Talk to us?

- NEETMDS- courses
NEET MDS Lessons
Dental Materials

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%)

Lost Wax Process

The lost wax casting process is widely used as it offers asymmetrical casting withnvery fine details to be manufactured relatively inexpensively. The process involves producing a metal casting using a refractory mould made from a wax replica pattern.
The steps involved in the process or the lost wax casting are:

1 . Create a wax pattern of the missing tooth / rim
2 . Sprue the wax pattern
3 . Invest the wax pattern
4 . Eliminate the wax pattern by burning it (inside the furnace or in hot water). This will create a mould.
5 . Force molten metal into the mould - casting.
6 . Clean the cast.
7 . Remove sprue from the cast
8 . Finish and polish the casting on the die .

The lost-wax technique is so named because a wax pattern of a restoration is invested in a ceramic material, then the pattern is burned out ("lost") to create a space into which molten metal is placed or cast. The entire lost-wax casting process . 

Wax pattern removal:

Sprue former can be used to remove the pattern. If not the pattern is removed with a sharp probe. Then the sprue former is attached to it. The pattern should be removed directly in line with the principle axis of the tooth or the prepared cavity. Any rotation of the pattern will distort it. Hollow sprue pin is advisable because of its greater retention to the pattern.

Denture Liners

Use - patients with soft tissue irritation

Types

Long-term liners (soft liners)-used over a period of months for patients with severe undercuts or continually sore residual ridges

Short-term liners (tissue conditioners)-used to facilitate tissue healing over several days

Structure

Soft liners-plasticized acrylic copolymers or silicone rubber

Tissue conditioners-PEMA plasticized with ethanol and aromatic esters

Properties

Liners flow under low pressure, allowing adaptation to soft tissues, but are elastic during chewing forces. 
Low initial hardness, but liner becomes  harder as plasticizers are leached out during intraoral use 
Some silicone rubber liners support growth of yeasts
 

INVESTING
Mixing investment with distilled water is done according to the manufacturers ratio in a clean dry bowl without entrapment of the air into the mix.

Mixing methods:
a.    Hand mixing and the use of the vibrator to remove air bubbles.
b.    Vacuum mixing- This is the better method because it removes air bubbles as well as gases that are produced and thus produces a smoother mix.


Methods of investing:
a.    Hand investing
b.    Vacuum investing

Hand investing:

First the mixed investment is applied on all the surfaces of the pattern with a soft brush. Blow off any excess investment gently, thus leaving a thin film of investment over the pattern, then apply again.
Then the coated pattern can be invested by two methods;
1. Placing the pattern in the ring first and then filling the ring full with investment.
2. Filling the ring with the investment first and then force the pattern through into it.

Vacuum investing :

Vacuum investing unit: This consists of the chamber of small cubic capacity from which air can be evacuated quickly and in which casting ring can be placed.
Evacuation of air can be done by electrically or water driven vacuum pump.

Procedure:

The ring filled with investment is placed in the vacuum chamber. Air entry tube is closed. Then the vacuum is applied. The investment will rise with froth vigorously for about 10-15 sec and then settles back. This indicates that air has been extracted from the ring. The pressure is now restored to atmospheric by opening the air entry tap gradually at first and then more rapidly as the investment settles back around the pattern. Then the ring is removed from the chamber and the investment is allowed to set. Modern investing unit does both mixing and investing under vacuum and is considered better than hand mixing and pouring.
Then there are two alternatives to be followed depending upon what type of expansion is to be achieved in order to compensate for metal shrinkage. They are:

1. If hygroscopic expansion of the investment is to be achieved then immediately immerse the filled ring in water at the temperature of 37C.
Or “under controlled water adding technique”. A soft flexible rubber ring is used instead of usual lined metal ring. Pattern is invested as usual. Then specified amount of water is added on top of the investment in the rubber ring and the investment is allowed to set at room temperature. In this way only enough water is added to the investment to provide the desired expansion.

2. If thermal expansion of the investment is to be achieved, then investment is allowed to set by placing the ring on the bench for 1 hour or as recommended by the manufacturer.

WETTABILITY
To minimise the irregularities on the investment & the casting a wetting agent can be used .

FUNCTIONS OF A WETTING AGENT

1 . Reduce contact angle between liquid & wax surface .
2 .Remove any oily film left on wax pattern .

Explore by Exams