Adv Restorative Final

All of the following are examples of minimal caries intervention EXCEPT: 

a. Sealants 

b. Resin infiltration 

c. SDF 

d. PRR

c. SDF

RMGI can be used as a: 

a. Liner 

b. Sealant 

c. Base 

d. All of the above

d. all of the above

Which statement is true about core restorations?

glass ionomer can be used in low-stress areas of the preparation

Risk factors increase the complexity of PDI classification. These factors include all of the following EXCEPT: 

a. Ataxia 

b. Physosocial factors 

c. Refractory patients 

d. All of the above are factors 

d. all of the above are factors

Which is NOT a contraindication for crown lengthening?

a. Poor oral hygiene

b. Removal of supporting bone

c. Gingival recession

d. Furcation involvement

c. gingival recession

What is true about core restorations 

a. Natural tooth core is the strongest 

b. Ferrule more important for endo teeth 

c. 2mm ferrule vertical axial wall 

d. All the above

d. all of the above

What is the best way to determine supracrestal attachment?

a. Radiographs

b. Bone sounding

c. Bleeding index

d. Measure tooth length

b. bone sounding

T/F: Milling can be done dry or wet. This is up to the operator to decide on milling it dry or wet.

1st is true, 2nd is false

etching question

a. total etch provides thicker hybrid layer

b. If done correctly, dentin bond can equal enamel bond

total etch provides thicker hybrid layer

a black triangle between teeth will most likely not be present if the interprox contact is at least how many mm from the osseous bone

5mm bone

T/F: Height of CEREC prep should not exceed 12mm because that’s the length of milling bur.

true

What is the PDI of a dentate patient that needs an increase in OVD?

Class IV

 Caries excavation by: 

slow speed round bur, the biggest that fits

T/F: Digital Dentistry requires changing fundamental principles of Dentistry and Pt care.

false

T/F: CAMBRA is used for caries risk at UMKC. Characterized by low, moderate, and high risk.

true

RMGI should be placed when:

prep is 0.5-1mm from pulp

What is the most important component in tooth color?

a. Value

b. Hue

c. Chroma

d. All of the above

a. value

What is used as the gold standard for direct pulp cap?

calcium hydroxide (dycal)

all are true of CEREC crowns EXCEPT:

don’t need to retract gingiva for subgingival margin

all are true of CEREC crowns EXCEPT:

it is ok to leave undercuts

what can be used for retention

pins place amalgam alloys or a resin core

internal bleaching should use

sodium perborate

if pt falls into 2 classes then what is the PDI classification

single criteria in most complex places pt in that category

t/f: PDI has 3 classes: dentate, edentulous and partially edentulous. 4 categories: 1 being most complex, 4th being uncomplicated

first is true, second is false

Why wait 2 weeks after whitening

a. Peroxide ions

b. Shade rebound

c. Sensitivity ( 2 weeks wait before bleaching when surrounding tissue traumatized)

d. A and B

e. All of the above

d. A and B

t/f: the aperture wheel is set to 8 for full face and 22 for intraoral

true

interpupillary line should be parallel to commissural line and occlusal plane

true

which of the following muscles is impacted by crows feet

a. Orbicularis Oris

b. Orbicularis Oculi

c. Risorius

d. Masseter

b. orbicularis oculi

t/f: the associated muscles with TMD are the masseter, temporalis, medial pterygoid and lateral pterygoid

true

t/f: myofascial pain is localized paint with palpation

false (myalgia is local)

how far do neurotoxins diffuse into the muscle?

a. 1cm/10mm

c. 3cm

d. 5cm

a. 1cm/10mm

The mechanism of action for Botulinum inhibits what?

blocks acetylcholine release

Glass ionomer cement are used for all of the following EXCEPT:

a. Biocompatibility

b. Fluoride release

c. Anterior esthetics

c. anterior esthetics

Moral principles that govern a person's behavior or the conducting of an activity

ethics

Person centered care includes:

a. Treating patients with dignity and respect

b. Encouraging patient participation in decision making

c. Communicating about tx options

d. All of the above

d. all of the above

Discoloration can be caused by:

a. Bleeding from dentin and trauma

b. Residual pulp tissue following a RCT

c. Staining from restorative materials

d. All of the above

d. all of the above

T/F: When a patient makes “F” and “V” sounds the incisal edge of maxillary teeth come into contact with the wet dry line on the vermillion border.

true

Which of the following are the objectives of esthetic dentistry:

a. Create restorations with pleasing proportions that reproduce function

b. Create an arrangement of teeth and restorations that are harmonious with gingival tissues, lips, and face of the pt.

