PARTIAL DENT - Dental Polymers Flashcards

1
Q

what are the standard 2001 ISO requirements of an ideal denture base polymer? (9)

A
  • bond to denture teeth
  • biocompatible
  • high polish
  • translucent
  • colour stability
  • no porosity
  • low residual monomer
  • low solubulity
  • > 65MPa of flexural strength
    2 GaP of flexural modulus
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2
Q

what are desirable properties which aren’t part of the standard requirements? (8)

A
  • resilient
  • tough
  • high impact strength
  • dimensional stability
  • repairable
  • good thermal conductor
  • radio-opaque
  • cheap
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3
Q

define resilience

A

the amount of energy absorbed by a material up until the point of permanent deformation

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4
Q

give 3 denture materials used historically

A

porcelain - made clicking sound
vulcanite - high cross-linked rubber
bakelite - poor mechanical properties but was first mouldable plastic

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5
Q

what is PPMA?

A

polymethyl methacrylate

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6
Q

describe the chemistry of PMMA

A

addition polymerisation

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7
Q

what are the setting reactions of PMMA

A

addition polymerisation
- activation - heat, light or chemical
- initiation - free radical connects with a monomer
- propagation
- termination

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8
Q

describe the initiation phase.

A
  • denture base resin contains benzoyl peroxide
  • heat above 60 degree
  • molecules yields 2 free radicals
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9
Q

describe the propagation phase.

A
  • free radicals break double bond in methyl methacrylate
  • multiple MMA bond together

= as a result get PMMA

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10
Q

give 10 advantages and 5 disadvantages of PMMA

A

advantages
- aesthetics
- repairable
- polishable
- high glass transition temperature
- cheap
- easy to make
- bonds to denture tooth
- light
- low water sorption
- rigid

disadvantages
- 21% shrinkage
- porosity during processing
- poor impact strength
- poor thermal conductor
- prone to fracture

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11
Q

what is glass transition temperature?

A

the temperature above which an amorphous polymer becomes soft

  • the point of a glass to rubber transition
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12
Q

what temperature must a denture have a higher glass transition temperature?

A
  • liquids in the mouth can be up to 70 degrees
  • must be higher than 70 to prevent going soft
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13
Q

what is a factor affecting glass transition temperature?

A

molecular structure
- methyl has higher GTT than ethyl, propyl, butyl

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14
Q

how is the shrinkage of PMMA tackled? what does the shrinkage reduce to?

A

prepolymerize the base resin

shrinkage reduces to 6% and 0.5% linear shrinkage

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15
Q

what are the two components which need to be mixed to create the heat cured acrylic resin?

A

powder and a liquid

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16
Q

describe the powder component of acrylic resin
- what is it
- the initiator
- what is may also contain

A
  • granules of PMMA
  • initiator = benzoyl peroxide
  • may contain dyes, opacifiers, plasticisers and fibres
17
Q

describe the liquid component of acrylic resin.
- what is it?
- the initiator
- what else is may contain.

A
  • monomers of MMA
  • inhibitor = hydroquinone
  • may contain cross linking agents
18
Q

describe how the PMMA changes in sensation as it sets (4)

A

sandy - initial melting of beads

sticky/stringy - thickened entanglements

dough - gelation - this is when it needs to be applied into the mould

rubbery - monomer penetrates to the core of beads, plasticising them - too late, it has set

19
Q

how are acrylic dentures manufactured?

A
  • wax pattern
  • flasking
  • boiling
  • dough moulding
  • boiling - activate polymerisation
  • deflasking
20
Q

what are the 3 types of porosity?

A

gaseous
contraction
granular

21
Q

describe gaseous porosity

A

when MMA is boiling during polymerisation
- MMA boiling point = 100.3 degree

  • due to reaction being exothermic, temperature of 170 degrees can be reached
  • deepest parts of the denture hardens
22
Q

how do you prevent gaseous porosity?

A

heat MMA very slowly so it fully hardens before its boiling point it reached

23
Q

describe contraction porosity

A

due to 6% shrinkage and because theres not enough material or pressure

24
Q

how is contraction porosity prevented?

A

add extra PMMA dough before heating

mould is kept under high pressure to prevent bubbles growing in size

25
describe granular porosity
due to dough drying out before processing
26
how many dentures fracture within the first 3 years?
68%
27
which denture is most likely to break the most and why?
upper partial denture - more weak areas where small saddles are connected to major connector
28
where do 50% of all complete denture fractures occur?
in the midline
29
fractures to the midline can occur due to stress concentration and increased flexing. give anatomical structures which contribute to each.
stress concentration - deep or sharp fraenal notches - diastema increased flexing - worn teeth - ill fitting denture - hard bony structure in midline - palatine tori
30
how can you increase the strength of dentures?
bars - little evidence add butadiene styrene co-polymer - known as high impact acrylic - best solution yet - increases toughness but reduces modulus of elasticity
31
what are the properties of plastic acrylic teeth?
- chemically bind to denture - can be adjusted - not cause wear to opposing tooth - aesthetic colour match - resilience - may stain over time - will wear under high force occlusion
32
what are the three ways how you can cure?
chemical heat light
33
describe chemical curing
initiator = benzoyl peroxide accelerator = tertiary amine inhibitor = hydroquinone
34
describe light curing
photo-initiators - camphorquinone or blue light
35
give one other alternative materials to PMMA
polyamide (nylon) - more flexible and bouncy than brittle, rigid PMMA