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DOH110 Oral Health sciences 1 > Week 1 Dental Materials GIC+Alginate+Polyethers+Polysulphes > Flashcards

Week 1 Dental Materials GIC+Alginate+Polyethers+Polysulphes Flashcards

Describe the properties, chemistry and clinical handling of Glass Ionomer Cements Describe the indications and contra-indications for use of Glass Ionomer Cements Describe the advantages and disadvantages of Glass Ionomer Cements Understand the chemical, physical and handling properties of differing impression materials Describe the indications of use for each of the impression materials Describe the setting reaction for each of the impression materials

1
Q

What is impression material?

A

A negative or likeness copy in reverse of the subject of the object. An imprint of the teeth and adjacent structures for use in dentistry

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2
Q

How are Polyethers dispensed?

A

supplied as two pastes with a catalyst and base

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3
Q

What is the composition of the Polyethers?

A

Catalyst: containing reaction initiator
Base: forming oils and fillers in second syringe which is smaller than base

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4
Q

What is the chemical setting characteristics of Polyethers?

A

Base and catalyst upon mixing a cationic, ring opening addition to polymerisation

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5
Q

What are the properties of Polyethers?

A

Good tear resistance, elastic properties approaching those of silicon. They are rigid when they are set and force is required to to remove impression after setting.

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6
Q

What basically is alginate?

A

Irreversible hydrocholoids When powder is mixed with water to obtain a paste setting occurs

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7
Q

What are the two main setting reactions that occur in alginate?

A
  1. (tri)sodium phosphate + calcium sulphate

2. remaining calcium sulphate + sodium potasium alginate

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8
Q

Whats the mixing time on alginate?

A

1 minute

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9
Q

Whats the setting time of alginate?

A

1.5-3min

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10
Q

What basically are the physical properties of alginate?

A

Material that is flexible and elastic enough to be withdrawn past undercuts

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11
Q

Whats a disadvantage of alginate?

A

Care must be taken during withdrawal from mouth, to avoid tearing

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12
Q

How long should you wait before withdrawing an alginate impression from a patients mouth?

A

A further 2mins, as cross-linkage continues after material has set. This enhances the elastic nature of this material

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13
Q

What can influence the setting characteristics of alginate?

A
  1. Temperature of water

2. Power-Water Ratio

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14
Q

How does the temperature of water affect the setting properties?

A

Using warm water: reduces working time and setting time through accelerating rate by which sodium phosphate is consumed and increasing rate of cross linkage.
Using cold water: has the reverse effect

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15
Q

How does the Powder-water ratio affect the setting properties?

A

Too much powder: alginate too thick causes mixing to become difficult
Too much water: alginate mixture becomes runny, setting time increases, runs out of tray (higher risk of gag reflex)

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16
Q

When should alginate be cast?

A

As soon as possible to prevent inaccuracies due to dimensional changes, because alginate undergo synersis and imbibition

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17
Q

Describe the term synersis

A

Envisaged as squeezing out water between polysaccharide chains. Water lost by evaporation causing SHRINKAGE of impression and serious inaccuracies.

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18
Q

Describe the term Imbibition

A

presences of excess water causes seperation of aligned polysaccaride chains leading to SWELLING of the impression. Opposite to synersis

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19
Q

What is the chemistry (ingredients) of alginate?

A 
Potassium titanium fluoride 
Potassium sodium alginate
Tri-sodium phosphate
Diatomaceous earth
Calcium Sulphate
Zinc oxide
Colouring/flavouring
20
Q

What does Potassium sodium alginate do? (Chemistry)

A

Thickening agent

21
Q

How does diatomaceous earth react?

A

Adds bulk to material

22
Q

How does Calcium Sulphate react?

A

Reacts with potassium alginate to form gel

23
Q

How does Tirsodium phosphate react?

A

Slows down reaction time

24
Q

How does Zinc Oxide react?

A

Adds to bulk of material

25
Q

How does Potassium titanium fluroide react?

A

Added so it does not interfere with setting and surface strength

26
Q

What are the physical phases of alginate?

A
  1. Solution (the material is a liquid or semiliquid form)

2. The material is semisolid similar to a gelatin dessert

27
Q

How many physical phases are in alginate?

A

two

28
Q

What is the chemical setting characteristics of alginate?

A

A chemical reaction occurs -
Soluable alginate reacts with calcium sulphate to produce a insoluble calcium alginate as a gel.

The production of calcium alginate is delayed by aading trisodium phosphate.

29
Q

Describe in laymen terms the setting characteristics of alginate

A

First the soldium phosphate reacts with calcium sulphate to provide adequate working time.
Second after sodium phosphate has reacted, the remaining calcium sulphate reacts with sodium alginate to form an insoluable calcium alginate which forms a gel with water.

30
Q

What do you use to decontaminate alginate impressions?

A

hypochlorite or foraldehyde

31
Q

How do you store alginate impressions?

A

wrap in damp paper towel, placed in plastic bag, store only for short time frame.

32
Q

What is a modified alginate?

A

Incorporation of silicon polymers, it’s a two paste system (mixed). Colour contrast between mixing allows thorough mixing.

33
Q

Benefits of using a modified alginate

A

Shows a marginally better detail and tear resistance

34
Q

Disadvantages of using a modified alginate

A

Mixing can be difficult as viscosity can vary. Has poor dimensional quality

35
Q

Name another dental material

A

Reversible Hydrocolloids (agar)

36
Q

How many impression dental materials are their?

A

5

37
Q

What are the impression materials called?

A

Alginate, polyethers,modified alginate, reversible hydrocolloids (agar), polsulphides

38
Q

What is the composition of Reversible hydrocolloids?

A

Supplied in gel, tooth-paste like syringe/tube. 15% colloidal suspension of agar in water. Agar is a complex polysaccharide extracted from seaweed

39
Q

Disadvantages of using Reversible hydrocolloids?

A

Poor mechanical strength and tears at low levels of stress, has poor dimensional stability, subgingival and inter-proximal areas are difficult to record.

40
Q

What is a poly sulphide?

A

It’s a two based system dispensed from tubes, a base (liquid polysulphide prepolymer) and catalyst (oxidising agent). It’s available in light, regular and heavy body.

41
Q

What are the setting characteristics of polysulphides?

A

The terminal and pendant thiol groups of the prepolymer chains undergo a reaction with lead dioxide, result in chain cross-linkage.

42
Q

What is the scientific term for polysulphides result in cross-linkage?

A

Known as condensation polmerization

43
Q

What are the properties of Polysulphides?

A

Very good tear resistance. Heavy bodied are more accurate as they exhibit less setting and thermal contraction >better dimensional stability.

44
Q

Why do we use impression materials?

A

To accurately record dimensions of oral tissues and their spatial relationships

45
Q

What is alginate impression materials used for?

A

Bleeching trays, mouth guard, splint guards, orthodontic comparison, study models. opposing arch, duplicating models

46
Q

What are the advantages of using Irreversible Hyrdocollids (alginate)

A 
Ease of manipulate
Reasonable cost
Adequate flow and wetting properties
Sufficient mechanical strength
Appropriate setting time
Safe nontoxic or irritating 
Good shelf life
47
Q

How does alginate set?

A

◦ First the sodium phosphate reacts with calcium sulphate to provide
adequate working time.

◦ Second after sodium phosphate has reacted, the remaining calcium
sulphate reacts with sodium alginate to form an insoluble calcium
alginate which forms a gel with water

DOH110 Oral Health sciences 1 (25 decks)

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