MDS PREP
An old composite restoration is to be replaced. The best method is
1) To remove entire restoration, re-etch and refill
2) To roughen the old restoration, re-etch and refill
3) Composite restoration cannot be replaced or refilled
4) None of the above
Conservative Dentistry
Answer: 2
Roughening the old restoration and re-etching it allows for better bonding of the new composite material.
Amount of force needed to condense direct filling gold depends on
1. Angle of compaction
2. Surface area of the condenser
3. Amount of the remaining dentin
4. Type of direct filling gold
Conservative Dentistry Answer: 2
Amount of force needed to condense direct filling gold depends on the surface
area of the condenser. The larger the surface area, the less pressure is
required to achieve proper condensation. The force applied affects the
compaction of the gold, but it is the size and shape of the condenser point that
dictate the actual pressure exerted on the material.
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.
During cavity preparation, more incidence of exposure is in
1) Class V cavity in first premolar
2) Class II mesioocclusal cavity
3) Class II distoocclusal cavity
4) Class IV cavity
Conservative Dentistry
Answer: 1
During cavity preparation, the most common area for exposure is a Class V cavity in the first premolar. A Class V cavity is a five-sided cavity that involves the gingival margin of the tooth and the proximal surface. These cavities are particularly prone to exposure because the gingival tissue in this region can be thin, and the proximity to the bone can lead to inadvertent damage during the preparation process.
Which of the following is the functionally generated occlusal registration in an indirect gold casting technique
1) Centric relation
2) Anatomic registration
3) Restration of the envelope of occlusion
4) Static registration of dynamic occlusion
Conservative Dentistry
Answer: 4
In indirect gold casting techniques, occlusal registration is crucial for ensuring that the final restoration fits properly in the patient's occlusion. "Static registration of dynamic occlusion" refers to capturing the occlusal relationship when the patient is in a static position, which is essential for creating a functional restoration.
A proximal carious lesion in a radiograph is
1) Usually larger than clinically
2) Smaller than clinically
3) Same as clinically
4) An incipient lesion
Conservative Dentistry
Answer: 2
Proximal carious lesions often appear smaller on radiographs than they are
clinically due to the limitations of radiographic imaging.
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
Explanation: In a Class V amalgam restoration, the occlusal
wall (or the wall facing the occlusal surface) is typically wider than the
gingival wall (the wall facing the gingiva). This design feature helps to
provide adequate bulk for the restoration, ensuring strength and resistance to
fracture. The other options, such as retention undercuts and wall convergence,
are not characteristic features of Class V restorations, which are primarily
concerned with the gingival and occlusal relationships.
Pit and fissure caries can be best pre vented by
1. the use of adhesive sealants
2. topical fluoride application
3. diet control
4. effective plaque control
Conservative Dentistry Answer: 1
1. The use of adhesive sealants: Adhesive sealants are thin, plastic coatings
applied to the chewing surfaces of the back teeth. They fill in the grooves and
depressions, creating a smooth surface that is easier to clean. Sealants act as
a barrier, preventing food and bacteria from lodging in these areas and thus
reducing the risk of tooth decay. This is considered the best preventive measure
because it directly addresses the anatomical vulnerability of the teeth and can
be applied quickly and painlessly.
2. Topical fluoride application: While topical fluoride is beneficial in
preventing dental cavities, it is not as effective as sealants in preventing pit
and fissure caries. Fluoride helps to strengthen the enamel and makes it more
resistant to acid attacks from plaque bacteria. However, because the pits and
fissures are already deep and narrow, fluoride may not always reach these areas
effectively. Sealants, on the other hand, provide a physical barrier that
fluoride cannot always penetrate.