Dental pt2 Flashcards
Func dental cements
luting agent (bonding material)
cavity liners
restorative materials
Charac cement
multipurpose material
Types cement
diff cement - diff application - diff physical prop, appropriate clinical manipulative charac
Cond acceptable performance luting, restorative cement
NO dissolution oral envi
strong bond - mech interlocking, adhesion
high strength tension, shear, compression
high fracture toughness
good biocompatibility
Types cements based on matrix forming species
- Phosphate
a. Zn phosphate
b. Zn silica phosphate - Phenolate
a. ZnO eugenol: Simple ZnO eugenol, reinforced ZnO eugenol, EBA ethoxy benzoic acid (Phenolate -> phe -> E -> eugenol)
b. Ca(OH)2 salicylate (pheNO -> OH -> Ca(OH)2) - Polycarboxylate
a. Zn polycarboxylate
b. Glass ionomer - Acrylate
a. Polymethylacrylate
b. Dimethylacrylate: filled, unfilled
Kelate forming rxn
Phosphate
Phenolate
polycarboxylate
Free radical poly
acrylate
Use of Zn phosphate cement
luting agent
cavity liners
Zn phosphate compo.
powder:
ZnO
MgO
Ca(OH)2
pigments
(phOs -> lots of O -> ZnO, MgO, Ca(OH)2)
liquid:
H3PO4
H2O
(phosphate -> phosphoric -> H3PO4 -> have acid, need H2O)
Zn phosphate formation need
Al low level need for formation
Zn: moderator
Zn phosphate cement rxn
ZnO + H3PO4 -> amorphous Zn phosphate + ZnO core
Properties, manipulation Zn phosphate cement
far from ideal - use as standard against new cements
easy manipulation
(1st one of the list -> use as standard)
Properties strength Zn phosphate cement
increase powder p/l - increase strength
recommended p/i ratio: 2.5-3.5g/ml
24h -> min comp strength: 60mpa
(Zinc -> ring -> ring bell -> Lorelai ring -> 25-35 yrs old - dinner 60min -> min comp strength:60MPA)
Properties solubility Zn phosphate cement
23h -> solubility in distilled H2O (0.04-3.3%) for inferior meterial
standard solubility: 0.2%
solubility oral cond: 20-30X >
Properties dimensional change Zn phosphate cement
dimensional change -> slits at tooth - cement; cement - restorations interfaces
Properties pH Zn phosphate cement
freshly mixed: 1-2
setting time: 1-7
1h -> ph4
24h -> ph6-7
(less chua)
Effect of low pH
free acidity mix + osmotic movement fluid thru dentinal tubules -> pain
Prolomged pulpal irritation
Ad, disad Zn phosphate
mixed easily
strong mass from fluid consistency
pulp irritation
NO antibacterial action
brittleness
NO adhesion tooth structure
solubility oral fluids
(first one on the list -> NO antibacterial, pulp irritation)
Types modified Zn phosphate cement
Cu
Ag - silver phosphate
F
Si - silicophosphate - silica glass cement
Cu modified Zn phosphate cement
Cupric oxide CuO
Cuprous oxide Cu2O
Cuprous iodid
Cuprous silicate
Effect Cu modified Zn phosphate cement
highly acidic
-> higher pulpal irritation
higher solubility
lower strength
(Cu - in acid - high acidic - high solubility -> less strength)
Effect F modified Zn phosphate cement
stannous
in orthdontic cement
higher solubility
lower strength
reduce enamel solubility
anticariogenic effect
(F fluoride -> good for teeth -> anticariogenic -> reduce enamel solubility - still high solubility, low strength)
Simple ZnO Eugenol phenolate based cement use
temporary cementation
cavity liner (pediatric dentistry)
(simple , reinforced -> temporary, for kids - cavity liner)
Composition simple ZnO Eugenol phenolate based cement
powder: pure ZnO aka setting accelerators
liquid: purified ZnO + accelerator (alcohol/ acetic acid)
Rxn simple ZnO Eugenol phenolate based cement
ZnO + eugenol -> + H2O -> Zn eugenolate (eugenate)
Volumetric shrinkage ZnO Eugenol phenolate based cement
0.9%
Thermal expansion ZnO Eugenol phenolate based cement
3510^06/Celsius
(around normal temp10^6)
