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Dental Materials - NEETMDS- courses
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
 

Casting of glass or ceramic

A castable ceramic is prepared in a similar manner as metal cast preparation .
Glass is heated to 1360 degrees & then cast.
Phosphate bonded investments are used for this purpose .

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

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)

Solution Liners (Varnishes)

Applications 

o    Enamel and dentin lining for amalgam restorations
o    Enamel and dentin lining for cast restorations that are used with non adhesive cements
o    Coating over materials that are moisture sensitive during setting

Components of copal resin varnish

o    90% solvent mixture (e.g., chloroform, acetone, and alcohol)
o    10% dissolved copal resin

 Reaction
 
Varnish sets physically by drying Solvent loss occurs in 5 to 15 seconds (a film forms the same way as drying fingernail polish)

Manipulation

Apply thin coat over dentin. enamel. And margins of the cavity preparation  Dry lightly with air for 5 seconds Apply a second thin coat Final thickness is 1 to 5 µ.m

Properties

o    Physical 

Electrically insulating barrier that prevents shocks. Too thin to be thermally insulating. Decreases degree of percolation attributable to thermal expansion

o    Chemical

Forms temporary barrier that prevents microleakage into dentinal tubules until secondary dentin formation occurs. Decreases initial tendency for electrochemical corrosion

o     Mechanical

Very weak and brittle film that has limited lifetime 
Film adheres to smear layer
 

Mouth Protectors

Use - to protect against effects of blows to chin, top of the head, the face, or grinding of the teeth

Types

o    Stock protectors-least desirable because of poor fit
o    Mouth-formed protectors-improved fit compared with stock type
o    Custom-made protectors-preferred because of durability. low  speech impairment, and comfort


I. Components

a. Stock protectors-thermoplastic copolymer of PYA-PE (polyvinyl acetate-polyethylene copolymer)
b. Mouth-formed protectors-thermoplastic copolymer
c. Custom-made protectors- thermoplastic copolymer, rubber. or polyurethane
2. Reaction-physical reaction of hardening during cooling
3. Fabrication

Alginate impression made of maxillary arch. High-strength stone cast poured immediately. Thermoplastic material is heated in hot water and vacuum-molded to cast .

Mouth protector trimmed to within ½ inch of labial fold, clearance provided at the buccal and labial frena, and edges smoothed by flaming. Gagging, taste, irritation. and impairment of speech are minimized with properly fabricated appliances

4. Instructions for use

a. Rinse before and after use with cold water
b. Clean protector occasionally with soap and cool water
c. Store the protector  in a rigid container
d. Protect from heat and pressure during storage
e. Evaluate protector routinely for evidence of deterioration

Properties

1. Physical-thermal insulators
2. Chemical-absorbs after during use
3. Mechanical-tensile strength, modulus, and hardness decrease after  water absorption, but elongation, tear strength, and resilience increase
4. Biologic-nontoxic as long as no bacterial, fungal, or viral growth occurs on surfaces between uses
 

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