INBDE (Integrated National Board Dental Examination) Practice Exam

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What is the mechanism of action for HEMA?

  1. Bonds chemically to resin

  2. Wets dentin, increases surface energy

  3. Acts as a self-etch primer

  4. Removes the smear layer

The correct answer is: Wets dentin, increases surface energy

HEMA, or 2-hydroxyethyl methacrylate, is a hydrophilic monomer commonly used in dental materials. The mechanism of action for HEMA is that it wets dentin, increasing the surface energy of the tooth structure. This improves the adhesion between the dental material and the tooth, leading to a stronger bond. Option A and D are incorrect because they refer to bonding and removing the smear layer, which are not the primary functions of HEMA. Option C is also incorrect because while HEMA can act as a self-etch primer, its main mechanism of action is still wetting dentin.