c. Make all patients teeth look the same

d. A & B

e. All of the above

d. A and B

Color selection recommendation question:

a. Before desiccation of the teeth

b. Select color under the appropriate source of light

c. In some incidences it is appropriate to select more than one color

d. All of the above

d. all of the above

For class IV restorations one would:

a. Restore the lingual first

b. Using finishing burs

c. Polishing with the disks

d. All of the above

d. all of the above

Elemental mercury:

a. Only mercury used in dental amalgam

b. Vaporizes easily, passes through membranes, skin, and the blood brain barrier

c. Is the least toxic form

d. A & B

e. All of the above

d. A and B

Amalgam waste is captured by:

a. Chairside trap

b. Vacuum pump filter

c. Amalgam separator

d. All of the above

d. all of the above

What is the most critical with vital pulp therapy

controlling hemostasis

T/F: PDI focuses on the comprehensive evaluation and assessment of diagnosis, treatment, and prognosis

true

something about tooth prep requirements

all of the above

All of the following are examples of minimal caries intervention EXCEPT:

buccal pit composite

CAD/CAM stands for

computer aided designing and computer aided manufacturing

t/f: 2mm is normal at rest for a youthful smile

true

smile analysis smile line

a. Convex, straight, reverse

b. Normal, high, low

c. Convex, flat, concave

d. All of the above

a. convex, straight, reverse

What do you need for aesthetic analysis?

a. 2 Missing teeth and

b. Pt approves tx

c. If ortho need to move it to simulate, can cut up cast or print digitally

c. If ortho need to move it to simulate, can cut up cast or print digitally

_______ recognizes that each individual or group has different circumstances and allocates the exact resources and opportunities needed to reach an equal outcome.

equality/equity

t/f: Intraoral photos warm mirror to prevent fogging

true

What is true about aesthetic tx options

a. Ideal tx is what pt accepts

b. Pt has to accept one of the tx options

c. Ethical obligation to present multiple tx options to pt

c. Ethical obligation to present multiple tx options to pt

t/f: 30% carbamide is same as 10% hydrogen peroxide

true

___ dentist has to communicate truthfully

veracity

___ have to protect pt records and let them into their tx

autonomy

Person centered care

a. All of the above

a. all of the above

Easy SDOH question… examples of SDOH include ____ and are impacted by ___

a. both are true

FITB: a subtle, everyday verbal, nonverbal, or environmental slight, snub, or insult—whether intentional or unintentional—that communicates hostile, derogatory, or negative prejudicial messages to members of marginalized groups

microaggresion

t/f: Cosmetic dentistry is making regular dentistry look nice while aesthetic dentistry is doing dentistry just to improve appearance

both are false

t/f: With photography dont have to protect identity of pt bc they consented to taking photographs

false

t/f: Distal lean is more aesthetic than mesial

false

t/f: eople dont notice up to 4mm midline shift as long as parallel with midline

true

Advantages of veneers except

cost

Diagnostic mock up needed for except

a. Cementation

b. Pt expectations

c. Lab

d. Tells you how much tooth structure needs to be prepped

a. cementation

______ is most common way of failed veneers

fracture

FITB ______most important thing for veneers

enamel bonding

#8 has large carious lesion and #9 has recurrent decay, when do you do whitening?

a. Place permanent restorations with lighter composite and warn patient that composites might need to be re-done because of shade match

b. Place temp restorations, do whitening, wait two weeks to do permanent restorations

c. Do whitening and warn patient about sensitivity

b. Place temp restorations, do whitening, wait two weeks to do permanent restorations

Saturation or intensity

chroma

t/f: Pick shade before drying out and starting prep

true

tetracycline staining is dark blue and can take 6 mo of vital bleaching to fix

true

t/f: Dont have to remove undermined enamel in class 4 because bonding

false

Indications for class 4 include

a. Fracture due to trauma

b. Caries

c. Some other incisal fracture

d. All of the above

d. all of the above

for class 4, Bevel should be longer on

facial

t/f: You can etch dentin and enamel for max 30 seconds

false

t/f: Soft flex discs the lighter ones are coarser

false

How much is facial of veneers prepped

0.03mm to 0.5mm

How much of incisal veneer prep

1-2mm

Pt comes in for whitening, has caries on 8 and 9. What can you do

a. Do temp restoration, whiten, 2 weeks later do final

b. Do restoration a shade lighter and then whiten, telling pt shade may not match

c. Whiten first

d. A and b

d. a and b

Vita shade guide measures

value

Photography helps with

a. Legal

b. Treatment planning

c. Talking to lab

d. B and c

e. All of the above

e. all of the above

The _____ refers to the curvature of the upper lip during smiling.

