Final Flashcards
What is resilience?
Energy req’d to resist perm change.
What is fracture toughness?
Resistance to fracture
What is flexibility?
Small stress/strain relationship
What is the highest tensile strength?
Dentin
What is corrosion?
Desired in amalgam, chem breakdown of metal
Definition of setting time?
Time for chemicals to completely react in a material
Which are limitations for testing materials in the lab?
All the above
Which are patients and tech?
All the above
With Intraoral scanners, what does open connection mean?
What about trusted connection?
Open: Send files to lab or any CAD/CAM system, has options for clear aligners and night guards
Trusted: In-office mills, digital implant workflows, orthodontic appliances, access to digitally produced SLA working models
What are some training req’s for intraoral scanning in office?
Scanning and hole filling
Margin marking design
Lab script completion
File transfer to lab
Selection of restorative materials: CEREC vs PlanMill.
All yes, EXCEPT PlanMill no on Feldspathic porcelain
What is the work flow from CAD/CAM working with a lab?
Dental office does digital scan. Scan is then sent to lab. Lab designs restoration.
Or,
Impression or model is sent in, model/impression is scanned. Restoration is design. Milling center or lab used.
Dyes are fabricated using what?
SLA 3D printing
Lava COS vs Elastomeric Impressions. Occlusion numbers.
Lava. Elastomeric
Perfect: 74%. 48%
High: 18%. 46%
Light: 8%. 6%
What factors are present in the selection of CAD/CAM ceramics?
Strength - 120 to 1500 MPa
Esthetics - Ant vs Post
Patient factors
CAD/CAM Ceramics. Name the three types and strengths.
Feldspathic Porcelain - 100-120 MPa
Leucite-reinforced porcelain - 120-140 MPa (Best for Ant veneers)
Lithium distillate ceramic - 500 MPa (IPS e.max CAD) (Esthetic and strong)
CAD/CAM non-silica based ceramics.
Zirconia
Strength: 500-1500 MPa
Veneered core and framework and full-contour restorations
What is high strength Zirconia?
Y-TZP
> 90% ZrO2
Stabilized with 3.0%-5.4% Y2O3, HfO2, Al2O3
Small grains w/ no glassy phase
NO SILICA
Zirconia has improved ______________ but lower ______________ strength.
Translucency
Flexural
Cubic zirconia is what?
> 95% ZrO2
Small grains w/ no glassy phase
No silica
Know that BruxZir # of units sold increased from 10,000/month in 2010 to 143,000/month in 2016, while PFM stayed relatively the same with 25,000/month in 2010 to 19,000/month in 2016.
Almost done with this class jack.
Zirconia crowns and bridges at 5 yrs.
Most had no chipping or fracture. One crown and two implant failures.
Excellent esthetics for B1 shade
3% deboned and were recemented.
Minimal wear on crown and opposing, while some wear was shown on opposing gold crowns
Stump shade is important!
Yes!
Which ceramics are popular in Japan and what is their translucency and flexural strength?
Milled Resin
High translucency
Low flexural strength
Amalgams. What advancement helped with marginal integrity, less creep, less tarnish, and better shine?
The change from high gamma-2 to high copper, low gamma-2.
What is creep?
Slow deformation under load - slow flow.
Why is corrosion a desired result with amalgam?
It makes a self-seal against tooth structure.
High copper, low gamma-2 has less tensile strength, on the order of 40-50 MPa after one day.
So, about ten-fold less than compressive strength. 1/10!
What is a resin?
A viscous liquid which is capable of hardening permanently.
What is polymerization?
The opening of the double bond b/t two carbons, linking two molecules into one, and then adding more to create a polymer.
EX - the vinyl group can be opened and linking can occur.
What is PMMA?
It’s our “go to” for dentures, but not used for fillings.
**O2 inhibition - if curing happens in air, then the surface layer remains monomer-rich, which is very useful, b/c add’l material will bond chemically when it cures
Epoxy polymers. What do they do?
Form a lot of chains, strong. Bisphenol A is used as a backbone for polycarbonate plastics
Bis-GMA, why do we use it so much?
Main resin component of most dental filling resins. It is strong.
*It is highly viscous, and must be diluted w/ a more fluid resin to make it workable.
What is used sometimes instead of Bis-GMA?
UDMA
What is TEGDMA?
Low viscosity - it is the diluent in resin composites that allow Bis-GMA to be workable. It polymerizes, but quite a lot leaches out in the days following placement.
What is HEMA?
It is hydrophilic and quite ALLERGENIC.
Resin based composites (RBCs) are what?
A mixture of filler particles and resins. They add strength, create color, influence surface finish.
The particles are mostly silica with a mixture in sizes. Usually silane coupling happens (a chemical coating on silica particles - increases the bond b/t resin and filler particles)
What is used now to initiate curing?
Intense UV light.
Bonding RBCs to enamel or dentin is harder to do?
Dentin. It is more wet than enamel is live teeth.
RBCs shrink on curing, about how much?
About 1% or slightly more at best.
How to overcome this? Pack incrementally, and know that RBCs shrink towards the curing light
T/F - Polymerization is ALWAYS incomplete.
TRUE.
What comes out and what does it do?
Mostly TEGDMA, some HEMA. It kills some pulpal cells, and causes some hypersensibility. The body clears this in about a day.
What do us and our staff need to be careful about?
We can become allergic to resins, especially HEMA. DO NOT LET THIS TOUCH THE SKIN
T/F - Bis-GMA is estrogenic.
True. However, there is more in plastic water bottles. More in a mother’s kiss.
Why do large RBC restorations fail earlier than other materials, like amalgam?
They shrink on curing, and they hydrolyze over time at the dentin interface from MMPs.