NEET MDS Lessons
Dental Materials
Acrylic Appliances
Use - space maintenance or tooth movement for orthodontics and pediatric dentistry
1. Components
a. Powder-PMMA powder. peroxide initiator, and pigments
b. Liquid-MMA monomer, hydroquinone inhibitor, cross-linking agents, and chemical accelerators (N, N-dimethyl-p-toluidine)
2. 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
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
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
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
Manipulation
1. Selection-based on strength for models, casts, or dies
2. Mixing
(1)Proportion the water and powder
(2) Sift powder into water in rubber mixing bowl
(3) Use stiff blade spatula to mix mass on side of bowl
(4) Complete mixing in 60 seconds
3. Placement
(1) Use vibration to remove air bubbles acquired through mixing
(2) Use vibration during placement to help mixture wet and flow into the impression
INVESTING
Mixing investment with distilled water is done according to the manufacturers ratio in a clean dry bowl without entrapment of the air into the mix.
Mixing methods:
a. Hand mixing and the use of the vibrator to remove air bubbles.
b. Vacuum mixing- This is the better method because it removes air bubbles as well as gases that are produced and thus produces a smoother mix.
Methods of investing:
a. Hand investing
b. Vacuum investing
Hand investing:
First the mixed investment is applied on all the surfaces of the pattern with a soft brush. Blow off any excess investment gently, thus leaving a thin film of investment over the pattern, then apply again.
Then the coated pattern can be invested by two methods;
1. Placing the pattern in the ring first and then filling the ring full with investment.
2. Filling the ring with the investment first and then force the pattern through into it.
Vacuum investing :
Vacuum investing unit: This consists of the chamber of small cubic capacity from which air can be evacuated quickly and in which casting ring can be placed.
Evacuation of air can be done by electrically or water driven vacuum pump.
Procedure:
The ring filled with investment is placed in the vacuum chamber. Air entry tube is closed. Then the vacuum is applied. The investment will rise with froth vigorously for about 10-15 sec and then settles back. This indicates that air has been extracted from the ring. The pressure is now restored to atmospheric by opening the air entry tap gradually at first and then more rapidly as the investment settles back around the pattern. Then the ring is removed from the chamber and the investment is allowed to set. Modern investing unit does both mixing and investing under vacuum and is considered better than hand mixing and pouring.
Then there are two alternatives to be followed depending upon what type of expansion is to be achieved in order to compensate for metal shrinkage. They are:
1. If hygroscopic expansion of the investment is to be achieved then immediately immerse the filled ring in water at the temperature of 37C.
Or “under controlled water adding technique”. A soft flexible rubber ring is used instead of usual lined metal ring. Pattern is invested as usual. Then specified amount of water is added on top of the investment in the rubber ring and the investment is allowed to set at room temperature. In this way only enough water is added to the investment to provide the desired expansion.
2. If thermal expansion of the investment is to be achieved, then investment is allowed to set by placing the ring on the bench for 1 hour or as recommended by the manufacturer.
Model. Cast. and Die Materials
Applications
- Gold casting, porcelain and porcelain-fused–to metal fabrication procedures
- Orthodontic and pedodontic appliance construction
- Study models for occlusal records
Terms
a. Models-replicas of hard and soft tissues for study of dental symmetry
b. Casts-working replicas of hard and soft tissues for use in the fabrication of appliances or restorations
c. Dies :- working replicas of one tooth (or a few teeth) used for the fabrication of a restoration
d. Duplicates-second casts prepared from original casts
Classification by materials
a Models :- (model plaster or orthodontic stone; gypsum product)
b. Stone casts (regular stone; gypsum product)
c. Stone dies (diestone; gypsum product)-may electroplated
d. Epoxy dies (epoxy polymer)-abrasion-resistant dies