DMT Flashcards
What is the range of dental materials ?
polymers
ceramics
metals and alloys
inorganic salts
What are the properties of polymers ?
soft and flexible
can be deformed
What is a metal ?
an element
What is an alloy ?
mixture of metals
What are inorganic salts used for ?
impressions and root fillings
What is the success of treatment dependent on ?
selection of material
use of material
quality of material
What is the success of treatment dependent on ?
selection of material
use of material
quality of material
What guarantees safety of material ?
C e mark
What are the 2 factors that determine use of a material ?
does it meet requirements
is it available
choose by seeing if it meets
How is testing of materials carried out ?
products should have been evaluated and quality assurace programme set ot
What are standard specficiations ?
ISO and BSI Standards
dont cover all aspects though
What are laboratory evaluations ?
test sustaianability
ensure methods are given that correlate with clinical experience
What are clinical trials used for ?
RCTs and verdict of practitioners after use- some materials produce good lab results but lack clinical use
What are the stages to selecting and using materials ?
diagnosis what are the requirements of the materials look at available materials and compare selection review
What is important to consider during storage of materials ?
shelf life- do not use if exceeds shelf life
temperature sensitive and light sensitive
What is the ideal material for mixing and manipulation ?
should be easy to proportion
not drip or stick to instruments
What are the methods of mixing ?
hand mixing- cheap and technique sensitive
mechanical mixing- capsule but less technique sensitive
no mixing- need to store well to prevent mixing - lowest technique sensitivity
What is the working time ?
time between start of mixing and material can no longer be effectively ised
measured at RT
eg time between impression material being mixed and when it can no longer be set
What is the setting time ?
Time between start of mix and achieving the minimum properties for fucntion
not 100% reaction over
measured at appropriate temperature
What is rheology ?
study of flow and deformation of materials
refers to viscosity
What does high viscosity mean ?
more gloopy
What is viscosity related to ?
pressure and rate
What does it mean if a fluid exhibits newtonian behaviour ?
flow rate does not change with pressure
k=1
viscosity does not increase with shear rate
What does it mean if viscosity decreases with shear rate ?
pseudoplastic
k<1
ketchup- more you shake the more watery it gets
What does it mean if viscosity increases with shear rate ?
dilatant
k>1
What does it mean if a material is thixotropic ?
dont flow until sufficinet pressure applied
Which type of viscosity is easier to mix ?
lower
Why is high viscosity good sometimes ?
stops spillages when transferring
When is viscosity important to consider ?
viscosity needed- to adapt to cavities- low
impression material- low - flow and take detail
Why are some materials hard to mix ?
high initial viscosity
What can be done to counteract an increase in viscoity during setting ?
solvents- reduce viscosity
retarders- increase working time and reduce the increase in viscosity
What is the nature of temperature during setting ?
setting is an exothermic reaction
What happens during an exothermic reaction ?
energy released
max temperature reached
setting reaction slows down
What is the time from mixing to reaching max temperature ?
setting time
How are thermal and dimensional changes linked ?
increase in temperature can lead to porosity - lower strength and integrity of material
How is porosity caused ?
materials vapourise at high temperature
leave gaps
filled with air bubbles
Are enamel and dentine conductors or insulators ?
insulators - protect pulp from temperature change
What type of material should filling materials be ?
filling materials should be good insulators
when setting exo reaction can damage pulp
When does expansion happen ?
crystal growth in the setting of amalgum and gypsum products
damage restorations
inaccuracy in fitting of crowns
When does contraction happen ?
polymerisation
shrinking can lead to gaps and increase risk of secondary caries and marginal staining
What influences the oral environment ?
pH and temperature
What can cause pH fluctuations in the mouth ?
plaque
acidic rinks
alkaline mediction
What happens if the pH falls below the critical pH ?
saliva becomes unsaturated and enamel dissolves
High stress in the form of a large force lead to ?
fracture
What do low stresses over time lead to ?
fatigue
What can abrasive factors do ?
abrasive food and toothpaste can lead to softening and reduced integrity of enamel
What does biocompatibility of a material refer to ?
whether its toxic
irritant
allergies
What are the chemical properties of set materials ?
solubility
corrosion
leaching
What does accuracy of a material refer to ?
impression materials
how good it can replicate oral anatomy
What does durability refer to ?
how long it can survive in the mouth before needing to be replaced
What does conservation mean ?
minimally invasive
preserve natural dentition
of all teeth- opposing teeethe tc
How can restorations change colour ?
over time naturally
diet and abrasion factors
What must we consider with material solubility ?
materials can be water soluble, alcohol soluble and saliva soluble
to be durable- must have low solubility
What is leaching ?
loss of one components into a liquid likemsaliva
What is positive leaching ?
loss of one component into another- GIC fluoride leaches into saliva and can from fluorapatite
What is negative leaching ?
plasticisers from denture liners leach out and are uncomfortable to wear
Which materials does corrosion occur in ?
