Clinical Aspects of Resin Composites Flashcards

1
Q

whats the basic chemistry of a GIC

A

Acid-base reaction between polyacrylic acid and glass fillers

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2
Q

whats the basic chemistry of a resin composite

A

made from Bis-GMA & UDMA
inorganic fillers

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3
Q

whats the basic chemistry of amalgam

A

alloy of silver, mercury & tin

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4
Q

what’re the 2 types of amalgam

A

spherical = more flowable
lathe-cut = less flowable, for building up large amounts of tooth structures

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5
Q

whats the unwanted product of amalgam

A

gamma2

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6
Q

what are some disadvantages with gamma2

A
  • corrosion
  • creep (changes shape under load
  • decrease in strength
  • tarnishing
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7
Q

what may reduce the effects of gamma2

A

addition of copper

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8
Q

what are the helpful aspects of gamma2

A

helps form seal between dentine and amalgam (prevent secondary caries)

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9
Q

how much of amalgam is mercury

A

around 50%

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10
Q

cons about amalgam use

A
  • toxic vapor ingested
  • released when chewing & brushing
  • bad for environment
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11
Q

whats the difference between a resin modified GIC (Fuji II LC) and conventional GIC (Fugi XI)

A

Fuji II LC
- light cured
- improved handling
- abrasion resistance

Fugi XI
- chemically set
- F release
- low abrasion resistance

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12
Q

whats the name of the most common priming agent

A

HEMA

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13
Q

whats the name of the most common bonding agent

A

bis-GMA

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14
Q
A
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14
Q

what’re the advantages and disadvantages for GICs

A

Pros:
- tooth coloured
- bonds to enamel & dentine
- less moisture sensitive
Cons:
- poor wear resistance
- brittle
- opaque = aesthetics

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15
Q

what’re the advantages and disadvantages for amalgam

A

Pros:
- compressive strength
- moisture control not essential
- longevity
- low cost
- wear resistance
Cons:
- aesthetics
- mercury
- 24hrs to reach full strength
- weak in thin sections

16
Q

what’re the advantages and disadvantages for composite

A

Pros:
- aesthetics
- conservative cavity prep (less tooth removed)
Cons:
- technique sensitive
- incremental placement
- moisture control
- polymerisation shrinkage
- marginal leakage, secondary caries