NEET MDS Lessons
Dental Materials
CASTING DEFECTS
Classification :
1) Distortion.
2) Surface roughness .
3) Porosity .
4)Incomplete casting .
5) Oxidation .
6) Sulfur contamination .
Distortion
It is usually due to the distortion of wax pattern.
To avoid this :
Manipulation of the wax at its softening temp
Invest the pattern at the earliest .
If storage is necessary store it in a refrigerator .
Surface roughness
May be due to :
Air bubbles on the wax pattern .
Cracks due to rapid heating of the investment .
High W/P ratio .
Prolonged heating of the mold cavity .
Overheating of the gold alloy .
Too high or too low casting pressure .
Composition of the investment .
Foreign body inclusion.
POROSITY
May be internal or external .
External porosity causes discolouration .
Internal porosity weakens the restoration .
Classification of porosity .
I .Those caused by solidification shrinkage :
a) Localised shrinkage porosity .
b) Suck back porosity .
c) Microporosity .
They are usually irregular in shape .
II ) Those caused by gas :
a) Pin hole porosity .
b) Gas inclusions .
c) Subsurface porosity .
Usually they are spherical in shape .
III ) Those caused by air trapped in the mold :
Back pressure porosity .
Localised shrinkage porosity
Large irregular voids found near sprue casting junction.
Occurs when cooling sequence is incorrect .
If the sprue solidifies before the rest of the casting , no more molten metal is supplied from the sprue which can cause voids or pits (shrink pot porosity )
This can be avoided by -
- using asprue of correct thickness .
- Attach the sprue to the thickest portion of the pattern .
-Flaring of the sprue at the point of atttachment .
-Placing a reservoir close to the pattern .
Suck back porosity
It is an external void seen in the inside of a crown opposite the sprue .
Hot spot is created which freezes last .
It is avoided by :
Reducing the temp difference between the mold & molten alloy .
Microporosity :
Fine irregular voids within the casting .
Occurs when casting freezes rapidly .
Also when mold or casting temp is too low .
Pin hole porosity :
Upon solidification the dissolved gases are expelled from the metal causing tiny voids .
Pt & Pd absorb Hydrogen .
Cu & Ag absorb oxygen .
Gas inclusion porosities
Larger than pin hole porosities .
May be due to dissolved gases or due to gases Carried in or trapped by molten metal .
Apoorly adjusted blow torech can also occlude gases .
Back pressure porosity
This is caused by inadequate venting of the mold .The sprue pattern length should be adjusted so that there is not more than ¼” thickness of the investmentbetween the bottom of the casting .
This can be prevented by :
- using adequate casting force .
-use investment of adequate porosity .
-place the pattern not more than 6-8 mm away from tne end of the casting .
Casting with gas blow holes
This is due to any wax residue in the mold .
To eliminate this the burnout should be done with the sprue hol facing downwards for the wax pattern to run down.
Incomplete casting
This is due to :
- insufficient alloy .
-Alloy not able to enter thin parts of the mold .
-When the mold is not heated to the casting temp .
-Premature solidification of the alloy .
-sprues blocked with foreign bodies .
-Back pressure of gases .
-low casting pressure .
-Alloy not sufficiently molten .
Too bright & shiny casting with short & rounded margins :
occurs when wax is eliminated completely ,it combines with oxygen or air to form carbon monoxide .
Small casting :
occurs when proper expansion is not obtained & due to the shrinkage of the impression .
Contamination of the casting
1) Due to overheating there is oxidation of metal .
2) Use of oxidising zone of the flame .
3) Failure to use a flux .
4) Due to formation sulfur compounds .
Black casting
It is due to :
1) Overheating of the investment .
2) Incomplete elimination of the wax .
METALLURGICAL TERMS
a. Cold Working. This is the process of changing the shape of a metal by rolling, pounding, bending, or twisting at normal room temperature.
b. Strain Hardening. This occurs when a metal becomes stiffer and harder because of continued or repeated application of a load or force. At this point, no further slippage of the atoms of the metal can occur without fracture.
c. Heat Softening Treatment (Annealing). This treatment is necessary in order to continue manipulating a metal after strain hardening to prevent it from fracturing. The process of annealing consists of heating the metal to the proper temperature (as indicated by the manufacturer's instructions) and cooling it rapidly by immersing in cold water. Annealing relieves stresses and strains caused by cold working and restores slipped atoms within the metal to their regular arrangement.
d. Heat Hardening Treatment (Tempering). This treatment is necessary to restore to metals properties that are decreased by annealing and cold working. Metals to be heat hardened should first be heat softened (annealed) so that all strain hardening is relieved and the hardening process can be properly controlled. Heat hardening is accomplished in dental gold alloy by heating to 840o Fahrenheit, allowing it to cool slowly over a 15-minute period to 480o Fahrenheit, and then immersing it in water.
