2. Amalgam Flashcards

1
Q
  1. What are five reasons supporting the use of amalgam in restorations?
A
  1. Inexpensive
  2. Ease of use
  3. Proven track record (>100 years)
  4. Familiarity
  5. Resin-free (results in less allergies than composite)
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2
Q
  1. What are two reasons as to why Copper (Cu) is a component of amalgam?
A
  1. Ties up tin (reducing gamma-2 formation)

2. Reduces creep (less marginal deterioration)

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3
Q
  1. What is one reason as to why Zinc (Zn) is using during the manufacture of amalgam?

What downside is there to the use of Zinc?

A

It is a deoxidizer - decreases oxidation of other elements (acts as a sacrificial anode)

Downside - can result in delayed expansion

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4
Q
  1. The basic composition of amalgam consists of “filler (bricks)” and a “matrix”. What two chemicals comprise the “matrix”?
A
  1. Ag2Hg3 - Gamma 1 (acting as the cement)

2. Sn8Hg - Gamma 2 (forms voids and is the weakest part of an amalgam)

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5
Q
  1. Describe the alloy structure of single composition high-copper alloys
A

Gamma (γ) sphere with epsilon (ε) coating
γ: Ag3Sn
ε: Cu3Sn

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6
Q
  1. In single composition high-copper alloys, what elements will dissolve in mercury (Hg)?

(Reminder: Gamma (γ) sphere with epsilon (ε) coating
γ: Ag3Sn
ε: Cu3Sn)

A

Ag and Sn both dissolve in Hg

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7
Q
  1. Write the chemical reaction that single composition high-copper alloys undergo?
A

Ag3Sn (γ) + Cu3Sn (ε) + Hg ->
Ag3Sn (γ) + Cu3Sn (ε) + Ag2Hg3 (γ1) + Cu6Sn5 (ŋ)

Note: As Ag and Sn dissolve out of the alloys and into the mercury solution, both (γ1) and (ŋ) are formed. This is what prevents creep. Notice also that gamma-2 (Sn8Hg) is not being made because it is being tied up in the formation of (ŋ) Cu6Sn5.

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8
Q
  1. What is one difference between Single Composition Spherical amalgam (SCS) with Single Compositio Lathe-cut amalgam (SCL) in regards to condensation force and size of condenser used?
A

SCS requires less condensation force, but requires the use of a larger condenser

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9
Q
  1. Do high-copper amalgams undergo dimensional change (contraction)?
A

Yes, most high-copper amalgams undergo a net contraction resulting in a marginal gap

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10
Q
  1. What accounts for the post-operative sensitivity that may be present after an amalgam restoration? How is this issue reduced over the life of the amalgam restoration?
A

Post-Op sensitivity: Due to formation of marginal gap which results in initial leakage

Over the life of the amalgam corrosion will decrease the marginal gap

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11
Q
  1. What three factors can lead to dimensional change (marginal gap) in amalgam restorations?
    - Alloys
    - Condensation
    - Trituration
A
  1. Type of alloy used - spherical alloys have more contraction due to less mercury
  2. Condensation technique (greater condensation = higher contraction)
  3. Trituration time (overtrituration = higher contraction)
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12
Q
  1. Do amalgams have higher compressive or tensile strength?
A

Compressive&raquo_space; Tensile

Thin sections of amalgam are weak and can fracture

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13
Q
  1. What are the two effects that corrosion can have on an amalgam restoration?
A
  1. Reduction in strength
  2. Margins will become better sealed - time frame will change based on whether low copper (6 months /w gamma-2 phase) or high copper (6-24 months w/ eta phase (Cu6Sn5))
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14
Q
  1. What does amalgam creep correlate with?

What percentage of copper in high-copper amalgams is required in order to prevent amalgam creep?

A

Marginal breakdown

12% Copper will prevent the gamma-2 phase and reduce the creep rate

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15
Q
  1. Overtrituration
    - Signs of overtrituration?
    - How does overtrituration affect working/setting time?
    - How does overtrituration affect setting contraction?
A

Signs: “hot” mix - sticks to capsule

Decreases working/setting time

Slight increase in setting contraction

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16
Q
  1. What are the signs of undertrituration?
A

Grainy, crumbly mix

17
Q
  1. How does condensation reduce creep?
A

It reduces residual Hg in restoration