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CONTENTS:
INTRODUCTION
CLASSIFICATION
HISTORY
IMPRESSION MATERIALS
DENTAL LUTING AGENTS
DENTAL CERAMICS
DENTURE BASE RESINS
CONCLUSION
REFERENCES
Page 1
INTRODUCTION:
The overriding goal of dentistry is to maintain or improve the life of the
dental patient. The goal can be accomplished by preventing disease, relieving pain,
improving masticatory efficiency, enhancing speech and improving appearance.
The main challenges for centuries have been the development and selection of
biocompatible, long lasting, direct filling tooth restoratives and indirectly
processed prosthetic materials that can withstand the adverse conditions of the oral
environment.
Dental materials may be classified as
1. preventivematerials
2. restorativematerials
3. auxiliarymaterials
1.Preventivematerials include
Pit and fissure sealants
Sealing agents that prevent leakage
Liners and bases
2.Restorativematerials:
Restorative materials can be classified as direct restorative materials and
indirect restorative materials
Direct restorative materials indicated to use intra orally to fabricate restorations
or prosthetic devices directly on the tissues.
Page 2
Auxiliary dental materials are substances that are used in the process of
fabricating dental prosthesis and appliances but do not become part of these devices.
Eg: etching materials, impression materials, casting materials, dental waxes, acrylic
resins, gypsum cast and model materials, finishing and polishing abrasives.
Fauchard (1678-1761) the father of modern dentistry used tin foil and lead
cylinders for filling the tooth cavities.
In 1774
In 1808
In 1839
IMPRESSION MATERIALS
These materials can be classified according to the mode through which the
ingredients react (set or harden) to solids, their mechanical properties, and their
uses.
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Rigid material eg: ZOE impression paste, impression plaster and impression
compound
For edentulous: for C.D eg; impression compound, ZOE paste, alginate,
elastomers.
For dentulous: for both FPD and RPD eg; agar hydrocolloid, alginate and
elastomers
Special trays or custom made trays eg; ZOE impression paste, elastomeric
impression materials.
Stock trays ; rim lock- alginate; water cooled- agar hydro colloid
Desirablepropertiesoftheimpressionmaterials:
A pleasant odor, taste, and acceptable color
Absence of toxic and irritant constituents
Adequate shelf life for requirements of storage and distribution.
Economically commensurate with the results obtained.
Easy to use with the minimum of equipment.
Setting characteristics that meet clinical requirements.
Satisfactory consistency and texture.
Readily wet oral tissues
Elastic properties with freedom from permanent deformation after
strain.
Adequate strength so it will not break or tear or removal from the
mouth.
Compatibility with cast and die materials
Accuracy in clinical use.
No release of gas or other by products during the setting of the
impression or cast and die materials.
HYDROCOLLOIDS:
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Composition:
Agar- 13-17% is an organic hydrophlilic colloid (polysaccharide) extracted from
certain types of sea weed.
Borates- 0.2-0.5% strengthens the gel
Sulfates- 1-2% accelerator
Diatomaceous earth, clay, silica, wax, rubber can be used as fillers
Thymol- bactericidal agent
Glycerin- plasticizer
Manipulation:
The hydrocolloid is usually supplied in two forms syringe material and tray
material.
The manipulation includes liquefying the gel, placing it in the impression tray,
tempering it to a lower temperature that the patient can tolerate and
maintaining it in its fluid state to capture the details of the oral structures.
The equipment includes 3 compartments for liquefying the material, storing
after boiling and tempering the tray hydrocolloid.
Makingtheimpressioninconventionaltechnique:
The syringe material is taken directly from the storage compartment and
applied to the prepared teeth.
Then the tray material is tempered and the tray is filled and immediately
brought in to position and seated with light pressure and held with a very light
force.
Gelation is accelerated by circulating cool water (appx18-21 degree c) through
the tray for 3-5 min.
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Recent techniques:
Laminatetechnique :
A recent modification of the conventional procedure is the combined
agar alginate technique. The hydrocolloid in the tray is replaced with a
mix of chilled alginate that bonds with the agar expressed from a
syringe.
The alginate gels by a chemical reaction whereas the agar gels by means
of contact with cool alginate rather than with the water circulating
through the tray. Since the agar not the alginate is in contact with the
prepared teeth maximum detail is reproduced.
Advantages
syringe agar records tissues more accurately
Water cooled tray is not required
Sets faster.
