NEET MDS Lessons
Dental Materials
Temporary Filling Materials
Applications / Use
While waiting for lab fabrication of cast restoration
While observing reaction of pulp tissues
Objectives
Provide pulpal protection
Provide medication to reduce pulpal inflammation
Maintain the tooth position with an aesthetic restoration
Classification
Temporary filling cements
Temporary filling resins
Components
Temporary filling cements
1. Zinc oxide-eugenol cement with cotton fibers added
2. Polyme r powder-reinforced zinc oxide eugenol cement
Temporary filling resins
• MMA / PMMA filling materials
• Polyamide filling materials
• BIS-GMA filling materials
COMPOSITE RESINS
Types
- Amount of filler-25% to 65% volume, 45% to 85% weight
- Filler particle size (diameter in microns)
- Macrofill 10 to 100 µm (traditional composites)
- Midi fill- 1 to 10 µm(small particle composites)
- Minifill— 0.l to 1 µm
- Microfill-: 0.01 to 0.1 µm (fine particle composites)
- Hybrid--blend (usually or microfill and midifill or minifill and microfill)
- Polymerization method
- Auto-cured (self-cured)
- Visible light cured
- Dual cured
- Staged cure
- Matrix chemistry
- BIS-GMA type
- Urethane dimethacrylate (UDM or UDMA) type
- TEGDMA-diluent monomer to reduce viscosity
COMPOSITE RESINS
Components
- Filler particles-colloidal silica, crystalline silica (quartz), or silicates of various particle sizes (containing Li, AI, Zn, Yr)
- Matrix-BIS-GMA (or UDMA) with lower molecular weight diluents (e.g., TEGDMA) that correct during polymerization
- Coupling agent- silane that chemically bonds the surfaces of the filter particles to the polymer matrix
RINGLESS INVESTMENT TECHNIQUE
Used for phosphate bonded investments .
This method uses paper or plastic casting ring .
It is designed to allow urestricted expansion .
Useful for high melting alloys .
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
The Sprue :
Its a channel through which molten alloy can reach the mold in an invested ring after the wax has been eliminated. Role of a Sprue: Create a channel to allow the molten wax to escape from the mold. Enable the molten alloy to flow into the mold which was previously occupied by the wax pattern.
FUNCTIONS OF SPRUE
1 . Forms a mount for the wax pattern .
2 . Creates a channel for elimination of wax .
3 .Forms a channel for entry of molten metal
4 . Provides a reservoir of molten metal to compensate for the alloy shrinkage .
SELECTION OF SPRUE
Sprue former gauge selection is often empirical, is yet based on the following five general principles:
1. Select the gauge sprue former with a diameter that is approximately the same size as the thickest area of the wax pattern. If the pattern is small, the sprue former must also be small because a large sprue former attached to a thin delicate pattern could cause distortion. However if the sprue former diameter is too small this area will solidify before the casting itself and localized shrinkage porosity may result.
2. If possible the sprue former should be attached to the portion of the pattern with the largest cross-sectional area. It is best for the molten alloy to flow from the thick section to the surrounding thin areas. This design minimizes the risk of turbulence.
3. The length of the sprue former should be long enough to properly position the pattern in the casting ring within 6mm of the trailing end and yet short enough so the molten alloy does not solidify before it fills the mold.
4. The type of sprue former selected influences the burnout technique used. It is advisable to use a two-stage burnout technique whenever plastic sprue formers or patterns are involved to ensure complete carbon elimination, because plastic sprues soften at temperatures above the melting point of the inlay waxes.
5. Patterns may be sprued directly or indirectly. For direct sprueing the sprue former provides the direct connection between the pattern area and the sprue base or crucible former area. With indirect spruing a connector or reservoir bar is positioned between the pattern and the crucible former. It is common to use indirect spruing for multiple stage units and fixed partial dentures.
Suspension liners
Applications
o Dentin lining under amalgam restorations
o Stimulation of reparative dentin formation
Components
-Calcium hydroxide powder
-Water
-Modifiers
Manipulation
Used as W/P or pastes Paint thin film on dentin → Use forced air for 15 to 30 seconds to dry → Film is thicker (15 µm) than varnishes → Do not use on enamel or cavosurface margins
Properties
Physical
-Electrically insulating barrier
-Too thin to be thermally insulating
Chemical
-High basicity for calcium hydroxide (pH is II)
-Dissolves readily in water and should not be used at exposed cavosurface margins or gaps may form
Mechanical - weak film
Biologic - calcium hydroxide dissolves, diffuses, and stimulates odontoblasts to occlude dentin tubules below cavity preparation