Amalgam Flashcards

1
Q

What is amalgam composed of?

A

Powder = silver, tin, copper, zinc

Liquid = mercury

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2
Q

What is the purpose of zinc?

A

Zinc reacts preferentially to form zinc oxide (known as slag) and hydrogen - it acts as a scavenger during alloy production

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3
Q

What is the purpose of copper in amalgam?

A

It increases strength and hardness

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4
Q

What are the difference types of amalgam?

A

Traditional

High copper amalgam

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5
Q

What is the setting rxn for amalgam?

A

Powder (silver tin copper, zinc) + liquid (mercury) react to form Y (unreacted particles) + Y1 (silver mercury) + y2 (tin mercury)

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6
Q

Describe Y

A

This is the unreacted powder that increases corrosion resistance and strength of amalgam

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7
Q

Describe Y1

A

This is silver mercury that increases corrosion resistance

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8
Q

Describe Y2

A

This is tin mercury the is BAD as it decreases corrosion resistance and is weak

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9
Q

What is the problem in traditional amalgam and how do we overcome this?

A

Problem is the y2 phase as it is weak and has poor corrosion resistance - we overcome this by using highe copper amalgam which contains copper >6% which prevents/reduces formation of y2 by reacting to form copper tin

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10
Q

What is the benefit of not having y2 phase?

A

Increased strength
increased corrosion resistance
reduced creep
higher early strength

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11
Q

What is the problem with zinc containing amalgam?

A

Zinc containing amalgam reacts to form slag (ZnO) and hydrogen as it reacts with water in saliva/blood - this creates problem as the hydrogen bubbles formed within amalgam can cause:

  • increased pressure leading to expansion of amalgam
  • downward pressure that causes pulpal pain
  • can cause restoration to protrude upwards and sit proud of tooth (creep) and eventual lead to ditched margins as fracture due to being unsupported
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12
Q

What are some properties of amalgam?

A

High strength (initially weak but sets over 24hrs)
High thermal conductivity (if close to pulp consider liner)
Long working time - 6 mins and not affectd by moisture
thermal expansion high - 3x more than tooth
radiopaque
poor aesthetics
high abrasion resistance

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13
Q

What is creep?

A

This is where low level stresses on the tooth for a significant period of time cause the material to undergo plastic deformation and then permanent deformation and as a result material protrudes from the cavity and sits proud - area of amalgam that is unsupported and higher risk of fracture and ditched margins

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14
Q

What is issue with amalgams thermal expansion?

A

Very high compared to tooth - can lead to microlekaage

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15
Q

What are some disadvantages of amalgam?

A

Poor aesthetics
high thermal expansion
contains mercury
high corrosion

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16
Q

How many Ams required for mercury poisoning?

A

490

17
Q

What is corrosion associated with?

A

y2 phase of amalgam where there is marginal breakdown, creep, ditching, expansion