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.
Finishing and Polishing
Remove oxygen-inhibited layer .Use stones or carbide burs for gross reduction.Use highly fluted carbide burs or special diamonds for fine reduction.Use aluminum oxide strips or disks for finishing. Use fine aluminum oxide finishing pastes. Microfills develop smoothest finish because of small size of filler particles
Classification of Dental amalgam
1. By powder particle shape .
- Irregular (comminuted, filing, or lathecut)
- Spherical (spherodized)
- Blends (e.g., irregular-irregular, irregularspherical, or spherical-spherical)
2. By total amount of copper
- Low-copper alloys (e.g., conventional, traditional); <5% copper
- High-copper alloys (e,g. corrosion resistant); 12% to 28% copper
3.By presence of zinc
Examples
- Low-copper, irregular-particle alloy-silver (70%)-tin (26%)-copper (4%)
- High-copper, blended-particles alloy-irregular particles, silver (70%) –tin (26%) -Copper (4%); spherical particles, silver (72%)-copper (28%)
- High-copper, spherical-particles alloy-silver (60%) - tin (27%)-copper (13%)
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
Zinc Phoshate Cement
Uses. Zinc phosphate cement is used both as an intermediate base and as a cementing medium.
(1) Intermediate base. A thick mix is used under permanent metallic restoration. This layer of cement protects the pulp from sudden temperature changes that may be transmitted by the metallic restoration.
(2) Cementing medium. Zinc phosphate cement is used to permanently cement crowns, inlays, and fixed partial dentures upon the remaining tooth structure. A creamy mix of cement is used to seat the restoration or appliance completely into place. The cementing medium does not cement two objects together. Instead, the cement holds the objects together by mechanical interlocking, filling the space between the irregularities of the tooth preparation and the cemented restoration
c. Chemical Composition.
(1) Powder. primary ingredients - zinc oxide and magnesium oxide.
(2) Liquid. Phosphoric acid and water in the ratio of two parts acid to one part water. The solution may also contain aluminum phosphate and zinc phosphate Liquids exposed in open bottles will absorb moisture from the air in high humidity. The liquids will lose moisture if humidity is low. Water gain hastens setting; water loss lengthens setting time.
PROPERTIES OF ZINC PHOSPHATE CEMENT
a. Advantages. Some advantages of zinc phosphate cement as a cementing medium are:
o Inconspicuous appearance.
o Speed and ease of usage.
o Sufficient flow to form a thin layer for the cementing of closely adapted crowns, fixed partial dentures, and inlays.
o Low thermal conductivity beneath a metallic restoration.
b. Disadvantages. Some disadvantages of zinc phosphate cement as a cementing medium are:
o Low crushing strength that varies between 12,000 and 19,000 psi.
o Slight solubility in mouth fluids.
o Opaque material not suitable for visible surfaces.
c. Strength. The ratio of powder to liquid increases the strength of phosphate cements to a certain point. For this reason, the dental specialist must use as thick a mix as practical for the work being performed.
SETTING REACTIONS OF ZINC PHOSPHATE CEMENT
a. Chemical Reaction. The chemical reaction that takes place between the powder and liquid of setting phosphate cement produces heat. The amount of heat produced depends upon the rate of reaction, the size of the mix, and the amount of heat extracted by the mixing slab.
b. Powder to Liquid Ratio. The less powder used in ratio to the liquid, the longer the cement will take to harden. Good technique minimizes the rise in temperature and acidity of the setting cement that can injure the pulp. Generally, for increased strength, decreased shrinkage, and resistance to solubility, it is advisable to blend as much powder as possible to reach the desired consistencies.
c. Setting Time. The setting time of zinc phosphate cement is normally between 5 and 9 minutes.
Lower the temperature of the glass mixing slab to between 65° and 75° F (18° to 24° C), if the glass mixing slab is not already cooled below the temperature at which moisture will condense on it. → Blend the powder slowly. → Mix the powder over a large area of the cool slab. → Use a longer mixing time, within optimum limits.
Precautions. The following precautions should be observed.
o Prevent loss or gain of moisture in liquid cement by keeping bottles tightly stoppered.
o Dispense drops only when ready to mix.
o Use a cool, dry glass slab (65° to 75° F).
o Use the same brand of powder and liquid.
o Add increments of powder slowly.
o Use the maximum amount of powder to obtain the desired consistency.
(To incorporate the most powder, the material should be mixed with a moderate circular motion over a large area of the slab, turning the spatula often.)
FLUXING
To prevent oxidation of gold alloys during melting always use a reducing flux .
Boric acid & borax are used .
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