Tooth coloured filling material Flashcards
Give examples of tooth coloured filling material
- Composite
- GIC
- RMGI
What is dental composite made up of
Inorganic filler and an organic binder
What are the advantages of composite
- Aesthetic
- Conserves tooth structure
- Chemically bonds to tooth
- Has a low thermal conductivity
What are the disadvantages of composite
- Technique sensitive
- Polymerisation shrinkage
- Has a decreased wear resistance
What can polymerisation shrinkage lead to
- Marginal leakage
- Secondary caries
- Post op sensitivity
How does composite set
Via a free radical addition polymerisation
Talk through the stages of a composite free radical addition polymerisation
- Activation: chemical and light
- Initiation
- Propagation
- Termination
What causes polymerisation shrinkage
Poor body to dentine
What can polymerisation shrinkage lead to
- Poor retention
- Staining
- Sensitivity
- Secondary caries
How far can the blue composite setting light travel effectively
2mm
Why are filler placed in dental composite
To reduce shrinkage upon curing
What do inorganic fillers reduce
- Polymerisation shrinkage
- Water absorption
- Thermal expansion
What do inorganic fillers increase
- Compressive tensile strength
- Modulus of elasticity
- Abrasion resistance
Why are coupling agents added to compsite
- Improve adherence of resin to filler surface
- Chemically coat filler surface and increase strength
When is flowable composite indicated
- Class V restoration
- Micro preparations
- Extended fissure sealings
- Adhesive cementation of ceramic restoration
- Blocking out cavity undercuts
- Initial base later