NEBDN dental nursing
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Dental Materials & Equipment questions for the NEBDN Diploma

Restorative and impression materials, handling and storage.

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Materials questions reward knowing why a material behaves as it does, not just its name. Mixing ratios, working time, storage conditions and the consequences of getting them wrong all appear — often framed as 'the mix looks like this, what happened?'.

What materials covers in the Knowledge Test

  • Amalgam, composite, glass ionomer and when each is indicated
  • Impression materials: alginate, silicones and compound
  • Cements, liners and bases
  • Mixing technique, working time and setting reactions
  • Storage, shelf life and handling requirements
  • Equipment used to prepare and deliver materials

Where candidates lose marks

Blaming the material when the fault is proportioning or technique.

Forgetting that temperature changes setting time — a chilled slab is a deliberate choice.

Confusing which materials are light-cured with those that are chemically cured.

Knowing why, not just what

Materials questions are usually diagnostic: you are shown a result — a mix that is too runny, a restoration that stays tacky, an impression with show-through — and asked what went wrong. The answer is almost always technique or proportioning rather than the material itself.

What you seeUsual cause
Mix too thin and runnyToo much liquid — incorrect powder-to-liquid ratio
Mix sets too quicklyWarm slab or environment; incorrect ratio
Composite still tacky after curingInadequate light curing, or the oxygen-inhibited surface layer
Impression shows tray through the materialTray underloaded, or wrong tray size
Alginate distortedDelay in casting, or incorrect storage
Common faults and their usual cause

Choosing the material

MaterialTypical useNote
AmalgamPosterior load-bearing restorationsMercury-containing — hazardous waste
CompositeAnterior and posterior, aestheticLight cured; shade chosen before isolation
Glass ionomerLinings, temporary restorations, high caries riskReleases fluoride; chemically bonds
AlginateStudy models, opposing archesDimensionally unstable — cast promptly
SiliconePrecision impressionsMore stable than alginate
Restorative materials at a glance

Shade before isolation

Shade is selected before the tooth dehydrates under isolation, because a dehydrated tooth appears lighter and produces a mismatch once it rehydrates. This ordering point is examined more often than the shade guide itself.

Storage and handling

Materials have shelf lives and storage conditions, and both affect how they set. Chilling a glass slab deliberately slows a reaction to extend working time — that is a technique, not an error, and questions sometimes offer it as though it were a mistake.

Worked examples

Real questions from our bank, with the reasoning. No sign-in needed.

Sample question 1

A nurse loads too little material into a stock tray and the dentist notes show-through areas. What has happened?

  1. APolymerisation shrinkage
  2. BInsufficient tray loadingCorrect
  3. CShade mismatch from dehydration
  4. DOver-curing

Why: Show-through means the tray is visible through the impression material — there was not enough material to cover it properly.

Test yourself on materials

Both free mocks draw from this topic in the same proportion as the real paper — 65 questions in 90 minutes, with an explanation for every answer and a per-topic breakdown at the end.

Start a free mock exam

Materials questions, answered

Why is a glass slab sometimes chilled before mixing?

To slow the setting reaction and extend working time. It is a deliberate technique for materials such as zinc oxide eugenol, not a handling error.

Why choose the shade before placing rubber dam?

Isolation dehydrates the tooth and makes it look lighter. A shade chosen at that point will look wrong once the tooth rehydrates.

Why does a composite feel tacky after curing?

Usually inadequate light curing, or the oxygen-inhibited layer at the surface. It is worth checking the curing light's output as well as the technique.

Why must alginate impressions be cast promptly?

Alginate is dimensionally unstable — it loses or gains water and distorts. Delay changes the fit of whatever is made from it.

Which waste stream does amalgam go in?

Amalgam waste, separately from clinical and domestic waste, because it contains mercury and is classed as hazardous.

Sources

The other nine topics

Independent study material, not affiliated with or endorsed by NEBDN. Always check the official NEBDN website for the current syllabus. NEBDN does not publish a pass mark for the Knowledge Test.