NEET MDS Lessons
Dental Materials
COMPOSITE RESINS
Applications / Use
- Anterior restorations for aesthetics (class III, IV, V, cervical erosion abrasion lesions)
- Low-stress posterior restorations (small class I, II)
- Veneers
- Cores for cast restorations
- Cements for porcelain restorations
- Cements for acid-etched Maryland bridges
- Repair systems for composites or porcelains
Polymerization--reaction of small molecules (monomers) into very large molecules (polymers)
Cross-linking-tying together of polymer molecules by chemical reaction between the molecules to produce a continuous three-dimensional network
Properties-improve with filler content
Physical
Radiopacity depends on ions in silicate glass or the addition of barium sulfate (many systems radiolucent)
Coefficient of thermal expansion is 35 to 45 ppm/C and decreases with increasing filler content
Thermal and electrical insulators
Chemical
Water absorption is 0.5 % to 2.5% and increases with polymer level)
Acidulated topical fluorides (e.g., APF) tend to dissolve glass particles, and thus composites should be protected with petroleum jelly (Vaseline) during those procedures
Color changes occur in resin matrix with time because of oxidation, which produces colored by-products
Mechanical
Compressive strength is 45,000 to 60,000 lb/ in2, which is adequate
Wear resistance-improves with higher filler content, higher percentage of conversion in curing, and use of microfiller, but it is not adequate for some posterior applications
Surfaces rough from wear retain plaque and stain more readily
Biologic
Components may be cytotoxic, but cured composite is biocompatible as restorative filling material
Properties of Acrylic Resins.
- They have a low thermal conductivity. These resins are not easily washed out by the acids of the oral cavity (low solubility). Acrylic resins are also resilient, which allows them to be used in stress-bearing areas.
- Acrylic resins exhibit a moderate shrinkage of from 3 to 8 percent. This shrinkage and low marginal strength can lead to marginal leakage. Acrylic resins have a low resistance to wear. Acrylic resins cannot be used over a zinc oxide and eugenol-type base because eugenol interferes with the acrylic curing process.
- Mixing. Insufficient mixing will cause an uneven color or streaks in the mixture. Overmixing will cause the material to harden before it can be placed
- Poor distortion resistance at higher temperatures, therefore dentures should not be cleaned in hot water
- Good resistance to color change
- Absorbs water and must be kept hydrated (stored in water when not in mouth) to prevent dehydration cycling and changes in dimensions
- Not resistant to strong oxidizing agents
- Low strength; however, flexible, with good fatigue resistance
- Poor scratch resistance; clean tissue-bearing surfaces of denture with soft brush and do not use abrasive cleaners
Applications/Use
- Load -bearing restorations for posterior teeth (class I, II)
- Pinned restorations
- Buildups or cores for cast restorations
- Retrograde canal filling material
(1) Alloy. An alloy is a solid mixture of two or more metals. It is possible to produce a material in which the desirable properties of each constituent are retained or even enhanced, while the less desirable properties are reduced or eliminated.
(2) Amalgam. When one of the metals in an alloy mixture is mercury, an amalgam is formed. A dental amalgam is a combination of mercury with a specially prepared silver alloy, which is used as a restorative material.
(3) Mercury. Mercury is a silver-white, poisonous, metallic element that is liquid at room temperature
PROPERTY |
INGREDIENT |
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Silver |
Tin |
Copper |
Zinc |
Strength |
Increases |
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Durability |
Increases |
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Hardness |
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Increases |
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Expansion |
Increases |
Decreases |
Increases |
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Flow |
Decreases |
Increases |
Decreases |
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Color |
Imparts |
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Setting time |
Decreases |
Increases |
Decreases |
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Workability |
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Increases |
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Increases |
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Properties of Amalgam.
The most important physical properties of amalgam are
- Coefficient of thermal expansion = 25-1 >ppm/ C (thus amalgams allow percolation during temperature changes)
- Thermal conductivity-high (therefore, amalgams need insulating liner or base in deep restorations)
- Flow and creep. Flow and creep are characteristics that deal with an amalgam undergoing deformation when stressed. The lower the creep value of an amalgam, the better the marginal integrity of the restoration. Alloys with high copper content usually have lower creep values than the conventional silver-tin alloys.
Dimensional change. An amalgam can expand or contract depending upon its usage. Dimensional change can be minimized by proper usage of alloy and mercury. Dimensional change on setting, less than ± 20 (excessive expansion can produce post operative pain)
- Compression strength. Sufficient strength to resist fracture is an important requirement for any restorative material. At a 50 percent mercury content, the compression strength is approximately 52,000 psi. In comparison, the compressive strength of dentin and enamel is 30,000 psi and 100,000 psi, respectively. The strength of an amalgam is determined primarily by the composition of the alloy, the amount of residual mercury remaining after condensation, and the degree of porosity in the amalgam restoration.
- Electrochemical corrosion produces penetrating corrosion of low-copper amalgams but only produces superficial corrosion of high copper amalgams, so they last longer
- Because of low tensile strength, enamel support is needed at margins
- Spherical high-copper alloys develop high tensile strength faster and can be polished sooner
- Excessive creep is associated with silver mercury phase of low-copper amalgams and contributes to early marginal fracture
- Marginal fracture correlated with creep and electrochemical corrosion in low-copper amalgams
- Bulk fracture (isthmus fracture) occurs across thinnest portions of amalgam restorations because of high stresses during traumatic occlusion and/or the accumulated effects of fatigue
- Dental amalgam is very resistant to abrasion
Impression Material
Materials |
Type |
Reaction |
Composition |
Manipulation |
Initial setting time
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Plaster |
Rigid |
Chemical |
Calcuim sulfate hemihydrate, water |
Mix P/L in bowl |
3-5 min
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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
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3-5 min
|
Agar-agar |
Flexible |
Physical |
12-15% agar, borax, potassium sulfate, and 85% water |
Mix P/L in bowl
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Variable (sets on cooling)
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alginate |
Flexible |
Chemical |
Sodium alginate, calcium sulfate, retarders, and 85% water |
Mix P/L in bowl
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4-5 min
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Polysulfide |
Flexible |
Chemical |
Low MW mercaptan polymer, fillers, lead dioxide, copper hydroxide, or peroxides |
Mix pastes on pad
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5-7 min
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Silicone |
Flexible |
Chemical |
Hydroxyl functional dimethyl siloxane, fillers, tin octoate, and orthoethyl silicate |
Mix pastes on pad
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4.5 min
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Polyether |
Flexible |
Chemical |
Aromatic sulfonic acid ester and polyether with ethylene imine groups |
Mix pastes on pad
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2-4 min
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Polyvinyl siloxane |
Flexible |
Chemical |
Vinyl silicone, filler, chloroplatinic acid, low MW silicone, and filler |
Mix putty or use two-component mixing gun
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4-5 min
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