NEET MDS Lessons
Dental Materials
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
|
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.
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.
Denture Teeth
Use-complete or partial dentures
Type
a. Porcelain teeth
b. Acrylic resin teeth
c. Abrasion-resistant teeth (microfilled composite)
Structure and properties
1. Porcelain teeth (high-fusing porcelain)
Only bonded into denture base mechanically. Harder than natural teeth or other restorations and abrades those surfaces. Good aesthetics.Used when patients have good ridge support and sufficient room between the arches
2. Acrylic resin teeth (PMMA [polymethyl methacrylate])
Bonded pseudochemically into the denture base. Soft and easily worn by abrasive foods . Good initial aesthetics
Used with patients with poor ridges and in cases where they oppose natural teeth
3. Abrasion-resistant teeth (microfilled resins)
Bonded pseudochemically into the denture base.Better abrasion resistance then acrylic resin teeth
Introduction
The science of dental materials involves a study of the composition and properties of materials and the way in which they interact with the environment in which they are placed
Selection of Dental materials
The process of materials selection should ideally follow a logical sequence involving
(1) analysis of the problem,
(2) consideration of requirements,
(3) consideration of available materials and their properties, leading to
(4) choice of material.
Evaluation of the success or failure of a material may be used to influence future decisions on materials selection.
Manipulation
Selection
o Microfilled composites or hybrids for anterior class III, IV, V
o Hybrids or midifills for posterior class I, II, III, V
Conditioning of enamel and / or dentin
Do not apply fluorides before etching.-->Acid-etch --> Rinse for 20 seconds with water --> Air-dry etched area for 20 seconds but do not desiccate or dehydrate --> Apply bonding agent and polymerize
Mixing (if required)--> mix two pastes for 20 to 30 seconds
o Self-cured composite-working time is 60 to 120 seconds after mixing
o Light-cured composite-working time is unlimited (used for most anterior and some posterior composite restorations)
o Dual-cured composite-working time is > 10 minutes
o Two-stage cured composite-working time is >5 minutes
Placement
use plastic instrument or syringe --> Light curing --> Cure incrementally in <2 mm thick layers. Use matrix strip where possible to produce smooth surface and contour composite .Postcure to improve hardness
Components
a. Fillers added to most to control shrinkage
b. Matrix