Manipulation

Mixing

o    P/L types mixed in bowl (plaster and alginate)
o    Thermoplastic materials not mixed (compound and agar-agar)
o    Paste/paste types hand mixed on pad (zinc oxide-eugenol, polysulfide rubber, silicone rubber, polyether rubber. and poly-vinylsiloxane)
o    Paste/paste mixed through a nozzle on an auto-mixing gun (poly-vinylsiloxane)

Placement

o    Mixed material carried in tray to mouth (full arch tray, quadrant tray. or triple tray)
o    Materials set in mouth more quickly because of higher temperature

Removal - rapid removal of impression encourages deformation to take place elastically rather than permanently (elastic deformation requires about 20 minutes)

Cleaning and disinfection of impressions 

Introduction

The science of dental materials involves a study of the composition and properties of materials and the way in which they interact with the environment in which they are placed

Selection of Dental materials

The process of materials selection should ideally follow a logical sequence involving

(1) analysis of the problem,

(2) consideration of requirements,

(3) consideration of available materials and their properties, leading to

(4) choice of material.

Evaluation of the success or failure of a material may be used to influence future decisions on materials selection.

Properties of Amalgam.

The most important physical properties of amalgam are

• Coefficient of thermal expansion = 25-1 >ppm/ C (thus amalgams allow percolation during temperature changes)

• Thermal conductivity-high (therefore, amalgams need insulating liner or base in deep restorations)
• Flow and creep. Flow and creep are characteristics that deal with an amalgam undergoing deformation when stressed. The lower the creep value of an amalgam, the better the marginal integrity of the restoration. Alloys with high copper content usually have lower creep values than the conventional silver-tin alloys.

 Dimensional change. An amalgam can expand or contract depending upon its usage. Dimensional change can be minimized by proper usage of alloy and mercury. Dimensional change on setting, less than ± 20 (excessive expansion can produce post operative pain)

•  Compression strength. Sufficient strength to resist fracture is an important requirement for any restorative material. At a 50 percent mercury content, the compression strength is approximately 52,000 psi. In comparison, the compressive strength of dentin and enamel is 30,000 psi and 100,000 psi, respectively. The strength of an amalgam is determined primarily by the composition of the alloy, the amount of residual mercury remaining after condensation, and the degree of porosity in the amalgam restoration.
• Electrochemical corrosion produces penetrating corrosion of low-copper amalgams but only produces superficial corrosion of high copper amalgams, so they last longer

• Because of low tensile strength, enamel support is needed at margins

• Spherical high-copper alloys develop high tensile strength faster and can be polished sooner
• Excessive creep is associated with silver mercury phase of low-copper amalgams and contributes to early marginal fracture
• Marginal fracture correlated with creep and electrochemical corrosion in low-copper amalgams
• Bulk fracture (isthmus fracture) occurs across thinnest portions of amalgam restorations because  of high stresses during traumatic occlusion and/or the accumulated effects of fatigue
• Dental amalgam is very resistant to abrasion

ZINC OXIDE AND EUGENOL 

This material is used for many dental purposes ranging from temporary restorative material to pulp capping. The material is composed of a powder that is basically zinc oxide and a liquid that is called eugenol.

Chemical Composition.

The powder must contain between 70 and 100 percent zinc oxide. The manufacturer may add hydrogenated resins to increase strength and zinc acetate to hasten the set. 

Eugenol is usually derived from oil of cloves. The oil of cloves contains more eugenol (82 percent) Eugenol is an obtundent (pain-relieving agent). It is a clear liquid that gradually changes to amber when exposed to light. 

Physical Properties. 
This material relieves pain, makes tissue less sensitive to pain, is slightly antiseptic, and is low in thermal conductivity. It provides a good marginal seal when placed in tooth cavities. The crushing strength (compression strength) of pure zinc oxide and eugenol is about 2,000 psi, which is low in comparison to other cements. The addition of hydrogenated resin increases the crushing strength to 5,000 psi. 

CLINICAL USES OF ZINC OXIDE AND EUGENOL 

Treatment Restoration. It helps prevent pulpal irritation in carious teeth, lost restorations, advanced caries, or pulpitis. This dental material also exerts a palliative effect on the pulp. 

Temporary Cementing Medium. Zinc oxide and eugenol is used as a temporary cementing medium for crowns, inlays, and fixed partial dentures. 

Intermediate Base. Zinc oxide and eugenol is used as an intermediate base. This material provides insulation between metallic restorations and vital tooth structure. Because of the low crushing strength, its use is sometimes contraindicated. 

Surgical Packing or Dressing. The surgical dressing applied and adapted over the gingival area after a gingivectomy. This dressing protects the area and makes the tissue less sensitive. 
 

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%)