dental luting agents Flashcards

1
Q

3 luting agent type examples

A

dental cement
composite resin
GIC

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2
Q

give 5 good properties of a luting agent

A

low viscosity
radiopacity - to see marginal breakdown
marginal seal - ideal if bonds to tooth
biocompatible - non toxic, no heat on set
easy to use

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3
Q

ideal film thickness

A

as thin as possible - 25 microns or less

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4
Q

how can a luting agent be cariostatic

A

antibacterial
fluoride releasing

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5
Q

4 ideal mechanical properties of dental luting agent

A

high compressive strength
YM similar to tooth
high hardness
high tensile strength

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6
Q

two examples of dental cement

A

zinc phosphate
zinc polycarboxylate

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7
Q

what reactions take place when mixing the powder and liquid of zinc phosphate

A

initial acid base reaction

phosphoric acid and zinc oxide

followed by hydration reaction to produce crystallised phosphate matrix (hopiete)

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8
Q

benefits of zinc phosphate

A

cheap
easy to use

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9
Q

what component of zinc phosphate gives white colour

A

magnesium dioxide

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10
Q

what acid is used for zinc phosphate cement

A

50% phosphoric acid

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11
Q

function of aluminium oxide in zinc phosphate cement

A

prevents crystallisation leading to amorphous glassy matrix of acid salt surrounding unreacted ZnO

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12
Q

3 negatives of zinc phosphate cement

A

low initial pH - plural irritation
not adhesive to tooth
not cariostatic

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13
Q

what is the difference between zinc phosphate and zinc polycarboxylate

A

phosphoric acid is replaced by poly acrylic acid

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14
Q

3 advantages of zinc polycarboxylate

A

bonds to tooth
cheap
low pH but returns neutral more quickly than zinc phosphate

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15
Q

3 disadvantages of zinc polycarboxylate

A

difficult to mix
soluble in low pH
lower compressive strength than zinc

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16
Q

what is the difference between GI luting cement and GI filling material

A

particle size of glass - cement is less than 29 micrometers to allow suitable film thickeness

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17
Q

what type of reaction takes place in GI cement

A

acid base between acid and glass

acid - poly acid mixture of acrylic acid, maleic acid
glass - silicon dioxide and aluminium oxide

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18
Q

how does GI cement bond to tooth

A

ion exchange with Ca in enamel and dentine

H bonding with collagen in dentine

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19
Q

how does GI bond to the restoration

A

mechanical - sandblast restoration to allow mechanical adhesion

no chemical bond

20
Q

3 advantageous properties of GI cement

A

low shrinkage
self adhesive to tooth substance
fluoride release

21
Q

what does RMGIC contain that conventional GI does not

A

hydrophilic monomer HEMA

hydroxyethyl methacrylate

22
Q

how is HEMA polymerised in RMGIC

A

light activation

23
Q

incorporating resin into GIC to make RMGIC improves what properties

A

setting time is shorter
higher compressive and tensile strength
higher bond strength to tooth

24
Q

disadvantage of RMGIC

A

HEMA is cytotoxic - uncured monomer will damage pulp

no bond to indirect restoration

HEMA expands so shouldn’t be used to cement porcelain (crack) or posts (split root)

25
Q

in dual cured composite, how much are physical properties reduced by in comparison to light cured

A

25%

26
Q

benefits of composite luting agent

A

better physical properties

better aesthetics

lower solubility

27
Q

between light cure and dual cure, which luting agent is suitable for an inlay

A

dual - light won’t penetrate through the inlay

28
Q

how does composite luting agent bond to an indirect composite inlay

A

micro mechanical to rough internal surface of inlay

C=C bonds on fitting surface of inlay

29
Q

how do you bond porcelain to composite resin luting agent

A

hydro fluoric acid

surface wetting agent is required as not hydrophobic - silane coupling agent

30
Q

give an example of silane coupling agent

A

gamma-methacryoxypropyltrimethoxysilane

31
Q

how does silane coupling agent bond porcelain to composite luting agent

A

strong bond between oxide groups on the porcelain and silane

C=C bond on silane reacts with composite resin luting agent

32
Q

How are filler particles bonded to the resin matrix in composite resin filling materials

A

oxide groups on filler particles bond with the silane
carbon to carbon double bond in silane reacts with the resin

33
Q

How are filler particles bonded to the resin matrix in composite resin filling materials

A

oxide groups on filler particles bond with the silane
C=C double bond in silane reacts with the resin

34
Q

for tooth to be bonded to porcelain, what materials are needed in-between

A

tooth
DBA
composite luting agent
silane
porcelain

35
Q

for a thin porcelain restoration, what composite luting agent should you use

A

light cure

36
Q

how can you roughen a metal to bond to composite

A

sandblasting
etch - cannot etch precious metals

37
Q

for tooth to be bonded to non precious metal, what materials are needed in-between

A

tooth
DBA
composite luting resin
metal bond agent
non precious metal

38
Q

what bonding agent is used when bonding non-precious metal to the luting agent

A

MDP
or
4-META

39
Q

how do MDP and 4-META bond to non metal and to luting agent

A

they have an acidic end of molecule which reacts with metal oxide

C=C reacts with composite resin luting agent

40
Q

2 examples of materials with carboxylic and phosphoric acid derived resin monomers

A

MDP
4-META

41
Q

what composite luting agent would you use when bonding to metal

A

dual cure as light will not penetrate metal

42
Q

what is a self adhesive composite resin

A

metal coupling agent is incorporated into composite resin
e.g. panavia has MDP

43
Q

cheat code

A

if unsure of what luting agent say dual cure composite with DBA as this does everything

44
Q

how would you bond a precious metal

A

need to change the alloy composition - incorporate copper and heat to get oxide formation

can tin plate it

45
Q

what is present in temporary cements that stop it setting fully

A

carnauba wax - weakens structure

46
Q

what are the two types of temporary cement

A

eugenol
non-eugenol

47
Q

when should eugenol temporary cement material not be used and why

A

when composite resin luting agent will be used to cement the definitive restoration as remaining eugenol will interfere with set