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Log In REGISTRATION Guiding You to the Next Step to become a Dentist or Dental Hygienist in US INICIAR SECIÓN REGISTRARSE COMMUNITY USA DENTAL INTERNATIONAL Focused on the professional growth of international dentists in the USA undergoing the - [Pricing](https://communityusadentalinternational-toeflandjobs.com/pricing-2/) - INBDE BOOTCAMP SUSCRIPTION $50 /1 MONTHS $60 /3 MONTHS $90 /6 MONTHS ASESORIA WITH THE EXAMEN $100 PRACTICE QUESTIONS Access learning courses. Exclusive learning materials and documents Access to the private community. Access to exclusive Zoom classes. 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If 30 days have passed since your purchase, we can’t offer you a full refund or exchange. To be eligible for a return, your item must be unused and in the same condition that you received it. It must also be - [INICIO](https://communityusadentalinternational-toeflandjobs.com/inicio/) ## My Templates - [Kit por defecto](https://communityusadentalinternational-toeflandjobs.com/?elementor_library=kit-por-defecto) - [REDES](https://communityusadentalinternational-toeflandjobs.com/?elementor_library=redes) - Content Area - [pl](https://communityusadentalinternational-toeflandjobs.com/?elementor_library=pl) - Dental Community 50$ / 1 Months Join now and access one of the best communities on the internet!! Everything in the Dental Community plan, plus Access learning courses. Exclusive learning materials and documents Access to the private community. Access to the private community Toefl. Access to the private community NBDHE. 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https://drive.google.com/file/d/1lUDq4w8auGqFz0kjcxcumA_KFUXy1k9h/view?usp=sharing - [FLORIDA LAWS AND RULES internationally](https://communityusadentalinternational-toeflandjobs.com/cursos/laws/lessons/florida-laws-and-rules-internationally/) - https://drive.google.com/file/d/1at9351C06gIhGEItlLci_LC_pW1aSNcf/view?usp=sharing - [PASS LAWS](https://communityusadentalinternational-toeflandjobs.com/cursos/laws/lessons/pass-laws/) - https://docs.google.com/presentation/d/1IrsRmnjeHpclMfAP2UOVHTS9CuagPxeg/edit?usp=sharing&ouid=113667902992419840990&rtpof=true&sd=true - [TUFTS Patient MANAGEMENT](https://communityusadentalinternational-toeflandjobs.com/cursos/nbdhe-hygienista/lessons/tufts-patient-management/) - https://drive.google.com/file/d/1BxVF_RJQdE0pPPZ2IyNRvr3YCw16n8hM/view?usp=sharing - [Board Review new](https://communityusadentalinternational-toeflandjobs.com/cursos/nbdhe-hygienista/lessons/board-review-new/) - https://drive.google.com/file/d/19ZyUw3WlNMfq4pbCYolcSBLCpiVSuGpe/view?usp=sharing - [Mosby's Review For The NBDE Part II (2)pass](https://communityusadentalinternational-toeflandjobs.com/cursos/nbdhe-hygienista/lessons/mosbys-review-for-the-nbde-part-ii-2pass/) - https://drive.google.com/file/d/1ellvFZuHdowesabRG0X29Jln9vkcTyvu/view?usp=sharing - [NBDHE](https://communityusadentalinternational-toeflandjobs.com/cursos/nbdhe-hygienista/lessons/nbdhe/) - https://drive.google.com/file/d/1IIRFliIF8mCUidEkkQZS7SF_R_cTPYev/view?usp=sharing - [Mosby's Review Questions for the National Board Dental Hygiene Examination hygienist](https://communityusadentalinternational-toeflandjobs.com/cursos/nbdhe-hygienista/lessons/mosbys-review-questions-for-the-national-board-dental-hygiene-examination-hygienist/) - https://drive.google.com/file/d/1brY60q6SOefTMIiJZFwdOpusrXBQa2eZ/view?usp=sharing - [Tuft-Pharmacology review](https://communityusadentalinternational-toeflandjobs.com/cursos/nbdhe-hygienista/lessons/tuft-pharmacology-review/) - https://drive.google.com/file/d/1_-BkpBALxvbQLKHO4mjW4GfxTx-afT7E/view?usp=drive_link - [250 Documentos de aprendizaje](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/250-documentos-de-aprendizaje/) - En el siguiente enlace encontraras mas de 200 documentos de aprendizaje:https://drive.google.com/drive/folders/1c0uOZ3nd7p3h276ifSKcPU3kXR8EMhn7?usp=drive_link - [Silver diamine fluoride (SDF)](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/silver-diamine-fluoride-sdf/) - Silver diamine fluoride (SDF) is a noninvasive topical treatment option used to arrest caries progression in teeth with active caries. The primary disadvantage of SDF is the permanent dark staining observed in dentin and enamel caries-arrested lesions, limiting its use in esthetic areas. - [American Dental Association’s Caries Risk Assessment (Age > 6)](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/american-dental-associations-caries-risk-assessment-age-6/) - Low risk = only conditions in “low risk” column presentModerate risk = only conditions in “low risk” and/or “moderate risk” columns presentHigh risk = one or more conditions in the “high risk” column presentThe American Dental Association’s (ADA) Caries Risk Assessment is a caries risk assessment tool that classifies patients as “low,” "moderate,” or "high” risk for caries. A patient is considered a high risk if they - [Recommendations for Fluoride Supplementation](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/recommendations-for-fluoride-supplementation/) - Since this patient is less than 6 months old, no fluoride supplementation is recommended, regardless of the fluoride content of any consumed water. - [Stephan curve](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/stephan-curve/) - The neutral pH of saliva has protective buffering properties to help prevent the development of dental caries. The critical pH of enamel is 5.5, at which demineralization can occur. After consuming a sugary beverage, the most significant drop in salivary pH happens immediately following intake, dropping the pH well below 5.5 in less than five minutes. - [Control stephan curve](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/control-stephan-curve/) - The neutral pH of saliva has protective buffering properties to help prevent the development of dental caries. The critical pH of enamel is 5.5, at which demineralization can occur. After consuming a sugary beverage, the most significant drop in salivary pH happens immediately following intake, dropping the pH well below 5.5 in less than five minutes. - [Extracoronal vs intracoronal clasp](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/extracoronal-vs-intracoronal-clasp/) - Direct retainers (i.e., clasps) provide the primary mechanical retention for a removable partial denture (RPD). There are two broad categories of clasps: Extracoronal clasps (further classified into suprabulge and infrabulge)Intracoronal clasps (further classified into precision and semi-precision attachments)Intracoronal clasps are indicated for extreme esthetic demands, as components built into abutment restorations and the RPD framework replace visible clasp arms. They do not provide stress relief to distal extension RPDs, as their attachments - [Which best represents anterior guidance?