5. Composite Resins: Part 2 Flashcards
Properties that affect the choice of material (10)
Mechanical Bonding Thermal Aesthetic Handling/viscosity Surface finish Polymerisation shrinkage Anticariogenic Biocompatible Radiopacity
Clinical requirements of large posterior cavity (3)
High strength
High rigidity
High abrasion resistance
Clinical requirements of deciduous restoration (4)
Strong in thin section
Wear of tooth
Bonding
Microleakage
Types of composite (3)
Conventional
Microfine
Hybrid
Features of conventional composite (2)
Strong
Problems with finishing and staining due to soft resins and hard particles
Features of microfine composite (3)
Smaller particles
Allows for smoother surfaces (better aesthetics for longer periods)
Inferior mechanical properties (elastic limit and rigidity)
Features of hybrid composites (2)
Compromise between conventional and microfine composites
Improved filler loading and coupling agents cause improvement in mechanical properties
Definition of hardness (3)
Resistance to scratching or indentation resistance
Related to material surface
Measured by the amount of surface indentation (KHN)
Definition of abrasion (2)
Abrasion occurs when the tooth grinds/slides along the opposing tooth surface (or restorative material at its surface
Abrasion leaves behind a rough surface
What does surface roughness affect (3)
Appearance
Plaque retention
Sensation when in contact with tongue (laceration)
Process of tooth wear of composite resins (4)
Resin is removed
Leaves some of the filler particle exposed
If enough resin is removed, the filler particle is dislodged, leaving a “cut” out of the resin
Process continues
Factors that affect tooth wear (2)
Material factors
Clinical factors
Material factors that affect tooth wear (5)
Filler material Filler size distribution Filler loading Resin formulation Coupling agents
Clinical factors that affect tooth wear (7)
Cavity size Cavity design Tooth position Occlusion Placement technique Cure efficiency Finishing methods
Features of material/tooth bonding (2)
Bonding to enamel occurs through acid etch technique
Bonding to dentine occurs through dentine/universal bonding agents (DBAs)
Typical bonding strength of composite to enamel/dentine
40MPa
Dependent on the surface preparation of tissue, composite brand and test method
Function of good material/tooth surface bonding (3)
Help reduce microleakage
Help to counteract polymerisation shrinkage
Help to reduce the likelihood of a gap between the restoration and tooth
Features of composite restoration placement (2)
Will not have to withstand full stress - the stress will be transferred to tooth and bone
Poor bonding to tooth concentrates stress on the restoration, so failure is more likely
Compressive strength of enamel
250MPa
Compressive strength of dentine
280MPa
Compressive strength of amalgam
350MPa
Compressive strength of (hybrid) composite
300MPa
Compressive strength of microfilmed composite
260MPa
Compressive strength relationship between materials (4)
Amalgam > composite > dentine > enamel