Review of D2 Material Flashcards

1
Q

What is a rubber dam preparation technique: hole is punched for most anterior tooth and a hole punched for most posterior tooth to be isolated, then holes are connected with a slit?

A

Slit Dam Technique

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2
Q

What is the most common mistake in restoration of primary teeth?

A

Over-extension of preparartion

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3
Q

What restoration is indicated if excessive tooth structure must be removed in primary teeth?

A

Extracoronal restoration = stainless steel crown (SSC)

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4
Q

What is the depth of the preparation for a primary posterior tooth restoration?

A

1.0 mm

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5
Q

What is the width of the preparation on a mandibular first primary molar?

A

1/3 intercuspal distance

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6
Q

What is a restoration used to restore caries in a primary molar with limited involvement of the proximal surface?

A

Class II

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7
Q

Is a class II restoration indicated when proximal caries have broken through the marginal ridge clinically?

A

No. SSC is indicated.

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8
Q

What is the hardest contact to break on a primary molar class II prep and why?

A

Gingival contact because primary teeth have broad, flat contact.

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9
Q

The following indicate what restoration on primary teeth:

  • Large lesions on primary teeth
  • Rampant caries
  • Pulp therapy
  • Developmental defects
A

Stainless steel crown

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10
Q

Can a stainless steel crown be used on a permanent tooth and when (with respect to pediatric dentistry)?

A

Yes. Temporary restoration of young permanent tooth

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11
Q

Which should be done first in a SSC prep: caries removal or interproximal slices and why?

A

Caries removal first. Blood from interproximal slices could mask blood generated by pulp exposure during caries removal if done in reverse order?

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12
Q

Placing a base and liner over caries that would otherwise result in a pulp exposure, when there is no indication of a pulp exposure, there is no unstimulated or long term pain, and no signs or symptoms of pulap degeneration?

A

Indirect pulp cap

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13
Q

On what tooth type is a direct pulp cap never done?

A

Direct pulp cap? WTF?

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14
Q

What is the term for the amputation of the coronal portion of the pulp, with the reamining tissue in the roots (radicular pulp) remaining vital?

A

Pulpotomy

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15
Q

What is the appearance of the blood and time for hemostasis after a pulp exposure, either carious or mechanical in a primary toth that indicates a pulpotomy?

A

Red and normal blood (not necrotic)

Bleeding controlled in 3-5 minutes

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16
Q

How much root length must remain on a primary tooth for a pulpotomy to be indicated?

A

2/3 root length left

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17
Q

What are pulpal medicaments that can be used for a pulpotomy?

A
  1. Formocresol
  2. Ferric sulfate
  3. MTA
  4. Pulpectomy
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18
Q

Is a pulpectomy indicated in a primary tooth if there is furcation involvement or the surrounding root and bone have pathology?

A

No

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19
Q

How much primary tooth root should remain for a pulpectomy to be indicated?

A

1/2 of root length remains

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20
Q

Why is it important to keep 2nd primary molars (A,J,K,T)?

A

Guide eruption of 1st permanent molars

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21
Q

What is indicated for a primary tooth, necrotic pulp, with no permanent successor?

A

Pulpectomy

22
Q

The following are all risk factors for what disease?

  • Frequent feeding / snacking on fermentable carbohydrates
  • Poor oral hygiene
  • Lack of fluoride
  • Enamel defects (could be due to low birth weight or premature birth
  • Chronic medical conditions
  • Low socioeconomic status
A

Early Childhood Caries (ECC)

23
Q

How much fluoride toothpaste is indicated for a child less than 2 years old?

A

Smear and supervised brushing

24
Q

What amount of fluoride tootpaste is indicated for a child between 2-5 years old?

A

Pea size and supervised brushing

25
Q

What is the dosing of 2% lidocaine with 1:100 Epi?

A

4.4 mg/kg

26
Q

1 kg = hoy many lbs?

A

1kg = 2.2 lbs

27
Q

How many mg of LIdocaine are in 1 carpule (1.8mL)?

A

20x1.8 = 36mg Lido / carpule

28
Q

What is the maximum 2% Lidocaine 1:100 Epi dose for 67lb child?

A

((1kg / 2.2lbs ) x 67lbs) x (4.4mg / kg) x (1carp / 36mg) = 3.7 carpules 2% lidocaine for 67lb child

29
Q

What is the dosing of 4% Septocaine 1:100 Epi?

A

7 mg / kg

30
Q

How many mg of Septocaine are in 1 carpule (1.8mL)?

A

40 x 1.8 = 72mg / carpule

31
Q

What radiograph schedule is indicated for a recall patient with clinical caries or increased risk factors for caries in the primary, transitional, and adolescent permanent dentition?

A

Posterior bitewings every 6-12 months

32
Q

What radiograph schedule indicated for recall patient with no clinical caries and no increased risk factors for caries in the primary and transitional dentition?

A

Posterior bitewings every 12-14 months

33
Q

What radiograph schedule is indicated for recall patient with no clinical caries and no increased risk factors for caries in the adolescent permanent dentition?

A

Posterior bitewings every 18-36 months

34
Q

What is eruption age for a permanent maxillary central incisor?

A

7-8

35
Q

What is eruption age for a permanent maxillary lateral eruption?

A

8-9

36
Q

What is eruption age for a permanent maxillary canine?

A

11-12

37
Q

What is eruption age for a permanent maxillary first premolar?

A

10-11

38
Q

What is eruption age for a permanent maxillary second premolar?

A

10-12

39
Q

What is eruption age for a permanent maxillary first molar?

A

6-7 (6 year molars)

40
Q

What is eruption age for a permanent maxillary second molar eruption age?

A

12-13 (12 yr molars)

41
Q

What is eruption age for a permanent maxillary third molar?

A

17-21

42
Q

What is eruption age for a permanent mandibular central incisor?

A

6-7

43
Q

What is eruption age for a permanent mandibular lateral incisor?

A

7-8

44
Q

What is eruption age for a permanent mandibular canine?

A

9-10

45
Q

What is eruption age for a permanent mandibular first premolar?

A

10-12

46
Q

What is eruption age for a permanent second premolar?

A

11-12

47
Q

What is eruption age for a permanent mandibular first molar?

A

6-7 (6 yr molars)

48
Q

What is eruption age for a permanent mandibular second molar?

A

11-13 (12 yr molars)

49
Q

What is eruption age for a permanent mandibular third molar?

A

17-21

50
Q

What are Dr P’s generalizations about tooth eruption, root formation, and missing teeth?

A
  1. Mandible ahead of maxilla
  2. Girls before boy
  3. Permanent roots close 3 years post eruption
  4. The second of a tooth type is more likely to be congenitally missing than the first (e.g. the 2nd PM is more likely to be missing than the 1st PM)
51
Q

What are 3 basic behavior management techniques?

A
  1. Tell-Show-Do
  2. Nitrous Oxide
  3. Voice control