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-best-represents-anterior-guidance/) - This may seem like an odd question, but it has shown up on recent INBDEs. Anterior guidance is a term that refers to the ability of the anterior teeth to “guide" the posterior teeth apart (i.e., posterior disclusion) during mandibular movements. Incisal guidance and canine guidance represent elements of anterior guidance. - [maxillary denture anatomy](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/maxillary-denture-anatomy/) - The residual ridge and palate are the primary stress-bearing areas for a maxillary denture. The rugae and the tuberosities are secondary stress-bearing areas. - [Types of denture teeth](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/types-of-denture-teeth/) - Narrow ridges with a large amount of resorption increase the complexity of complete denture fabrication, making 0° non-anatomic denture teeth the ideal choice. Resorbed ridges provide less denture retention, and utilizing a sharper cuspal inclination increases lateral forces during mastication, which can lead to dislodgement. - [Altered cast impressions](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/altered-cast-impressions/) - Altered cast impressions capture the ridges in a distal extension removable partial denture (RPD) during functional movements, establishing the relationship between the ridge and remaining teeth.Following the framework try-in, an acrylic custom tray is incorporated into the framework and border molded. During the final impression, pressure is applied to the framework, where it contacts the teeth. The original cast - [rest seat kennedy class 2](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/rest-seat-kennedy-class-2/) - The mandibular removable partial denture is planned for a distal extension on the left side with the abutment on tooth 20. When under occlusal load, the distal extension tends to place torque on the abutment tooth, which makes the placement of the rest seat essential. A mesial rest seat directs the torquing force toward the other teeth, helping stabilize the denture and abutment. - [Border molding of a mandibular denture](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/border-molding-of-a-mandibular-denture/) - Border molding is a technique in which the dentist manipulates the patient’s tissues adjacent to the borders of the denture to replicate the contour and size of the patient’s soft tissues during the impression. Custom trays are made from preliminary impressions and then border molded to obtain an accurate final impression. The mandibular buccal frenum is a small fold of tissue. The - [Kennedy Classification](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/kennedy-classification/) - The most posterior edentulous area(s) always determines the Kennedy classification.Kennedy classification IV is the only Kennedy class with no modifications.This is because any additional edentulous sites found in class IV would be more posterior and would thus alter the classification of the arch entirely. - [Forces Exerted on implants](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/forces-exerted-on-implants/) - Implant failure over time is usually due to forces applied in the incorrect direction relative to the implant's axis. There are three different directions of loading forces on a dental implant: horizontal, vertical, and oblique forces. Vertical forces are directed parallel to the dental implant during normal chewing, also known as the masticatory force. The vertical force on a dental - [The gingival margins](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/the-gingival-margins/) - The major connector of a maxillary removable partial denture should be at least 6 mm from the gingival margins unless it rests on the cingulum of the anterior teeth.For mandibular partial dentures, the major connector should be at least 3 mm away from the gingival margins. - [The viscerocranium](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/the-viscerocranium/) - The zygomatic arch (i.e., the cheekbone) sits far superior to the boundaries of a maxillary complete denture and thus does not interfere with the denture flange. - [Path of insertion](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/path-of-insertion/) - The path of insertion is an imaginary line that demonstrates how a fixed dental restoration or removable prosthesis is placed onto the abutment teeth. For fixed partial dentures (FPD), the path of insertion should be parallel to the long axes of the abutment teeth, with the same prepared taper on each tooth. Sometimes, if two teeth are not parallel, - [Anterior guidance](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/anterior-guidance/) - Anterior guidance refers to the ability of the anterior teeth to guide posterior disclusion during mandibular movements. This means that when the mandible slides forward, the mandibular anterior teeth contact the lingual aspect of the maxillary anterior teeth and continue to move until the teeth are edge-to-edge. This facilitates the separation of the posterior teeth. - [Rule of Ferrule](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/rule-of-ferrule-2/) - Ferrule refers to the circumferential band of tooth structure in crown preparations. Ferrule is the minimum amount of coronal tooth structure needed to restore a tooth. To observe the rule of the ferrule, at least 1.5 to 2.0 mm