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