Dental Materials Clinical Applications for Dental Assistants and Dental Hygienists 3rd Edition By W. Stephan Eakle -Test Bank

 

 

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Sample Test

Chapter 03: Physical and Mechanical Properties of Dental Materials

 

MULTIPLE CHOICE

 

1.    Which type of bond occurs when two atoms share electrons in their outer shell, creating full shells for both?

a.

Ionic bond

b.

Covalent bond

c.

Metallic bond

d.

Hydrogen bond

 

 

ANS:  B

Covalent bonds occur when two atoms share electrons in their outer shell, creating full shells for both. Covalent bonds are very strong. Diamond is a good example of a strong covalent bond; it is hard and has a high melting point.

 

REF:   p. 20              TOP:   Physical Structure (Primary Bonds)

 

2.    Which of the following is an example of a secondary rather than primary bond?

a.

Ionic bond

b.

Metallic bond

c.

Covalent bond

d.

Hydrogen bond

 

 

ANS:  D

A hydrogen bond is an example of a secondary bond. Secondary bonds are much weaker than primary bonds. Unlike with primary bonds, no transfer or sharing of electrons occurs. This weakness often leads to deformation or fracture.

 

REF:   p. 20              TOP:   Physical Structure (Secondary Bonds)

 

3.    Which of the following forms of matter has/have both shape and volume?

4.    Solid

5.    Liquid

6.    Gas

a.

1, 2, 3

b.

1, 2

c.

2, 3

d.

1

 

 

ANS:  D

Solids have the strongest attraction between atoms and molecules and have both shape and volume, a liquid has volume but no shape, and a gas has neither definite shape nor volume.

 

REF:   p. 21              TOP:   Physical Structure (The Three States of Matter)

 

4.    If the molecules of a solid are arranged in a random form with no regular pattern, the solid is called:

a.

thixotropic.

b.

amorphous.

c.

malleable.

d.

ductile.

 

 

ANS:  B

If the molecules of a solid are arranged in a random form with no regular pattern, the solid is called amorphous. The most stable solids have a regular crystalline structure with molecules in a regularly spaced pattern.

 

REF:   p. 21              TOP:   Physical Structure (Solids)

 

5.    Which of the following is the hardest material?

a.

Enamel of a tooth

b.

Cementum of a tooth

c.

Cast gold restorative material

d.

Composite resin restorative material

 

 

ANS:  A

Enamel and porcelain are two of the hardest materials and are more resistant to being scratched than is cementum on the root or composite resins or gold crowns. Hardness is the resistance of a solid to penetration. Hardness is also used to define a material’s resistance to wear and abrasion. The hardness of a material is used to determine the ability of an abrasive to scratch or resist scratching the substrate to which it is applied.

 

REF:   pp. 21-22       TOP:   Physical Structure (Solids)

 

6.    Which of the following statements is true concerning desirable properties of dental materials?

a.

The maximum amount of stress a material can withstand without breaking is known as the proportional limit.

b.

Stiffer materials have a high modulus of elasticity.

c.

Resilience is the ability of a material to resist fracture.

d.

In most cases, metals tend to be brittle and ceramics tend to be ductile and malleable.

 

 

ANS:  B

Stiffer materials have a high modulus of elasticity. The stiffness of a material is its resistance to deformation and is measured by Young’s elastic modulus. The maximum amount of stress a material can withstand without breaking is known as the ultimate strength. Toughness is the ability of a material to resist fracture. In most cases, metals tend to be ductile and malleable and ceramics tend to be brittle.

 

REF:   p. 22              TOP:   Physical Structure (Solids)

 

7.    The higher the viscosity, the greater is a liquid’s ability to resist flow. Usually, the viscosity of liquids increases as the temperature increases.

a.

Both statements are true.

b.

Both statements are false.

c.

The first statement is true; the second statement is false.

d.

The first statement is false; the second statement is true.

 

 

ANS:  C

The first statement is true, and the second statement is false. The higher the viscosity, the greater is a liquid’s ability to resist flow. Usually, the viscosity of liquids decreases as the temperature increases. Values of viscosity depend on the nature of the fluid; thin fluids have low viscosity, and thicker fluids have high viscosity.

 

REF:   p. 23              TOP:   Physical Structure (Liquids)

 

8.    Which of the following are considered to be therapeutic dental materials?

a.