Stages of manipulation
Definitions of intervals
- Mixing interval-length of time of the mixing stage.
- Working interval-length of time of the working stage
- Setting interval-length of time of the setting stage
Definitions of times
- Mixing time-the elapsed time from the onset to the completion of mixing
- Working time-the elapsed time from the onset of mixing until the onset of the initial setting time
- Initial setting time-time at which sufficient reaction has occurred to cause the materials to be resistant to further manipulation
- Final setting time-time at which the material practically is set as defined by its resistance to indentation
[All water-based materials lose their gloss at the time of setting]
Investment Techniques
Single step investing technique:
The investing procedure is carried out in one step either by brush technique or by vacuum technique.
a). Brush technique:
The accurate water-powder ratio is mixed under vacuum. A brush is then used to paint the wax pattern with mix then the casting ring is applied over the crucible former and the ring is filled under vibration until it is completely filled.
b). vacuum technique:
• The mix in first hand spatulated, and then with the crucible former and pattern is place, then ring is attached to the mixing bowl.
• The vacuum hose is then attached to the assembly. The bowel is inverted and the ring is filled under vacuum and vibration
Two-step investing technique:
The investing procedure is carried out in two steps:
• First, the wax pattern is painted with a thick mix andis left till complete setting, the set investment block(first cost) is immersed in water for about tenminutes . the casting ring is then applied over the crucible former and filled with the properly mixedinvestment (second coat) till the ring is completely filled and the mix is left to set.The two-step investing technique is recommendedwhenever greater amount of expansion is required. Thistechnique also minimizes the distortion of the waxpattern and provides castings with smoother surfaces.
• The investment is allowed to set for the recommendedtime (usually one-hour) then the crucible former is removed. If a metal sprue former is used, it is removedby heating over a flame to loosen it from the wax pattern. Any loose particles of investment should beblown off with compressed air should be placed in a humidor if stored overnight.
Suspension liners
Applications
o Dentin lining under amalgam restorations
o Stimulation of reparative dentin formation
Components
-Calcium hydroxide powder
-Water
-Modifiers
Manipulation
Used as W/P or pastes Paint thin film on dentin → Use forced air for 15 to 30 seconds to dry → Film is thicker (15 µm) than varnishes → Do not use on enamel or cavosurface margins
Properties
Physical
-Electrically insulating barrier
-Too thin to be thermally insulating
Chemical
-High basicity for calcium hydroxide (pH is II)
-Dissolves readily in water and should not be used at exposed cavosurface margins or gaps may form
Mechanical - weak film
Biologic - calcium hydroxide dissolves, diffuses, and stimulates odontoblasts to occlude dentin tubules below cavity preparation
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
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PROPERTY |
INGREDIENT |
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Silver |
Tin |
Copper |
Zinc |
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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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POLYCARBOXYLATE CEMENT
Use:. The primary use of polycarboxylate cement is as a cementing medium of cast alloy and porcelain restorations. In addition, it can be used as a cavity liner, as a base under metallic restorations, or as a temporary restorative material.
Clinical Uses
Polycarboxylate cement is used in the same way as zinc phosphate cement, both as an intermediate base and as a cementing medium.
c. Chemical Composition.
(1) Powder:. It generally contains zinc oxide, 1 to 5 percent magnesium oxide, and 10 to 40 percent aluminum oxide or other reinforcing fillers. A small percentage of fluoride may be included.
(2) Liquid. Polycarboxylate cement liquid is approximately a 40 percent aqueous solution of polyacrylic acid copolymer with other organic acids such as itaconic acid. Due to its high molecular weight, the solution is rather thick (viscous).
d. Properties.
The properties of polycarboxylate cement are identical to those of zinc phosphate cement with one exception. Polycarboxylate cement has lower compressive strength.
e. Setting Reactions:
The setting reaction of polycarboxylate cement produces little heat. This has made it a material of choice. Manipulation is simpler, and trauma due to thermal shock to the pulp is reduced. The rate of setting is affected by the powder-liquid ratio, the reactivity of the zinc oxide, the particle size, the presence of additives, and the molecular weight and concentration of the polyacrylic acid. The strength can be increased by additives such as alumina and fluoride. The zinc oxide reacts with the polyacrylic acid forming a cross-linked structure of zinc polyacrylate. The set cement consists of residual zinc oxide bonded together by a gel-like matrix.
Precautions.
The following precautions should be observed.
o The interior of restorations and tooth surfaces must be free of saliva.
o The mix should be used while it is still glossy, before the onset of cobwebbing.
o The powder and liquid should be stored in stoppered containers under cool conditions. Loss of moisture from the liquid will lead to thickening.