NEET MDS Lessons
Dental Materials
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.
Properties of Acrylic Resins.
- They have a low thermal conductivity. These resins are not easily washed out by the acids of the oral cavity (low solubility). Acrylic resins are also resilient, which allows them to be used in stress-bearing areas.
- Acrylic resins exhibit a moderate shrinkage of from 3 to 8 percent. This shrinkage and low marginal strength can lead to marginal leakage. Acrylic resins have a low resistance to wear. Acrylic resins cannot be used over a zinc oxide and eugenol-type base because eugenol interferes with the acrylic curing process.
- Mixing. Insufficient mixing will cause an uneven color or streaks in the mixture. Overmixing will cause the material to harden before it can be placed
- Poor distortion resistance at higher temperatures, therefore dentures should not be cleaned in hot water
- Good resistance to color change
- Absorbs water and must be kept hydrated (stored in water when not in mouth) to prevent dehydration cycling and changes in dimensions
- Not resistant to strong oxidizing agents
- Low strength; however, flexible, with good fatigue resistance
- Poor scratch resistance; clean tissue-bearing surfaces of denture with soft brush and do not use abrasive cleaners
Properties of Amalgam.
The most important physical properties of amalgam are
- Coefficient of thermal expansion = 25-1 >ppm/ C (thus amalgams allow percolation during temperature changes)
- Thermal conductivity-high (therefore, amalgams need insulating liner or base in deep restorations)
- Flow and creep. Flow and creep are characteristics that deal with an amalgam undergoing deformation when stressed. The lower the creep value of an amalgam, the better the marginal integrity of the restoration. Alloys with high copper content usually have lower creep values than the conventional silver-tin alloys.
Dimensional change. An amalgam can expand or contract depending upon its usage. Dimensional change can be minimized by proper usage of alloy and mercury. Dimensional change on setting, less than ± 20 (excessive expansion can produce post operative pain)
- Compression strength. Sufficient strength to resist fracture is an important requirement for any restorative material. At a 50 percent mercury content, the compression strength is approximately 52,000 psi. In comparison, the compressive strength of dentin and enamel is 30,000 psi and 100,000 psi, respectively. The strength of an amalgam is determined primarily by the composition of the alloy, the amount of residual mercury remaining after condensation, and the degree of porosity in the amalgam restoration.
- Electrochemical corrosion produces penetrating corrosion of low-copper amalgams but only produces superficial corrosion of high copper amalgams, so they last longer
- Because of low tensile strength, enamel support is needed at margins
- Spherical high-copper alloys develop high tensile strength faster and can be polished sooner
- Excessive creep is associated with silver mercury phase of low-copper amalgams and contributes to early marginal fracture
- Marginal fracture correlated with creep and electrochemical corrosion in low-copper amalgams
- Bulk fracture (isthmus fracture) occurs across thinnest portions of amalgam restorations because of high stresses during traumatic occlusion and/or the accumulated effects of fatigue
- Dental amalgam is very resistant to abrasion
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-improve with filler content
Physical
Radiopacity depends on ions in silicate glass or the addition of barium sulfate (many systems radiolucent)
Coefficient of thermal expansion is 35 to 45 ppm/C and decreases with increasing filler content
Thermal and electrical insulators
Chemical
Water absorption is 0.5 % to 2.5% and increases with polymer level)
Acidulated topical fluorides (e.g., APF) tend to dissolve glass particles, and thus composites should be protected with petroleum jelly (Vaseline) during those procedures
Color changes occur in resin matrix with time because of oxidation, which produces colored by-products
Mechanical
Compressive strength is 45,000 to 60,000 lb/ in2, which is adequate
Wear resistance-improves with higher filler content, higher percentage of conversion in curing, and use of microfiller, but it is not adequate for some posterior applications
Surfaces rough from wear retain plaque and stain more readily
Biologic
Components may be cytotoxic, but cured composite is biocompatible as restorative filling material
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
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 .