of coronal tooth structure must be maintained.Ferrule does not eliminate the potential need for boxes or grooves. Boxes or grooves are additional measures to improve the resistance - [RPD major connector](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/rpd-major-connector/) - The anterior-posterior strap is a popular major connector for removable partial dentures (RPDs). It is characterized by two straps with multiple borders of metal. This design is useful when a palatal torus is present. - [Cementation of Crowns](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/cementation-of-crowns-2/) - Feldspathic porcelain is a glass-matrix ceramic most commonly used as a veneer for metal-ceramic and all-ceramic crowns. It is highly esthetic but has one of the lowest flexural strengths and is only indicated for anterior teeth.The best type of cement for feldspathic porcelain is resin cement. Resin cement mechanically bonds to the tooth structure, aiding in the retention and resistance of a restoration. In addition, resin - [Lithium desilicate crown preparation](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/lithium-desilicate-crown-preparation/) - Short crown preparations have less retention of indirect restorations. Ideally, posterior crown preparations should have a height greater than or equal to 4 mm. However, if this is not possible due to a short clinical crown and limited interarch space, a lithium disilicate (i.e., E-max) crown is the preferred material choice because of its ability to bond to the tooth structure. When - [Pattern of bone resorption](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/pattern-of-bone-resorption/) - The alveolar bone of the edentulous maxilla and mandible resorbs with time. The maxilla narrows and resorbs in a superoposterior direction. - [Beading](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/beading/) - Beading, also known as food damming, is done on the maxillary master cast to prevent food from trapping underneath the denture and to better adapt the major connector (MC) to the palatal tissue.Beading is done by scoring a shallow groove into the master cast that outlines the MC and transfers the MC design to the investment cast. Beading is not - [Rule of ferrule](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/rule-of-ferrule/) - Ferrule refers to the circumferential band of natural tooth structure in crown preparations. The ferrule height and crown preparation margin must be on sound tooth structure, not buildup material or cavitated tooth structure. This helps decrease the likelihood of coronal fracture and improves tooth and restoration longevity. - [What is the purpose of the rest seats in a removable partial denture?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/what-is-the-purpose-of-the-rest-seats-in-a-removable-partial-denture/) - Rest seats provide vertical support for a partial denture and engage the long axis of the tooth. This vertical support of the partial denture prevents tissue impingement, directs and distributes occlusal loading, and helps to keep denture components in their appropriate positions. - [Cast post and core](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/cast-post-and-core/) - The purpose of a post is to retain the core and, ultimately, the crown for a tooth that does not have enough retention. These are long metal cylinders that are placed into a sealed root canal and, as a result, weaken the root. Ideally, the diameter of the post should be one-third of the diameter of the root, and a minimum of 1.0 mm of - [precision attachments,](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/precision-attachments/) - A removable partial denture can have precision attachments, which replace the denture rests and clasps. Support is resistance to displacement toward the teeth and soft tissues. In Kennedy class I and II dentures, support for a removable partial denture primarily comes from the remaining teeth and surrounding tissue. In Kennedy class III and IV dentures, the support comes exclusively from - [Different types of clasp](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/different-types-of-clasp/) - Circumferential clasps (e.g., Akers clasps) are a type of suprabulge clasp, with two arms that encircle the tooth from the same side (e.g., mesial or distal), with one arm going buccal and one lingual. Suprabulge clasps start above the height of contour.The retentive arm of a circumferential clasp is the buccal arm, as seen in the photo of tooth 31. It - [Which part of a removable partial denture prevents vertical dislodgement?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-part-of-a-removable-partial-denture-prevents-vertical-dislodgement/) - Retention is the resistance to vertical dislodging forces and is mostly provided by the clasps engaging undercuts on the abutment teeth. These retentive clasps, paired with reciprocal clasps, form direct retainers. Direct retainers may also feature minor connectors and rest seats to enhance stability. - [Important Landmarks of Dentures](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/important-landmarks-of-dentures/) - The occlusal plane location for the maxillary and mandibular denture is determined using facial landmarks. The most common landmark for the maxillary arch is the ala-tragus line.A fox plane is used to align the maxillary posterior denture occlusal plane with the inferior border of the ala of the nose to the upper border of the tragus of the ear.A. Height of two-thirds of the retromolar padThe mandibular denture, - [The median palatal raphe](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/the-median-palatal-raphe/) - The median palatal raphe is an area of soft tissue overlying the hard palate in the midline of the palate. The mucosa is very thin and cannot support high stress from a denture. This area is often relieved during denture fabrication to prevent soreness. - [Kennedy Class 1](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/kennedy-class-1/) - The fulcrum line is an imaginary line around which the removable partial denture will rotate. In this case, the denture is a Kennedy class I with bilateral distal