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Review for Exam I July 13, 2017

Operative 8220

1. Procedures for AllBond 3. What materials can it be used with? Composition.

- (Generation IV)- 3 step etch and rinse
- Dual cured, can use light cure and self cure
COMPATIBLE WITH ALL DENTAL MATERIALS (universal dental system)
direct comp, comp build up, metal, alumina, porcelain, lithium disilicate,
endodontic post bonding, repair of lithium disilicate restoration, repair of
PFM and PF to zirconia/alumina, repair of composite,
used for desensitization of preparations prior to provisional and immediate
dentin sealing, and for exposed root desensitization
highly cross linking monomers, hydrophobic (MDP) adhesive, HEMA free,
filled bonding resin thats radiopaque
Procedure:
Etch 15 seconds, rinse
Remove excess water, leaving the prep visibly moist
Dispense equal amounts A and B into mixing well and mix for 5 sec
Apply 1-2 coats to entire prep with agitating motion for 5-10 sec
Air dry from 5 cm for 5 sec until there Is no visible movement
Then dry thoroughly for 10 sec (surface should appear shiny)
Light-cure for 10 sec
Optional: apply thin layer of the all-bond resin
Air thin, and light cure for 10 sec
Continue with placement of restoration

2. Proper use of OptiBond Solo Plus and OptiBond FL for composite restorations.
What materials can they be used with? Compositions.

Optibond solo Plus (Generation V) - 2 step, etch and rinse (light cure 40
seconds then place composite incrementally- LIGHT CURE ONLY
Only one rocket that you use
Optibond FL (Generation IV)- 3 step, etch and rinse (yellow, air, black, cure)
 Etch dentin/enamel for 15 seconds (37.5% phosphoric acid), rinse
thoroughly for 15 seconds, air dry for 3 seconds and do not
desiccate! - blot with damp cotton pellet
Next apply YELLOW primer rocket for unidose delivery with light
brushing motion for 15 seconds and air dry lightly 5 seconds
Then apply BLACK adhesive rocket with light brushing motion for 15
seconds
You want NO PUDDLED moisture
Air thin for 3 seconds
Light cure for 20 seconds then ready for composite
You DO NOT cure primer between placement of yellow and black
rocket.
2 part primer adhesive system
48% filled (barium glass), fluoride releasing, radiopaque
Ethanol solvent
Can also be used with self cure resin build up materials

3. How to obtain best proximal contacts for composite restorations and use of the
ComposiTight Matrix system.

Band thats similar to height of tooth, concave on occlusal

Wedge
Composite tight ring and place gingival as possible

Do not burnish the band

4. Morphology, contents and functions of enamel, dentin and pulp tissues and why they
are important in restorative dentistry.
Enamel:
- Content- inorganic hydroxyapatite (86), water (12), organic (2)
- Morph- Water (micropores, intercrystalline), cylindrical enamel rods and
interred enamel
Dentin-
- Function- foundation for enamel, forms bulk of tooth, protect pulp, color
- Cont- inorganic apatite crystals (50), cross linked collagen fibrils (25), water
(25)
- Morph- outer dentin (smaller, sensitive, and branches) inner dentin (bigger and
permeable)
o PERM- Axial and near pulp horns > permeable compared to occlusal dentin
o SENS- outward flow is more sensation, hydrostatic pressure displace and Na
enters, damaged cells release ATP => chemical depol, want to promote
crystallization?=> toothpaste
Pulp-
- Morph- water (75), organic (25) connective tissue (collagen fibers and ground
substance)
- Function- formative (1 and 2 dentin, reparative dentin), nutritive, sensory
(afferent pain), protective (inflammatory, remove detrimental substances)
- pulp core (protein gel matrix- ground substance, neural and vascular combine)
=>cell rich (fibrocytes, mesenchymal, makes matrix and collagen) => cell free
(capillary, nerve plexus) => odontoblastic (produce dentin and mediate passage)

5. Steps in treatment sequencing.

Chief complaint, medical/systemic care, emergency care, treatment plan

presentation, disease control, re-evaluation, definitive care, maintenance care

6. Steps in Problem Oriented treatment planning.

1. examination leads to list of problems

2. consider problem in terms of treatment options with advantages and
disadvantages of each
3. Choose the optimal solution
4. place solutions in sequence and will become treatment plan

7. Be able to describe what type of materials TiCore and Build-it FR and techniques for
use.

-TiCore: Core build up material (not good for final restoration)

self curing composite with titanium particles, keep refrigerated, mix, load,
express
Heat accelerates setting time
DO NOT use same end of spatula in both containers for ticore materials
CANNOT use optibond SOLO PLUS with this!!
- Build-it FR: Core build up material
fiber reinforced, composite core material, dual cured and has fluoride.
This product contains glass fibers in composite matrices to INCREASE
COMPRESSIVE STRENGTH
Supplied in 25 ml cartridge kit with mixing tips, intraoral tips and
dispensing gun - available in 4 colors. We use gold colored
 Can be bonded to tooth structure
Isolate, etch 20 seconds , rinse, blot with damp cotton pellet, bonding
agent, matrix band, dispense (ALLOW 4 MINUTES for setting), finish with
diamond and carbide burs
Can use with either optibond FL or all bond 3 as bonding agent
NOTE: light curing A2, A3 and white; cure buccal, lingual and occlusal
surfaces for 40 seconds each.
Colors: A2, gold, blue, white
Get tooth shade first

8. Conditions for pulp capping and use of TheraCaL LC and calcium hydroxide /
VitreBond techniques for pulp capping.

- tooth= vital and no history of spontaneous pain

- pulp= vital
- thermal test? Pain should NOT linger
- good radiographs
- no bacteria resulting from good permanent restoration
Calcium release \ protective seal, hydroxapatites and secondary bridge formation.

9. What is Concepsis? When and how is it used?

2% chlorohexidine gluconate disinfecting solution; used before bonding.

Etch, rinse, concepsis, dry, bonding

10. What is MicroPrime G? How and when is it used?

Eliminates post-sensitivity and discomfort from cervical erosion

Total-etch bonding: etch, wash, dry, apply, sit 10-20 sec, dry, adhesive,
No bonding: microprime to dentin, sit 10-20 sec, dry, apply composite and
amalgam

11. Enamel direction of rods, best bonding surfaces.

Beveling best bonding surface

End of enamel rods is better for bonding rather than sides
Direction of rods- natural cleavage lines

12. Re-mineralization necessary conditions.

pH > 5.5, fluoride, Ca and P in saliva, time,
Salivary calcium and phosphorus; fluoride

13. Make up of dentin and enamel.

14. Caries initiation and propagation.

Plaque is the risk factor; produce acid; demineralization of enamel; bacterial

invasion; caries when pH is below 5.5

15 How to use Cari-Detec.

Rinse and dry tooth

Place detec for 10-15 seconds
Rinse and dry tooth
evaluate

16 What is accomplished by etching dentin?

Remove smear layer

Expose collagen fibers
Etch 5 micron depth of intertubular dentin
Demineralize peritubular walls and tubule contents

1. OptiBond Solo Plus and OptiBond FL are both generation IV, 3 step, etch and
rinse bonding systems- False; OptiBond solo plus is generation V with 2 step and
OptiBond FL is a generation IV with 3 step
2. Which of the following bonding systems can be used with light cured composite
restoration materials?
a. OptiBond Solo Plus
b. OptiBond FL
c. AllBone 3
d. Build- it FR
3. When using AllBond 3 with self curing composite material, only the contents of the A bottle
primer is used along with the adhesive resin material- False

4.