NEET MDS Lessons
Dental Materials
Tooth Polishing and Cleansing Agents
1. Cleansing-removal of exogenous stains, pellicle, materia alba, and other oral debris without causing undue abrasion to tooth structure
2. Polishing-smoothening surfaces of amalgam, composite, glass ionomers, porcelain, and other restorative materials
Factors influencing cleaning and polishing
- Hardness of abrasive particles versus substrate
- Particle size of abrasive particles
- Pressure applied during procedure
- Temperature of abrasive materials
Structure
Composition
-contain abrasives, such as kaolinite, silicon dioxide, calcined magnesium silicate, diatomaceous silicon dioxide, pumice. Sodium-potassium
-aluminum silicate, or zirconium silicate; some pastes also may contain sodium fluoride or stannous fluoride, but they have never been shown to produce positive effects
Reactions-abrasion for cleansing and polishing
Properties - Mechanical
- Products with pumice and quartz produce more efficient cleansing but also generate greater abrasion of enamel and dentin
-Coarse pumice is the most abrasive
-The abrasion rate of dentin is 5 to 6 times faster than the abrasion rate of enamel, regardless of the product
-Polymeric restorative materials, such as denture bases, denture teeth, composites, PMMA veneers, and composite veneers, can be easily scratched during polishing
-Do not polish cast porcelain restorations (e.g., Dicor) that are externally characterized or the color will be lost
Manipulation
Mixing
o P/L types mixed in bowl (plaster and alginate)
o Thermoplastic materials not mixed (compound and agar-agar)
o Paste/paste types hand mixed on pad (zinc oxide-eugenol, polysulfide rubber, silicone rubber, polyether rubber. and poly-vinylsiloxane)
o Paste/paste mixed through a nozzle on an auto-mixing gun (poly-vinylsiloxane)
Placement
o Mixed material carried in tray to mouth (full arch tray, quadrant tray. or triple tray)
o Materials set in mouth more quickly because of higher temperature
Removal - rapid removal of impression encourages deformation to take place elastically rather than permanently (elastic deformation requires about 20 minutes)
Cleaning and disinfection of impressions
SELECTION OF SPRUE
1 . DIAMETER :
It should be approximately the same size of the thickest portion of the wax pattern .
Too small sprue diameter suck back porosity results .
2 . SPRUE FORMER ATTACHMENT :
Sprue should be attached to the thickest portion of the wax pattern .
It should be Flared for high density alloys & Restricted for low density alloys .
3 . SPRUE FORMER POSITION
Based on the
1. Individual judgement .
2. Shape & form of the wax pattern .
Patterns may be sprued directly or indirectly .
Indirect method is commonly used
Impression Material
|
Materials |
Type |
Reaction |
Composition |
Manipulation |
Initial setting time
|
|
Plaster |
Rigid |
Chemical |
Calcuim sulfate hemihydrate, water |
Mix P/L in bowl |
3-5 min
|
|
Compound |
Rigid |
Physical |
Resins, wax, stearic acid, and fillers |
Soften by heating
|
Variable (sets on cooling) |
|
Zinc oxide-eugonel |
Rigid |
Chemical |
Zinc oxide powder, oils, eugenol, and resin |
Mix pastes on pad
|
3-5 min
|
|
Agar-agar |
Flexible |
Physical |
12-15% agar, borax, potassium sulfate, and 85% water |
Mix P/L in bowl
|
Variable (sets on cooling)
|
|
alginate |
Flexible |
Chemical |
Sodium alginate, calcium sulfate, retarders, and 85% water |
Mix P/L in bowl
|
4-5 min
|
|
Polysulfide |
Flexible |
Chemical |
Low MW mercaptan polymer, fillers, lead dioxide, copper hydroxide, or peroxides |
Mix pastes on pad
|
5-7 min
|
|
Silicone |
Flexible |
Chemical |
Hydroxyl functional dimethyl siloxane, fillers, tin octoate, and orthoethyl silicate |
Mix pastes on pad
|
4.5 min
|
|
Polyether |
Flexible |
Chemical |
Aromatic sulfonic acid ester and polyether with ethylene imine groups |
Mix pastes on pad
|
2-4 min
|
|
Polyvinyl siloxane |
Flexible |
Chemical |
Vinyl silicone, filler, chloroplatinic acid, low MW silicone, and filler |
Mix putty or use two-component mixing gun
|
4-5 min
|
ACRYLIC RESINS
Use. Acrylic (unfilled) resins are used as temporary crown material. Temporary crowns are placed to protect the crown preparation and provide patient comfort during the time the permanent crown is being constructed
Casting ring
CASTING RING LINERS
Most common way to provide investment expansion is by using a liner in the casting ring .Traditionally asbestose was used .
Non asbestose ring liner used are :
1) Aluminosilicate ceramic liner .
2) Cellulose paper liner .
The aim of using a resilient liner is to
-. allow different types of investmentbexpansion (act as a cushion)
_. facilitate venting during casting procedure.
_. facilitate the removal of the investment block after casting.&. prevent the distortion by permitting the outward expansion of the mold.
The casting ring holds the investment in place during setting and restricts the expansion of the mold. Normally a resilient liner is placed inside the ring leaving about 2-3 mm from both ends to allow for supporting contact of the investment with the casting ring.
Purpose of Casting Ring Liner
Ringer liner is he most commonly used technique to provide investment expansion. To ensure uniform expansion , liner is cut to fit the inside diameter of the casting ring with no overlap.
Non-asbestos Ring Liners: Ceramic (aluminum silicate) Cellulose (paper) Ceramic-cellulose combination Safety of the ceramic ring liners remains uncertain, because aluminum silicate also appears capable of producing hazardous-size respirable particles
Denture Cleansers
Use - for removal of soft debris by light brushing and then rinsing of denture; hard deposits require professional repolishing
a. Alkaline perborates-do not remove bad stains; may harm liners .
b. Alkaline peroxides-harmful to denture liners
c. Alkaline hypochlorites-may cause bleaching, corrode base-metal alloys, and leave residual taste on appliance
d. Dilute acids-may corrode base-metal alloys
e. Abrasive powders and creams-can abrade denture surfaces
Denture cleaning Method
a. Full dentures without soft liners-immerse denture in solution of one part 5% sodium hypochlorite in three parts of water
b. Full or partial dentures without soft-liners immerse denture in solution of 1 teaspoon of hypochlorite with 2 teaspoons of glassy phosphate in a half of a glass of water
c. Lined dentures -- clean any soft liner with a cotton swab and cold water while cleaning the denture with a soft brush
Properties
1. Chemical-can swell plastic surfaces or corrode metal frameworks
2. Mechanical-can scratch the surfaces of denture bases or denture teeth