Partial and complete dentures

b.

Fluorides and pit and fissure sealants

c.

Fillings, inlays, crowns, bridges, and implants

d.

Medicated bases and topical treatments for periodontal disease

 

 

ANS:  D

Medicated bases and topical treatments for periodontal disease are considered to be therapeutic materials used in the treatment of disease. Fluorides and pit and fissure sealants are preventive materials. The classification of restorative materials applies to any filling, inlay, crown, bridge, implant, or partial or complete denture that restores or replaces lost tooth structure, teeth, or oral tissue.

 

REF:   p. 23              TOP:   Application

 

9.    Which of the following is an example of a direct restorative material?

a.

Porcelain inlay

b.

Cast gold crown

c.

Ceramic implant abutment

d.

Silver dental amalgam restoration

 

 

ANS:  D

A silver dental amalgam restoration is an example of a direct restorative material. Some materials, such as amalgams and composites, may be fabricated directly in the mouth. Other materials, because of convenience or toxic or other physically harmful characteristics, need to be fabricated indirectly outside the mouth and then placed into the oral environment. Porcelain, for instance, needs to be fired to temperatures higher than 1000° F, making it necessary to be fabricated indirectly.

 

REF:   p. 23              TOP:   Application

 

10.  Dental plaster begins with _____ components.

a.

water and powder

b.

liquid and powder

c.

paste and liquid

d.

paste and paste

 

 

ANS:  A

Dental plaster begins with water and powder components; composite restorations may use a paste and a blue light as an initiator. Many components are classified as catalyst and base; the catalyst is responsible for the speed at which the reaction occurs and is often the liquid component.

 

REF:   p. 23              TOP:   Composition

 

11.  _____ time is the time permitted to manipulate the material in the mouth.

a.

Mixing

b.

Working

c.

Initial set

d.

Final set

 

 

ANS:  B

Working time is the time permitted to manipulate the material in the mouth. Mixing time is the amount of time the auxiliary has to bring the components together into a homogenous mix. The initial set time begins when the material can no longer be manipulated in the mouth, and the final set time is when the material has reached its ultimate state.

 

REF:   p. 24              TOP:   Reaction

 

12.  Dual set materials utilize _____ setting reactions.

a.

both light-activated and chemical

b.

light-activated but not chemical

c.

chemical setting but not light-activated

d.

neither light-activated nor chemical

 

 

ANS:  A

Dual set materials utilize both light-activated and chemical setting reactions. Dual set materials begin with the initiation of the blue light source and then continue with the chemical set reaction; this also gives the clinician better control of his or her working time.

 

REF:   p. 24              TOP:   Reaction

 

13.  Which of the following is true concerning initial and final setting times?

a.

Moisture and pressure controls are frequently important during the initial set.

b.

The final set always occurs while the patient is still in the dental office.

c.

The material must not be disturbed through the end of the final set.

d.

Once a material has reached the initial set, it will not fracture.

 

 

ANS:  A

Moisture and pressure controls are frequently important during the initial set. Moisture contamination, from saliva and blood, during initial setting time may have an adverse effect on many dental materials, causing them to fail. Continued firm pressure from biting force or by holding the material firmly in the mouth is essential for materials needing intimate contact with the tooth such as dental cements. The material must not be disturbed through the end of the initial set. The final set may occur while the patient is still in the dental office or several hours later. Appropriate patient postoperative instructions on when and what to eat or on placing pressure on the restoration are essential to avoid fracture of these materials.

 

REF:   p. 24              TOP:   Reaction

 

14.  In general, _____ temperature and _____ humidity will accelerate the reaction of the material.

a.

high; high

b.

high; low

c.

low; high

d.

low; low

 

 

ANS:  A

In general, high temperature and high humidity will accelerate the reaction of the material, but low temperatures and low humidity will retard the reaction.

 

REF:   p. 24              TOP:   Manipulation

 

15.  Which of the following is not a primary bond?

a.

Hydrogen

b.

Covalent

c.

Metallic

d.

Ionic

 

 

ANS:  A

Primary bonds are the strongest bonds that hold atoms together because they involve the exchanging or sharing of electrons. There are three types of primary bonds: ionic bonds, covalent bonds, and metallic bonds.

