amalgam restoration Flashcards

1
Q

amalgam for what class cavities

A

class I, II, V (posterior only), class III distal of canine

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2
Q

when would u use amalgam over composite

A

where moisture control is difficult
areas that are significantly deep

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3
Q

advantages of amalgam

A

less technique sensitive
low cost
adequate strength to maintain contour and occlusion
sets on its own

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4
Q

disadvantages

A

less conservative prep, needs retentive features
lack of bonding to tooth structure

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5
Q

dental amalgam is a mix of what

A

amalgam alloy + mercury

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6
Q

what is in the alloy

A

silver 40-74%
tin 25-30%
copper 2-30%
zinc 0-2%

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7
Q

what is the purpose of silver, tin, copper, and zinc in the alloy

A

silver - provides strength, increases expansion of setting of restoration
tin - increase flow, decrease strength and expansion
copper - hardness/strength
zinc - scavenger for oxide

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8
Q

beige cap vs blue cap for amalgam capsules

A

beige cap - extended carving time (for larger things)

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9
Q

mix amalgam for how long

A

8 sec

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10
Q

work from floor of prep then condense against lateral walls until cavosurface margins covered and then prep is overfilled by how much

A

1mm

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11
Q

how long should the condensing phase take

A

approx 2.5-3.5 min

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12
Q

purpose of pre carve burnishing

A

remove excess mercury (bring mercury to surface)
improves margin adaptation

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13
Q

pre carve burnishing done w what tool and immediately after what

A

done w large ball burnisher
done immediately after completion of condensation

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14
Q

post carve burnishing purpose and done w what tool

A

improves smoothness
done w small ball burnisher

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15
Q

burnishing pushes and adapts the material contiguous to the margins to eliminate

A

voids

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16
Q

how much working time for carving amalgam

A

8-10min

17
Q

when does carving of the amalgam begin

A

immediately after bunishing

18
Q

what tool to carve amalgam

A

discoid/cleoid to carve occlusal surface

19
Q

how long to wait to finish and polish amalgam

A

24hr

20
Q

preparation for the finishing and polishing procedures begins w what

A

the carving of amalgam

21
Q

polishing method
brownie vs greenie

A

brownie = coarse
greenie = fine