quadrant dentistry Flashcards
(26 cards)
quadrant
dividing the jaws into 4 parts from midline of each arch to the most distal tooth
sextant
deviding into 6 parts (Anterior is canine to canine, left or right is 1st premolar back)
quadrant dentistry
treated all affected teeth in 1 quadrant/sextand dring the same vist
regardless of material/technique used
why do quadrant dentistry
aid in 4 handed and when using a EFDA
good for efficiency and productivity
advantage of quadrant dent to patient
less # of appointments (save time and expense Less discomfort (less injections)
advantage of quadrant dent to dentist
more effieicny more productivty single anesthtetic single rubber dam same rotary/hand instrumnets used
considerations for quadrant dentistry
more chairside time (adjust time and schedule as needed)
sequence for quadrant dentsitry
follow the ideal treatment sequence
emergency, eliminate active disease, final prosthesis
indications for quadrant dentistry
adjacent interproximal caries (kissing cavities)
multiple faulty restorations: open leaking margins, open proximal contact, gingival overhands, severe marginal breakdown, recurrent caries
pediatric
medically compromised patients (severe CHF, mental disability)
contraindications for quadrant dentistry
lack of dentist experience
patient with TMJ dysfucnction
patient who cannot stay reclined
copper in low copper amalgam
<5%
what is made in low copper amalgam reaction
gamma 2
problem with gamma 2 phase
weakest
most corrosion (pitted and marginal fracture
High creep
high copper amalgam
greater than 6% copper
gamma
Ag3Sn
gamma 1
Ag2Hg3
gamma 2
Sn7-8Hg
benifit of high copper amalgam
has enough Cu to eliminate gamma 2 phase formation and instead forms n prime(secondary reaction
n prime phase
Cu6Sn5
n prime phase verese gamm 2 phase
n prime is stronger and more corrosion resistant, les pitting
prevents sliding of gamma 1 so less creep and marginal breakdown
pro and con of lathe cut amalgam
pro: high condenstaion force needed so tight contact
con: high surface area, more Hg and more expansion
pro and con of spherical cut amalgam
pro: pack effeciently and slide easily (less voids and high strength)
con: difficult to achieve proximal contact
benifit of conventional dentistry for back to back amalgam
adjacent inract tooth structuer serves as a guide
contact position medio distally maintained
what tooth do you do first in back to back amalgam restorations
from most posterior tooth