Quiz 9 Flashcards
What are the basis’s to a treatment plan being decided?
Severity of diagnosis
Region of mouth
intracoronal / inside tooth
Inlays
covers more than inlay, including cusps/entire occlusal surface
Onlays
thin layer of ceramic or composite resin, bonded to facials only (esthetic purpose only)
Venners
extracoronal, large restorations, completely covers crown of tooth
Crowns
replaces missing teeth, abutments connected via pontics
Bridges
What are the classifications of indirect materials?
Metals
Ceramics
Ceramometal
Composite
o Variety of alloys
o Casting involves melting metal and pouring or forcing material into mold
o Strong, work well in high stress areas (posteriors)
o Not used when esthetics are important
Metals
60% or more of noble elements, 40% must be gold
High noble alloys
25% or more of noble elements, no gold requirements, 75% base metals
Noble alloys
Less than 25% noble metals, no gold requirements
Base alloys
= parts per 100
Percent
= parts per 24
Carat
= parts per 1000
Fineness
Slurry of pumice + tin oxide
Brownies, greenies super greenies, wet field, light pressure, short bursts
Metals
Extraorally: rouge
Intraorally: tin oxide
Avoid hand/power scalers, prophy pastes, air polishing
Gold
o Stimulate natural tooth color, translucency, & esthetics
o Lacks toughness, fracture resistance
o Can abrade opposing natural dentition if not in proper occlusion
Ceramics
heating ceramics until they melt and fuse together
Sintering
o Silica = glassy matrix
o More esthetic
o Less strong
o Materials: porcelain
Glass-based
o Crystalline based, no glass matrix
o Composed of alumina oxides and zirconia
o Strongest ceramic material
Non-glassed based
o Glass-based ceramic material
o Tooth-colored
o Low fracture toughness, brittle
o Ideal for esthetic restorations
o Metal oxides added to create shades
o Uses: PFM crown, porcelain on zirconia, veneers
porcelain
o Non-glass based ceramic material
o Strongest ceramic material
o Opaque
o Uses: single unit crowns, cores for 3-unit bridges, anterior & posterior regions
Zirconia
o Computer-aided design and computer-aided machining
o Parts: optical scanner, computer with software, milling device
CAD/CAM restorations
o Durability + esthetics
o Metal core forms oxide layer when healed
o Porcelain chemically fuses to oxides on metal
o Porcelain sintered in layers
Ceramomental