tooth coloured resto materials 1: resin and bonding materials Flashcards

1
Q

what are the properties were looking for in a material for a chipped tooth

A
strong
durable 
aesthetic 
non toxic-safe
needs to resist forces( for posterior) depending on the location in the mouth
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2
Q

what is a composite

A

a product with at least two distinct phases

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3
Q

what is the purpose of composite

A

to combine two or more materials to produce one with superior properties

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4
Q

what does composite contain

A

dental filler, resin matrix and an organic binder

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5
Q

can composites bind by themselves

A

no they need a binding agent which helps them bind to the tooth

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6
Q

what are advantages of composite

A
aesthetics 
conservation of tooth structure 
adhesion to tooth-by binding system
low thermal conductivity
alt to amalgam
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7
Q

what is the MINAMATA convention

A

the UK has signed up to get rid of mercury worldwide- not only in dentistry mostly about environmental conditions

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8
Q

when did the UK sign the MINAMATA convention

A

2016

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9
Q

disadvantages of composite

A

technique sensitivity
polymerisation shrinkage
decreased wear resistance

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10
Q

what is the disadvantage of polymerisation shrinkage

A

this can lead to gaps forming in the composite filling
bacteria can fill this
produce acid
and lead to the carious process all over again

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11
Q

what acid is used to etch the tooth

A

phosphoric acid

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12
Q

what % of phosphoric acid is in the etch

A

37%

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13
Q

how much % of bacteria spreading reduces with rubber dam isolation

A

98.5%

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14
Q

what are the two types of polymerisation

A

addition

condensation

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15
Q

how do composite fillings set

A

by free radical addition polymerisation

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16
Q

what are the stages of free radical addition polymerisation

A

activation
initiation
propagation
termination

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17
Q

what is the activation stage

A

chemical activation which requires organic amine and organic peroxide
or light activation camphorquinone and blue light

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18
Q

what is the wavelength of the blue light

A

450-490nm

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19
Q

how do we measure composite polymerisation

A

FTIR spectroscopy and see the different carbon carbon double bonds

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20
Q

how much do dental composites polymerise

A

50-60%

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21
Q

what does poor bonding to teeth lead to

A

poor retention
staining
sensitivity
secondary caries

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22
Q

what are the three materials which bind the filler particles together

A

bis-GMA
UDMA
TEGMA

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23
Q

what is the importance of binding the filler particles together

A

provides workablilty

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24
Q

characteristics of bis-GMA

A

extremely viscous

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25
Q

why is bis-gma viscous

A

due to large benzene rings

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26
Q

how is the viscosity in bis-GMA lowered

A

by adding TEGMA w

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27
Q

what happens when TEGMA is added to bis-GMA

A

FREELY MOVABLE
increases polymer conversion
increases crosslinkage
increases shrinkage

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28
Q

what happens when we light cure

A

stress set up at bonding interface

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29
Q

how do we reduce the shrinkage and stress

A

by adding filler- this doesn’t reduce the volume

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30
Q

most common filler materials

A

fine glass fibres of barium or strontium as they add radiopacity

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31
Q

how much shrinkage are most materials

A

2% linear shrinkage

32
Q

how are fillers classified

A

type of material
size
shape

33
Q

what shape are fillers

A

irregular or spherical

34
Q

why are spherical particles easier

A

easier to incorporate into resin mix leaving less resin mix

35
Q

why do we add different size spherical fillers

A

to fill in all the gaps possible therefore reduce polymer shrinkage

36
Q

what are the typical percentages of resin and filler

A

20% resin

80% filler

37
Q

why do we use fillers

A

we want to reduce
shrinkage
water sorption
thermal expansion

38
Q

what do we want to increase when using fillers

A

tensile strength
modulus of elasticity
abrasion resistance

39
Q

what do you need to add to bind the filler to the polymer

A

coupling agent

40
Q

what are the adv of the coupling agent

A

transfers stresses

41
Q

what do we use as the coupling agent

A

organosilane

42
Q

what end does the siloxane bind to

A

hydroxyl groups on filler

43
Q

what end binds to the resin

A

methacrylate

44
Q

what does the OH groups on the filler bind to

A

siloxane on organosilane

45
Q

what are the disadvantages of organosilane

A

age quickly in the bottle

sensitive to water so breaks down in contact with water

46
Q

what are common silane agents

A

vinyl triethoxysilane

methacryloxypropyltrimethyloxysilane

47
Q

what is the strength of composite

A

170-260 MPA

48
Q

what is the tensile strength

A

30-55mpa

49
Q

what are the three types of composite

A

universal
packable
flowable

50
Q

what is the difference in the three types of composite

A

change is viscosity or filler type

51
Q

what are flowables

A

slightly less filler- lower viscosity

52
Q

disadvantages with flowables

A

less filler therefore more shrinkage and reduced wear

53
Q

what is the ph of phosphoric acid

A

0.2

54
Q

what does etching do to enamel

A

decalcifies part of the enamel rods

55
Q

how long does it take for decalcification to occur

A

5-8 seconds

56
Q

what type of bonding is etching
What strength

A

mechanical with only a strength of 20mpa

57
Q

what is the point of etching

A

removing surface debris
produce 10-20 infold of SA
increase wetting

58
Q

Why is dentine hard to bond to

A

hard to keep dry-23% water

moist living tissue

59
Q

what is the smear layer

A

created by the mechanical cutting of dentine- essentially dentine debris of variable thickness
in addition smear plugs block dentinal tubules

60
Q

what are the benefits of the smear layer

A

can protect dentine and pulp from bacteria

eliminated diffusion of dentinal fluid

61
Q

how do we achieve optimum bonding in regard to the smear layer

A

leave the smear layer
remove the smear layer
the smear layer is modified
the smear layer is partially removed or partially replaced

62
Q

how does composite bond to dentine

A

it is essentially an exchange process involving replacement of minerals (removed by hard dental tissues) by resin monomers which when they set micro mechanically into the porosities

63
Q

what is hybridisation

A

the infiltration of resin monomers into the collagen matrix of demineralised dentine followed by polymerisation

64
Q

what are the steps for bonding to dentine

A

acid etching
primer
bonding adhesive

65
Q

why do we acid etch

A

improves the retention of the restoration
increases the SA
removes smear layer from prep
allows penetration of bonding agent into dentine

66
Q

what do we need to be careful of with acid etch

A

protecting the pulp

67
Q

why do we use a primer
How is it applied

A

improves the wettability of the prep
penetrates etched dentine tubules
applied in a thin layer and air dry but don’t dry too much

68
Q

What is the bonding agent
why is the bonding agent important
How is it applied

A

unfilled or lightly filled resin
adhesive bonds to collagen fibrils in dentine mechanically locks in- hybrid layer
applied in a thin layer

69
Q

how long do we light cure the bond

A

40 seconds- 2x 20 second timing

70
Q

what are the 2 characteristics of primer

A

it is amphiphilic and low viscosity

71
Q

what is added to primer

A

solvents to improve viscosity

72
Q

what are the three types of etch and rinse primers

A

acetone based
ethanol based
water based

73
Q

example of acetone based primer

A

all bond 2

one step

74
Q

example of ethanol based primer

A

optibond

75
Q

example of water based primer

A

scotch bond MP

scotchbond 1

76
Q

what are the advantages of 2 step process of bonding

A

application time is lower

technique sensitivity is lower