extensions. Therefore, the fulcrum line is located at the clasps of the most distal abutment teeth. In this case, teeth 22 and 29 would likely be used as abutments as they are the most posterior teeth present. When there are - [Indirect Retention](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/indirect-retention/) - A removable partial denture (RPD) with one or two distal extension areas, as in Kennedy class I and II RPDs, has the potential to rotate during function. The line about which the RPD rotates is called the fulcrum line. The fulcrum line runs through the most posterior rests in the arch.An indirect retainer is placed perpendicular and anterior to the fulcrum line to resist rotational movement - [Advantages vs. Disadvantages of Wrought Alloy](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/advantages-vs-disadvantages-of-wrought-alloy/) - Wrought wire clasps are thinner and less durable than cast clasps. Because they are flexible and prone to distortion, they are continually adjusted. In doing so, the metal can weaken over time and is less durable than cast metal clasps. - [Description of Different Bone Types](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/description-of-different-bone-types-2/) - Type IV bone has the highest vascularity because it has a very thin cortex and is made of low-density trabecular bone. This makes it the worst bone type for implant stability.Primary stability is the initial mechanical engagement of an implant into the bone. Secondary stability (i.e., osseointegration) is the long-term remodeling and regeneration of bone around an implant after placement. - [Closed tray implant impression](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/closed-tray-implant-impression/) - In a closed tray impression, an implant analog is used to replicate the implant fixture in the cast to fabricate the final prosthesis. After the implant is impressed, the analog is attached to the implant coping, which is embedded within the impression. The analog will simulate the exact positioning of the implant body in the final poured cast. - [Splinting Time for Dental Injuries](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/splinting-time-for-dental-injuries/) - This patient has suffered a traumatic injury that includes the avulsion of tooth 9 and an alveolar fracture. Since there is an alveolar fracture, a passive, flexible splint is indicated to immobilize the bone for proper healing and should remain in place for four weeks. - [Dentistry Blood Pressure Guidelines](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/dentistry-blood-pressure-guidelines/) - According to the American Dental Association, a diastolic blood pressure reading of > 109 mmHg requires consultation with a physician before treatment because the patient is at a significantly increased risk of a major adverse cardiac event (e.g., myocardial infarction, stroke). A. Treat the patient using epinephrine-free local anestheticThe patient’s blood pressure is too elevated to treat emergency cases. In an emergent case where systolic - [Implant Space Requirement](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/implant-space-requirement/) - Proper treatment planning for implant placement should be done to avoid long-term complications. The space requirement between two teeth adjacent to a planned implant is 7 mm. This accounts for a 4 mm implant diameter and allows for 1.5 mm of space between the implant and the adjacent teeth on either side.When the implant is placed too close to the adjacent teeth, complications can arise - [phases of wound healing](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/phases-of-wound-healing/) - Following implant placement, several stages of healing occur. Wound healing, including healing within the oral cavity, can be broadly categorized into four stages. Like hard tissue healing leads to osseointegration, soft tissue healing leads to marginal soft tissue attachment and esthetic outcomes. Soft tissue healing occurs soon after implant placement, starting with inflammatory cells within the area creating a dense fibrin network. Fibroblasts then replace the network with - [Which is the most likely cause of the bone loss at this site?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-is-the-most-likely-cause-of-the-bone-loss-at-this-site/) - The periapical radiograph reveals a radiopacity on the distal of the implant abutment. This indicates excess coronal cement at the restoration site. Cement residue creates an environment that supports bacterial growth and biofilm accumulation. This can cause inflammation (i.e., peri-implant mucositis), which can lead to destruction of hard and soft tissues surrounding the implant (i.e., peri-implantitis). - [Implant Measurements](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/implant-measurements/) - Implants placed too close to the inferior alveolar nerve can lead to permanent damage due to heat, pressure, and traumatic irritation. The minimum recommended distance an implant should be placed from the inferior alveolar nerve is 2 mm. - [Location of Mandibular Fractures](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/location-of-mandibular-fractures/) - The most commonly fractured portion of the mandible is the condyle, and the least commonly fractured is the coronoid process. There is some variability in the incidence of each type based on the study referenced, though the most and least prevalent are well-accepted. - [Vertical Space Required for Implant-Supported, Fixed Prostheses](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/vertical-space-required-for-implant-supported-fixed-prostheses-2/) - Restoring an edentulous space with a dental implant and an implant crown requires adequate vertical space. The vertical space is measured from the soft tissue of the alveolar crest to the opposing tooth. The amount of vertical space required depends on the type of implant crown. A screw-retained, abutment-level crown requires space for the implant collar, abutment height, and crown - [Wound Healing Stages](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/wound-healing-stages/) - Following implant placement, fibroblasts