NEET MDS Lessons
Dental Materials
Root canal sealers
Applications
Cementation of silver cone gutta-percha point
Paste filling material
Types
Zinc oxide-eugenol cement types
Noneugenol cement types
Therapeutic cement types
properties
Physical-radiopacity
Chemical-insolubility
Mechanical-flow; tensile strength
Biologic-inertness
Gingival tissue packs
Application-provide temporary displacement of gingival tissues
Composition-slow setting zinc oxide-eugenol cement mixed with cotton twills for texture and strength
Surgical dressings
1.Application-gingival covering after periodontal surgery
2. Composition-modified zinc oxide-eugenol cement (containing tannic, acid. rosin, and various oils)
Orthodontic cements
Application-cementation of orthodontic bands
Composition-zinc phosphate cement
Manipulation
Zinc phosphate types are routinely mixed with cold or frozen mixing slab to extend the working time
Enamel bonding agent types use acid etching for improved bonding
Band, bracket, or cement removal requires special care
Reaction
PMMA powder makes mixture viscous for manipulation before curing. Chemical accelerators cause decomposition of benzoyl peroxide into free radicals that initiate polymerization of monomer
New PMMA is formed into a matrix that surrounds PMMA powder. Linear shrinkage of 5% to 7% during setting. but dimensions of appliances are not critical
Zinc Phoshate Cement
Uses. Zinc phosphate cement is used both as an intermediate base and as a cementing medium.
(1) Intermediate base. A thick mix is used under permanent metallic restoration. This layer of cement protects the pulp from sudden temperature changes that may be transmitted by the metallic restoration.
(2) Cementing medium. Zinc phosphate cement is used to permanently cement crowns, inlays, and fixed partial dentures upon the remaining tooth structure. A creamy mix of cement is used to seat the restoration or appliance completely into place. The cementing medium does not cement two objects together. Instead, the cement holds the objects together by mechanical interlocking, filling the space between the irregularities of the tooth preparation and the cemented restoration
c. Chemical Composition.
(1) Powder. primary ingredients - zinc oxide and magnesium oxide.
(2) Liquid. Phosphoric acid and water in the ratio of two parts acid to one part water. The solution may also contain aluminum phosphate and zinc phosphate Liquids exposed in open bottles will absorb moisture from the air in high humidity. The liquids will lose moisture if humidity is low. Water gain hastens setting; water loss lengthens setting time.
PROPERTIES OF ZINC PHOSPHATE CEMENT
a. Advantages. Some advantages of zinc phosphate cement as a cementing medium are:
o Inconspicuous appearance.
o Speed and ease of usage.
o Sufficient flow to form a thin layer for the cementing of closely adapted crowns, fixed partial dentures, and inlays.
o Low thermal conductivity beneath a metallic restoration.
b. Disadvantages. Some disadvantages of zinc phosphate cement as a cementing medium are:
o Low crushing strength that varies between 12,000 and 19,000 psi.
o Slight solubility in mouth fluids.
o Opaque material not suitable for visible surfaces.
c. Strength. The ratio of powder to liquid increases the strength of phosphate cements to a certain point. For this reason, the dental specialist must use as thick a mix as practical for the work being performed.
SETTING REACTIONS OF ZINC PHOSPHATE CEMENT
a. Chemical Reaction. The chemical reaction that takes place between the powder and liquid of setting phosphate cement produces heat. The amount of heat produced depends upon the rate of reaction, the size of the mix, and the amount of heat extracted by the mixing slab.
b. Powder to Liquid Ratio. The less powder used in ratio to the liquid, the longer the cement will take to harden. Good technique minimizes the rise in temperature and acidity of the setting cement that can injure the pulp. Generally, for increased strength, decreased shrinkage, and resistance to solubility, it is advisable to blend as much powder as possible to reach the desired consistencies.
c. Setting Time. The setting time of zinc phosphate cement is normally between 5 and 9 minutes.
Lower the temperature of the glass mixing slab to between 65° and 75° F (18° to 24° C), if the glass mixing slab is not already cooled below the temperature at which moisture will condense on it. → Blend the powder slowly. → Mix the powder over a large area of the cool slab. → Use a longer mixing time, within optimum limits.
Precautions. The following precautions should be observed.
o Prevent loss or gain of moisture in liquid cement by keeping bottles tightly stoppered.
o Dispense drops only when ready to mix.
o Use a cool, dry glass slab (65° to 75° F).
o Use the same brand of powder and liquid.
o Add increments of powder slowly.
o Use the maximum amount of powder to obtain the desired consistency.
(To incorporate the most powder, the material should be mixed with a moderate circular motion over a large area of the slab, turning the spatula often.)
Classification of Dental amalgam
1. By powder particle shape .
- Irregular (comminuted, filing, or lathecut)
- Spherical (spherodized)
- Blends (e.g., irregular-irregular, irregularspherical, or spherical-spherical)
2. By total amount of copper
- Low-copper alloys (e.g., conventional, traditional); <5% copper
- High-copper alloys (e,g. corrosion resistant); 12% to 28% copper
3.By presence of zinc
Examples
- Low-copper, irregular-particle alloy-silver (70%)-tin (26%)-copper (4%)
- High-copper, blended-particles alloy-irregular particles, silver (70%) –tin (26%) -Copper (4%); spherical particles, silver (72%)-copper (28%)
- High-copper, spherical-particles alloy-silver (60%) - tin (27%)-copper (13%)
Acrylic Denture Bases
Use - used to support artificial teeth
Classification
a. PMMA/MMA dough systems
b. PMMA/MMA pour resin systems
1. Components
a. Powder-PMMA polymer, peroxide initiator, and pigments
b. Liquid-MMA monomer, hydroquinone inhibitor, and cross-linking agents
2. Reaction
a. Heat (or chemicals) is used as an accelerator to decompose peroxide into free radicals
b. Free radicals initiate polymerization of MMA into PMMA
c. New PMMA is formed as a matrix around residual PMMA powder particles
d. Linear shrinkage is 5% to 7% of monomer on polymerization
3. Manipulation
a. P/L mixed to form dough or fluid resin to fill mold
b. Mold heated to start and control reaction
Structure of gypsum products
Components
a. Powder (calcium sulfate hemihydrate = CaSO4½H2O)
b. Water (for reaction with powder and dispersing powder)
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