Amalgam Flashcards

1
Q

High vs low copper amalgam

A

High copper has greater strength, less tarnish and corrosion, less creep ie deformation under constant stress, less sensitivity to handling variables

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2
Q

What are the materials present in high copper amalgam

A

Silver (40-60%)
Tin (27-30%)
Copper (13-30%)
Zinc 1%

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3
Q

Role of silver in amalgam

A

Cause setting expansion

Increase strength

Increase corrosion resistance

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4
Q

Role of tin in amalgam

A

Cause setting contraction

Decrease strength

Decrease corrosion resistance

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5
Q

Role of copper in amalgam

A

Increase strength

Reduce tarnish and corrosion

Reduce creep, lower case of marginal leakage

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6
Q

Role of zinc in amalgam

A

Reduce oxidation of other metals in the alloy

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7
Q

Setting reaction of amalgam

A

Excess AgSnCu + Hg —> unreacted alloy + CuSn + AgHg (gamma 1)

No SnHg ie gamma 2!!

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8
Q

Various strengths of amalgam

A

High compressive strength

Low tensile and low shear strength (must be supported by tooth structure)

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9
Q

Effects of creep in amalgam

A

Creep is slow change in shape caused by compression

Causes amalgam to flow, unsupported amalgam protrudes from margin and can fracture off and cause ditching. Overhangs can trap food. Secondary caries.

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10
Q

What is responsible for high levels of creep in amalga

A

Gamma 2 in low copper amalgam ie SnHg

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11
Q

What are factors that can affect dimensional change of amalgam

A

Mercury alloy ratio (more mercury more expansion)

Condensation technique

Mixing time

Manipulation (more manipulation, more mercury consumed, contraction)

Particle size (smaller particle, silver enters solution faster due to increased surface area, gamma 1 forms faster resulting in expansion)

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12
Q

Effects of galvanic corrosion in amalgam

A

Two dissimilar metals exist in wet environment, promoted by acid

Discolours amalgam restoration

May lead to pitting

Corrosion products may fill amalgam surface and reduce microleakage (self sealing)

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13
Q

Co efficient of thermal expansion of amalgam

A

Amalgam CLT 3x larger than that of dentine, cause microleakage as no adhesion between amalgam and tooth. Debris around margins can lead to secondary caries

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14
Q

Can amalgam be places in stress bearing areas

A

Yes, can be used in large mod cavities

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15
Q

Why is moisture control important in amalgam

A

Moisture contamination will cause corrosion of zinc. React with zinc to form H2 which collects in restoration, exerts pressure and causes delayed expansion

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16
Q

How may amalgam discolour teeth

A

Excess mercury may seep through dentinal tubules, discolour dentin can cause blackish grayish staining of teeth. Noticeable because enamel is translucent

17
Q

Why shouldn’t you use amalgam on a woman who is breastfeeding

A

Mercury can be passed to baby through breast milk