will infiltrate the surgical site around day two to day six of healing.The formation of granulation tissue occurs during the proliferation phase of wound healing. Cells are proliferating around the wound and using the initial blood clot as a provisional matrix to synthesize granulation tissue. This granulation tissue is then replaced by fibroblasts that deposit a type III collagen-rich matrix around the site. - [Principles of Flap Design](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/principles-of-flap-design/) - When utilizing a full thickness mucoperiosteal flap, the flap should always end on the bone. Full thickness flaps allow access to underlying osseous structures during surgical procedures (e.g., surgical extractions, removal of osseous tori). In contrast, partial thickness flaps are supraperiosteal and are used in mucogingival surgeries (e.g., pocket depth reduction, tissue grafting).A. Incisions along the edentulous ridge should - [Dental Implants](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/dental-implants/) - Zirconia implants offer superior esthetics over titanium implants. Titanium implants may exhibit a greyish color that can be visible through thinner gingival tissue in the anterior region. Additional advantages of zirconia implants include:Non-corrodingGood biocompatibility and osseointegrationFavorable soft tissue responseNo risk of metal allergies or sensitivities (zirconia is a ceramic material) - [Vertical Space Required for Implant-Supported, Fixed Prostheses](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/vertical-space-required-for-implant-supported-fixed-prostheses/) - Restoring an edentulous space with a dental implant and an implant crown requires adequate vertical space. The vertical space is measured from the soft tissue of the alveolar crest to the opposing tooth. The amount of vertical space required depends on the type of implant crown. A screw-retained, implant-level crown requires 4-5 mm of vertical space. This crown directly attaches to the - [Cryer elevators](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/cryer-elevators/) - Cryer elevators (i.e., east-west elevators) are triangular elevators that come in left and right pairs, each with different angulations. They are useful when a root breaks off during the extraction and there is an adjacent empty socket. These elevators work in a wheel and axle action, where a portion of the forcep is inserted into the empty socket, and - [Parasymphyseal fractures of the mandible](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/parasymphyseal-fractures-of-the-mandible/) - Parasymphyseal fractures of the mandible occur in the anterior mandible on either side of the canine teeth. The mental nerve advances anteriorly in this area and supplies the anterior buccal gingiva, the lip, and the chin. A fracture in this location can cause damage to this nerve, resulting in paresthesia in these areas. - [Types of Implant Crowns](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/types-of-implant-crowns/) - One of the main advantages of a screw-retained crown is that it does not require cement. A disadvantage of cement-retained crowns is that excess or leftover cement can play a role in colonizing bacteria around the implant site, resulting in an increased risk for peri-implantitis. Since screw-retained crowns do not need to be cemented, there is an inherent decreased risk of peri-implantitis. - [he minimum space required for placement between teeth and implants](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/he-minimum-space-required-for-placement-between-teeth-and-implants/) - The minimum distance between an implant and a tooth should be 1.5 mm. The minimum distance between adjacent implants should be 3.0 mm to maintain interproximal bone height. - [Description of Different Bone Types](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/description-of-different-bone-types/) - Type I bone has the lowest vascularity because it consists of dense cortical bone. This makes it the best bone type for the primary stability of implants due to cortical anchorage.Primary stability is the initial mechanical engagement of an implant into the bone. Secondary stability (i.e., osseointegration) is the long-term remodeling and regeneration of bone around an implant after placement. - [Properties of Bone Graft Sources](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/properties-of-bone-graft-sources/) - Bone grafts are used to restore bony defects or augment an area of inadequate bone. Grafting materials are described by three properties:Osteoconductive: acts as a scaffold upon which new bone can formOsteoinductive: contains factors that stimulate the migration and differentiation of osteoprogenitor cellsOsteogenic: directly supplies the cells responsible for new bone formationAllografts are transplants for which the donor and recipient - [What type of implant was placed?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/what-type-of-implant-was-placed/) - An intraosseous implant is a screw-type implant that is placed directly into the maxillary or mandibular alveolar bone. They are the most common type of dental implant and are typically made of titanium or titanium alloy.They provide support for an implant crown by osseointegrating, meaning the surrounding bone gradually integrates onto the surface of the implant. They are suitable for most - [Bone Graft Origin](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/bone-graft-origin/) - A xenograft is a transplantation type where the donor and recipient are of different species (e.g., bovine bone grafting to a human) - [Le Fort Fractures](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/le-fort-fractures/) - Le Fort-type facial fractures are classified by the direction of the fracture. The pattern of fracture relates to the vector of forces, the thickness of the bones involved, and the vertical and horizontal buttresses of the face. All Le Fort fracture patterns affect the pterygoid plates.INBDE Pro-Tip: Rather than memorize a list of structures for each classification, try to think conceptually about - [gingivectomy](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/gingivectomy/) - A gingivectomy is a procedure that involves the excision of the gingiva to eliminate periodontal pockets or excess gingiva. It is indicated to improve esthetics, function, and cleansability. It is contraindicated in cases with infrabony pockets, edematous gingiva, pockets extending to the mucogingival junction, and gingiva overlying bony ledges or exostosis. - [Which of the following best describes the periodontal defect?