Disadvantages:
Agar alginate bond failure can occur
Viscous alginate may displace agar
Technique sensitive
Wetfieldtechnique :
This is a recent technique
The oral tissues are flooded with warm water. The syringe material is
then injected in to the surface to be recorded.
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ALGINATE HYDROCOLLOID
material. It is a mucous extract obtained from certain brown sea weed. The substance
is called anhydrobetadmanuronicacidoralginicacid.
Composition:
Potassium alginate 18%- to dissolve in water and react with calcium ions
Calcium sulfate dehydrate 14% - to react with potassium alginate to form an
insoluble calcium alginate gel.
Potassium sulfate, potassium, zinc flouride, silicates or borates 10% - to
counteract the inhibiting effect of the hydrocolloid on the setting of gypsum,
giving a high quality surface to the die.
Sodium phosphate 2% - to react preferentially with calcium ions to provide
working time before gelation.
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Recent developments:
1. Dustfreealginates :
Inhaling fine airborne particles from alginate impression material can
cause silicosis and pulmonary hypersensitivity.
Dustless alginates were introduced which give off or no dust particles so
avoiding dust inhalation. This can be achieved by coating the material
with glycerine or glycol. This causes the powder to become more denser
than in uncoated state.
2. Siliconisedalginates:
It is a two component system in the form of two pastes, one containing
the alginate sol and the second containing the calcium reactor.
The components incorporate a silicone polymer component which
makes material tear resistant compared to unmodified alginates.
However the dimensional stability is reported to be poor.
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NON
AQEOUS
ELASTOMERIC
IMPRESSION
MATERIALS:
Elastomers refer to a group of rubbery polymers which are either chemically or
physically cross linked.
Chemically there are four kinds of elastomers used as impression materials.
-poly sulfide ; introduced in 1950
-
Hand mixing:
Equal lengths of catalyst and bases are dispensed on a paper pad, initial mixing
is accomplished with a circular motion and final mixing to produce a mix free
from streaks.
Automixing systems:
The base and the catalyst are in separate cylinders of the plastic
catridge.
The plastic catridge is placed in a mixing gun containing two plungers
that are advanced by a ratchet mechanism to extrude equal quantities of
base and catalyst.
The base and catalyst are forced from the static mixing tip containing
plastic internal spiral, the two components are folded over each other
resulting in a uniform mix at the tip end.
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Composition:
Base paste:
Poly sulfide polymer- 80-85%
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Reaction:
The lead dioxide catalyzes the condensation of the terminal and pendant
SH with SH groups on other molecules, resulting in chain lengthening
and cross linking. In the process the material changes from a paste to a
rubber.
This reaction is accelerated by increase in temperature and by the
presence of moisture.
Water is the byproduct in this condensation reaction.
Manipulation:
These materials are mixed on a mixing pad with a spatula
Adequate mixing time is 45-60sec; the working time is about 5-7min.
They stain clothing permanently, they can be electroplated, and some
products can be silver plated.
Polysulfides must be poured within 1hour and cannot be repoured.
Polysulfide impression materials are low to moderately hydrophilic and
make an accurate impression in the presence of saliva or blood. Because
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Impregum(F), Permadyne.
Composition:
Base paste;
Imine terminated polymer (polyether) crosslinks to form the set
material
A colloidal silica as the filler gives bulk
Glycol ether or phthalate acts as a plasticizer.
Accelerator:
Alkyl aromatic sulfonate initiates cross linkage.
Colloidal silica as a filler to form the paste
Plasticizers such as glycoether or phthalate.
Settingreaction:
When the base paste is mixed with the catalyst paste ionic
polymerization occurs by ring opening of the ethylene imine group
and chain extension.
It sets by additional polymerization and no byproduct is formed.
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Condensation silicones:
It was the first type of silicone impression material
These materials are available two paste or paste-liquid-catalyst systems
or putty in jars.
Multi phase materials available in different viscosities
Monophase- available in a single viscosity.
