NEET MDS Lessons
Dental Materials
Reaction
PMMA powder makes mixture viscous for manipulation before curing. Chemical accelerators cause decomposition of benzoyl peroxide into free radicals that initiate polymerization of monomer
New PMMA is formed into a matrix that surrounds PMMA powder. Linear shrinkage of 5% to 7% during setting. but dimensions of appliances are not critical
PFM Alloys
Applications-substructures for porcelain-fused-to-metal crowns and bridges
Classification
o High-gold alloys
o Palladium-silver alloys
o Nickel-chromium alloys
Structure
Composition
o High-gold alloys are 98% gold. platinum. And palladium
o Palladium-silver alloys are 50% to 60% palladium and 30 to 40% silver
o Nickel-chromium alloys are 70% to 80% nickel and 15% chromium with other metals
Manipulation
o Must have melting temperatures above that of porcelains to be bonded to their surface
o More difficult to cast (see section on chromium alloys)
Properties - Physical
Except for high-gold alloys, others are less dense alloys
Alloys are designed to have low thermal expansion coefficients that must be matched to the overlying porcelain
Chemical-high-gold alloys are immune, but others passivate
Mechanical-high modulus and hardness
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%)
Wax elimination (burnout):
Wax elimination or burnout consists of heating the investment in a thermostatically controlled furnace until all traces of the wax are vaporized in order to obtain an empty mold ready to receive the molten alloy during procedure.
• The ring is placed in the furnace with the sprue hole facing down to allow for the escape of the molten wax out freely by the effect of gravity .
• The temperature reached by the investment determines thethermal expansion. The burnout temperature is slowly increased in order to eliminate the wax and water without cracking the investment.
•For gypsum bonded investment, the mold is heated to650 -6870 c )to cast precious and semiprecious
precious alloys.
• Whereas for phosphate-bonded investment, the mold is heated up to 8340 c to cast nonprecious alloys at high fusing temperature.
The ring should be maintained long enough at the maximum temperature (“heat soak”) to minimize a sudden drop in temperature upon removal from the oven. Such a drop could result in an incomplete casting because of excessively rapid solidification of thealloy as it enters the mold.
• When transferring the casting ring to casting, a quick visual check of the sprue in shaded light is helpful to see whether it is properly heated. It should be a cherry-red color .
WAX BURNOUT AND HEATING THE RING
After the investment has set hard, the crucible former and the metal sprue former is removed carefully, and any loose particles at the opening of the sprue hole are removed with small brush.
The purpose of the wax burnout is to make room for the liquid metal. The ring is placed in the oven at 250C with the sprue end down, thus allowing the melted wax to flow, out for 30min or even up to 60min may be a good procedure to ensure complete elimination of the wax and the carbon.
Heating the ring: The object is to create a mold of such dimension, condition and temperature so that it is best suited to receive the metal.
Hygroscopic Low-Heat Technique.
After the wax elimination the temperature of the same furnace can be set to a higher temperature for heating or else, the ring can be transferred to another furnace, which has already set to the higher temperature. In any case accurate temperature control is essential and therefore these furnaces have pyrometer and thermocouple arrangement. The ring is placed in the furnace with the sprue hole down and heated to 500C and kept at this temperature for 1 hour. In this low heat technique the thermal expansion obtained is less but together with the previously obtained hygroscopic expansion the total expansion amounts to 2.2 percent, which is slightly higher than what is required for gold alloys.
So this technique obtains its compensation expansion from three sources:
(1) The 37º C water bath expands the wax pattern
(2) The warm water entering the investment mold from the top adds some hygroscopic expansion
(3) The thermal expansion at 500' C provides the needed thermal expansion.
High-Heat Thermal Expansion Technique.
After the wax elimination, the ring should be placed in the furnace which is at room temperature and then the temperature is gradually raised, until it comes to 700C in 1 hour. Then the ring is heat soaked at this temperature for ½ hour. This slow rise in temperature is necessary to prevent
This approach depends almost entirely on high-heat burnout to obtain the required expansion, while at the same time eliminating the wax pattern. Additional expansion results from the slight heating of gypsum investments on setting, thus expanding the wax pattern, and the water entering the investment from the wet liner, which adds a small amount of hygroscopic expansion to the normal setting expansion.
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
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
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