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-of-the-following-best-describes-the-periodontal-defect/) - A crater (2-wall) defect is a periodontal defect that has two walls remaining. It is the most common infrabony periodontal defect.The photo shows a defect missing the buccal and mesial walls while two walls remain: the wall on the distal of tooth 28 and the lingual wall. Crater defects have a lower potential for regenerative success than trough (3-wall) defects but higher success rates than hemiseptal (1-wall) defects. - [The gingival sulcus](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/the-gingival-sulcus/) - The gingival sulcus is a space between a tooth and its surrounding gingiva. The gingival sulcus is apically bound by the junctional epithelium. This is where the periodontal probe encounters resistance when measuring pocket depth.The junctional epithelium is part of the gingiva that connects the connective tissue to the root surface. - [Guided tissue regeneration](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/guided-tissue-regeneration/) - Guided tissue regeneration is a procedure that restores periodontal architecture and function. It uses bone grafting material and an occlusive membrane barrier to exclude epithelial downgrowth and allows for root surface colonization by cells with regenerative potential. - [The periodontium](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/the-periodontium/) - The periodontium consists of different zones and regions, each separated by unique types of tissue. The gingival margin is the peak of the gingiva (i.e., the apex of the non-attached gingiva). The mucogingival junction is the line between the attached gingiva and the unbound alveolar mucosa. - [Characteristics of Thick and Thin Gingiva](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/characteristics-of-thick-and-thin-gingiva/) - The patient appears to have a thick gingival biotype. Visual signs of the thick gingival biotype include a wide zone of keratinized tissue, flat gingival architecture, and gingival margins located coronal to the cementoenamel junction. It is generally associated with broad and apically-located proximal contacts and square, anatomic tooth shape - [Phases of Treatment and Care](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/phases-of-treatment-and-care/) - In the disease control phase, active disease and infection are addressed, and there is a focus on controlling or eliminating future diseases. Patients are educated and motivated to improve their oral hygiene practices during this time. Non-surgical interventions, such as scaling and root planing, are completed. - [Biologic width](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/biologic-width/) - Biologic width is the distance from the base of the gingival sulcus to the crest of the alveolar bone and is composed of junctional epithelial attachment and connective tissue attachment. Biologic width is a crucial anatomical feature surrounding teeth, acting as a natural barrier that protects the tooth from microbial invasion and inflammation. - [Types of Immunoglobulins](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/types-of-immunoglobulins/) - IgG is the most abundant antibody in the gingival crevicular fluid (GCF) in those with chronic periodontitis. IgG plays a crucial role in the long-term immune response in chronic diseases. IgG binds to pathogens, including viruses and bacteria, specifically targeting and eliminating periodontal pathogens in the GCF. - [Which instrument features a blade with one cutting edge?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-instrument-features-a-blade-with-one-cutting-edge/) - Curettes are periodontal instruments with rounded, spoon-like ends that remove supragingival and subgingival calculus. Gracey curettes have a one-sided blade that makes them area-specific, meaning they can only be adapted to certain tooth surfaces.For example, the Gracey 11/12 curette is only used on the mesial surfaces of posterior teeth. Gracey curettes are especially good at removing subgingival calculus on their - [Phases of Periodontal Treatment](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/phases-of-periodontal-treatment/) - [Open flap debridement](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/open-flap-debridement/) - Open flap debridement is a periodontal procedure in which a flap is laid, exposing tooth roots and alveolar bone to increase access for scaling and root planing.A vertical releasing incision should begin in the buccal vestibule and end mesial or distal to the interdental papilla. Contraindications for vertical releasing incisions include proximity to a mental foramen or canine prominence. - [Based on the current findings, what permanent tooth is most likely to follow next in the eruption sequence?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/based-on-the-current-findings-what-permanent-tooth-is-most-likely-to-follow-next-in-the-eruption-sequence/) - The patient is in mixed dentition with multiple primary teeth remaining and multiple permanent teeth left to erupt. The patient is mostly on track with his eruption sequence but is slightly delayed in the eruption of his left first permanent premolar (tooth 12). - [Frankl Behavior Rating Scale](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/frankl-behavior-rating-scale/) - The Frankl behavior rating scale rates the attitude of the pediatric patient and whether the patient accepted treatment at the appointment. The Frankl scale ranges from one to four, with one and two being negative attitudes and experiences, while three and four represent positive attitudes toward the care provided. - [Which permanent tooth is most likely to erupt next?