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





























