DMS - bonding/GI/Am/Comp/imp/alloys Flashcards
Constituents of enamel
- Hydroxyapatite (95% weight / 90% volume)
- Water (4% weight / 5-10% volume)
- Organic matrix (1% weight / 1-2% volume)
proteins, amelogenins, enamelins, peptides and amino acids
Constituentss of dentine
- Hydroxyapatite - (70% weight / 50% volume)
- Water (10% weight / 20% volume)
- organic matrix - (20% weight / 30% volume )
content of dentinal tubules
- odontoblast process
- Unmyelinated nerve terminals (sensory)
- dendritic cells (immune system)
- dentinal fluid/EC fluid
which is more minaeralised: surface or deep enamel
SURFACE ENAMEL MORE MINERALISED,
hardness < from cusp tip /incisal edge to cervical region
Bonding to enamel
acid etch technique - application of acid , this orughens the surface enamel causing characteristic etched pattern.
MOISTURE CONTAMINATION RUINS THIS
- rough surface allows micromechanical interlocking of resin filling materials.
- etching INCREASES surface energy of enamel surface (remove surface contaminants) and INCREASES the WETTABILITY of the enamel.
How can enamel be etched - acid?
30-50 organic/inorganic acid (aqueous solution of phosphroric acid-37%)
constitients of GI cement
-acid - tartaric/polyacrylic
-base -Silica, SiO2(Silicone dioxide) 30% -40%
Alumina, Al2O3(Aluminium dioxide) 15% -30%
Calcium Fluoride, CaF215% -35%
Aluminium Fluoride 2% -10%
Aluminium phosphate 4% -20%
Sodium fluoride 4% -10%
acid base reaction - glass and acid =salt and water
GI cement - setting reaction stages
- dissolution - glass surface is attacked by H ions causing the release of ions (Ca/F/Al/Na), leaves silica gel around unreacted glass
- Gelation - initial set. Bivalent Ca crosslinks with polyacid by chelation to form Calcium polyacrylate
Takes a few minutes, will appear hard but will need to be protected (vaseline) - Hardening - final set. Trivalent aluminium crosslinks with polyacid by chelation.
Takes a long time - 30min-weeks
why should GI be protected following gelation
-aluminium ions escape
-excessive drying - water lost
-saliva contamination - water absorption
=weak material that will break up easily
how does GI bond to tooth
chelation with Ca on tooth, reprecipitation of complex of calcium phosphate from apatite, H bonding/metallic ion bridging
what factors are needed to achieve a good bond
Clean surface
Conditioned surface
Conditioned, not etched.
Little or no tissue is removed.
Best conditioner appears to be polyacrylic acid
Purpose is to produce clean smooth surface
- advantages of GI
- Disadvantages
Adv - stable chemical bond to enamel and dentine
low microleakage and fluoride release, good thermal properties, no contraction on setting
DIS - Brittle
- Poor wear resistance
- Moisture susceptible when first placed
- poor aesthetics
- Poor handling characteristics
- Susceptible to acid attack and drying out over time
- Possible problems bonding to composite
- Etching damages surface
components of RMGIC
powder - fluoro alumino silcate glass, barium glass (radiopaque), vacuum dried polyacrylic acid,
potassioum persulphate (allows redox reaction in dark)
ascorbic acid, pigments
liquid -HEMA, polyacrylic acid and pendant methacylate groups, tartaric acid, water and photoinitiators
how does RMGIC set - Dual-curing
Dual curing
Initially on mixing the acid base reaction begins in the same way as conventional GIC.
On light activation a free radical methacrylate reaction occurs resulting in a resin matrix being formed
Quickly light activation is complete (20s)
Acid Base reaction continues within the resin matrix for several hours
how does RMGIC set - tricuring
Tri curing
Initially on mixing the acid base reaction begins in the same way as conventional GIC.
The REDOX reaction begins
On light activation a free radical methacrylate reaction occurs resulting in a resin matrix being formed
Quickly light activation is complete (20s)
The REDOX reaction continues for about 5 minutes after initial mixing
Acid Base reaction continues within the resin matrix for several hours
Final hardening of the acid/base phase with aluminium polyacrylateformation can take days
properties of RMGIC
Good bond to enamel and dentine Superior to conventional GIC ?? Difficult to know what is being measured Definitely better initially Better physical properties Lower solubility Fluoride release Better translucency and aesthetics Better handling DIS - Polymerisation Contraction Exothermic setting reaction both polymerisation and dark cure Swelling due to uptake of water HEMA is extremely hydrophilic Monomer leaching HEMA is toxic to the pulp it must be polymerisedcompletely Reduced strength if not light cured
properties for impression materials - elastomers
flow /viscosity • surface detail (reproduction) • contact angle / wettability • elastic recovery (%) • stiffness (flexibility) • tear strength • mixing time (min) • working time (min)
- surface detail properties of elastomers
- accuracy
- removal from undercuts
- dimentsional stability
- Quality of surface interaction between
material & tooth/soft tissue surfaces
viscocity/surface wetting/contact angle - replication of surface detail/viscoelastic behaviour
- Flow under pressure (”shark fin” test)
- Tear/tensile strength
- Rigidity - Setting shrinkage
- Thermal expansion/contraction
- Storage
explain the chemistry of elastomers
Elastomers - formed by polymerisation with cross-linking of polymer chains • Cross-linking:- – generates ELASTIC properties – causes FLUID SOLID transition • Polymerisation MAY produce BYPRODUCTS (H2O, H2, alcohol) which affect DIMENSIONAL STABILITY and cast compatibility
conventional silicone - constituents
base paste
catalyst paste
Base paste
– silicone prepolymer with terminal hydroxyl groups
– filler
• Catalyst paste (or liquid)
– crosslinking agents*
– activator - organo-tin compound
*alkoxy orthosilicate or organohydrogen siloxane
addition cured silicone - constituents
base paste
catalyst paste
Base paste - • polydimethylsiloxane - some methyl (CH3) groups replaced by hydrogen • filler - variations change viscosity • Catalyst paste - • polydimethylsiloxane - some methyl groups replaced by vinyl (CH2 =CH) • filler - variations change viscosity • platinum catalyst eg chloroplatinic acid
polyether constituents
base paste
catalyst paste
Base paste • imine terminated prepolymer - cross linking • inert filler - viscosity, strength • Catalyst paste • ester derivative of aromatic sulphonic acid - initiates polymerisation • inert oils - form paste • inert fillers - form paste
requirements of a DBA
Ability to flow Potential for intimate contact with dentine surface Low viscosity Adhesion to substrate Mechanical Chemical Van der Waals Combination of the above
how does van der waal forces cause bonding
Van der Waals Adhesion
Based on electrostatic or dipole interaction between
bonding agent and substrate
Strength of interaction depends on CONTACT ANGLE,
which is a good indication of WETTABILITY of a solid
by a specific liquid. A contact angle of <90o means the
solid surface is hydrophilic
Best adhesion/bonding is achieved when Van der
Waals forces are optimised