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-permanent-tooth-is-most-likely-to-erupt-next/) - Without further information or radiographs, the eruption sequence must be used to determine which tooth is most likely to erupt after the permanent mandibular second premolar. - [Which of the following is NOT a risk factor for caries in children younger than 5 years old?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-of-the-following-is-not-a-risk-factor-for-caries-in-children-younger-than-5-years-old/) - Low risk = only conditions in “low risk” column presentModerate risk = only conditions in “low risk” and/or “moderate risk” columns presentHigh risk = one or more conditions in the “high risk” column presentThe ADA Caries Risk Assessment classifies patients as "low," "moderate," or "high" risk for caries. Above is a summary of the ADA Caries Risk - [Which primary teeth are most likely to erupt next?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-primary-teeth-are-most-likely-to-erupt-next/) - The patient has maxillary and mandibular central incisors present. According to the eruption sequence, the most likely teeth to erupt next are the maxillary lateral incisors, which erupt between 9 and 13 months of age. - [Which is most likely to be the last deciduous tooth to erupt into the mouth?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-is-most-likely-to-be-the-last-deciduous-tooth-to-erupt-into-the-mouth/) - The last deciduous teeth to erupt into the mouth are the maxillary second molars, teeth A and J. - [The first permanent tooth to erupt is the mandibular first molar around six years of age. This is not a succedaneous tooth and does not replace any teeth from the primary dentition.](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/the-first-permanent-tooth-to-erupt-is-the-mandibular-first-molar-around-six-years-of-age-this-is-not-a-succedaneous-tooth-and-does-not-replace-any-teeth-from-the-primary-dentition/) - The patient is in the mixed dentition phase. The bitewing images show that all first molars and the left mandibular canine have erupted. Since the patient does not have the maxillary canines or any of the first premolars, they are likely younger than 11 years old. Mandibular canines erupt between ages 9-10 years old, and tooth 27 is still erupting, - [Permanent tooth eruption](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/permanent-tooth-eruption-2/) - The first permanent tooth to erupt is the mandibular first molar around six years of age. This is not a succedaneous tooth and does not replace any teeth from the primary dentition. - [Types of dental trauma](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/types-of-dental-trauma/) - Intrusion is the apical displacement of a tooth into the alveolar bone. For primary teeth, no immediate treatment is indicated for teeth with trauma that are intruded. Follow-up appointments are essential to monitor the spontaneous re-eruption of the tooth.Depending on the status of the tooth at follow-up appointments, surgical repositioning can be a viable treatment option. If complications arise, extraction - [Using the Palmer notation system, which is the correct eruption sequence of primary teeth?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/using-the-palmer-notation-system-which-is-the-correct-eruption-sequence-of-primary-teeth/) - The maxillary and mandibular primary teeth erupt in the sequence of ABDCE, where A is the central incisor and E is the primary second molar. Mnemonic: Remember D before C (DC) because D Doesn't Care (DC).Key Takeaway:The order of maxillary and mandibular primary teeth eruption is ABDCE. - [Band and loop](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/band-and-loop/) - A band and loop appliance is fixed and unilateral. It is used for patients who need space maintenance for a single tooth in the primary or mixed dentition due to premature tooth loss.The stainless steel band is cemented to the tooth to hold the appliance in place. The looped wire is positioned against a neighboring tooth and attached to the band with adhesive - [Primary Tooth Eruption](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/primary-tooth-eruption/) - According to the eruption sequence, following the eruption of the primary mandibular lateral incisors, the next teeth to erupt are the maxillary first molars.Key Takeaway:After the eruption of primary mandibular lateral incisors, the maxillary first molars are most likely to erupt. - [Permanent Tooth Eruption](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/permanent-tooth-eruption/) - The patient is in the mixed dentition phase. The panoramic image shows that all maxillary and mandibular permanent incisors have erupted. Likewise, all first molars, mandibular first premolars, and one of the mandibular canines have erupted. Since the mandibular first premolars are present, the patient is likely at least 10 years old.Since the maxillary canine and all of the second molars are not - [Internal Line Angles](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/internal-line-angles/) - It is important to round internal line angles by creating smoother, less-defined edges before placing the restoration. Rounded internal line angles in a cavity preparation are favorable as they reduce stress concentration, which decreases the risk of cuspal fracture. Key Takeaway:Rounded internal line angles can decrease stress concentration, reducing the risk of cuspal fracture. - [Caries are excavated and tooth 31 is prepared for a porcelain-fused-to-metal crown. Which dental cement is most appropriate?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/caries-are-excavated-and-tooth-31-is-prepared-for-a-porcelain-fused-to-metal-crown-which-dental-cement-is-most-appropriate/) - Resin-modified glass ionomer (RMGI) cement is preferred for a porcelain-fused-to-metal (PFM) crown. RMGI cement has a strong chemical bond to the tooth structure and has the added bonus of releasing fluoride. A. Light-cured resin cementLight-cured resin cement is not indicated when cementing a PFM crown, as the curing light will not penetrate through the metal.C. Zinc oxide-eugenolZinc oxide-eugenol cement has inferior physical and chemical properties compared to most other - [Which is a retentive feature of an amalgam preparation?