Dental Amalgam Flashcards

1
Q

Why use Amalgam?

A

Inexpensive, easy to use, proven track record (over 100 years), familiarity, resin-free (less allergies than composite.

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2
Q

How does copper tie up tin in amalgam?

A

by reducing gamma-2 formation

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3
Q

How does copper effect creep?

A

reduces creep, reduces marginal deterioration

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4
Q

What does Zinc (Zn) do in manufacturing of amalgam?

A

decreases oxidation of other elements (sacrificial anode)

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5
Q

A silver-matrix containing filler particles of silver-tin
Filler (bricks)
Matrix=

A

Sn8Hg called gamma 2 (voids)

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6
Q

How is copper added?

A

Into the gamma sphere (Ag3Sn) with epsilon coating (Cu3Sn)

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7
Q

Most high-copper amalgams undergo a ____ ______

A

Net - contraction

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8
Q

What happens when contraction leaves a marginal gap?

A

Initial Leakage (post-operative sensitivity), reduced with corrosion over time

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9
Q

What type of alloy gives more contraction?

A

Type of alloy: spherical alloys have more contraction (less mercury)
Condensation Technique: greater condensation = higher contraction
Titration time: overtrituration causes higher contraction

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10
Q

What type of alloy strengthens faster?

A

spherical alloys (requires less mercury)

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11
Q

What does corrosion do to strength of restoration?

A

reduces strength

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12
Q

How long does it take for corrosion start in low copper amalgams?

A

6 months (sno2, SnCl, gamma-2 phase)

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13
Q

How long does it take for high copper amalgams to start corrosion?

A

6-24 months (SnO2, SnCl, CuCl, eta-phase Cu6Sn5)

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14
Q

What does creep correlate with?

A

marginal breakdown

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15
Q

Prevention of gamma-2 phase in creep requires what percent of copper?

A

> 12%

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16
Q

What happens if you overtriturate?

A

“Hot” mix (sticks to capsule),
decreases working/setting time
slight increase in setting contraction

17
Q

What happens if in undertrituration?

A

grainy, crumbly mix

18
Q

What does condensation do to amalgam?

A

reduces residual Hg in restoration