metals and alloys
What is a galvanic cells and how is it formed ?
when 2 metals comes into contact in an electrolyte
flow of electrons
What is an elecetrolyte ?
ionic solution
What can act as an electrolyte ?
saliva- can corrode amalgam fillings
What are the consequences of corrosion of amalgam fillings ?
loss of metal ions metallic taste weakening of restoration release of electrons to pulp causes pain release of mercury
The amount of expansion and contraction is ….
equal and opposite
How can we measure thermal expansion and contraction ?
coefficient of thermal expansion
What is the meaning of thermal conductivity ?
rate of heat flow per unit temperature gradient
What needs to be cosnidered about amalgam being a conductor ?
a conductor- when using in a filling use an insulating liner to stop the feeling of pain
What materials are filling insulating linings made from ?
zinc phosphate
zinc oxide
Composites amde from acrylic resin are ?
insulators- dont need liner
What is the disadvantage about thermal conductivity ?
only measures static temperature
oral temperature changes over time
What is thermal diffusivity ?
indicates the way in which a material will respond to transient thermal stimuli
how quickly will the material respond to temperature changes
heat required to change the temperature of body before it can be conducted
What does a low diffusivity mean ?
takes a long time to reach that temperature
low diffusivity and conductivity is desirable in materials
What is a high diffusivity ?
temperature reached afte rhte stimulus
needed for dentures to replace palate sensation
How are conductivity and diffusivity mesured ?
using a thermcouple in test material
What is a force ?
outside agency acting on body to change momentum
How do we calculate force ?
weight x acceleration
weight= mg
What is stress ?
internal forces set up in a body to oppose externally applied force
like the internal forces set up to oppose biiting forces
What is the stress resisting a tensile force called ?
tensile stress
How can the magnitude of the stress be calculated ?
applied force/ dimensions of area applied to
What are the simple stresses ?
tensile
compressive
shear
What are the complex stress types ?
flexural
torsional
diametral
What is a flexural stress ?
in a denture - mix of compression and tensile
not supported in middle
What is strength ?
the maximum stress that can be withstood by a material before breakage
What is strain ?
applying an external force can lead toa change in dimensions
like tensile stress can lead to extension
How can strain be calculated ?
change in length/original lengtj
What is elastic deformation ?
material returns to original dimensions when force is removed
What is plastic deformation ?
material is permanently damaged after force is removed
useful for fillings
What is viscoelastic deformation ?
force is removed
returns partially to original dimensions
takes a long time to return to original dimesions
What is used as a model for elastic deformation ?
spring
What is used as a model for plastic deformation ?
dashpot
What are the 2 models for viscoelastic deformation ?
maxwell
voigt
What is the maxwell model ?
dashpot and spring
load deforms
load removed and the dashpot is permnenantly deformed
cant return to original dimensions
What is the voigt model ?
application of a load
removal of the load and slow return to original state
What is stiffness ?
a measure of how resistant something is to deformation
higher stiffness-more rigid and harder to deform
What is the modulus of elasticity ?
on stress/strain graph
gradient of straight line
What does the modulus of elasticity tell us ?
how difficult it is to deform
What is the ultimate tensile strenght ?
pulling at this strength leads to deformation
What is the yield stress ?
point at which something stops elastic deformation and is now deformed plastically
required to permenantly deform soemthing
change in gradient
What is used instead of yiels stress ?
proof stress
easier to measure
What is malleability ?
how much something can be squahed to failure
What is resilience ?
how much energy something can take before it permenanatly deforms
area under the black line
What is toughness ?
how much energy something can take before it fails
area under whole gra[h
What is ductile behaviour ?
can be deformed by large amounts
leads to thinning called necking
deformed elastically and then plastically
What is brittle behaviour ?
can only be deformed by small amount
deformed elastically
smallest amount of stress can fail them
Are materials ductile or brittle ?
all materials are ductile or brittle depending on temperature and shear rate
How can toughness be measured ?
total area under the stress/strain graph
For something to break what must be initiated ?
a crack must be initiated and then propagated across the material
What type of test is used for toughness ?
an impact test
What happens in the toughness test ?
potential energy in pendulum converted to kinetic energy to fracture the specimen
What does the impact test compare ?
compares the energy required to break notched and unnotched specimens
energy to break unnotched»
notched specimen is notch sensitive
What does notch sensitive mean ?
cracks and scratches break the material easier
What is fatigue ?
materials can fail due to repeated cycles of stress
they fail at stress lower than strength
Where is fatigue common ?
in dentures- flexural stress down the midline mean they fracture
What is fatigue life ?
the maximum cyclic stress a material can take until failure
number of cycles
What is fatigue limit ?
the value of cycle stress needed to cause a fracture
What is hardness ?
how likely a material will be scratched
resistance to indentation under load
What is the significance of scratches ?
they can be colonised by bacteria
How can hardness be measured ?
