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Dental Materials

Tooth Polishing and Cleansing Agents

1. Cleansing-removal of exogenous stains, pellicle, materia alba, and other oral debris without causing undue abrasion to tooth structure
2. Polishing-smoothening surfaces of amalgam, composite, glass ionomers, porcelain, and other restorative materials


Factors influencing cleaning and polishing

-    Hardness of abrasive particles versus substrate
-    Particle size of abrasive particles
-    Pressure applied during procedure
-  Temperature of abrasive materials

Structure

 Composition

-contain abrasives, such as kaolinite, silicon dioxide, calcined magnesium silicate, diatomaceous silicon dioxide, pumice. Sodium-potassium
-aluminum silicate, or zirconium silicate; some pastes also may contain sodium fluoride or stannous fluoride, but they have never been shown to produce positive effects
 

Reactions-abrasion for cleansing and polishing

Properties -  Mechanical
 

- Products with pumice and quartz produce more efficient cleansing but also generate greater abrasion of enamel and dentin
-Coarse pumice is the most abrasive
-The abrasion rate of dentin is 5 to 6 times faster than the abrasion rate of enamel, regardless of the product
-Polymeric restorative materials, such as denture bases, denture teeth, composites, PMMA veneers, and composite veneers, can be easily scratched during polishing
-Do not polish cast porcelain restorations (e.g., Dicor) that are  externally characterized or the color will be lost
 

Casting ring

CASTING RING LINERS

Most common way to provide investment expansion is by using a liner in the casting ring .Traditionally asbestose was used .
Non asbestose ring liner used are :
1) Aluminosilicate ceramic liner .
2) Cellulose paper liner .

The aim of using a resilient liner is to

-. allow different types of investmentbexpansion (act as a cushion)
_. facilitate venting during casting procedure.
_. facilitate the removal of the investment block after casting.&. prevent the distortion by permitting the outward expansion of the mold.
The casting ring holds the investment in place during setting and restricts the expansion of the mold. Normally a resilient liner is placed inside the ring leaving about 2-3 mm from both ends to allow for supporting contact of the investment with the casting ring.

Purpose of Casting Ring Liner

Ringer liner is he most commonly used technique to provide investment expansion. To ensure uniform expansion , liner is cut to fit the inside diameter of the casting ring with no overlap. 

Non-asbestos Ring Liners: Ceramic (aluminum silicate) Cellulose (paper) Ceramic-cellulose combination Safety of the ceramic ring liners remains uncertain, because aluminum silicate also appears capable of producing hazardous-size respirable particles
 

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
 

Principles of cutting, polishing, and surface cleaning

  • Surface mechanics for materials

Cutting-requires highest possible hardness materials to produce cutting

Finishing-requires highest possible hardness materials to produce finishing, except at margins of restorations where tooth structure may be inadvertently affected

Polishing- requires materials with Mohs ./ hardness that is 1 to 2 units above that of substrate

 Debriding-requires materials with Mohs hardness that is less than or equal to that of substrate to prevent scratching

  •    Factors affecting cutting, polishing. and surface cleaning
    • Applied pressure
    • Particle size of abrasive
    •  Hardness of abrasive
    •  Hardness of substrate
  •      Precautions
    • During cutting heat will build up and change the mechanical behavior of the substrate from brittle to ductile and encourage smearing
    • Instruments may transfer debris onto the cut surface from their own surfaces during cutting, polishing, or cleaning operations (this is important for cleaning implant surfaces)

I . Procedure for single casting :

A 2.5 mm sprue former is recommended
for molar crowns 2.0 mm for premolars & partial coverage crowns .

II . Procedure for multiple casting :

Each unit is joined to a runner bar .

A single sprue feeds the runner bar

4 . SPRUE FORMER DIRECTION
Sprue Should be directed away from the delicate parts of the pattern
It should not be at right angles to a flat surface .(leads to turbulance  porosity .)
Ideal angulation is 45 degrees .

5 . SPRUE FORMER LENGTH

Depends on the length of casting ring .. Length of the Sprue former should be such that it keeps the wax pattern about 6 to 8 mm away from the casting ring. Sprue former should be no longer than 2 cm. The pattern should be placed as close to the centre of the ring as possible.

