NEET MDS Lessons
Dental Materials
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
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
DISTORTION OF THE PATTERN
Distortion is dependant on temperature & time interval before investing .
To avoid any distortion ,
Invest the pattern as soon as possible .
Proper handling of the pattern .
PREREQUISITES
Wax pattern should be evaluated for smoothness , finish & contour .
Pattern is inspected under magnification & residual flash is removed .
Properties
I. Physical
a. Excellent thermal and electrical insulator
b. Very dense
c. Excellent dimensional stability
d. Good reproduction of fine detail of hard and soft tissues
2. Chemical
a. Heating will reverse the reaction (decompose the material into calcium sulfate hemihydrate, the original dry component)
b. Models, casts, and dies should be wet during grinding or cutting operations to prevent heating
3. Mechanical
a. Better powder packing and lower water contents at mixing lead to higher compressive strengths (plaster < stone < diestone)
b. Poor resistance to abrasion
4. Biologic
a. Materials are safe for contact with external - epithelial tissues
b. Masks should be worn during grinding or polishing operations that are likely to produce gypsum dust
COMPOSITE RESINS
Reaction
- Free radical polymerization
Monomers + initiator. + accelerators-+ polymer molecules
- Initiators-start polymerization by decomposing and reacting with monomer
- Accelerators-speed up initiator decomposition
- Amines used for accelerating self –curing systems
- Light used for accelerating light-curing systems
Retarders or inhibitors-prevent premature polymerization
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
Reaction
a. Calcium sulfate hemihydrate(one-half water) crystals dissolve and react with water
b. Calcium sulfate dihydrate(two waters) form and precipitate new crystals
c. Unreacted (excess) water is left between crystals in solid