Amalgam Flashcards

1
Q

What is dental amalgam?

A

Dental amalgam is an alloy that results when mercury is combined with solid metals like silver, tin, copper, and sometimes zinc to form a plastic mass.

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2
Q

What is a dental amalgam alloy?

A

A dental amalgam alloy contains solid metals, including silver, tin, copper, and sometimes zinc, before being mixed with mercury.

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3
Q

What is amalgamation or trituration?

A

Amalgamation or trituration is the mixing process of a dental alloy with liquid mercury to form dental amalgam.

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4
Q

What device is used for amalgamation?

A

A mechanical device called an amalgamator or triturator is used for the mixing process.

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5
Q

What metals are included in dental amalgam alloy?

A

Dental amalgam alloy includes silver, tin, copper, and sometimes zinc.

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6
Q

Who invented the mercury-based dental amalgam filling and when?

A

The mercury-based dental amalgam filling was invented by English chemist Bell in 1819.

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7
Q

When and where was the dental amalgam mercury filling first used?

A

It was first used in 1826 in England and France.

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8
Q

Who introduced amalgam to the US, and what was it made of?

A

The Crawcour brothers introduced amalgam to the US in 1830, made by mixing powdered silver coins with mercury, which expanded on setting.

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9
Q

What happened in 1840 regarding amalgam?

A

The American Society of Dental Surgeons denounced the use of amalgams, marking the first amalgam war.

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10
Q

What ended the first amalgam war in 1859?

A

The ADA (American Dental Association) supported the use of mercury-based amalgams, ending the first amalgam war.

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11
Q

What did G.V. Black contribute to dental amalgam in 1895?

A

G.V. Black developed the modern formula for amalgam alloy:
• 67% silver
• 27% tin
• 5% copper
• 1% zinc
This formula overcame the expansion problem.

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12
Q

Why is amalgam used in dentistry?

A

• Inexpensive
• Ease of use
• Proven track record for over 100 years
• Familiarity among clinicians
• Resin-free, causing fewer allergies than composite
• Toughness and wear resistance
• Ability to seal margins effectively

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13
Q

What are the basic components of amalgam?

A

• Silver
• Tin
• Copper
• Mercury

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14
Q

What are the additional components in amalgam?

A

• Zinc
• Indium
• Palladium

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15
Q

What is the role of Silver (Ag) in amalgam?

A

• Increases strength
• Increases expansion

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16
Q

What is the role of Tin (Sn) in amalgam?

A

• Decreases expansion
• Decreases strength
• Increases setting time

17
Q

What is the role of Copper (Cu) in amalgam?

A

• Ties up tin to reduce gamma-2 formation
• Increases strength
• Reduces corrosion and marginal breakdown

18
Q

What is the role of Mercury (Hg) in amalgam?

A

• Activates the reaction
• Only pure metal liquid at room temperature

19
Q

What is the role of Zinc (Zn) in amalgam?

A

• Decreases oxidation of other elements (sacrificial anode)