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NEET MDS Lessons
Dental Materials

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

 

 

 

 

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

POLISHING MATERIALS

1 Tin Oxide. Tin oxide is used in polishing teeth and metal restorations. Tin oxide is a fine, white powder that is made into a paste by adding water or glycerin.

2. Pumice. Pumice is used as an abrasive and polishing agent for acrylic resins, amalgams, and gold. It consists mainly of complex silicates of aluminum, potassium, and sodium. Two grades--flour of pumice and coarse pumice--are listed in the Federal Supply Catalog.

3. Chalk (Whiting). Chalk is used for polishing acrylic resins and metals. It is composed primarily of calcium carbonate.

4.Tripoli. Tripoli is usually used for polishing gold and other metals. It is made from certain porous rocks.

5. Rouge (Jeweler's). Rouge is used for polishing gold and is composed of iron oxide. It is usually in cake or stick form.

6. Zirconium Silicate. Zirconium silicate is used for cleaning and polishing teeth. It may be mixed with water or with fluoride solution for caries prevention treatment. For full effectiveness, instructions must be followed exactly to obtain the proper proportions of powder to liquid.

COMPOSITE RESINS

Reaction

  • Free radical polymerization

Monomers + initiator. + accelerators-+ polymer molecules

  • Initiators-start polymerization by decomposing and reacting with monomer
  • Accelerators-speed up initiator decomposition
  • Amines used  for accelerating self –curing  systems
  •  Light  used for accelerating light-curing systems

Retarders or inhibitors-prevent premature polymerization

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
 

DISTORTION OF THE PATTERN

Distortion is dependant on temperature & time interval before investing .
To avoid any distortion ,
Invest the pattern as soon as possible .
Proper handling of the pattern .

PREREQUISITES
Wax pattern should be evaluated for smoothness , finish & contour .
Pattern is inspected under magnification & residual flash is removed .

Properties

I. Physical

a. Excellent thermal and electrical insulator
b. Very dense
c. Excellent dimensional stability
d. Good reproduction of fine detail of hard and soft tissues

2. Chemical

a. Heating will reverse the reaction (decompose the material into calcium sulfate hemihydrate, the original dry component)
b. Models, casts, and dies should be wet during grinding or cutting operations to prevent heating

3. Mechanical

a. Better powder packing and lower water contents at mixing lead to higher compressive strengths (plaster < stone < diestone)
b. Poor resistance to abrasion

4. Biologic

a. Materials are safe for contact with external - epithelial tissues
b. Masks should be worn during grinding or polishing operations that are likely to produce gypsum dust

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