 

REF:   p. 20              TOP:   Physical Structure (Primary Bonds)

 

16.  The stability of a solid is evaluated by noting:

a.

its atomic mass and number.

b.

whether or not it is a compound.

c.

how hard the material is when set.

d.

whether the molecules are arranged uniformly.

 

 

ANS:  D

The most stable solids have a regular crystalline structure with molecules in a regularly spaced pattern. If these molecules are arranged in a random form with no regular pattern, the solid is less stable and is called amorphous.

 

REF:   p. 21              TOP:   Physical Structure (Solids)

 

17.  What is the maximum amount of stress a material can take before breaking?

a.

Ultimate capacity

b.

Ultimate strength

c.

Material hardness

d.

Maximum elasticity

 

 

ANS:  B

The maximum amount of stress a material can withstand without breaking is known as its ultimate strength.

 

REF:   p. 22              TOP:   Physical Structure (Solids)

 

18.  Metals that can withstand dimensional change without breaking are:

a.

tough.

b.

ductile.

c.

resilient.

d.

malleable.

 

 

ANS:  B

The orthodontic wire being pulled or stretched under tension is a measure of its ductility, the amount of dimensional change it can withstand without breaking.

 

REF:   p. 22              TOP:   Physical Structure (Solids)

 

19.  What is the measure of the weight of a material as compared with its volume?

a.

Density

b.

Viscosity

c.

Hardness

d.

Resistance

 

 

ANS:  A

Density is a measure of the weight of a material as compared with its volume. Viscosity refers to the material’s ability to flow under pressure. Hardness is a material’s resistance to penetrations.

 

REF:   p. 21              TOP:   Physical Structure (Solids)

 

20.  Of the following, which is not an application of a material’s classification?

a.

Longevity

b.

Utilization

c.

Fabrication

d.

All of these are correct.

 

 

ANS:  D

Materials are classified by their application, how they will be utilized and fabricated, and their expected longevity.

 

REF:   p. 23              TOP:   Application

 

21.  A _____ material will flow more easily under mechanical pressure.

a.

viscous

b.

thixotropic

c.

resistance

d.

therapeutic

 

 

ANS:  B

Thixotropic materials are liquids that flow more easily under mechanical forces.

 

REF:   p. 23              TOP:   Physical Structure (Liquids)

 

22.  Which of the following would be considered an indirect placement restorative material?

a.

Gold

b.

Gold foil

c.

Amalgam

d.

Composite resin

 

 

ANS:  A

Some materials, because of convenience or toxic or other physically harmful characteristics, need to be fabricated indirectly outside the mouth and then placed into the oral environment. Porcelain, for instance, needs to be fired to temperatures higher than 1000° F; therefore, it must be fabricated indirectly.

 

REF:   p. 23              TOP:   Application

 

23.  What is the reaction initiated when a catalyst and a base are mixed together?

a.

Chemical

b.

Physical

c.

Dual

d.

All are possible reactions.

 

 

ANS:  D

Chemical set materials are those that set through the timed chemical reaction of the catalyst and the base. Once the two components come in contact with each other, the chemical reaction begins and continues through the reaction stage. Light-activated materials use a blue light source to initiate the reaction stage. Both components are present in the material but do not react until the material comes in contact with the blue light source, thus giving the clinician unlimited working time. Dual set materials begin with initiation of the blue light source and then continue with a chemical set reaction; this also gives the clinician much better control of his or her working time.

 

REF:   pp. 24-25       TOP:   Reaction

 

24.  Altering the set ratios of a material for any purpose will do what?

a.

Make the material harder

b.

Produce adverse results

c.

Speed up the initial set

d.

Have little significance

 

 

ANS:  B

These ratio changes are variables that permit the clinician to alter manipulation and reaction times for some materials but are contraindicated with other materials because of adverse effects. Manufacturers give direction as to how much variation in ratio the material can withstand without adverse results and when this will occur.

 

REF:   p. 24              TOP:   Manipulation

 

25.  What will happen if expired materials or improperly stored materials are used?

a.

Render the material ineffective

b.

Be of little consequence

c.

Cause a toxic reaction

 

 

ANS:  A

The shelf life of a material refers to the deterioration and change in quality of the material over time. Attention to the date of expiration is important for consistency in the optimum characteristics of the product. Conditions of storage such as temperature and humidity, as well as type of storage container, may directly affect the material’s shelf life.

