Ethics & Law · single question

Compared with a total-etch (etch-and-rinse) technique, a self-etch adhesive system:

  1. Uses an acidic primer that etches and primes simultaneously and is not rinsed off
  2. Requires a separate 37% phosphoric acid rinse step on dentin
  3. Always removes the smear layer more deeply than total-etch
  4. Cannot bond to enamel at all
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Correct answer: A. Uses an acidic primer that etches and primes simultaneously and is not rinsed off

Self-etch adhesives contain acidic functional monomers that demineralize and infiltrate simultaneously; the smear layer is incorporated and there is no separate rinse step. This lowers technique and post-operative sensitivity but generally gives weaker enamel bonding than total-etch (selective enamel etching helps).Other options: The separate phosphoric-acid rinse describes total-etch; self-etch causes less, not deeper, demineralization; self-etch can bond to enamel, just less strongly.Key exam takeaway: Self-etch = etch + prime in one, no rinse, less post-op sensitivity; total-etch = phosphoric acid then rinse, stronger enamel bond.

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