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Dental Materials

Impression Material

 

 

Materials

Type

Reaction

Composition

Manipulation

Initial setting time

 

Plaster

Rigid

Chemical

Calcuim sulfate hemihydrate, water

Mix P/L in bowl

3-5 min

 

Compound

Rigid

Physical

Resins, wax, stearic acid, and fillers

Soften by heating

 

Variable (sets on

cooling)

Zinc oxide-eugonel

Rigid

Chemical

Zinc oxide powder, oils, eugenol, and

resin

Mix pastes on pad

 

3-5 min

 

Agar-agar

Flexible

Physical

12-15% agar, borax, potassium sulfate,

and 85% water

Mix P/L in bowl

 

Variable (sets on

cooling)

 

alginate

Flexible

Chemical

Sodium alginate, calcium sulfate, retarders,

and 85% water

Mix P/L in bowl

 

4-5 min

 

Polysulfide

Flexible

Chemical

Low MW mercaptan polymer, fillers, lead

dioxide, copper hydroxide, or peroxides

Mix pastes on pad

 

5-7 min

 

Silicone

Flexible

Chemical

Hydroxyl functional dimethyl siloxane, fillers,

tin octoate, and orthoethyl silicate

Mix pastes on pad

 

4.5 min

 

Polyether

Flexible

Chemical

Aromatic sulfonic acid ester and polyether

with ethylene imine groups

Mix pastes on pad

 

2-4 min

 

Polyvinyl siloxane

Flexible

Chemical

Vinyl silicone, filler, chloroplatinic acid,

low MW silicone, and filler

Mix putty or use

two-component

mixing gun

 

4-5 min

 

 

 

 

Investment Materials

Investment is mold-making material

Applications

a. Mold-making materials for casting alloys
b. Mold-making materials for denture production

Classification

a. Gypsum-bonded investments (based on gypsum products for matrix)

b. Phosphate-bonded investments

c. Silicate-bonded investments

Components

a. Liquid-water or other reactant starts formation of matrix binder by reacting with reactant powder
b. Powder-reactant powder, filler, or modifiers

Manipulation

a. P/L mixed and placed in container around wax pattern
b. After setting, the investment is heated to eliminate the wax pattern in preparation for casting
 

COMPOSITE RESINS

Applications / Use

  • Anterior restorations for aesthetics (class III, IV, V, cervical erosion abrasion lesions)
  • Low-stress posterior restorations (small class I, II)
  • Veneers
  • Cores for cast restorations
  • Cements for porcelain restorations
  • Cements for acid-etched Maryland bridges
  • Repair systems for composites or porcelains

Polymerization--reaction of small molecules (monomers) into very large molecules (polymers)

Cross-linking-tying together of polymer molecules by chemical reaction between the molecules to produce a continuous three-dimensional network

Solution Liners (Varnishes)

Applications 

o    Enamel and dentin lining for amalgam restorations
o    Enamel and dentin lining for cast restorations that are used with non adhesive cements
o    Coating over materials that are moisture sensitive during setting

Components of copal resin varnish

o    90% solvent mixture (e.g., chloroform, acetone, and alcohol)
o    10% dissolved copal resin

Reaction
 
Varnish sets physically by drying → Solvent loss occurs in 5 to 15 seconds (a film forms the same way as drying fingernail polish)

Manipulation

Apply thin coat over dentin. enamel. And margins of the cavity preparation → Dry lightly with air for 5 seconds Apply a second thin coat → Final thickness is 1 to 5 µ.m

Properties

o    Physical 

Electrically insulating barrier that prevents shocks. Too thin to be thermally insulating. Decreases degree of percolation attributable to thermal expansion

o    Chemical

Forms temporary barrier that prevents microleakage into dentinal tubules until secondary dentin formation occurs. Decreases initial tendency for electrochemical corrosion

o     Mechanical

Very weak and brittle film that has limited lifetime 
Film adheres to smear layer

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.

Dental Solders

Applications-bridges and orthodontic appliances

Terms

Soldering -joining operation using filler metal that melts below 500° C

Brazing -joining operation using filler metal that melts above 500°C

Welding-melting and alloying of pieces to be joined

Fluxing
 -Oxidative cleaning of area to be soldered
 - Oxygen scavenging to prevent oxidation of alloy being soldered
16- 650 -- 650 fineness solder to be used with 16-karat alloys; fineness refers to the gold content

Classification

a. Gold solders-bridges
b. Silver solders-gold-substitute bridges and orthodontic alloys

Structure of gold solders

Composition-lower gold content than of alloys being soldered

Manipulation-solder must melt below melting temperature of alloy

Properties

1. Physical-similar to alloys being joined
2. Chemical-more prone to chemical and electrochemical corrosion
3. Mechanical-similar to alloy  being joined
4. Biologic-similar to alloys being joined
 

Structure of gypsum products

Components
 

a. Powder (calcium sulfate hemihydrate = CaSO4½H2O)
b. Water (for reaction with powder and dispersing powder)

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