 

REF:   p. 24              TOP:   Manipulation

 

MATCHING

 

Match the items with the correct description below.

a.

Resistance to deformation

b.

The greatest stress a structure can withstand without permanent deformation

c.

The resistance of a solid to penetration

d.

The maximum amount of stress a material can withstand without breaking

e.

The ability of a material to resist fracture

 

 

1.    Hardness

 

2.    Ultimate strength

 

3.    Stiffness

 

4.    Proportional limit

 

5.    Toughness

 

1.    ANS:  C                    REF:   p. 21              TOP:   Physical Structure (Solids)

 

2.    ANS:  D                    REF:   p. 22              TOP:   Physical Structure (Solids)

 

3.    ANS:  A                    REF:   p. 22              TOP:   Physical Structure (Solids)

 

4.    ANS:  B                    REF:   p. 22              TOP:   Physical Structure (Solids)

 

5.    ANS:  E                    REF:   p. 22              TOP:   Physical Structure (Solids)

 

Match the items with the correct description below.

a.

Begins when the material can no longer be manipulated in the mouth

b.

When the material has reached its ultimate state

c.

The amount of time the auxiliary has to bring the components together into a homogenous mix

d.

The time permitted to manipulate the material within the mouth

 

 

6.    Mixing time

 

7.    Working time

 

8.    Initial set time

 

9.    Final set time

 

6.    ANS:  C                    REF:   p. 23              TOP:   Reaction

 

7.    ANS:  D                    REF:   p. 24              TOP:   Reaction

 

8.    ANS:  A                    REF:   p. 24              TOP:   Reaction

 

9.    ANS:  B                    REF:   p. 24              TOP:   Reaction

 

SHORT ANSWER

 

1.    List and describe the three types of primary bonds.

 

ANS:

·         Ionic bond: A metal gives an electron to an atom that needs extra electrons.

·         Covalent bond: Occurs when two atoms share electrons in their outer shell, creating full shells for both.

·         Metallic bond: The electrons in the outer shells are shared among all the atoms in the lattice with all the atoms positively charged.

 

REF:   p. 20              TOP:   Physical Structure (Primary Bonds)

 

2.    List and describe the three different classifications of dental materials.

 

ANS:

·         Preventive materials: Directed toward preventing the occurrence of oral disease and promoting oral health.

·         Therapeutic materials: Used in the treatment of disease and include materials such as medicated bases or topical treatments for periodontal disease.

·         Restorative materials: Applies to any filling, inlay, crown, bridge, implant, or partial or complete denture that restores or replaces lost tooth structure, teeth, or oral tissue.

 

REF:   p. 23              TOP:   Application

 

Chapter 04: General Handling and Safety of Dental Materials in the Dental Office

 

MULTIPLE CHOICE

 

1.    Which of the following are considered to be personal protective equipment (PPE)?

a.

Protective shields on model trimmers and on collection bins for lathes

b.

Dust or surgical masks, eyewear, gowns, and hair coverings or tiebacks when appropriate

c.

Surface and immersion disinfectants

d.

Plastic wraps and covers

 

 

ANS:  B

Dust or surgical masks, eyewear, gowns, and hair coverings or tiebacks when appropriate are considered to be PPE. During the manipulation of many dental materials, particulate matter can be generated. It is important for each person handling and manipulating these materials to have and use the proper PPE.

 

REF:   p. 28

TOP:   Material Hazards in the Dental Environment (Exposure to Particulate Matter)

 

2.    A hazardous chemical is any substance that what?

3.    Can catch fire

4.    Can react or explode when mixed with other substances

5.    Is corrosive or toxic

6.    May cause infection or disease

a.

1, 2, 3, 4

b.

1, 2, 3

c.

2, 3, 4

d.

1, 3

 

 

ANS:  B

A hazardous chemical is any substance that can catch fire, can react or explode when mixed with other substances, or is corrosive or toxic. It is defined as any chemical that has been shown to cause either a physical or health hazard. Many dental materials contain more than one chemical.

 

REF:   p. 29              TOP:   Chemical Safety in the Dental Office (Hazardous Chemicals)

 

 

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