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Dental Materials - NEETMDS- courses
NEET MDS Lessons
Dental Materials

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.

Applications

a. Dentulous impressions for casts for prosthodontics

b. Dentulous impressions for pedodontic appliances

c. Dentulous impressions for study models for orthodontics

d. Edentulous impressions for casts for denture construction

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)

Chromium Alloys for Partial Dentures

Applications - Casting partial denture metal frameworks

Classification

a. Cobalt-chromium
b. Nickel-chromium
c. Cobalt-chromium-nickel

Composition

a. Chromium-produces a passivating oxide film for corrosion resistance
b. Cobalt-increase~ the rigidity of the alloy
c. Nickel-increases the ductility of the alloy
d. Other elements-increase strength and castability

Manipulation

a. Requires higher temperature investment materials
b. More difficult to cast because less dense than gold alloys usually requires special casting equipment
c. Much more difficult to finish and polish because of higher strength and hardness

Properties

a. Physical-less dense_than gold alloys
b. Chemical-passivating corrosion behavior
c. Mechanical-stronger. stiffer. and harder than gold alloys
d. Biologic

-Nickel may cause sensitivity in some individuals (I % of men and 11 % of women)
-Beryllium in some alloys forms oxide that  is toxic to lab technicians

Manipulation

1. Selection-based on strength for models, casts, or dies

2. Mixing
(1)Proportion the water and powder 
(2) Sift powder into water in rubber mixing bowl
(3) Use stiff blade spatula to mix mass on side of bowl
(4) Complete mixing in 60 seconds

3. Placement

(1) Use vibration to remove air bubbles acquired through mixing
(2) Use vibration during placement to help mixture wet and flow into the impression

CASTING: casting is the process by which the wax pattern of a restoration is converted to a replicate in a dental alloy. The casting process is used to make dental restorations such as inlays, onlays, crowns, bridges and removable partial dentures.

Objectives of casting

1) To heat the alloy as quickly as possible to a completely molten condition.
2) To prevent oxidation by heating the metal with awell adjusted torch .
3) To produce a casting with sharp details by having adequate pressure to the well melted metal to force into the mold.


STEPS IN MAKING A CAST RESTORATION
1. TOOTH PREPARATION
2. IMPRESSION
3. DIE PREPARATION
4. WAX PATTERN FABRICATION
5. SPRUING

Denture Cleansers

Use -  for removal of soft debris by light brushing and then rinsing of denture; hard deposits require professional repolishing

a. Alkaline perborates-do not remove bad stains; may harm liners .
b. Alkaline peroxides-harmful to denture liners
c. Alkaline hypochlorites-may cause bleaching, corrode base-metal alloys, and leave residual taste on appliance
d. Dilute acids-may corrode base-metal alloys
e. Abrasive powders and creams-can abrade denture surfaces

Denture cleaning Method

a. Full dentures without soft liners-immerse denture in solution of one part 5% sodium hypochlorite in three parts of water
b. Full or partial dentures without soft-liners immerse denture in solution of  1 teaspoon of hypochlorite with 2 teaspoons of  glassy phosphate  in a half of a glass of water
c. Lined dentures -- clean any soft liner with a cotton swab and cold water while cleaning the denture with a soft brush

Properties

1. Chemical-can swell plastic surfaces or corrode metal frameworks
2. Mechanical-can scratch the surfaces of denture bases or denture teeth
 

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