Composition:
Base paste;
Poly dimethyl siloxane
Colloidal silica or microsized metal oxide filler
- Putty viscosity- 60-70%
- Medium viscosity 35-75%
- Low viscosity 5-15%
Color pigments
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Commercial names:
Multi phase materials Reprosil,Provil,President
Monophase materials Imprint,Bluemouse
Composition:
Base paste:
Poly (methyl hydrogen siloxane)
Other siloxane prepolymers
Fillers to give bulk and viscosity
Accelerator paste:
Divinyl poly siloxane
Inert oils and fillers forms the bulk of the paste
Palladium salt catalyst (chlorplatinic acid)
Palladium or hydrogen absorber
Retarder
Filler
Polyvinyl siloxane
+
Pt salt
silicone rubber
Silane siloxane
Page 19
Recent advancements:
Surfactants have been added to addition silicones by manufacturers to
reduce the contact angles, improve wettability, and simply pouring of
gypsum models, known as hydrophilized addition silicones.
The hydrophilization of addition silicones is gained with the
incorporation of non ionic surfactants as micelles. The molecules
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(extrinsic
Monophaseimpressionmaterials :
Impression materials are available as single viscosity pastes called
monophase materials.
These materials can be used as both light bodied and heavy bodied
materials.
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Visiblelightcuredpolyetherurethane :
The composition of the resin matrix is similar to that of light cured composites.
These materials are available as
-light bodied
- heavy bodied
Composition includes:
-polyether urethane dimethacrylate
- diketone photo initiator
- Transparent silica filler (40-60%)
Manipulation:
The undercuts should be blocked out before making the impression.
Transparent stock trays are available.
The light bodied material is syringed and the heavy body material is
placed above it.
Blue light is used for curing. The exposure should be done from the
posterior to anterior region. Each region should get an exposure of
30sec.
After removal the impression can be filled and re exposed to light.
Advantages:
Long working time, but short setting time.
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LUTING CEMENTS
A dental cement used to attain indirect restorations to prepared teeth is called a luting
agent . Luting agents may be definitive or provisional depending on their physical
properties and the planned longevity of the restoration.
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REQUIREMENTS:
It must not harm the tooth or tissues.
It must allow sufficient working time to place the restoration.
It must be fluid enough to allow complete seating of the restoration.
It must not dissolve or wash out and must maintain a sealed intact
restoration.
It must quickly form a hard mass strong enough to resist functional
forces.
It must not dissolve or wash out and must maintain a sealed intact
restoration.
Classifications:
Donovan
classified
cements
into
conventional
(eg:zinc
Resinmodifiedglassionomer(RMGI ):
Page 24
Compomers:
The compomers , also known as polyacid- modified composite resins
appeared in the late 1990s, and were described as being a combination
of composite resin (comp) and glass ionomer (omer), offering the
advantages of both.
Compomers are anhydrous resins that contain ion leachable glass as part
of the filler and dehydrated poly alkenoic acid.
The physical behaviour of the compomers is more like composite resins
than glass ionomer, with higher compressive and flexural strength than
RMGI, but inferior to unmodified composite.
Tooth addition is very little, fluoride release is very limited and its less
than that of conventional glass ionomer .
Resin:
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Adhesiveresin :
In the early 1980s conventional Bis GMA resin cement was modified
by adding a phosphate ester to monomer component to improve the
degree of chemical bonding as well as micromechanical bonding to
tooth structure and base metal alloys.
Eg; Panavia contained the bifunctional adhesive monomer 10methacryloyloxy deci dihydrogen phosphate (MDP) and was a powder/
liquid system.
In 1994, Panavia was modified to include a dentin/enamel primer
containing hydroxyethyl methacrylate (HEMA), N-methanyloyl 5aminosalicylic acid and MDP intended to improve bond strength to
dentin.
Eg;Panavia 21, marketed as a two paste system offered 3 shades, tooth
colored 9T.C, translucent), white (EX,semitranslucent) and opaque
(OP).
The current product Panavia F is a two paste system that is dual cured ,
self etching and self adhesive plus fluoride releasing.
C&B metabond modified Bis GMA composite by decreasing filler
and adding 3% 2 hydroxy-3b naphthoxypropyl methacrylate in methyl
methacrylate with 4- methacryloyloxy ethyl trimellitate anhydride (4META) and tri-n-butyl borane.
Page 27
FujiCEMAutomix;
Cavity liner:
Calcium hydroxide:commonly employed as adirect or indirect pulp capping agent.
Two paste system employed as a direct or indirect pulp capping agent.
Available as
Twp paste systems containing base and catalyst pastes in collapsible tubes
Light cured systems
Powder and liquid
Single paste system
Commercial names:
-
The base is zinc oxide with calcium hydroxide as aell as butyl benzene
sulfonamide and zinc stearate.
