

Rounding angles of tooth preparation: Sharp internal angles create stress concentrations, increasing fracture risk by up to 50% per studies on ceramic failure modes. Rounding them (e.g., to 90–120°) distributes stress evenly

Increasing porcelain thickness: Thicker porcelain (e.g., 1.5–2 mm) enhances flexural strength and fracture resistance, as thicker layers better withstand occlusal forces without cracking. 
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Answer
Porcelain fractures in porcelain jacket crowns can be avoided if
1) Occlusal forces are reduced
2) Angles of the tooth preparation are rounded
3) By increasing the thickness of porcelain
4) All of the above
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#4 Conservative Dentistry
Carbon steel can be made harder than stainless steel, allowing it to maintain a sharp cutting edge longer during operative procedures.
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Answer

What is the primary clinical advantage of using carbon steel over stainless steel for hand cutting instruments?

1) Corrosion resistance
2) Chemical stability
3) Ductility
4) Edge retention

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#5 Conservative Dentistry
Failure of a cast to seat properly on the cast during the restoration process can be due to various factors such as distortion during fabrication or changes in the cast material. To overcome this, the cast can be scraped with a sharp instrument to remove any excess material that may be preventing proper seating. Washing the casting with HCI (hydrochloric acid) may help to clean and smooth the surface, but it is not a common practice for this specific purpose. Forcefully positioning the casting can cause damage to the cast and is not recommended. If the discrepancy is more than 0.3 mm, it is generally advised to discard the cast and make a new one to ensure a precise and accurate fit.
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Answer
Failure of casting to seat on the cast is overcome by
1) Scraping the cast to seat
2) Forcefully positioning the casting
3) Wash the casting with HCI
4) Discard if the discrepancy is more than 0.3 mm
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#6 Conservative Dentistry
The bonding in porcelain fused to metal (PFM) restorations is achieved through a combination of both chemical and mechanical mechanisms. 

The chemical bond forms due to oxide interactions between the metal and the porcelain, while the mechanical bond is created by the porcelain flowing into microscopic irregularities on the surface of the metal.
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Answer
Bonding in porcelian fused to metal restorations is
1) Chemical and mechanical
2) Metallic and adhesive
3) Only chemical bonding
4) Only mechanical bonding
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#7 Conservative Dentistry
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.
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Answer
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
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#8 Conservative Dentistry
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.
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Answer
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
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#9 Conservative Dentistry
Amount of force needed to condense direct filling gold depends on the surface area of the condenser. The larger the surface area, the less pressure is required to achieve proper condensation. The force applied affects the compaction of the gold, but it is the size and shape of the condenser point that dictate the actual pressure exerted on the material. 
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Answer

Amount of force needed to condense direct filling gold depends on 
1. Angle of compaction
2. Surface area of the condenser
3. Amount of the remaining dentin
4. Type of direct filling gold

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