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Dentistry · Dental materials and radiology basics: total-etch bonding
Sample itemAfter acid-etching dentine with phosphoric acid, the dentist dries the cavity until it looks chalky white and then applies a total-etch adhesive. The patient has postoperative sensitivity. What went wrong?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Over-drying collapsed the collagen network and prevented resin infiltration
Dentine must remain moist after etching so the collagen stays expanded for resin penetration. Over-drying collapses it and leaves unsealed tubules, causing sensitivity.
Option by option
A. Over-drying collapsed the collagen network and prevented resin infiltration (correct)
Correct. Collapsed collagen blocks hybrid layer formation.
B. Excessive light curing
More light does not make a tubule-sealing failure.
C. Too short an etch time on enamel
Enamel etch time does not cause dentinal sensitivity.
D. Contamination with eugenol
Eugenol contamination is a problem for resin polymerisation, not the cause here.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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