NEET MDS Lessons
Dental Materials
Investment Materials
Investment is mold-making material
Applications
a. Mold-making materials for casting alloys
b. Mold-making materials for denture production
Classification
a. Gypsum-bonded investments (based on gypsum products for matrix)
b. Phosphate-bonded investments
c. Silicate-bonded investments
Components
a. Liquid-water or other reactant starts formation of matrix binder by reacting with reactant powder
b. Powder-reactant powder, filler, or modifiers
Manipulation
a. P/L mixed and placed in container around wax pattern
b. After setting, the investment is heated to eliminate the wax pattern in preparation for casting
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
Cement liners
Applications (if remaining dentin thickness is <0.5 mm)
o Used for thermal insulation where cavity preparation is close to the pulp
o Used for delivering medicaments to the pulp
• Calcium hydroxide stimulates reparative dentin or
• Eugenol relieves pain by desensitizing nerves
• Used to deliver F ion to enamel and dentin
Components
o Paste of calcium hydroxide reactant powder, ethyl toluene sulfonamide dispersant, zinc oxide filler, and zinc stearate radiopacifier
o Paste of glycol salicylate reactant liquid, titanium dioxide filler powder, and calcium tungstenate radiopacifier
Reaction
Chemical reaction of calcium ions with salicylate to form methylsalicylate salts Moisture absorbed to allow calcium hydroxide to dissociate into ions to react with salicylate Mixture sets from outside surface to inside as water diffuses
Manipulation
Dentin should not be dehydrated or material will not setMix drop of each paste together for 5 secondsApply material to dentin and allow I to 2 minutes to set
Properties
o Physical-good thermal and electrical insulator
o Chemical-poor resistance to water solubility and may dissolve
o Mechanical-low compressive strength (100 to 500 psi)
o Biologic-releases calcium hydroxide constituents, which diffuse toward the pulp and stimulate
o reparative dentin formation
PFM Alloys
Applications-substructures for porcelain-fused-to-metal crowns and bridges
Classification
o High-gold alloys
o Palladium-silver alloys
o Nickel-chromium alloys
Structure
Composition
o High-gold alloys are 98% gold. platinum. And palladium
o Palladium-silver alloys are 50% to 60% palladium and 30 to 40% silver
o Nickel-chromium alloys are 70% to 80% nickel and 15% chromium with other metals
Manipulation
o Must have melting temperatures above that of porcelains to be bonded to their surface
o More difficult to cast (see section on chromium alloys)
Properties - Physical
Except for high-gold alloys, others are less dense alloys
Alloys are designed to have low thermal expansion coefficients that must be matched to the overlying porcelain
Chemical-high-gold alloys are immune, but others passivate
Mechanical-high modulus and hardness
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.
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
|
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