NEET MDS Lessons
Dental Materials
Effects of Amalgam.
(1) The combined effects of the properties of its ingredients should provide the most satisfactory restorative material.
(2) Quantity of mercury. Too little mercury in the mix results in a grainy, weak, readily tarnished, and corroded amalgam. Too much mercury will cause excessive expansion and weakened amalgam.
(3) Composition of the alloy. Composition of the alloy must include a minimum of 65 percent silver, a maximum of 29 percent tin, a maximum of 6 to 13 percent copper, and a maximum of two percent zinc by weight
(4) Correct proportion important. Before use, the silver alloy is mixed with pure and uncontaminated mercury. There are some alloys that are completely zinc free. They can therefore be used more successfully in a moisture-contaminated environment.
(5) Properties of the finished product.
Silver imparts strength, durability, and color, gives the alloy desirable setting expansion, decreases flow, and accelerates (decreases) the setting time.
Tin makes the amalgam easier to work, controls excessive setting expansion, and increases both flow and setting time.
Copper increases hardness, contributes to setting expansion, reduces flow, and decreases setting time.
Zinc increases workability, and unites with oxygen and other "impurities" to produce a clean amalgam.
Manipulation
1. Selection-based on strength for models, casts, or dies
2. Mixing
(1)Proportion the water and powder
(2) Sift powder into water in rubber mixing bowl
(3) Use stiff blade spatula to mix mass on side of bowl
(4) Complete mixing in 60 seconds
3. Placement
(1) Use vibration to remove air bubbles acquired through mixing
(2) Use vibration during placement to help mixture wet and flow into the impression
Mouth Protectors
Use - to protect against effects of blows to chin, top of the head, the face, or grinding of the teeth
Types
o Stock protectors-least desirable because of poor fit
o Mouth-formed protectors-improved fit compared with stock type
o Custom-made protectors-preferred because of durability. low speech impairment, and comfort
I. Components
a. Stock protectors-thermoplastic copolymer of PYA-PE (polyvinyl acetate-polyethylene copolymer)
b. Mouth-formed protectors-thermoplastic copolymer
c. Custom-made protectors- thermoplastic copolymer, rubber. or polyurethane
2. Reaction-physical reaction of hardening during cooling
3. Fabrication
Alginate impression made of maxillary arch. High-strength stone cast poured immediately. Thermoplastic material is heated in hot water and vacuum-molded to cast .
Mouth protector trimmed to within ½ inch of labial fold, clearance provided at the buccal and labial frena, and edges smoothed by flaming. Gagging, taste, irritation. and impairment of speech are minimized with properly fabricated appliances
4. Instructions for use
a. Rinse before and after use with cold water
b. Clean protector occasionally with soap and cool water
c. Store the protector in a rigid container
d. Protect from heat and pressure during storage
e. Evaluate protector routinely for evidence of deterioration
Properties
1. Physical-thermal insulators
2. Chemical-absorbs after during use
3. Mechanical-tensile strength, modulus, and hardness decrease after water absorption, but elongation, tear strength, and resilience increase
4. Biologic-nontoxic as long as no bacterial, fungal, or viral growth occurs on surfaces between uses
Spruing Technique:
Direct Spruing:
The flow of the molten metal is straight(direct) from the casting crucible to pattern area in the ring. Even with the ball reservoir, the Spruing method is still direct. A basic weakness of direct Spruing is the potential for suck-back porosity at the junction of restoration and the Sprue.
Indirect Spruing:
Molten alloy does not flow directly from the casting crucible into the pattern area, instead the alloy takes a circuitous (indirect) route. The connector (or runner) bar is often used to which the wax pattern Sprue formers area attached. Indirect Spruing offers advantages such as greater reliability & predictability in casting plus enhanced control of solidification shrinkage .The Connector bar is often referred to as a “reservoir .
Armamentarium :
1 . Sprue
2 . Sticky wax
3 . Rubber crucible former
4 . Casting ring
5 . Pattern cleaner
6 . Scalpel blade & Forceps
7 . Bunsen burner
Finishing and Polishing
Remove oxygen-inhibited layer .Use stones or carbide burs for gross reduction.Use highly fluted carbide burs or special diamonds for fine reduction.Use aluminum oxide strips or disks for finishing. Use fine aluminum oxide finishing pastes. Microfills develop smoothest finish because of small size of filler particles
I . Procedure for single casting :
A 2.5 mm sprue former is recommended
for molar crowns 2.0 mm for premolars & partial coverage crowns .
II . Procedure for multiple casting :
Each unit is joined to a runner bar .
A single sprue feeds the runner bar
4 . SPRUE FORMER DIRECTION
Sprue Should be directed away from the delicate parts of the pattern
It should not be at right angles to a flat surface .(leads to turbulance porosity .)
Ideal angulation is 45 degrees .
5 . SPRUE FORMER LENGTH
Depends on the length of casting ring .. Length of the Sprue former should be such that it keeps the wax pattern about 6 to 8 mm away from the casting ring. Sprue former should be no longer than 2 cm. The pattern should be placed as close to the centre of the ring as possible.
Significance
Short Sprue Length:
The gases cannot be adequately vented to permit the molten alloy to fill the ring completelyleading to Back Pressure Porosity.
Long Sprue Length:
Fracture of investment, as mold will not withstand the impact force of the entering molten alloy.
Top of wax should be adjusted for :
6 mm for gypsum bonded investments .
3 -4 mm for phosphate bonded investments .
TYPES OF SPRUES
I . - Wax . II . Solid
- Plastic . Hollow
- Metal .
Manipulation
Mixture of powder and liquid is painted onto working cast to create shape for acrylic appliance à After curing of mixture, the shape and fit are adjusted by grinding with burrs and stones with a slow-speed handpiece .Acrylic dust is irritating to epithelial tissues of nasopharynx and skin and may produce allergic dermatitis or other reactions. Grinding may heat polymer to temperatures that depolymerize and release monomer vapor. which may be an irritant