Biologic effect ZnO Eugenol phenolate based cement
deep cavity: anodyne (reduce pain) effect on pulp
direct contact CT: irritant
eugenol: allergen
(eugene - helps heal mentally but irritates physically aka deep cavity - anodyne effect ; direct contact CT: irritant, eugenol: allergen)
Ad simple ZnO Eugenol phenolate based cement
good sealing
resistance marginal penetration
obtundent effect pulp tissue
disad ZnO Eugenol phenolate based cement
low physical prop
(eugene -> cold -> low temp -> low physical prop)
use reinforced ZnO Eugenol phenolate based cement
luting agent (except later restoration)
temporary filling material
cavity liners
(reinforced -> more complicated -> can be used as luting)
Composition reinforced ZnO Eugenol phenolate based cement
(same as simple but powder have PMMA, pine resins; liquid have antimicrobial agents)
powder: pure ZnO aka setting accelerators + pine resins, PMMA
liquid: purified ZnO + accelerator (alcohol/ acetic acid) + antimicrobial agents
Solubility reinforced ZnO Eugenol phenolate based cement
have resins -> lower solubility than simple
(reinforced -> attached -> less move -> less solubility than simple)
Setting rxn reinforced ZnO Eugenol phenolate based cement
kelate forming rxn
Manipulation reinforced ZnO Eugenol phenolate based cement
more power needed
Ad, disad, biologic effect reinforced ZnO Eugenol phenolate based cement similar to simple
Ca(OH)2 ZnO Eugenol phenolate based cement use
cavity liner
(Ca -> cavity liner)
composition Ca(OH)2 ZnO Eugenol phenolate based cement
2 pastes system
1. Ca(OH)2 + ZnO + Zn/F salts in ethylene toluoene sulphonamide
2. CaS + TiO + CaTg in liquid disalicilate ester of butane 1,3 diol
(Ca -> 2 letters -> 2 pastes
-> salts to clean -> soap -> sulphonamide -> ethylene toluoene sulphonamide
-> Some Tik Tok to die -> CaS + TiO + CaTg - liquid disalicilate ester butane 1,3 diol)
effect Ca(OH)2 ZnO Eugenol phenolate based cement
alkaline pH -> antibacterial, remin
Rxn Ca(OH)2 ZnO Eugenol phenolate based cement
Ca(OH)2 + ZnO + salicilate ester -> chelate
Working time, setting time Ca(OH)2 ZnO Eugenol phenolate based cement
working: 1-2min
setting: 3-5min
Strength Ca(OH)2 ZnO Eugenol phenolate based cement
increase time - increase compressive, tensile strength
(Ca -> C: clock, compressive -> increase time -> increase compressive, tensile)
solubility Ca(OH)2 ZnO Eugenol phenolate based cement
soluble in acid (50% during acid etching)
(CaOH -> alkaline -> soluble in acidic)
Biologic effect Ca(OH)2 ZnO Eugenol phenolate based cement
neutralize, prevent passage acid -> barrier to penetration ex methyl metacrylate -> pulp protection
(Ca -> công an -> protect -> pulp protection)
Ad, disad Ca(OH)2 ZnO Eugenol phenolate based cement
Ad:
easy manipulate
rapid hardening
dentin protective
pulp protective
disad:
low strength
moisture -> weaken
acidic cond. -> dissolve
Composition Zn polycarboxylate
powder: ZnO + MgO/SnO + AlO +F -> improve mech prop (POLYcarboxylate -> aka many -> many O -> ZnO+MgO/SnO+AlO)
liquid: polyacryl acid
Rxn Zn polycarboxylate
ZnO + Polyacryl acid -> Zn polyacrylate (gel like matrix)
Rate setting Zn polycarboxylate depends on
p/l ratio
particle size
rxtivity ZnO
additives
molecular weight, conc polyacryl acid
(polycarboxylate - poly aka many criterias -> deal w/ physically: p/l ratio -> additives -> rxtivity ZnO -> conc polyacryl acid -> particle size)
p/l ratio Zn polycarboxylate
1.5 : 1
Working time, setting time Zn polycarboxylate
working: 2.5-3.5min (cold slab -> increase working time)
setting: 6-9min
strength Zn polycarboxylate
compressive, tensile strength increase with
p/l ratio (PolyCarboxylate -> p -> depends on p/l -> increase p/l increase Compressive)