VHN
KHN
What is the significance of porcelain being harder than enamel ?
porcelain being harder means it can damage the opposing tooth if part of a crown
What are synthetic polymers ?
based on petrochemicals
What are polymers ?
made of regularly repeating units called monomers
covalently bonded
as monomers join the molecular weight increases
What are cross linked and linear polymers ?
cross linked- links between polymer chains
linear- no cross links
What is a homopolymer ?
contains only 1 type of monomer
What is a copolymer ?
2 or more monomers
What are the different ways monomers in copolymers can join ?
randomly
regularly
block
What is addition polymerisation ?
addition of 2 molecules to form a third bigger molecule
What is condensation polymerisation ?
tow molecules join to form a larger molecule and a by product
What happens in addition polymerisation ?
reaction of a reactive species with a monomer to form a larger reactive species
chain lengthening and formation
What are the reactive species used in addition polymerisation ?
ion
free radial
with a spare electron
What are the 4 steps of addition polymerisation ?
activation
initiation
propagation
termination
How are reactive species formed ?
from initiators- molecules with weak bonds where heat and light is applied
What are initiators ?
molecules with weak bonds that can be broken down to make reactive species via heat and light
What are vinyl polymers ?
have C-C double bonds
Minor changes in R groups of monomers can lead to ?
different polymers
What is activation ?
decomposition of benzyl peroxide by thermal or light energy
What is initiation ?
Polymerisation is initiated when the monomer reacts witth the radical
How can benzoyl peroxide act as an initiator ?
O-O bond broken down to give 2 radicals
What is propagation ?
newly formed radical reacts with further monomer to produce another radical
increases chain length and average molecular weight reached
What is termination ?
reactions produce dead polymer which arent capable of further reaction
What happens to viscosity as polymers are made ?
increases- making it harder to join
leaves residual monomer
What can termiante polymerisation ?
impurities like oxygen
residual monomers - premature
What does cross linking do ?
joins chains together to form a network
What happens to properties with cross linking ?
polymer is harder to deform
stiffness increases
improve stability in liquids
What are the properties of linear polymers ?
flexible
lower stiffness
What does cross linking require ?
difunctional monomers
have more than 1 C-C double bond
Give an example of condensation polymerisation ?
esterification reaction between alcohol and acid produces water and estre
How many reactive groups are needed for AP, CP and CS ?
1
2
3
Which materials set by condensation polymerisation ?
silicone impression material
ethanol evaporated quickly
changes dimensions
What are the changes that occur during polymrisation ?
monomers usually fluids
polymerisation increases viscosity
What are thermal changes that occur in polymerisation ?
it is an exo reaction
temperature rise is proportional to volume
continual energy releases- runaway
What is the consequence of the temperature getting too high in polymerisation ?
monomer vapourises
air bubbles form
weakness leads to porosity
What are the dimensional changes that occur in polymerisation ?
polymers are denser than monomers
polymerisation lead to shrinkage
What is the consequence of shrinkage ?
gaps forming
staining and secondary caries
What is contraction porosity ?
conraction leads to weaknesses
How can we counter act with contraction ?
overfilling
What are the methods used to reduce polymer shrinkage ?
BisGMA- bigger than MMA- bigger monomers take up more space leading to less shrinkage
Fillers- fillers dont polymerise-
What are the 2 structures of polymers ?
amorphous
crystalline
What are amorphous polymers ?
randomly arranged
short range order
What are crystalline polymers ?
regularly arranged
What is a short range order ?
regular and predictable arrangement of monomers
monomers are sitting next to same type
What is a long range order ?
atoms show periodicity over large distances
Can crystalline polymers melt ?
yes they have a melting temperature melting leads to a loose chain arrangement loss od long range roder cooling can recover long range order
Do amorphous polymers melt ?
they burn at high temperatures
Which temperatures do crystalline polymers have ?
Tg
Tm
Which temperatures do amorphous polymers have ?
Tg
What are thermoplastic polymers ?
soften on heating
harden on cooling
crystalline
What are thermosetting polymers ?
dont soften on heating
harden on setting
cross linked
Can thermoplastic or thermosetting polymers be recycled ?
thermoplastic only
What is the Tg ?
temperature which they change from glassy to rubbery
easier to defrom
What happens at the Tg ?
10 x reduction in modulus of elasticity
What are polymers like in the mouth if their Tg is above mouth temperature ?
stay rigid in the mouth
good for dentures and fillings
What are polymers like with a Tg below mouth temoerature in the mouth ?
rubbery in the mouth
good for impression materials
How does molecular weight affect Tg ?
higher the molecular weight the greater the Tg
How does the amount of residual monomer affect molecular weight ?
lower the amount of residua monomer the greater the Tg
What type of polymers do C-C bonds produce ?
vinyl
rigid
What type of polymers do Si-O bonds make ?
flexible polymers
How do co polymers affect Tg ?
the Tg will depend on the specific combination of monomers
What are pendant groups ?
hang off the polymer chain
What do bigger pendant groups produce ?
produce more rubbery polymers