NEET MDS Lessons
Dental Materials
Cement liners
Applications (if remaining dentin thickness is <0.5 mm)
o Used for thermal insulation where cavity preparation is close to the pulp
o Used for delivering medicaments to the pulp
• Calcium hydroxide stimulates reparative dentin or
• Eugenol relieves pain by desensitizing nerves
• Used to deliver F ion to enamel and dentin
Components
o Paste of calcium hydroxide reactant powder, ethyl toluene sulfonamide dispersant, zinc oxide filler, and zinc stearate radiopacifier
o Paste of glycol salicylate reactant liquid, titanium dioxide filler powder, and calcium tungstenate radiopacifier
Reaction
Chemical reaction of calcium ions with salicylate to form methylsalicylate salts Moisture absorbed to allow calcium hydroxide to dissociate into ions to react with salicylate Mixture sets from outside surface to inside as water diffuses
Manipulation
Dentin should not be dehydrated or material will not setMix drop of each paste together for 5 secondsApply material to dentin and allow I to 2 minutes to set
Properties
o Physical-good thermal and electrical insulator
o Chemical-poor resistance to water solubility and may dissolve
o Mechanical-low compressive strength (100 to 500 psi)
o Biologic-releases calcium hydroxide constituents, which diffuse toward the pulp and stimulate
o reparative dentin formation
RINGLESS INVESTMENT TECHNIQUE
Used for phosphate bonded investments .
This method uses paper or plastic casting ring .
It is designed to allow urestricted expansion .
Useful for high melting alloys .
Physical reaction-cooling causes reversible hardening
Chemical reaction-irreversible reaction during setting
Mercury hygiene
- Do not contact mercury with skin
- Clean up spills to minimize mercury vaporization
- Store mercury or precapsulated products in tight containers
- Only triturate amalgam components-in tightly- sealed capsules
- Use amalgam with covers
- Store spent amalgam under water or fixer in a tightly sealed jar
- Use high vacuum suction during amalgam alloy placement, setting, or removal when mercury may be vaporized
- Polishing amalgams generally causes localized melting of silver-mercury phase with release of mercury vapor, so water cooling and evacuation must be used
ZINC OXIDE AND EUGENOL
This material is used for many dental purposes ranging from temporary restorative material to pulp capping. The material is composed of a powder that is basically zinc oxide and a liquid that is called eugenol.
Chemical Composition.
The powder must contain between 70 and 100 percent zinc oxide. The manufacturer may add hydrogenated resins to increase strength and zinc acetate to hasten the set.
Eugenol is usually derived from oil of cloves. The oil of cloves contains more eugenol (82 percent) Eugenol is an obtundent (pain-relieving agent). It is a clear liquid that gradually changes to amber when exposed to light.
Physical Properties.
This material relieves pain, makes tissue less sensitive to pain, is slightly antiseptic, and is low in thermal conductivity. It provides a good marginal seal when placed in tooth cavities. The crushing strength (compression strength) of pure zinc oxide and eugenol is about 2,000 psi, which is low in comparison to other cements. The addition of hydrogenated resin increases the crushing strength to 5,000 psi.
CLINICAL USES OF ZINC OXIDE AND EUGENOL
Treatment Restoration. It helps prevent pulpal irritation in carious teeth, lost restorations, advanced caries, or pulpitis. This dental material also exerts a palliative effect on the pulp.
Temporary Cementing Medium. Zinc oxide and eugenol is used as a temporary cementing medium for crowns, inlays, and fixed partial dentures.
Intermediate Base. Zinc oxide and eugenol is used as an intermediate base. This material provides insulation between metallic restorations and vital tooth structure. Because of the low crushing strength, its use is sometimes contraindicated.
Surgical Packing or Dressing. The surgical dressing applied and adapted over the gingival area after a gingivectomy. This dressing protects the area and makes the tissue less sensitive.
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
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