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-is-a-retentive-feature-of-an-amalgam-preparation/) - Amalgam is a restorative material that relies on mechanical retention rather than chemical bonding. Amalgam preparations require convergent walls for optimal retention and success of the restoration. B. Divergent wallsC. Parallel wallsDivergent and parallel walls in a tooth preparation do not aid in mechanical retention because they lack the undercuts necessary to resist the dislodgement of amalgam restorations.D. Sharp anglesThe internal line angles of an amalgam restoration should - [Which margin is best for the incisal edge of her veneer preparation?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/which-margin-is-best-for-the-incisal-edge-of-her-veneer-preparation/) - For patients with bruxism, the incisal edge of a veneer preparation ideally utilizes a butt-joint margin. This is a margin with a 90-degree angle internal design that connects with the axial wall. Butt-joint margins allow for sufficient thickness of porcelain. This is necessary to prevent fractures in the presence of additional mechanical challenges posed by bruxism and to achieve proper shade matching. A. ChamferChamfer margins are characterized by a rounded internal design that connects with the - [Minimum Ceramic Veneer Preparation](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/minimum-ceramic-veneer-preparation/) - A butt joint gingival margin is a shoulder preparation that forms a defined, right-angle shoulder. This is not indicated in the minimum porcelain veneer preparation guidelines, as it does not allow for the most conservative reduction of tooth structure or the most esthetic result.A. 0.3 mm gingival reductionB. 0.5 mm facial reductionD. Preparation extends halfway through contacts0.3 mm gingival reduction, 0.5 mm facial reduction, and preparation extending - [How should the value be adjusted if the crown is refabricated?](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/how-should-the-value-be-adjusted-if-the-crown-is-refabricated/) - Value is the relative lightness or darkness of a color. A higher value corresponds to lighter colors, while a lower value indicates darker shades. If the crown appears too dark, the value should be increased to achieve a better match.A. DecreaseIf the crown is lighter than the surrounding teeth, the value should be decreased to achieve a better match. A - [The GV Black classification](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/the-gv-black-classification/) - The GV Black classification system is used to categorize tooth lesions based on the type of tooth affected (i.e., anterior or posterior tooth) and the location of the lesion (e.g., lingual, buccal, occlusal, etc.). The six classes are listed below:Class I: caries on the occlusal surface of molars and premolars, or the lingual surface of anteriorsClass II: - [Ellis Classification](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/ellis-classification/) - Ellis class III fractures affect the enamel, dentin, and pulp, often requiring endodontic therapy before a permanent restoration. When less than half of the coronal tooth structure remains in anterior teeth, a post and core are typically placed, followed by a full-coverage crown for strength and durability. Zirconia is an ideal choice for anterior restorations due to its excellent esthetics - [Endodontic Treatment Indications](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/endodontic-treatment-indications/) - An Ellis class III fracture is a crown fracture with pulp exposure and involves the enamel, dentin, and pulpal tissue. The patient will require pulpal treatment since the pulp has been exposed.Since the child is 7 years old, it is likely that the central incisors have recently erupted, and root development will remain incomplete for approximately another 2 - [Amalgam](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/amalgam/) - Amalgam is a brittle restorative material that requires additional resistance and retention features because it does not form chemical or micromechanical bonds with tooth structure. Due to its brittle nature, amalgam requires a depth of at least 1.5 mm to form sufficient bulk to avoid breakage. A depth of 1 mm is too shallow. - [Cementation of Crowns](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/cementation-of-crowns/) - Resin crowns are less expensive than other crowns and can be highly esthetic, but have poor wear resistance. For this reason, they are often used as long-term temporary or provisional crowns, which is valuable if the restorability of the tooth is questionable or the tooth may later need endodontic treatment.The ideal cement for a resin crown - [Tooth Wear](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/tooth-wear/) - Abfraction and abrasion lesions are both non-carious cervical lesions that appear as notches in the cervical area, usually of premolars and molars. These lesions can be subtly distinguished by their shapes and overall appearance:Abfraction lesions: V-shaped, angularAbrasion lesions: rounded, flat, smooth - [Secondary Decay](https://communityusadentalinternational-toeflandjobs.com/cursos/tooth-wear/lessons/secondary-decay/) - Secondary decay, also known as recurrent decay, occurs at the margins of existing restorations. Bacteria infiltrate the margin between the tooth and the restoration and destroy the tooth structure. This can occur as a result of microscopic or macroscopic gaps or inadequate oral hygiene. A. IncipientIncipient lesions are localized within the enamel and have not yet cavitated. These can be remineralized with - [Hhjjg. Bebbe](https://communityusadentalinternational-toeflandjobs.com/cursos/new-course__trashed/lessons/hhjjg-bebbe/) ## Categories - [Uncategorized](https://communityusadentalinternational-toeflandjobs.com/category/uncategorized/) ## Product categories - [Uncategorized](https://communityusadentalinternational-toeflandjobs.com/product-category/uncategorized/)