a. Smile line (lower lip)

b. Lip line

c. Buccal corridor

d. None of the above

b. lip line

14. What is the average focal range of Omnicam sensor?

a. 0-5 mm

b. 5-10 mm

c. 0-10 mm

d. 0-15 mm

e. 0-20 mm

d. 0-15mm

What does the design mode “biogeneric copy” base a CAD-CAM restoration upon,

during the acquisition phase?

a. Neighboring teeth

b. The same tooth on the opposite side of the arch

c. The same tooth on the opposing arch

d. A pre-prepared scanned version of that tooth

d. A pre-prepared scanned version of that tooth

f/28, for a camera, would indicate:

a. Small-sized aperture

b. Large-sized aperture

c. Fast shutter speed

d. Slow shutter speed

e. None of the above

a. Small-sized aperture

Commercialism is the driving force for dentists in developing treatments. If treatment is purely cosmetic, the patient does not need to be told that it is unnecessary.

a. Both statements are true

b. Both statements are false

c. The first statement is true, the second statement is false

d. The first statement is false, the second statement is true

b. Both statements are false

Chlorhexidine is used:

a. In universal bonding agents

b. To increase composite bond strength

c. To prevent collagen breakdown in dentin

d. A and B

e. all of the above

E. ALL OF THE ABOVE

The purpose of silane in composites is to:

a. Dilute BisGMA

b. Reinforce the resin

c. Transfer stress between matrix and filler

d. Act as the polymerization inhibitor

e. Act as the polymerization activator

c. Transfer stress between matrix and filler

Generally, the “cutback” technique for milled CEREC restorations is better for:

a. Anterior teeth

b. Posterior teeth

a. anterior teeth

Occlusal views should visualize the incisal edges of the most anterior teeth. Full-smile

photographs should be taken slightly below the occlusal plane.

a. Both statements are true

b. Both statements are false

c. The first statement is true, the second statement is false

d. The first statement is false, the second statement is true

c. The first statement is true, the second statement is false

Which of the following is not an esthetic restoration? (hint: esthetic vs. another type of

restoration)

a. Class III ML composite on #8

b. Ceramic facial veneers #7-10

c. Class II DO composite #20

d. All-ceramic crown #4 following RCT

e. Class IV composite #24

b. Ceramic facial veneers #7-10

What is the highest value shade in the Vita Shade Guide?

a. A1

b. A2

c. B1

d. B2

e. B4

c. B1

Patients who use the ADA recommended ____ carbamide peroxide whitening solution

at-home should expect a noticeable difference after ______.

a. 10%, 1-2 days

b. 10%, 4-5 days

c. 10%, 2 weeks

d. 22%, 4-5 days

e. 22%, 2 weeks

b. 10%, 4-5 days

What is the minimum amount of prepared space needed for an Emax CAD-CAM restoration?

a. 1 mm

b. 1.5-2 mm

c. 2-2.5 mm

d. 2.5-3 mm

e. >3 mm

b. 1.5-2 mm

What is not true about the use of Opalescence whitening trays?

a. Amalgam restorations may turn the trays purple

b. Stopping intermittently should not affect results

c. Fluoride gel or potassium nitrate toothpaste can be used to reduce sensitivity

d. An endo-treated tooth can have lingual access opened for internal bleaching

e. It is safe to use for pregnant patients

e. It is safe to use for pregnant patients

A 30-35% hydrogen peroxide solution is used for in-office bleaching. In-office bleaching

typically takes 2-6 visits, each lasting 30-45 minutes.

a. Both statements are true

b. Both statements are false

c. The first statement is true, the second statement is false

d. The first statement is false, the second statement is true

a. Both statements are true

Soflex discs can be used to _______ a class IV restoration

a. Prepare

b. Finish

c. Polish

d. Remove

c. polish

What color stain, when added to a milled CEREC restoration, gives the appearance of

translucency?

a. Brown

b. Violet

c. Yellow

d. White

e. Blue

e. blue

Esthetic crown lengthening is indicated in all of the following except:

a. Subgingival margin placement

b. Gingival overgrowth

c. Altered passive eruption

d. Excessive gingival display

e. None of the above

a. Subgingival margin placement

After gingivectomy, complete connective tissue repair occurs ______ post-op.

a. 5-14 days

b. 15-21 days

c. 6 weeks

d. 1 month

e. 2 months

c. 6 weeks