HA#8

1-List all the fluoride releasing restorative materials from the highest to the least.

Glass ionomer
Resin-modified glass ionomer
Compomer
Resin composite

2- Mention the advantages of GIC.

1. Anti cariogenic effect due to long term fluoride release.
2. Chemical adhesion to inorganic portion of enamel and dentin.
3. Biocompatibility with pulp.
4. Translucency similar to enamel.
5. Coefficient of thermal expansion similar to tooth structure.

3- Mention three disadvantages of GIC.

1.
2.
3.
4.

Low mechanical properties compared to amalgam or resin composite

high opacity compared to resin. Esthetics improve with time.
More radiolucent than dentin.
Prone to porosity and moisture contamination in early stage.

4- Fluoride has 3 major effects on bacteria. What are they.

inhibition of metabolism
inhibition of growth
bacterial death.

HA#9
Due date for this HA is 19-12-13
1-What is the difference between open and closed sandwich technique
The 'open sandwich' technique involves the placement of a glass ionomer cement
restoration into the base of a proximal cavity and filling the preparation with glass
ionomer up to the level of the dentoenamel junction. The final portion of the
restoration is placed with composite resin to provide wear resistance and aesthetics on
the occlusal surface.
The traditional 'closed sandwich' technique involves placing the glass ionomer at the
base of the proximal box so as it falls just short of the external cavosurface. After
setting, the glass ionomer cement is etched with phosphoric acid and a dentine
bonding agent applied before placing a composite resin into the proximal box and
occlusal surface, leaving the glass ionomer cement encased with the preparation.

2-What does fluoride reservoirs mean?

once the fluoride is depleted, it may be replenished from other fluoride
sources such as toothpastes, mouth rinses, or topical fluoride solutions.

3-Why why cant use GIC as restoration for class 1 and 2?

contraindicated for use in high stress areas due to its low mechanical
properties.
4- What are the mechanisms of fluoride as anti-caries material?

the formation of fluorapatite

the enhancement of remineralization
the interference of ionic bonding during pellicle and plaque formation
The inhibition of microbial growth and metabolism.