Applications

a. Dentulous impressions for casts for prosthodontics

b. Dentulous impressions for pedodontic appliances

c. Dentulous impressions for study models for orthodontics

d. Edentulous impressions for casts for denture construction

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.
 

Mechanical properties

1.  Resolution of forces

Uniaxial (one-dimensional) forces-compression, tension, and shear

Complex forces-torsion, flexion. And diametral

2. Normalization of forces and deformatations

Stress

 Applied force (or material’s resistance to force) per unit area

Stress-force/area (MN/m²)

Strain

Change in length per unit of length because of force

Strain-(L- L_o)/(L_o); dimensionless units

3. Stress-strain diagrams

Plot of stress (vertical) versus strain (horizontal)

• Allows convenient comparison of materials
• Different curves for compression, tension, and shear
• Curves depend on rate of testing and temperature

4. Analysis of curves

• Elastic behavior
  • Initial response to stress is elastic strain
  • Elastic modulus-slope of first part of curve and represents stiffness of material or the resistance to deformation under force
  • Elastic limit (proportional limit)- stress above which the material no longer behaves totally elastically
  • Yield strength-stress that is an estimate of the elastic limit at 0.002 permanent strain
  • Hardness-value on a relative scale that estimates the elastic limit in terms of a material’s resistance to indentation (Knoop hardness scale, Diamond pyramid, Brinnell, Rockwell hardness scale, Shore A hardness scale, Mohs hardness scale

• Resilience-area under the stress strain curve up to the elastic limit (and it estimates the total elastic energy that can be absorbed before the onset of plastic deformation)

• Elastic and plastic behavior

• Beyond the stress level of the elastic  limit, there is a combination of elastic  and plastic strain
• Ultimate strength-highest stress  reached before fracture; the ultimate compressive strength is greater than the ultimate shear strength and the ultimate tensile strength
• Elongation (percent elongation)- percent change in length up to the point of fracture = strain x 100%

• Brittle materials-<5% elongation at fracture

• Ductile materials->5% elongation  at fracture
• Toughness-area under the stress strain  curve up to the point of fracture (it estimates the total energy absorbed up to fracture)

• Time-dependent behavior

the faster a stress is applied, the more likely a material is to store the energy elastically and not plastically

• Creep-strain relaxation
• Stress relaxation

Reaction

a. Calcium sulfate hemihydrate(one-half water) crystals dissolve and react with water
b. Calcium sulfate dihydrate(two waters) form and precipitate new crystals
c. Unreacted (excess) water is left between crystals in solid

Mercury hygiene

• Do not contact mercury with skin
• Clean up spills to minimize mercury vaporization
• Store mercury or precapsulated products in tight containers
• Only triturate amalgam components-in tightly- sealed capsules
• Use amalgam with covers
• Store spent amalgam under water or fixer in a tightly sealed jar
• Use high vacuum suction during amalgam alloy placement, setting, or removal when mercury may be vaporized
• Polishing amalgams generally causes localized melting of silver-mercury phase with release of mercury vapor, so water cooling and evacuation must be used

CAD/CAM Restorations

Applications-inlays, onlays, veneers, crowns, bridges, implants, and implant prostheses    

Stages of fabrication
 
CSD-computerized surface digitization
CAD-computer-aided (assisted) design
CAM-computer-aided (assisted) machining
CAE-computer-aided esthetics (currently theoretic)
CAF-computer-aided finishing or polishing (which are currently theoretic steps)

Classification

Chairside or in-office systems

(1) Cerec (Siemens system)-inlays, onlays, veneers
(2) Sopha (Duret system)-inlays, onlays  (and Crowns)

Laboratory systems

(1) DentiCAD (Rekow system)-inlay, onlays, veneers, crowns
(2) Cicero (Elephant system)-porcelain fused-to-metal crowns

 
Materials

a. Feldspathic oorcelains (Vita)
b. Machinable ceramics (Dicor MGC)
c. Metal alloys limited use)

Cementing

- Etching enamel and/or dentin for micromechanical retention
- Bonding agent for retention to etched surface
- Composite as a luting cement for reacting chemically with bonding agent and with silanated surface of restoration
- Silane for bonding to etched ceramic (or metal) restorations and to provide chemical reaction
- Hydrofluoric acid etching to create spaces for micromechanical retention on surface or restoration

Properties

1. Physical properties

a. Thermal expansion coefficient well matched to tooth structure
b. Good resistance to plaque adsorption or retention

2. Chemical properties-not resistant to acids and should be protected from APF

3. Mechanical properties

a. Excellent wear resistance (but may abrade opponent teeth)
b. Some wear of luting cements but self-limiting
c. Excellent toothbrush abrasion

4. Biologic properties-excellent properties