Page 29
DENTAL CERAMICS
The word ceramics is derived from the greek word Keramos meaning pottery or burnt
stuff. Ceramics is an inorganic compound with non metallic properties typically
composed of metallic or semi metallic and non-metallic elements (eg. Al2O3 CaO
and Si3N4).
Def:
An inorganic compound with nonmetallic properties typically consisting of oxygen
and one or more metallic or semimetallic elements (eg: aluminium, calcium, lithium,
magnecium, potassium, silicon, sodium, tin, titanium and zirconium) that is
formulated to produce the whole or part of a ceramic based dental prosthesis.
Ceramic:
History:
Page 30
de
VitaZahnfabrik in about
1963.
A significant improvement in the fracture resistance of porcelain crowns was
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Classification:
Dental ceramics can be classified based in many factors.
1.Basedonchemicalcomposition
a)Silicate ceramics:
Silicate ceramics have oxides of silicon and other atoms of aluminium, potassium,
magnecium calcium eg:potash felds, sodium feldspar.
b).Non silicate ceramics:
Without silica the other ingredients being the same eg: alumina (Al2O3), Spinell
(MgO, Al2O3)
c).Non oxide ceramics:
This includes silicon carbide, tungsten carbide or graphite.
2.Basedoncrystallinenature :
Crystalline ceramics; eg:feldspathic porcelain contains leucite (crystal phase)
Non crystalline ceramics eg:glass
3.Basedonfusiontemperature:
1. High fusing- 1300degree C
2. Medium fusing 1101 1300 degree C
3. Low fusing 850- 1100 degree C
4. Ultra low fusing less than 850 degree C
The medium fusing and high fusing types are used for production of denture teeth.
The low fusing and ultra low fusing porcelains are used for crown and bridge
construction.
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4. Basedontype:
Feldspathic porcelain
Aluminous porcelain
Glass infiltered alumina
Glass infiltred spinell
Castable glass ceramic
Injection molded glass ceramics (IPS Impress: Optec)
Leucite reinforced porcelain.
5. Basedonthemethodoffabrication :
Pressure moldingband sintering
Condesnsation and sintering
Casting and ceramming
Slip casting
Sintering and glass infiltration
Milling by computer control
Copy milling
6.Basedonapplication
Core porcelain
Opaque porcelain
Dentine or body porcelain
Enamel porcelain
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Hot pressing:
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Pressure molding is used to make small intricate objects. This method used a
piston to force a heated ceramic ingot through a heated tube in to a molod,
where the ceramic form cools and hardens to the shape of the mold.
IPS Empress is a glass ceramic provided as core ingots that are heated and
pressed until ingot flows in to a mold. It contains a higher conc. Of leucite
crystals that increase the resistance to crack propagation (fracture).
Machinable ceramics:
Computer aided design / computer aided manufacturing:the evolution of CAD CAM
systems for the production of machined inlays, onlays and crowns led to the
development of a generation of machinable porcelains.
There are two popular systems available for machining all ceramic restorations
CEREC System (siemens, Bensheim, Germany)
Celay system (Mikrona technologies, Switzerland)
CEREC System:
CEREC is a dental restoration product that allows a dental practitioner to
produce an indirect ceramic dental restoration using a variety of computer
assisted technologies including 3D photography and CAD/CAM.
The cavity preparation is first photographed and stored as a three dimensional
digital model and proprietary software is then used to approximate the
restoration shape using biogenic comparisions to surrounding teeth.
When the model is complete a milling machine carves the actual restoration
out of a ceramic block using Diamond Head cutters under computer control.
CEREC is an acronym for chairside economical restoration of esthetic
ceramics.
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It was introduced by
Zurich.
The first chair side CEREC introduced in 1985.
In 1994 CEREC -2 was introduced.
In 2000 CEREC -3 was introduced.
In 2003 , 3D soft ware version is released, allowing users to see 3D views of
teeth and models
In 2008, Sirona release the MCXL milling unit, this milling unit can produce a
crown in 4 minutes.
CEREC I:
introduced in 1985
chief indications are single and dual surface inlays and the material is vitablocs
markII
The concept of grinding inlay bodies externally with a grinding wheel along
the mesiodistal axis suggested itself.
In this arrangement we could turn the ceramic block on the block carrier with a
spindle and feed it against the grinding wheel which ground from the full
ceramic and new contour with a different distance from the inlay axis at each
feed step.
