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Dental Materials - NEETMDS- courses
NEET MDS Lessons
Dental Materials

Temporary Filling Materials

Applications / Use

While waiting for lab fabrication of cast restoration
While observing reaction of pulp tissues


Objectives

Provide pulpal protection
Provide medication to reduce pulpal inflammation
Maintain the tooth position with an aesthetic restoration

Classification

Temporary filling cements
Temporary filling resins


Components

Temporary filling cements

1. Zinc oxide-eugenol cement with cotton fibers added
2. Polyme r powder-reinforced zinc oxide eugenol cement

Temporary filling resins

•    MMA / PMMA filling materials
•    Polyamide filling materials
•    BIS-GMA filling materials
 

PHYSICAL PROPERTIES OF MATERIALS

Definite and precise terms are used to describe the physical properties of dental materials.

a. Hardness. Hardness is the measure of the resistance of a metal to indentation or scratching. It is an indication of the strength and wearability of an alloy or metal.

b. Ductility. Ductility is the measure of the capacity of a metal to be stretched or drawn by a pulling or tensile force without fracturing. This property permits a metal to be drawn into a thin wire.

c. Malleability. Malleability is the measure of the capacity of a metal to be extended in all directions by a compressive force, such as rolling or hammering. This property permits a metal to be shaped into a thin sheet or plate.

d. Flexibility and Elasticity. These terms differ in their technical definition but they are very closely related. Flexibility is the characteristic of a metal, which allows it to deform temporarily. The elasticity of a metal is used when it returns to its original shape when the load or force is removed.

e. Fatigue. Fatigue is the property of a metal to tire and to fracture after repeated stressing at loads below its proportional limit.

f. Structure (Crystalline or Grain Structure). Metals are crystalline and many of their physical properties depend largely upon the size and arrangement of their minute crystals called grains.

(1) Grain size. The size of the grains in a solidified metal depends upon the number of nuclei of crystallization present and the rate of crystal growth. In the practical sense, the faster a molten is cooled to solidification, the greater will be the number of nuclei and the smaller will be the grain size. Generally speaking, small grains arranged in an orderly fashion give the most desirable properties.

(2) Grain shape. The shape of the grains is also formed at the time of crystallization. If the metal is poured or forced into a mold before cooling, the grains will be in a flattened state. Metal formed by this method is known as cast metal. If the metal is shaped by rolling, bending, or twisting, the grains are elongated and the metal becomes a wrought wire.

g. Crushing Strength. Crushing strength is the amount of resistance of a material to fracture under compression.

h. Thermal Conductivity. Thermal conductivity is defined as the ability of a material to transmit heat or cold. A low thermal conductivity is desired in restorative materials used on the tooth whereas a high thermal conductivity is desirable where the material covers soft tissue.

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

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.

I . Procedure for single casting :

A 2.5 mm sprue former is recommended
for molar crowns 2.0 mm for premolars & partial coverage crowns .

II . Procedure for multiple casting :

Each unit is joined to a runner bar .

A single sprue feeds the runner bar

4 . SPRUE FORMER DIRECTION
Sprue Should be directed away from the delicate parts of the pattern
It should not be at right angles to a flat surface .(leads to turbulance  porosity .)
Ideal angulation is 45 degrees .

5 . SPRUE FORMER LENGTH

Depends on the length of casting ring .. Length of the Sprue former should be such that it keeps the wax pattern about 6 to 8 mm away from the casting ring. Sprue former should be no longer than 2 cm. The pattern should be placed as close to the centre of the ring as possible.

Significance

Short Sprue Length:

The gases cannot be adequately vented to permit the molten alloy to fill the ring completelyleading to Back Pressure Porosity.

Long Sprue Length:

Fracture of investment, as mold will not withstand the impact force of the entering molten alloy.

Top of wax should be adjusted for :

6 mm for gypsum bonded investments .

3 -4 mm for phosphate bonded investments .
TYPES OF SPRUES

I . - Wax . II . Solid

- Plastic . Hollow
- Metal .

METALLURGICAL TERMS

a. Cold Working. This is the process of changing the shape of a metal by rolling, pounding, bending, or twisting at normal room temperature.

b. Strain Hardening. This occurs when a metal becomes stiffer and harder because of continued or repeated application of a load or force. At this point, no further slippage of the atoms of the metal can occur without fracture.

c. Heat Softening Treatment (Annealing). This treatment is necessary in order to continue manipulating a metal after strain hardening to prevent it from fracturing. The process of annealing consists of heating the metal to the proper temperature (as indicated by the manufacturer's instructions) and cooling it rapidly by immersing in cold water. Annealing relieves stresses and strains caused by cold working and restores slipped atoms within the metal to their regular arrangement.

d. Heat Hardening Treatment (Tempering). This treatment is necessary to restore to metals properties that are decreased by annealing and cold working. Metals to be heat hardened should first be heat softened (annealed) so that all strain hardening is relieved and the hardening process can be properly controlled. Heat hardening is accomplished in dental gold alloy by heating to 840o Fahrenheit, allowing it to cool slowly over a 15-minute period to 480o Fahrenheit, and then immersing it in water.

Stages of manipulation

Definitions of intervals

  • Mixing interval-length of time of the mixing stage.
  • Working interval-length of time of the working stage
  •  Setting interval-length of time of the setting stage

Definitions of times

  • Mixing time-the elapsed time from the onset to the completion of mixing
  • Working time-the elapsed time from the onset of mixing until the onset of the initial setting time
  • Initial setting time-time at which sufficient reaction has occurred  to cause the materials to be resistant to  further manipulation
  • Final setting time-time at which the material practically is set as defined by its resistance to indentation

[All water-based materials lose their gloss at the time of setting]

Suspension liners

Applications

o    Dentin lining under amalgam restorations
o    Stimulation of reparative dentin formation

Components

-Calcium hydroxide powder
-Water
-Modifiers

Manipulation

Used as W/P or pastes Paint thin film on dentin → Use forced air for 15 to 30 seconds to dry → Film is thicker (15 µm) than varnishes → Do not use on enamel or cavosurface margins

Properties

Physical

-Electrically insulating barrier
-Too thin to be thermally insulating

Chemical

-High basicity for calcium hydroxide (pH is II)
-Dissolves readily in water and should not be used at exposed cavosurface margins or gaps may form

Mechanical - weak film

Biologic - calcium hydroxide dissolves, diffuses, and stimulates odontoblasts to occlude dentin tubules below cavity preparation
 

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