2. Failure of dental materials 1 Flashcards
What are the 3 classes of materials used?
REDO LAST 10 MIN OF LEC + IMPROVE FLASHCARDS)
- metals
- polymer
- ceramic
(composites are also used = mix of 2 EG. metal + polymer)
Restorative materials are subjected to a
harsh oral environment/ conditions
What are some of these conditions
max occlusal forces range from?
200-3500N
first and second molars and incisors force range?
- First & second molars~ 400-800N
- Incisal forces~ 150-300N
TOOTH STRUCTURE RECAP
Why is it important to understand native tissues?
- important to understand native tissue to try and match properties during restoraions and replacement
TOOTH STRUCTURE RECAP
- Enamel and dentine key features
- rods have hexagonal shape and provide rigidity to enamel
DENTINE
- crystals are much samller, hecne softer than enamel
- acid etch remove smear layer and reveals high energy surface - much more challenging in dentine then enamel
ENAMEL
- Overall structure?
(Rod structure)
• Highly mineralized crystalline structure
• Enamel is made up of rods or prisms, and rod sheaths and a cementing inter-rod substance in some areas
- rods have hexagonal shape and provide rigidity to enamel
• Rods run from DEJ (dentinoenamel junction – interface of dentin and enamel) to the external surface of the tooth. Rods: 4-8μm diameter
• Rods are intertwined, densely packed and run a wavy course approximately perpendicular to the DEJ.
ENAMEL
LARGEST MINERAL CONSTITUENT AND %?
- hydroxyapatite (HA)
- present 90-92% by volume
ENAMEL STRUCTURE
Inorganic and ORGANIC MATTER % WEIGHT
organic = 1-2% by weight
Inorganic = 95-98% by weight
DENTINE STRUCTURE
% Composition and of what?
- 70% mineral and acellular, has hydroxyapatite crystals
- 30% organic content as water, collagen and mucopolysaccharides
DENTINE STRUCTURE
(Dentinal tubules number)
- main structure is = dentinal tubule, which extends from the external surface to the pulp
- approximately 30,000 - 40,000 tubules per square millimetre, which can transmit pain to the pulp if the dentine is exposed
DENTINE STRUCTURE
1
why is denting softer than enamel?
- What happens to smear layer when acid etch placed?
1
- dentine crystals are much smaller, hecne softer than enamel
2
- acid etch remove smear layer and reveals high energy surface - much more challenging in dentine then enamel
features for ideal restorative materials
-Biocompatible
-Exhibit properties similar to enamel and dentine
-Ability to perform in the oral environment
(has it’s own challenges due to changes - 3 main changes/ stresses = temp, pH, stress experienced)
-Assist in tissue regeneration or repair of missing/damaged tissues
Desired properties of restorative materials?
- Restoration remains integral and in place
- Restore occlusion and withstand masticatory forces
- Aesthetics are maintained over time
- Prevent formation of caries and recurrence
- Restore aesthetics
- Provides patient comfort and restore function
why do materials fail?
- combo of forces
displacement
pH
biofilm formation
bacteria
fluids
temp fluctuation
Chaging pH
all contribute to failure
- dental restorations have a limited life span
- 2ndry caries = main cause BUT factors such as patient-clinician variables, material selection + manipulation play a role
-* Replacement of failed restorations
constitutes a large part of operative
work in dental practice
Replacing restorations disadvan compared to repairing
- Replacing a restoration may lead
to an increase in cavity size - Weaken the tooth
- studies show best treatment for defective restoration = conservative management + manage in MI way hence repair instead of replace
diff types of forces that a material experiences
- blue rectangle = body/ tooth
- biomaterials usu experience multiple forces
EG of mechanical properties of biomaterials
SLIDE 13
why may physical failure of a material occur?
- Critical stress is exceeded
- The magnitude of the critical stress
depends on the loading conditions - e.g. in general a material loaded in
shear has a lower critical stress than
one loaded in tension