class IV stuff Flashcards

(60 cards)

1
Q

what needs to match in tooth restorations

A

Shape
Surface texture
Color
Translucency

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2
Q

distal outline of central incisors shape

A

Slightly convex

more rounded on the mesial

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3
Q

distoincisal angle shape vs mesial of central incisors

A

distoincisal is more rounded

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4
Q

location of the crest of curvature of central incisors

A

in the incisal 1/3 close to the junction of the incisal and middle 1/3

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5
Q

what is the mesial outline of a central incisor

A

slightly convex to striatght

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6
Q

where is the crest of curvature of central incisors

A

in the incisal 3rd near the mesioincial angle

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7
Q

shape of the mesioincisal angle in central incisors

A

Sharp

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8
Q

are central incisors flat

A

No, 3 lobes with 2 concavities

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9
Q

should class 4 preps be preped ideally

A

No, should copy the opositng teeth

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10
Q

process of getting the shape of a tooth for class 4

A

follow outline
primary anatomy: line angles
secondary anatomy: surface changes in the tooth
tertiary anatomy: not smooth, but have perinkema

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11
Q

how do we determine the color of the teeth

A

Vita classic shade guide

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12
Q

3 dimensiosn of color

A

Hue
Chroma
Value

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13
Q

chroma

A

saturation/purity of color

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14
Q

Hue

A

color tone

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15
Q

Value

A

high value is light

low value is dark

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16
Q

hue for dentist

A

Color category of the dentinal body

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17
Q

Chroma for the dentist

A

Color saturation of the dentinal body

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18
Q

VAlue for the dentist

A

The degree of whiteness of enamel

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19
Q

A in shade guide

A

Red-brown

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20
Q

B in shade guide

A

Red-yellow

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21
Q

C in shade guide

A

greyish

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22
Q

D in shade guide

A

Red-grey

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23
Q

when shoudl shade matching be done

A

Before the teeth are exposed to dehydration

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24
Q

what happens to teeth when dehydrated

A

become lighter and does not return for 30 minutes of rehydration

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25
in the vita system what happens are you increase in number
VAlue becomes more dark and chroma becomes greater
26
what does enamel do for the look of a tooth
Shape Surface texture Modifies dentin color
27
what does the dentin do for the tooth
Gives it color Opacity lobues fluorescence
28
what happens to the optical properites of resin
are affected with time and water uptake, especially if not completely cured
29
Final resin shade depends on
Color of underyling tooth thickness Polymerization (yellow-blue, opaque) finish and polish
30
what does opacitiy do
how much of the tooth blocks the black inside the mouth
31
what happens if you over whiten the tooth
eeth become black/grey because the dentin looses color
32
roll of fluoresnce of a composite
absorbs light slighty, and in dark can transmit a glow (big deal in clubs and makes tooth look life like
33
can patients tell small color differences in teeth
not nearly as well as dental professionals
34
what thickens as you go incisal on a class IV prep
enamel becomes thick
35
what happens to thickness as you go gingival on a class IV prep
more dnetin seen and less enamel
36
why do teeth look poly chromatic
different thickness of enamel and dentin
37
color change in not completed cured resin
yellow-> translucient due to photo-initiator going away
38
composite and moisture
abosrbs water, and tooth looks whiter without water
39
why might a tooth be dehydrated over time
rubber damn
40
do you always need to finish and polish composites
yes
41
what shouldnt be used when resotring class 3 and 4
wedges, BBL3 and 8A
42
how important is color mathcing
not needed for biological success, but needed for esthetic success
43
why do composites fail today
B/c of the densist (not the correct composite, bad technique | - last a long time anteriorly if correctly used
44
location of the CEJ for Central lateral Canine
High low high
45
oral-facial estheics
the maxillo-mandibular relationship to the face and the dental idline to the face pertaining to the teeth, mouth and gums
46
Oral estheics
the relation of the lips to the arches, gingiva and teeth
47
Dentogingival esthetics
the relationship of the gingiva to the teeth collectively and individually
48
Dental esthics
MAcro and micro dental esthetics
49
what is a negative space
the area that lacks something
50
Type 1 smile restoration
Only restorative (no changes in tooth positiong giniva and bike)
51
type 2 smile resotration
Crown lengthening (move ginvia)
52
type 3 smile restoration
Cr restorative (Change bite, increase VDO)
53
type 4 smile restoration
IMplant restorative (add bone implants)
54
type 5 smile restoration
Ortho (move tooth positions)
55
type 6 smile restoration
orthognatic restorative (move arch, faical profile)
56
how to do smile restoration
transfrom to type 1 first
57
pros of porcelain laminate veneers
Porcelain laminate veneers (excellent aesthetics, long durability)
58
cons of porcelain laminate veneers
Need to remove teeth temporization often needed cannot be repaired expensive
59
pros of direct composite veneers
Conservative inexpensive excellenct esthics No need to draw for prep
60
cons of direct composite veneers
operatior skill | less durable