Dental Materials - Glass Ionomer Cements Flashcards

1
Q

What are the types of glass ionomer cements?

A

Conventional

Resin modified;
Light cure
Self cure

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2
Q

What acids are used in GIC’s?

A

Tartaric

Polyacrylic

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3
Q

What components of the GIC base controls translucency?

A

The ratio of aluminium to silica.

More silica = more translucent.

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4
Q

In terms of particle size, what size speeds up the setting reaction?

A

Smaller particles

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5
Q

In terms of particle size, what size makes the GIC more opaque?

A

Smaller particles

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6
Q

What properties are improved when a higher molecular weight of acid is used in a GIC?

A

Improved mechanical properties.

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7
Q

What kind of reaction is the conventional GIC setting reaction?

A

Acid base reaction

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8
Q

What are the 3 setting phases of CONVENTIONAL GIC.

A

Dissolution

Gelation

Hardening

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9
Q

Describe what occurs in the dissolution phase of conventional GIC setting reaction.

A

Acid turns to a solution

H ions attack the glass particles

Al, Ca, Na, F ions are released.

Silica gel surrounds the unreacted glass.

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10
Q

Describe what occurs in the Gelation phase of conventional GIC setting reaction.

A

Ca ions in enamel crosslink with the polyacid by chelation with the carboxyl groups in the cement.

Ca ions are bivalent - joins molecules.

Takes several minutes

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11
Q

What is the disadvantage of crosslinking?

A

Ca can chelate with 2 carboxyl groups on the same molecule therefore doesn’t join molecules.

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12
Q

Describe what occurs in the hardening phase of conventional GIC setting reaction.

A

Starts 30 minutes after the reaction - can take > 1 week to fully harden.

Trivalent Al ions ensure crosslinking and increase the strength. (significantly increases the mechanical properties.

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13
Q

During the hardening stage what must be avoided?

A

Moisture and dessication - (removal of moisture)

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14
Q

What is the bonding mechanism of GIC?

A

Chelation between Ca in enamel and the carboxyl groups in the cement.

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15
Q

What must you NOT do to the tooth before adding GIC?

A

Etch the tooth - will remove some of the Ca required for chelation with the carboxyl groups.

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16
Q

What are the advantages of GIC? (6)

A

Fluoride release - without damaging the structure.

Stable bond to enamel and dentine via chelation with Ca in enamel and carboxyl groups in the cement.

Low microleakage - no contraction when setting.

Resistance to staining

Thermal expansion similar to dentine.

Low modulus = ability to bed (ideal for cervical restorations)

17
Q

What are the disadvantages of GIC? (8)

A

Poor tensile strength

Poor wear resistance

Higher solubility

Susceptible to erosion by acid attack.

Poor aesthetics

Lower compressive strength

Brittle

Poor handling

18
Q

What is the function of tartaric acid?

A

Speeds up reaction

19
Q

What are the advantages of RMGI? (6)

A

Stable bond to enamel and dentine.

Better handling - than conventional as there is longer working times and reduced setting times.

Better aesthetics/ translucency - than conventional

lower solubility

Fluoride release without any damage to the structure

Better physical properties.

20
Q

What are the disadvantages of RMGI?

A

Polymerisation contraction stresses.

Exothermic reaction

Swelling from water uptake

Monomer leaching - HEMA is toxic to the pulp therefore must be completely polymerised .

Redox reaction can release substances which as cytotoxic - damage the pulp.