Exam 1 Flashcards
Authors of textbook
Sakaguchie and Powers
Phoenicians dentistry
400BC with gold and ivory
Mayan dentistry
800 AD
Pierre Fauchard
(France)
father of modern dentistry
1728-treatise on the teeth described ivory denture construction
Philip Pfaff
Germany
waster impressions poured with plaster of paris
1756
Dubois de Chemant
France
A Dissertation on Artificial Teeth-1797
described the fabrication of porcelain teeth
George Washington’s dentures
Different sets used: human, cow, horse teeth, ivory, lead-tin alloy, copper alloy and silver alloy
When did studies on dental amalgam begin?
mid 1800s
Who did full scale studies on dental amalgam and when?
G.V. Black
1895
Ralph W. Phillips
department of dental materials at IU
Chair: 1940-1988
What is a biomaterial?
a nonviable material used in a medical device, intended to interact with biological systems
List of restorative dental materials
- noble and base metals
- amalgam alloys
- cements
- resin composites
- glass ionomers
- ceramics
- gypsum materials
- casting investments
- dental waxes
- impression materials
- denture base resins
Challenge of dental biomaterials
- warm
- saliva
- pH fluctuation
- temperature fluctuations
- high forces
- stresses as high as 200MPa on cusp tips
- esthetic demands
- biological factors
Current vs. future solutions
- future
- initiate tissue repair or regeneration of missing/damaged tissues
- current
- biocompatible
- interact permanently with oral tissues
- match appearance of tooth structure and other visible tissues
- exhibit properties similar to those of enamel, dentin, and other tissues
Organizations interested in standards
- ADA
- ANSI
- ASC MD156
- ASTM
- FDA
- FDI
- ISO
- ISO TC106
- specific group for dentistry
- NDA
The fxn of a standard is to
- establish minimum values for properties which can be measured in lab tests which help ensure safety and efficacy of a dental material
- provide for quality control
Do standards come before clinical intro?
No
Development of standards for a new type of dental material follow clinical introduction and use-usually by years
Do standards determine the best quality?
No
ANSI
American National Standards Institute (ANSI)
Clearinghouse for national standards
Conduit for USA standard representation with the International Standards Organization
- World dental federation (FDI)
- International standards organization (ISO)
How many dental standards?
How many countries?
What is the american member?
188 dental standards
31 countries
ANSI
FDA medical device amendment
1976
Any instrument, apparatus, implement, machine, contrivance, implant, or in vitro reagent used in the diagnosis, cure, mitigation, treatment, or prevention of disease in man and which does not achieve any of its principal intended purposes through chemical action within or on the body of man or other animals and which is not dependent upon being metabolized for the achievement of any of its principal intended purposes
FDA Classifications
- Class 1=General Controls (low risk)
- Regulation revolves around manufacturing
- Class 2= General Controls and Special Controls (medium risk)
- Product must meet performance standards
- Class 3= General Controls and Premarket approval required (high risk)
- Must pass tests for safety and effectiveness
Density of tubules in dentin
What is found in enamel?
Enamels composition by weight and volume?
- Ameloblasts
- Start at the DEJ and proceed outward to the tooth surface to form the enamel
- Amelogenins and enamelins
- Proteins that make up most of the enamel organic matrix
- They are resorbed during tooth maturation to leave a calcified tissue that is largely composed of mineral and sparse organic matrix
- Enamel Prisms
- ~5 microns across
- 1000s nanometers long
- Have a very high aspect ratio: very long relative to cross section
- 96% mineral by weight : 85% by volume
- 1% lipid and protein : 3% by volume
- Water : 12% by volume
Phosphoric acid on enamel
Commonly used in enamel bonding
Eliminates smear layers associated with cavity preparation
Dissolves persisting layers of prismless enamel in deciduous teeth
Differentially dissolves enamel crystals in each prism
Dentin components and its composition?
- Odontoblasts
- 50 vol% mineral (less mineral than enamel)
- Carbonate-rich, calcium deficient apatite
- 30 vol% organic
- Type I collagen
- 20 vol% fluid
- Similar to plasma
- Largely found in tubules that connect to pulp
Density of outer, middle, and inner dentin
outer is less dense, then middle, then inner
Transparent dentin
Tubules filled with mineral deposits
In front of a progressing caries lesion due to loss of overlying dentin
Tubules filled with minerals are much more difficult to etch with acid
Does enamel or dentin have a higher density?
Does enamel or dentin have a higher modulus of elasticity?
Enamel is more dense
Enamel has higher modulus of elasticity–> more rigid
Where do enamel cracks stop?
DEJ
What are biofilms
- Polymicrobial communities
- Complex
- Surface-adherent
- Spatially organized
- Bacteria surrounded by polysaccharide matrix
- Dental plaque
- Oral biofilm on teeth and biomaterials
- Dental plaque that is pathogenic causes disease
- We will always have a biofilm and not all biofilms cause disease
what is oral biofilm in restorative materials influenced by?
Hydrophobicity-hydrophilicity
Surface free energy
Surface charge
Surface roughness
Pellicle formation
How is the oral biofilm in restorative materials studied?
