Amalgam Flashcards

ILO 1.6c: be familiar with the chemical and physical properties as well as the clinical uses of a range of dental materials

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1
Q

what is the composition of traditional amalgam?

6

A

powder - silver, tin, copper, zinc, mercury
liquid - mercury

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2
Q

what is the function of the constituents of traditional amalgam?

6

A

silver/tin - gamma phase, reacts with liquid Hg to form amalgam
copper - increases strength and hardness
zinc - reacts with oxygen
mercury powder - accelerate the tting reaction
mercury liquid - very pure and reacts with metals

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3
Q

what are the different particle types? how are they formed? and describe them

2

A

lathe cut - coarse, medium, fine, formed by filing ingots
spherical - range of sizes, formed by spraying molten metal into inert atmosphere

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4
Q

what is the setting reaction of amalgam in simple terms?

A

Ag3Sn(γ) + Hg -> Ag3Sn(γ) + Ag2Hg3(γ1) + Sn7Hg9(γ2)

Ag2Hg3(γ1) + Sn7Hg9(γ2) is the amalgam matrix

Ag2Hg3(γ1) + Sn7Hg9(γ2) is the amalgam matrix

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5
Q

describe each gamma phase in amalgam’s structure

3

A

γ - good strength and corrosion resistance
γ1 - good corrosion resistance
γ2 - weak and poor corrosion resistance

γ1 holds γ and γ2 together

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6
Q

what is the difference in setting dimensional changes with traditional and modern mixed amalgams?

A

traditional amalgam initially contracts then expands
modern amalgam contracts a small amount then maintains it

traditional = hand mixed, modern = mechnically mixed

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7
Q

why is zinc used less in amalgam?

A

interacts with saliva/blood
* Zn + H2O -> ZnO + H2
bubbles of H2 formed within amalgam
* pressure build up causes expansion
* downward pressure causes pulpal pain

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8
Q

what are the advantages of spherical particles?

5

A

less Hg required
higher tensile strength
higher early compressive strength
less sensitive to condensation
easier to carve

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9
Q

what factors decrease the strength of amalgam?

5

A

undermixing
too high Hg content after condensation
too low condensation pressure
slow rate of packing - increments don’t bond
corrosion

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10
Q

what is creep?

A

when a material experiences low-level stresses that are applied repeatedly over a period of time

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11
Q

is amalgam biocompatible?

A

yes because there is no evidence that it harms humans

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12
Q

what are the thermal properties of amalgam?

A

thermal expansion - 3x greater than tooth tissue
thermal conductivity - high so may need a liner in deep cavities
thermal diffusivity - high so when a thermal stimuli is applied, amalgam’s temperature rises quickly and can damage the pulp

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13
Q

what is used to mix amalgam? describe it

A

amalgamator/capsule mixer
* capsule is loaded with amalgam powder and liquid mercury separated by a membrane
* once started, membrane is punctured and ultrasonic vibrations ensure even mixing

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14
Q

what can provide the conditions for corrosion of amalgam?

3

A

saliva, pH changes, drinks consumption

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15
Q

how do you decrease amalgam’s corrosivity?

A

copper enriched, polished margins
avoiding galvanic cells

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16
Q

what are the different types of copper enriched amalgam?

2

A

dispersion modified
single composition types

17
Q

what is the composition of dispersion modified copper enriched amalgam?

A
  • Ag-Cu spheres added to conventional lathe cut alloy
  • γ and γ1 particles present
  • Cu6Sn5 forms a halo around Ag/Cu spheres
  • all γ2 is consumed so less corrosive
18
Q

what is the setting reaction for dispersion modified copper enriched amalgam?

A
  1. γ + Hg -> γ + γ1 + γ2
  2. γ2 + Ag-Cu -> Cu6Sn5 + γ1
19
Q

what is the composition of single composition copper enriched amalgam?

A

powder Ag - Sn - Cu
liquid Hg
particles are lathe cut or spherical

20
Q

what is the setting reaction for single composition copper enriched amalgam?

A

Ag-Sn-Cu + Hg -> Ag-Sn-Cu + γ1 + Cu6Sn5

21
Q

what are the benefits of copper enriched?

4

A

stronger at early stages and in long term
less creep
higher corrosion resistance
increased durability of margins

22
Q

what are the advantages of amalgam?

5

A

strong
hard
durable
radiopaque
user friendly

23
Q

what are the disadvantages of amalgam?

4

A

corrosion
leakage - doesn’t bond to tooth
poor aesthetics
mercury - toxic

24
Q

what are the properties of amalgam?

13

A
  • high strength
  • high abrasion resistance
  • susceptible to creep
  • setting shrinkage
  • thermal expansion
  • high thermal conductivity
  • high thermal diffusivity
  • corrosive
  • biocompatible
  • poor aesthetics
  • radiopaque
  • not anticariogenic
  • smooth surface if polished but can deteriorate