Ch 43 Flashcards
Restorative
the ability to remove decay or disease and bring proper function back to the tooth
Esthetic
the recreating the tooth or teeth with an artistically pleasing appearance
Criteria for a new dental material
It must not be poisonous or harmful to the body
It must not be harmful or irritating to the tissues of the oral cavity
criteria for new dental material
It must help protect the tooth and oral tissues of the oral cavity
It must resemble the natural dentition as closely as possible so as to be esthetically pleasing.
criteria for new dental material
It must be easily formed and placed in the mouth
It must conform to function
The Council on Dental Materials, Instruments and Equipment, a subcommittee of the American Dental Association,
works with federal agencies to ensure that strict specifications are followed by manufacturers in the development of new dental materials.
The following characteristics enhance the ability of dental materials to withstand the oral environment and allow for easy application….
Mechanical properties
Thermal changes
Electrical properties
Corrosive properties
Solubility
Application properties
electrical and corrosive properties are…
important with metallic restorations
thermal insulation is desirable for example…
under an extensive restoration and under a denture base we would like thermal transfer.
mechanical properties
Materials must be able to withstand the biting and chewing force in the posterior area of the mouth.
force
any push or pull on matter
stress
the reaction within the material that can cause distortion
strain
the change produced within the material that occurs as the result of stress
A restoration will eventually reach a breaking point…
causing permanent deformation (change) after a certain amount of both stress and strain is applied over a certain amount of time.
Mechanical properties of a material placed in the anterior area should also withstand various forces caused by factors,
including occlusion and a patient’s habits.
Remember that different materials have different properties
under different types of force
tensile stress
pull and stretches the material
compressive stress
pushes the material together
shear stress
breakdown of the material as the result of something sliding over 2 areas
a patient enjoys eating sticky candy
tensile stress
a patient reports clenching his teeth when he is concentrating hard at work
compressive stress
a patient has a habit of grinding her teeth at night or nocturnal bruxism
shear stress
ductility
the measure of the capacity of a metal to be stretched or drawn by pulling or tensile force w/o fracturing
malleability
the measure of the capacity of a metal to be extended in all directions by a compressive force, such as rolling or hammering
thermal changes
A change in temperature in the oral cavity resulting from a hot or cold product.
These thermal changes are of major concern because of
Contraction and expansion
The need to protect the pulp from thermal shock from extreme differences in temperature
When the restorative material and surrounding tooth structure have different rates of contraction and expansion, ______ may occur
microleakage
Space between the tooth and the restoration allows _____or_______ to enter, causing sensitivity and/or breakdown of that interface and ultimately destroying the restoration and permitting decay in the tooth.
saliva or bacteria
Space between the tooth and the restoration allows saliva or bacteria to enter, causing _________ of that interface and ultimately destroying the restoration and permitting decay in the tooth.
sensitivity and/or breakdown
Space between the tooth and the restoration allows saliva or bacteria to enter, causing sensitivity and/or breakdown of that interface and ________________
ultimately destroying the restoration and permitting decay in the tooth.
what does galvanic shock feel like ?
an undesirable tingling sensation
Conditions that allow these electrical currents include:
Saliva contains salt, a good conductor
Two metallic components of different composition can act as a battery
Galvanic action, or shock,
Galvanic action, or shock…
is the coming together of all these conditions
An electrical current, or galvanic action, in the oral cavity can take place ….
when there are two different or dissimilar metals present.