In vivo, in situ, and in vitro
Force units of measurement
- Pounds: the weight of an object
- Weight=mass x acceleration due to gravity
- Units of mass
- slug (English)
- kilogram-kg or gram-g (metric/SI)
- Units of force
- Pound-force (English)
- dyne-d or Newton - N (metric/SI)
- kilogram force-kgf
- Units of mass
- Metric prefixes
- kilo - k - 1000 - 10 3
- mega - M - 1,000,000 - 10 6
- giga - G-1,000,000,000-10 9
- centi - c - 0.01 - 10 -2
- milli - m - 0.001 - 10 -3
- micro - µ - 0.000001 - 10 -6
- nano- n-0.000000001–10-9
Occlusal forces of molars, premolars, and incisors
- Molars
- 400-800N
- Premolars
- 200-500N
- Incisors
- 100-300N
Lower in child and geriatric patients
Lower in patients with removable dental appliances-dentures
Mandible is a lever system→ the further you get from the hinge, the less force there is
Stress
- If a force acts upon a body and that body does not move-it is constrained-there must be developed in the body an equal and opposite force of reaction→ stress
- Stress and applied load are different
- Stress is the reaction to the applied force
- Stress= Reaction Force/Area=σ
- Units
- Pounds per square inch (psi)
- Newtons per square meter (N/m2) or pascal (Pa)
- MPa=1x106 Pa
Types of stress
Shear- 2 equal but oppositely directed forces separated by a distance act upon a body-place in shear-shear forces-shear stress
Torsion-twisting of a cylindrical shape around its axis-screws that retain implant superstructures to the implant embedded in bone
Torque=force x length of lever over which it acts (foot-pounds, inch-pounds, meter-newtons)
Bending-flexure of a beam shaped object-complex stress
Strain
Strain (ε) = (L-LO)/LO = ΔL/LO
LO= original length
No units
Type of strain is related to type of stress: compressive, tensile, shear, complex
Engineering stress and strain
Calculate engineering stress→ engineering= based on original area
σ=force/original area= F/aO
Calculate engineering strain
ε=ΔI/Io
Proportional limit
Highest stress where stress and strain proportional
Elastic limit
Highest stress where the behavior of the material is completely elastic
Up to this point, if the force is removed that material will return to its original
Yield strength
- The stress at which a material deforms plastically and there is a defined amount of permanent strain
- Difficult to accurately determine proportional limit or elastic limit
- Practical definition- accept a small amount of plastic deformation
- Commonly 0.1% or 0.2% plastic strain
- Stress is determined at which this occurs
- Define yield strength at the % offset strain chosen
Elastic modulus
- =stress/strain at or below elastic limit
- Units same as stress; GPa, PSI
- =initial slope of stress-strain curve
- Stiffness or rigidity
- E=stress/strain=σ/ε=(P/A)/(Δl/lO)
- Flexibility= 1/E
- Maximum flexibility=strain at elastic limit
Strength
- A property related to the ability of an object to withstand applied force without fracture or excessive change in shape
- A prerequisite of any structural material
- Within limits, larger–>stronger
- Physical limitations
- Large objects may fail due to their own weight
- Geometric constraints
- In restorative dentistry, the size and shape are determined by the natural dentition
UTS UCS
The highest possible stress that can be withstood by a material without failure
Fracture strength
The stress level at which the material finally breaks
Some materials actually fracture at a stress level below the UTS or UCS
Poisson’s ratio
- For elastic deformation only→ always positive
- Specimens in tension or compression will exhibit deformation at right angles to the principle strain
- v=-εy/εz
- εy= transverse strain
- εz= longitudinal strain
- 0.25 < v < 0.5 for most materials
Shear modulus
- E=elastic modulus or Young’s modulus
- In uniaxial tension or compression
- G=the shear modulus
- In shear
- Assuming Poisson’s ratio= 0.3
- G=E/2(1+v)=E/2(1+0.3)=0.38E
- v= Poisson’s ratio
- G ~ 40%
- Note: elastic deformation is easier in shear!!!
Ductility
ability to be drawn into a wire under tensile stress
Ductile vs. brittle materials
- Limitation on use of brittle materials
- tensile strength much lower than compressive
- brittle materials are not ductile
- Enamel is brittle
- Temperature dependence of ductility
- Some metals, most plastics
- At low temperatures ductile materials can become brittle
- Importance of ductility
- Workability, safety
Measuring ductility
- % elongation
- Put broken ends of specimen together and measure Lf
- 100(Lf-Li)/Li
- 100 x (length after fracture-initial length)/initial length
Examples of ductile and brittle materials
- Ductile Materials
- Most metals and alloys
- Pure gold is the most ductile of all materials
- Most metals and alloys
- Brittle materials
- Ceramics, tooth enamel, cements, many resins, dental amalgam
- Klc < 2.0 MN m-3/2
- Klc is a measure of the resistance of a material to crack extension under predominantly linear-elastic conditions
- Ceramics, tooth enamel, cements, many resins, dental amalgam