temporary materials Flashcards
PMMA e.g. Jet chemistry and uses
indirect short and long crowns and bridges free radical addition polymerisation - methacrylate monomer powder/liquid formulation self-curing linear chain like polymer
PMMA e.g. Jet advantages
good marginal fit
good transverse strength
polishable
PMMA e.g. Jet disadvantages
poor abrasion resistance
high shrinkage
high thermal release
free monomer may be toxic
PEMA e.g. TrimII, Snap chemistry and uses
direct
single crowns
based on ethyl methacrylate monomer
powder and liquid
PEMA e.g. TrimII, Snap advantages
lower shrinkage
better biocompatibility
PEMA e.g. TrimII, Snap disadvantages
mechanically weaker
less colour stability
Bis-Acrylic composite
direct short span bridges e.g. Protemp4, QuickTemp bis-GMA monomer bifunctional i.e. 2C=C - 3D polymer network light cure - better handling characteristics
Urethane dimethacrylate UDMA
e.g. Provipont DC
resin based material
Zach and Cohen experimental approach
applied soldering iron for different durations and noted the temp increase at the “pulp side” of dentine
5.5 degree increase - significant tissue changes over first few days
- after 56 days most pulps had overcome thermal trauma but some pulps of smaller teeth more necrotic
11 degree increase - 2/3 of sample suffer irreparable necrosis
missing factor - flaw
- pulpal damage is also affected by duration of the temp rise experienced
amount of heat transferred to the pulp chamber during the polymerisation of resins may be sufficient to cause thermal damage to the dental pulp and odontoblasts
- but careful in predicting clinical consequence from results of an in vitro study without identifying the biologic env
clinical significance of heat
depends on:
- health of underlying pulp and gingival tissues
- susceptibility of tissues in direct contact with the exothermic release to inflammation
BALDISSARA experiment
use pair of teeth belonging to same individual
11 degree increase does not damage pulp - no signs of inflammation and no reparative processes
polymerisation shrinkage
low - good clinical fit
Protemp
compressive strength
Protemp good
mean marginal discrepancy
protem = integruuty < luxatemp
surface roughness
protem