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NEETMDS- Conservative Dentistry mcq
MDS PREP

The product that is formed on the surface of the amalgam restoration and frequently results in discolouration is
1) Sulphide
2) Gamma I phase
3) Gamma II phase
4) Oxide
Conservative Dentistry Answer: 1

The discoloration of amalgam restorations is often due to the formation of silver sulfide on the surface, which can occur due to the reaction of silver with sulfur compounds in the oral environment. The gamma I phase is a strong component of amalgam, while the gamma II phase is weaker and less stable. Oxides can form as well, but sulfides are more directly associated with the discoloration observed in clinical settings.

Main feature of class V amalgam restoration
1) Occlusal wall is greater than gingival wall
2) Retention undercuts placed in the mesial and distal walls
3) Axial wall is flat and does not follow the contours of the tooth
4) Mesial and distal walls converge
Conservative Dentistry Answer: 1

In Class V restorations, which are located at the gingival third of the facial or lingual surfaces of teeth, the occlusal wall is typically wider than the gingival wall. This design helps in providing retention and resistance to the restoration, as the occlusal wall is more subject to occlusal forces.

Which of the following is not recommended in the technique for curing light cured composites?

    1)     Holding the light tip 1 cm from the tooth 

    2)     Wearing speacial glasses with orange filters 

    3)     Using an exposure duration of 40 to 60 seconds 

    4)     Placing the composite in increments of 1 to 2 mm


Conservative Dentistry Answer: 1

The distance between the tip of the curing light and the tooth is important, as the intensity  of the light source is important. A minimum of 400-mW/cm2 is required. It is recommended that the tip be placed as close to the surface to be cured as is physically possible (within 1 to 2mm).

The intensity of light is inverselyproportional to the distance from the source. As a general rule each increment should be at most 1.5 to 2 mm thick. This will ensure complete penetration of the light and maximum curing of thecomposite at the bottom most portion of the cavity preparation.


Outline form of a class V amalgam cavity preparation is related to (or) External shape of the class V amalgam restoration is related to 
 1. Contour of marginal gingiva
 2. Axial line angles
 3. Direction of the enamel rods
 4. None of the above
Conservative Dentistry Answer: 1

Explanation: The external shape of a Class V amalgam
restoration is closely related to the contour of the marginal gingiva. This is
important for aesthetic and functional reasons, as the restoration must blend
seamlessly with the surrounding gingival tissue. The outline form should respect
the natural contours to minimize plaque accumulation and promote periodontal
health. While axial line angles and the direction of enamel rods are relevant to
the preparation, they do not primarily dictate the external shape of the
restoration.


Annealing of gold foil is the process by which 
 1. Contaminants are removed from the surface
 2. Rigidity decreases and ductility increases
 3. Both ductility and propotional limit decrease
 4. None of the above
Conservative Dentistry Answer: 1

Annealing gold foil is the process of heating gold to remove impurities and restore its cohesion properties. Annealing of gold foil is a heat treatment process used to alter the physical and sometimes chemical properties of the material. The primary purpose of annealing gold foil is to remove any contaminants and stresses that may be present on the surface of the material. This is achieved by heating the gold foil to a specific temperature, typically around 400°C (750°F), and then allowing it to cool slowly. The process can also help in improving the foil's ductility, making it more malleable and easier to work with. However, the direct effect of annealing on the rigidity, ductility, and proportional limit is not explicitly stated in the question, and thus the correct answer is that annealing of gold foil primarily serves to remove contaminants from the surface.


Retention grooves are placed in a class V cavity for non-adhesive restoration in 
 1. Mesioaxial and distoaxial line angles
 2. Occlusoaxial and gingivoaxial line angles
 3. All line angles of the cavity
 4. None of the above
Conservative Dentistry Answer: 2

Retention grooves in a class V cavity for non-adhesive restoration are placed in
the mesioaxial and distoaxial line angles. These grooves help hold the
restoration in place by providing mechanical retention and reducing the risk of
microleakage.


Gingivally the depth of a class V cavity is 
 1. 0.5-1 mm
 2. 0.75-1 mm
 3. 1-1.25 mm
 4. 2-3 mm
Conservative Dentistry Answer: 2

Gingivally, the depth of a class V cavity is typically 0.75-1 mm. This depth is
sufficient to provide a good bond with the tooth structure and prevent
microleakage without causing significant gingival irritation or damage.


When punching holes to place a rubber dam for a class V cavity on facial surface 
 1. Punch holes larger and facially
 2. Punch holes smaller and lingually
 3. Punch holes larger and lingually
 4. Punch holes smaller and facially
Conservative Dentistry Answer: 1

When punching holes to place a rubber dam for a class V cavity on the facial
surface, punching holes larger and facially provides better access and
visibility. This allows for easier placement and removal of the dam, as well as
less risk of damaging the adjacent tissue

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