Dental Materials: Composite Flashcards

1
Q

What are the components of composite resin?

A
Filler particles.
Resin
Camphoriquinone: 
Silane coupling agent 
Low weight di-methscrylates
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2
Q

What is an advantage of composite in terms of tooth tissue?

A

Composite conserves tooth tissue as it does not require retentive features to be cut into the tooth. Relies on bonding agents.

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3
Q

What is the function of a dental adhesives?

A

Bond COMPOSITE RESIN to enamel and dentine.

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4
Q

What is the function of etching enamel?

A

Dissolves some of the enamel rods to creature porosities which can be penetrated by the resin.
Polymerisation of the resin forms resin tags = strong bond.

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5
Q

What is the smear layer and where is it found?

A

Found on dentine. Created when dentine is cut by hand or handpiece. Mixture of debris, saliva and bacteria.
This debris can also be forced into the dentinal tubules = plug.

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6
Q

Define hybrid layer.

A

Resin infiltrates surface layer of dentine.

Strong bong as the resin monomer penetrates the dentine and is polymerised.

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7
Q

How is the smear layer removed?

A

Acid etch

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8
Q

What is HEMA?

A

A bi-functional resin monomer that primes dentine.

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9
Q

When should shade matching of composite be carried out?

A

Before the dental dam is placed (dam dehydrates the tooth and changes colour).

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10
Q

How should shade matching be carried out?

A

Matching carried out in natural light.

Patient should be involved in the decision.

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11
Q

What shade is B3?

A

Yellow

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12
Q

What is the function of bevelling?

A

Increases the surface area by cutting dentinal tubules longitudinally.

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13
Q

What are the two main types of dental bonding systems?

A

Etch and rise: 37% PHOSPHORIC ACID
Smear layer removed.

Self etch:
Condition and prime enamel/dentine at same time.
Smear layer penetrated and smear plugs occur.

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14
Q

What occurs if the etched dentine is over dried?

A

Collagen network collapses and shrinks.

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15
Q

What are the 2 components needed for free-radical polymerisation in self curing composites?

A

Aromatic tertiary amines.

Benzoyl peroxide.

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16
Q

How does polymerisation occur in camphorquinone?

A

Blue light cause CAM to release free radicals.
Free radicals cause the monomer double bonds to break.
Free radicals join to the monomer and convert it to a polymer.

17
Q

What kind of reaction is composite setting?

A

Free radical addition polymerisation

18
Q

What size should composite increments be?

A

2mm

19
Q

What should you be mindful of when placing composite?

A

Configuration factor.

Over working the composite = glassy appearance.

20
Q

Define configuration factor.

A

The ratio of bonded surfaces to unbonded surfaces

21
Q

Name the problems of using composite. (6)

A
Moisture control
Over manipulation
Over/under etching enamel
Polymerisation contraction shrinkage stress
Low wear resistance 
longer to place
22
Q

Why is moisture a problem with composite?

A

Resin is hydrophobic - if wet the composite bond will be weaker = restoration won’t last long.

23
Q

Why is over manipulation a problem with composite?

A

Incorporates air and porosities. Creates stress within the material = premature fracture.

24
Q

Why is contraction shrinkage a problem with composite?

A

As bond contracts over time = bond failure, cusp deflection and post operative sensitivity (fluid fills within the voids)

Can be solved by low configuration factors.