CEREC -2
-
introduced in 1994
CEREC -3
Skipped the wheel and introduced the two bur system.
Its a compact windows based CAD- CAM system.
In 2006 a step bur was introduced, reduced the diameter of the
top one third of the cylinder bur to a small diameter tip enabling
high precision form grinding with reasonable bur life.
The three dimensional virtual display of the preparation of the
antagonist and of the functional registration became available
with the introduction of the three dimensional version of the soft
ware in 2003.
The current CEREC 3 System can fabricate inlays, onlays and
posterior crowns as well as anterior crowns and veneers.
Two materials can be used with this system:
Vita mark II (VIDENT, BALDWIN PARK ca)
Dicor MGC (Dentsply international, York, PA)
Vita mark IIcontains sanidine (KAl Si3O8) as a major crystalline
phase within a glassy matrix.
Dicor MGC is a machinable glass ceramic similar to Dicor, with
the exception that the materials cast and cerammed by the
manufacturer.
Celay system:
The celay system (Mikrona technologie, spreitenbach, Switzerland) uses a
copy milling technique to manufacture ceramic inlays or onlays from resin
analogs.
Page 38
Aluminabasedceramics:
Aluminous core porcelain is a typical example of strengthening by dispersion
of a crystalline phase (mclean and kedge, 1987). Alumina has a high modulus
of elasticity (350 GPa) and high toughness (3.5-4Mpa).
Its dispersion in a glassy matrix of similar thermal expansion coefficient leads
to significant strengthening of the core. Hiceram is a more recent development
in this system.
Magnesiabasedcoreporcelain:
Magnesia core ceramic wad developed as an experimental material in 1985
(OBrien, 1985). Its high thermal expansion coefficient (14.5 x 10-6 /degreeC)
closely matches that of the body and incisal porcelains designed for bonding to
metal (13.5x 10-6 ).
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Zirconiabasedporcelain :
Mirage II (Myron international, Kansas city, KS ) is conventional feldspathic
porcelain in which tetragonal zirconia fibres have been included.
Zirconia undergoes a crystallographic transformation from monalinic to
tetragonal at 1173 degree C)
Partial stabilization can be obtained by using various oxides such as CaO,
MgO, y2o3 and Ceo which allows high temperature tetragonal phase to be
retained at room temperature.
The result of this transformation is that compressive stresses are established on
the crack surface, there by arresting its growth. This mechanism is called
transformation toughening.
The addition of yttria stabilized zirconia to conventional feldspathic
porcelain has been shown to produce substantial improvements in fracture
toughness, strength and thermal shock resistance.
Leucitereinforcedfeldspathicporcelain :
Optec HSP material is a feldspathic porcelain containing up to 45 vol%
tetragonal leucite (Schmid et al 1992, Pinche etal 1994, Demy and Rosensteil ,
1995)
The greater leucite content of Optec HSP porcelain compared with
conventional feldspathic porcelain for metal ceramics leads to a higher
modulus for rupture and compressive atrength.
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Slipcastallceramicmaterials :
Slip casting involves the condensation of an aqueous porcelain slip on a
refractory die. The porosity of the refractory die helps condensation by
absorbing the water from the slip by capillary action. The piece is then fired at
high temperature on the refractory die.
The fired core is later glass infiltered a unique process in which molten glass is
drawn in to the pores by capillary action at high temperature.
Advantages include reduced porosity, fewer defects from processing and
higher toughness than conventional feldspathic porcelains.
Disadvantages include high opacity and long processing times.
Materials used in this technique are
-Alumina based materials
-Spinell and zirconia based materials.
Glass ceramics:
Micabased :
Glass ceramics obtained by controlled devitrification of glasses with a suitable
composition including nucleating agents. Depending on the composition of the
glass, various crystalline phases can nucleate and grow within the glass.
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Hydroxylapatitebased:
Cera pearl (Kyocera, Sandiego CA) is a castable glass ceramic in which the main
crystalline phase is oxyapatite transformable into hydroxyapatite when exposed to
moisture (Hobo and Iwata 1985).
Future directions:
The future of ceramics for dentistry is clearly open to new technologies.
Research is now focusing on fractrographic analysis of clinically failed
restorations, measure of fatigue parameters and lifetime prediction of ceramic
restorations.
The metal ceramic technique is still the most commonly used procedure in
restorative dentistry and the success of new all ceramic systems will depend as
much on developmental as on analytical research.
