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.
Casting Alloys
Applications-inlay, onlay, crowns, and bridges
Terms
a. Precious-based on valuable elements
b. Noble or immune-corrosion-resistant element or alloy
c. Base or active-corrosion-prone alloy
d. Passive -corrosion resistant because of surface oxide film
e. Karat (24 karat is 100% gold; 18 karat is 75% gold)
f. Fineness (1000 fineness is I00% gold; 500 fineness is 50% gold)
Classification
High-gold alloys are > 75% gold or other noble metals
Type 1- 83% noble metals (e.g., in simple inlays)
Type II-≥78% noble metals (e.g.,in inlays and onlays)
Type IlI-≥75% noble metals (e.g., in crowns and bridges)
Type IV-≥75% noble metals (e.g., in partial dentures)
Medium-gold alloys are 25% to 75% gold or other noble metals
Low-gold alloys are <25% gold or other noble metals
Gold-substitute alloys arc alloys not containing gold
(1) Palladium-silver alloys-passive .because of mixed oxide film
(2) Cobalt-chromium alloys-passive because of Cr203 oxide film
(3) Iron-chromium alloys-passive because of Cr203 oxide film
Titanium alloys are based on 90% to 100% titanium ; passive because of TiO2 oxide film
Components of gold alloys
- Gold contributes to corrosion resistance
- Copper contributes to hardness and strength
- Silver counteracts orange color of copper
- Palladium increases melting point and hardness
- Platinum increases melting point
- Zinc acts as oxygen scavenger during casting
Manipulation
- Heated to just beyond melting temperature for casting
o Cooling shrinkage causes substantial contraction
Properties
Physical
- Electrical and thermal conductors
- Relatively low coefficient of thermal expansion
Chemical
- Silver content affects susceptibility to tarnish
- Corrosion resistance is attributable to nobility or passivation
Mechanical
- High tensile and compressive strengths but relatively weak in thin sections, such as margins, and can be deformed relatively easily
- Good wear resistance except in contact with Porcelain
Gypsum Products
|
Characteristics |
Plaster |
Stone |
Diestone |
|
Chemical Name |
Beta-Calcium Sulfate hemihydrate |
Alpha-Calcium sulfate hemihydrate |
Alpha-Calcium sulfate hemihydrate |
|
Formula |
CaSO4 – ½ H2O |
CaSO4 – ½ H2O |
CaSO4 – ½ H2O |
|
Uses |
Plaster Models ,Impression Plasters |
Cast Stone, Investment |
Improved Stone, diestone |
|
Water(W) Reaction Water Extra Water Total water Powder (P) W/P Ratio |
18ml 32ml 50ml 100g 0.50 |
18ml 12ml 30ml 100g 0.30 |
18ml 6ml 24ml 100g 0.24 |
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.)
Denture Teeth
Use-complete or partial dentures
Type
a. Porcelain teeth
b. Acrylic resin teeth
c. Abrasion-resistant teeth (microfilled composite)
Structure and properties
1. Porcelain teeth (high-fusing porcelain)
Only bonded into denture base mechanically. Harder than natural teeth or other restorations and abrades those surfaces. Good aesthetics.Used when patients have good ridge support and sufficient room between the arches
2. Acrylic resin teeth (PMMA [polymethyl methacrylate])
Bonded pseudochemically into the denture base. Soft and easily worn by abrasive foods . Good initial aesthetics
Used with patients with poor ridges and in cases where they oppose natural teeth
3. Abrasion-resistant teeth (microfilled resins)
Bonded pseudochemically into the denture base.Better abrasion resistance then acrylic resin teeth
Applications/Use
- Load -bearing restorations for posterior teeth (class I, II)
- Pinned restorations
- Buildups or cores for cast restorations
- Retrograde canal filling material
(1) Alloy. An alloy is a solid mixture of two or more metals. It is possible to produce a material in which the desirable properties of each constituent are retained or even enhanced, while the less desirable properties are reduced or eliminated.
(2) Amalgam. When one of the metals in an alloy mixture is mercury, an amalgam is formed. A dental amalgam is a combination of mercury with a specially prepared silver alloy, which is used as a restorative material.
(3) Mercury. Mercury is a silver-white, poisonous, metallic element that is liquid at room temperature
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 .