tooth coloured resto materials 1: resin and bonding materials Flashcards
what are the properties were looking for in a material for a chipped tooth
strong durable aesthetic non toxic-safe needs to resist forces( for posterior) depending on the location in the mouth
what is a composite
a product with at least two distinct phases
what is the purpose of composite
to combine two or more materials to produce one with superior properties
what does composite contain
dental filler, resin matrix and an organic binder
can composites bind by themselves
no they need a binding agent which helps them bind to the tooth
what are advantages of composite
aesthetics conservation of tooth structure adhesion to tooth-by binding system low thermal conductivity alt to amalgam
what is the MINAMATA convention
the UK has signed up to get rid of mercury worldwide- not only in dentistry mostly about environmental conditions
when did the UK sign the MINAMATA convention
2016
disadvantages of composite
technique sensitivity
polymerisation shrinkage
decreased wear resistance
what is the disadvantage of polymerisation shrinkage
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
what acid is used to etch the tooth
phosphoric acid
what % of phosphoric acid is in the etch
37%
how much % of bacteria spreading reduces with rubber dam isolation
98.5%
what are the two types of polymerisation
addition
condensation
how do composite fillings set
by free radical addition polymerisation
what are the stages of free radical addition polymerisation
activation
initiation
propagation
termination
what is the activation stage
chemical activation which requires organic amine and organic peroxide
or light activation camphorquinone and blue light
what is the wavelength of the blue light
450-490nm
how do we measure composite polymerisation
FTIR spectroscopy and see the different carbon carbon double bonds
how much do dental composites polymerise
50-60%
what does poor bonding to teeth lead to
poor retention
staining
sensitivity
secondary caries
what are the three materials which bind the filler particles together
bis-GMA
UDMA
TEGMA
what is the importance of binding the filler particles together
provides workablilty
characteristics of bis-GMA
extremely viscous
why is bis-gma viscous
due to large benzene rings
how is the viscosity in bis-GMA lowered
by adding TEGMA w
what happens when TEGMA is added to bis-GMA
FREELY MOVABLE
increases polymer conversion
increases crosslinkage
increases shrinkage
what happens when we light cure
stress set up at bonding interface
how do we reduce the shrinkage and stress
by adding filler- this doesn’t reduce the volume
most common filler materials
fine glass fibres of barium or strontium as they add radiopacity