Significance

Short Sprue Length:

The gases cannot be adequately vented to permit the molten alloy to fill the ring completelyleading to Back Pressure Porosity.

Long Sprue Length:

Fracture of investment, as mold will not withstand the impact force of the entering molten alloy.

Top of wax should be adjusted for :

6 mm for gypsum bonded investments .

3 -4 mm for phosphate bonded investments .
TYPES OF SPRUES

I . - Wax . II . Solid

- Plastic . Hollow
- Metal .

CASTING
Melting & Casting Technique Melting & Casting requires Heat source to melt the alloy Casting force, to drive the alloy into the mould

Casting Torch Selection Two type of torch tips: Multi-orifice Single-orifice Multi-orifice tip is widely used for metal ceramic alloys. Main advantage is distribution of heat over wide area for uniform heating of the alloy. Single-orifice tip concentrate more heat in one area.Three fuel sources are used for Casting Torch; Acetylene ,Natural Gas ,Propane

CASTING CRUCIBLES
Four types are available ;
1) Clay .
2) Carbon .
3) Quartz .
4) Zirconia –Alumina .

Casting Machines

It is a device which uses heat source to melt the alloy casting force .

Heat sources can be :
1) Reducing flame of a torch .( conventional alloys & metal ceramic alloys )

2) Electricity .(Base metal alloys )

Advantages of electric heating :
-heating is evenly controlled .
-minimal undesirable changes in the alloy composition .
- Appropriate for large labs .

Disadvantage :
Expensive .
Casting machines use :
1) Air pressure .
2) Centrifugal force .
3) Evacuation technique .

Alloys can be melted by :
1) Alloy is melted in a separate crucible by a torch flame & is cast into the mold by centrifugal force .(centrifugal C M )
2) Alloy is melted by resistance heating or by induction furnace & then cast centrifugally by motor or spring action (springwound CM electrical resistance )
3) Alloy is melted by induction heating cast into mold centrifugally by motor or spring action .(Induction CM )
4) Alloy is vacum melted by an argon atmosphere

Torch melting / Centrifugal casting machine
Electrical resistance /Heated casting machine
Melting of the alloy should be done in a graphite or ceramic crucible .

Advantage :
-Oxidation of metal ceramic restorations on
overheating is prevented .
-Help in solidification from tip of the casting to the button surface .

Induction casting machine
Commonly used for melting base metal alloys.

Advantage :
- Highly efficient .
- Compact machine withlow power consumption
-No pre heating needed ,
- safe & reliable.

Direct current arc melting machine

A direct current arc is produced between two electrodes :
The alloy & the water cooled tungsten electrode .Temp used is 4000 degrees .

Disadvanage :
High risk of overheating the alloy .
Vacuum or pressure assisted casting machine
Molten alloy is drawn into the evacuated mold by gravity or vacuum & subjected to aditional pressure
For Titanium & its alloys vacuum heated argon pressure casting machines are used .

Accelerated casting method

This method reduces the time of both bench set of the investment & burnout .
Uses phosphate bonded investments which uses 15 mnts for bench set & 15mnts for burnout by placing in a pre – heated furnace to 815 degrees .

Effect of burnout on gypsum bonded investments
Rate of heating has influence on smoothness & on overall dimensions of the investment
Rapid heating causes cracking & flaking which can cause fins or spines .
Avoid heating gypsum bonded investment above 700 degrees .Complete the wax elimination below that temp .

Effect of burnout on phosphate bonded investments
Usual burnout temp is 750 -1030 degrees.
Although they are strong they are brittle too .
Since the entire process takes a long time two stage burnout & plastic ring can be used .

ACID ETCH TECHNIQUE

Cavities requiring added retention (to hold firmly) are treated with an acid etching technique. This technique improves the seal of the composite resin to the cavity wall. The enamel adjacent to the margins of the preparation is slightly decalcified with a 40 to 50 percent phosphoric acid solution. This etched enamel enhances the mechanical retention of the composite resin. In addition, the acid etch technique is used to splint unstable teeth to adjacent teeth. The acid is left on the cut tooth structure only 15 seconds, in accordance with the directions for one common commercial brand. The area is then flushed with water for a minimum of 30 seconds to remove the decalcified material. Etched tooth structure will have a chalky appearance.

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