additives: Al, F
strength after setting period Zn polycarboxylate
decrease strength
solubility Zn polycarboxylate
in distilled H2O: 0.1-0.6%
Bonding prop Zn polycarboxylate
bond to clean enamel, dentin - thru calcium complexation
bond to clean alloys
bond bad if debris, contamination
bond strength related to strength cement
Ad, disad Zn polycarboxylate
Ad: low irritancy
adhesion tooth substances, alloys
easy manipulation
prop comparable to Zn phosphate cement
Disad:
short working time
need accurate p/i
Glass ionomer cement polycarboxylate use
cavity liner
restorative, core buildup
cementation cast alloys, porc restoration, orthodontic bands
Compostion Glass ionomer cement polycarboxylate
Powder: Ca-Al-F-Si glass + ZnO + Ag (glAs ->Ag)
Liquid: polyacrylic acid PAA, itaconic acid, tartaric acid
(clean glass using acid -> polyacrylic acid, itaconic acid, tartaric acid)
Size powder Ca-Al-Si-F Glass ionomer cement polycarboxylate
ZnO size filling: 40um
ZnO size luting: 25um
Setting rxn Glass ionomer cement polycarboxylate
Poly acrylate + Ca-Al-F-Si -> Ca polycarboxylate + Al polycarboxylate
Rxn type Glass ionomer cement polycarboxylate
light cured by methacrylate group
ad of light cured Glass ionomer cement polycarboxylate
water resistance
strength
manipulation Glass ionomer cement polycarboxylate
handmixed/ encapsulated/ mech mixed/ injected proportional p/l
manipulation Glass ionomer cement polycarboxylate p/l
accurate amount for optimal prop
manipulation Glass ionomer cement polycarboxylate setting time
luting material: 6-9min
lining material: 4-5min
restorative material: 3-4min
light curing material: 30s
manipulation Glass ionomer cement polycarboxylate strength
manipulation Glass ionomer cement polycarboxylate solubility
good resistance oral cond.
biologic effect Glass ionomer cement polycarboxylate
pulpar response favorable
cariostatic effect (b/c Leaching F)
antibacterial effect (b/c low pH, leaching Silver, others)
(glass is good - antibacterial, cariostatic, pulpal favorable)
ad, disad Glass ionomer cement polycarboxylate
ad:
easy mixing
high strength
good adhesion (can stick anything on glass)
release fluoride
translucent
disad:
long setting time
moisture sensitive
cause pulp sensitivty
Types polymer based cements aka acrylate
- methyl methacrylate PMMA
- aromatic dimetacrylate BisGMA
Use polymer based cements aka acrylate
cementation restoration, facing, temporary crowns
(acrylate - unusual name during classification -> unusual func too -> cementation restoration, facing temp crowns)
composition polymer based cements aka acrylate
powder: PMMA + benzoyl peroxide (initiator) + pigments
liquid: MMA monomer + accelerator
setting polymer based cements aka acrylate
monomer dissolves -> softens poly -> free radical poly from peroxide amine interxn
ad, disad polymer based cements aka acrylate
ad:
high strength
low solubility
disad:
pulp irritation
short working time
hard remove excess cement
careful mixing -> NO air bybbles
sensitive to moisture
Dimethacrylate cement types
auto cure
light cure
dual cure
use Dimethacrylate cement
cementation fixed denture
(dimethylcrylate - die - use till die -> cementation fixed denture)
composition Dimethacrylate cement
paste1: silica glass + benzoyl peroxide (initiator)
paste2: bisGMA + UDMA mono + tri amine (promoter) + (light sensitive promoter in dual)
effect mixing Dimethacrylate cement
high amounts cross linked formed
manipulation Dimethacrylate cement
ratio 1:1
optimal prop after 10min light curing
best in ceramic restoration
ad, disad Dimethacrylate cement
ad:
high strength
low solubility
high bonding ceramic, enamel/dentin
disad:
complicated
pulpal sensitivity
hard remove excess