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Basedontheirmodeofactivation:
Heat activated
Chemically activated or self cure or cold cure or autopolymerized resins
Light activated resins.
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Basedonthefillerparticles
Unfilled resins for direct filling eg:acrylic resins
Filled resins for direct filling eg: composites
Specific requirements:
Water sorption shall not be more than 0.8mg/cm2 after immersion for 7days/ at
37degreeC.
Stability shall not be more than 0.04mg/cm2 after water soaked specimen is
dried to constant weight.
Plastic shall show no more than a slight color change when exposed to a 24hr
specified UV lamp test.
Pourtypeacrylics:
The chemical composition of the pour type denture resins is similar to poly
(methyl methacrylate) materials that are polymerized at room temperature.
The principle difference is in the size of the polymer powder or beads. The
pour type denture base resins commonly referred to as fluid resins, have much
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Highimpactstrengthacrylics :
Denture base materials that have greater impact strength have been introduced.
These polymers are reinforced with butadiene styrene rubber. The rubber
particles are grafted to methyl methacrylate to bond to the acrylic matrix.
These materials are supplied in a powder- liquid form and are processed in the
same way as other heat accelerated methyl methacrylate materials.
Rapidheatpolymerizedacrylics;
These hybrid acrylics are polymerized in boiling water immediately after being
packed in to a denture flask.
The initiator is formulated from both chemical and heat activated initiators to
allow rapid polymerization without the porosity.
After placing the denture in boiling water the water is brought back to afull
boil for 20min.
After bench cooling to room temperature, the denture is deflasked, trimmed
and polished in the conventional manner.
Lightactivatedresins:
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Reinforceddenturebasewithglassfillers :
(Ref: JOP1999, 18-26, vol-8, no.1)
In their study they incorporated glass fibers (Sio2- 54%, Al2O3-14%, B2O39%, MgO-5% and CaO-18%) that were 3.8 micrometers in diameter.
Optimal adhesion between the fibers and the polymer matrix can be obtained
by mixing with silane coupling agents.
Incorporation of glass fibers in a continuous roving form increases the strength
of dentures and enhances the fracture resistance.
Main disadvantage of this system is difficulty in handling the fibers and
inadequate degree of impregnation of fibers with the resin.
Other materials used for reinforcement of acrylic resin materials are
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a polymer
Aramid fibers:
Aramid fiber is the generic name for aromatic polyamide fibers, which are
more commonly called Kevlar fibers after the first commercially available AF
produced by Dupont.
Page 49
Metal fillers:
They improve the thermal conductivity of PMMA and enhances its
strength, but also contribute to poor esthetics for complete dentures.
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Introductionofadentureinjectionsystemforusewithmicrowavable
acrylicresins;
-
Advantages:
The injection process eliminates the need for direct handling of resin during the
packing process
Disadvantages:
The additional cost of the pneumatic press and associated flask components.
The necessity of adding and removing screws.
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There are many materials which can act as radio opaque additives
Eg: Barium sulfate, Barium acrylate, Bismuth bromide)
But these materials weaken the resin and decrease the transverse and
impact strengths.
low level of
cytotoxicity
which
indicates
significant
biocompatibility.
-
And the authors concluded that TPB doesnot significantly alter required
performance and processing properties.
CONCLUSIONS:
Page 52
dentists, we are challenged to restore function while providing a highly esthetic result.
The choices available for esthetic restorations are expanding continually as more
private and public research is aimed at improving clinical results.
An examination of material properties should lead us to select those
systems engineered to provide the patient with best clinical out come with respect to
esthetics , function , longevity and compatibility with surrounding natural tissues.
REFERENCES
1. Restorative Dental materials: G Craig & John M Powers-11th
edition2002.
2. Phillips science of dental materials: Anusavice; 11th edition
3. DCNA, July 2007, 994-1003.
4. OBrien, Dental Materials & their Selection 1997
5. Evolution of dental ceramics in the twentieth century, John W.Mclean,
JPD VOL-85, NO.1, Jan-2001.
6. A novel comonomer free light-cured glass ionomer cement for
reduced cytotoxicity and enhanced mechanical strength. Dong Xie, J of
Dental materials 23 (2007) 994-1003.
7. The effect of disinfection and a wetting agent on the wettability of
addition silicone Impresion materials; Paul J.Milward, JPD 2001; 86.1657.
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