Composite Flashcards

1
Q

What are the components of a composite resin?

A

Filler particles
Resin
Camphorquinone
Low weight dimethacrylates
Silane coupling agent

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2
Q

What is the resin found in composite?

A

Bis-GMA.

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3
Q

What reaction occurs in composite resins?

A

Free radical addition polymerisation.

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4
Q

What is the purpose of Camphorquinone?

A

Activated by blue light- initiates the free radical addition polymerisation of BIS-GMA>

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5
Q

What is the purpose of the silane coupling agent?

A

Allows a good bond between filler particle and resin.
- preferentially binds to glass and resin.

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6
Q

What is flowable composite?

A

Lower filler content, more shrinkage.

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7
Q

What is meant by the term depth of cure?

A

Depth at which material hardness is about 80% that of the cured surface.

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8
Q

What is the typical depth of cure?

A

2mm- increments should not be anymore than 2mm deep.

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9
Q

What happens if you have an increment greater than 2mm?

A

Under-polymerised base- poor bonding to the tooth and the restoration fails.

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10
Q

What are the clinical requirements of a large posterior cavity?

A

High YM, high strength, high abrasion resistance.

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11
Q

What is the purpose of acid etching enamel?

A

Removes the smear layer and roughens the enamel surface.
Allows unfilled resin to key into it.

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12
Q

What are the advantages of composite?

A

Bonds directly to tooth- reduces polymerisation contraction stress
Aesthetics
Radiopaque
Command cure
Conservation of tooth tissue during preparation
Support for remaining tooth tissue
Low thermal conductivity

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13
Q

What are the advantages of composite bonding directly to the tooth surface?

A

Reduces polymerisation contraction stress.
Minimise cavity design.
Stress is spread over the contact area- reduces risk of fracture and microleakage.

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14
Q

What are the disadvantages of composite?

A

Not as strong as amalgam
- compressive strength and tensile strength.
No as hard as composite.
Thermal expansion is poor- expands more than enamel nd dentine.

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15
Q

Why is it important to avoid cavosurface margins in areas of occlusal contact?

A

Likely to interfere with marginal integrity.

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16
Q

Why can you not leave caries at the ADJ?

A

unsupported enamel and early breakdown of the restoration if micro leakage occurs.

17
Q

Why is it important to place a lining in a deep cavity?

A

Deeper dentine is wetter, more mineralised and has more tubules.
- unfavourably bonds to composite.

18
Q

What is configuration factor?

A

ratio of bonded to unboned surfaces.

19
Q

Why is high configuration factor undesirable?

A

Increases polymerisation contraction stress.
Causes plastic deformation- leaving unsupported enamel and enamel fractures occur.

20
Q

Why might you wish to place flowable composite on the floor of the cavity?

A

less filler content, so will plasticly deform more.
Reduces polymerisation contraction stress.