Principles of cutting, polishing, and surface cleaning

• Surface mechanics for materials

Cutting-requires highest possible hardness materials to produce cutting

Finishing-requires highest possible hardness materials to produce finishing, except at margins of restorations where tooth structure may be inadvertently affected

Polishing- requires materials with Mohs ./ hardness that is 1 to 2 units above that of substrate

 Debriding-requires materials with Mohs hardness that is less than or equal to that of substrate to prevent scratching

•    Factors affecting cutting, polishing. and surface cleaning
  • Applied pressure
  • Particle size of abrasive
  •  Hardness of abrasive
  •  Hardness of substrate
•      Precautions
  • During cutting heat will build up and change the mechanical behavior of the substrate from brittle to ductile and encourage smearing
  • Instruments may transfer debris onto the cut surface from their own surfaces during cutting, polishing, or cleaning operations (this is important for cleaning implant surfaces)

Model. Cast. and Die Materials

Applications
- Gold casting, porcelain and porcelain-fused–to metal fabrication procedures
- Orthodontic and pedodontic appliance construction
- Study models for occlusal records

Terms
a. Models-replicas of hard and soft tissues for study of dental symmetry
b. Casts-working replicas of hard and soft tissues for use in the fabrication of appliances or restorations
c. Dies :-  working replicas of one tooth (or a few teeth) used for the fabrication of a restoration
d. Duplicates-second casts prepared from original  casts

Classification by materials

a Models :- (model plaster or orthodontic stone; gypsum product)
b. Stone casts (regular stone; gypsum product)
c. Stone dies (diestone; gypsum product)-may electroplated
d. Epoxy dies (epoxy polymer)-abrasion-resistant dies

Physical reaction-cooling causes reversible hardening

Chemical reaction-irreversible reaction during setting

COMPOSITE RESINS

Components

• Filler particles-colloidal silica, crystalline silica (quartz), or silicates of various particle sizes (containing Li, AI, Zn, Yr)
• Matrix-BIS-GMA (or UDMA) with lower molecular weight diluents (e.g., TEGDMA) that correct during polymerization
• Coupling agent- silane that chemically bonds the surfaces of the filter particles to the polymer matrix

Mouth Protectors

Use - to protect against effects of blows to chin, top of the head, the face, or grinding of the teeth

Types

o    Stock protectors-least desirable because of poor fit
o    Mouth-formed protectors-improved fit compared with stock type
o    Custom-made protectors-preferred because of durability. low  speech impairment, and comfort

I. Components

a. Stock protectors-thermoplastic copolymer of PYA-PE (polyvinyl acetate-polyethylene copolymer)
b. Mouth-formed protectors-thermoplastic copolymer
c. Custom-made protectors- thermoplastic copolymer, rubber. or polyurethane
2. Reaction-physical reaction of hardening during cooling
3. Fabrication

Alginate impression made of maxillary arch. High-strength stone cast poured immediately. Thermoplastic material is heated in hot water and vacuum-molded to cast .

Mouth protector trimmed to within ½ inch of labial fold, clearance provided at the buccal and labial frena, and edges smoothed by flaming. Gagging, taste, irritation. and impairment of speech are minimized with properly fabricated appliances

4. Instructions for use

a. Rinse before and after use with cold water
b. Clean protector occasionally with soap and cool water
c. Store the protector  in a rigid container
d. Protect from heat and pressure during storage
e. Evaluate protector routinely for evidence of deterioration

Properties

1. Physical-thermal insulators
2. Chemical-absorbs after during use
3. Mechanical-tensile strength, modulus, and hardness decrease after  water absorption, but elongation, tear strength, and resilience increase
4. Biologic-nontoxic as long as no bacterial, fungal, or viral growth occurs on surfaces between uses