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Laveniaseda 1710070110003
Oktaviana Hendafis 1710070110003
Hayi Zuci Mei Lestari 1710070110003
Muthia Syukma Pertiwi 1710070110003
Merry Ayunda Putri 1710070110003
Rosa Gusmi Putri 1710070110003
Subhani Yunus 1710070110003
Syaidatul Fauziah 1710070110003
Siti Nurmalina 1710070110003
Meilani Rizky Novia 1710070110003
Innafil Jannah 1710070110003
Dea Oktari 1710070110003
Scenario 3
Tooth Aches and Toothless
A female patients was 35 years old come to the dentist to fix a sore
front teeth and toothless tooth. On intra oral examination teeth 11
there are caries media and still vital, teeth 15,16,19 and 26,27
missing. Dentist use a resin composit for fillings on teeth 11
previously applied etching and bonding. On the posterior teeth
making denture base acrylic resin, the procedure is printing
using alginate material and filled with gypsum to obtain
anatomical model of the jaw.
Vital
Composite
Gipsum
resin
Media
Alginate
karies
Clarification
of terms
Acrylic
Bonding
resin
Missing Etsa
Formulation of the problems
1. Why do dentists provide composite resin
material on anterior teeth while acrylic
resins for posterior teeth?
2. What is the purpose of anatomical jaw
making?
3. What are the disadvantages and
advantages of acrylic resins?
4. What is the nature of the acrylic resin?
Learning Objective
1. Students are able to explain the nature, composition,
manner of manipulation, types, way of application, and
function of the resin?
2. Students are able to explain the nature, composition,
function, how to apply, and how the manipulation of
printed materials?
3. Students are able to explain the nature, composition,
function, how to apply, the type and manner of
manipulation of the cast?
1. Students are able to explain the nature, composition, manner of
manipulation, types, way of application, and function of the resin?
1. Acrylic Resin
A. Classification
According to American Dental Association (ADA), acrylic resin is divided into two namely :
cross-linked Ethylenglycoldimethacrylat
e
LIQUID Agent approximately 10%
Inhibitor Hydroquinone
activator N-dimethyl-P-toluidinol
C. Characteristic
1. Physic
2. Mechanic
3. Chemistry and
Biology
D. Manipulation
1. Molding-Pressure Technique
a) Artificial tooth arrangement prepared for planting process.
b) Master model is planted in a precisely formed stone.
c) The occlusal surface and incisal of the denture element are
left slightly open to facilitate the cuvette opening procedure.
d) Planting in maxillary denture cuvette. At this stage, the dental
stone is stirred and the rest of the cuvette is filled. The
cuvette cover is slowly placed in place and the stone is left to
harden.
e) After the perfect hardening process, the night is removed
from the mold. To do so, the kuvet can be immersed in
boiling water for 4 minutes. The cuvette was then removed
from the water and both parts of the cuvette were opened.
Then a soft night was ejected.
2. Molding-Injecting Technique
a)The cuvette half is filled with dental stone and the master
model is placed into the stone. Stone is formed and
allowed to harden.
b) Sprue is placed on a night base.
c) The occlusal surface and incisal of the denture element
are left slightly open to facilitate the discharge of the
prosthesis.
d) Disposing of the night by separating the two cuvette parts
and then the cuvette reassembled.
e) The resin is injected into the mold cavity. f) The resin is
allowed to cool and solidify.
g) Kuvet is inserted into a water bath for resin polymerization.
Once the material is polymerized, an additional resin is
inserted into the mold cavity. When finished, the denture
is removed, adjusted, processed, polished.
E. Terms of Acrylic Resins
internal porosity
Eksternal porosity
2. Composite Resin
a. The properties of composite resins
1. Physic
- Color
- Strengthtensile and compressive strength
- Setting
2. Mechanic
- Adhesion
- strength and wear
3. Thermis
2. Students are able to explain the nature, composition, function,
how to apply, and how the manipulation of printed materials?
1. Plaster of Paris Gips Plaster
Composition
Generally the same as plaster cast is used to fill the mold (casts for the model) only
added some other material to get the required properties as printed material.
Potassium sulfate reduces Borax expansion / set time setting, starch / separator with
stone model.
Reaction Setting
Plastered plaster powder when mixed with water will react to form a rigid
dehydrate calcium sulfate mass. The reaction takes place, similar to the
plaster plaster reaction to the model.
Properties
-Viskosity is low so the print material is mucostatic.
-Hydrophilic so it can adapt well and can print details.
hard after setting so it can not print undercut so only
-used to print the jaw without teeth.
-makes a dry sensation in the patient.
2. Impression compound
Composition
Varied and factory secrets. Natural resin mixtures (sellac,
dammar, rosin), wax, plasticizer (gutta percha, stearic acid) and
fillers (calcium carbonate, lime stone).
Properties
Printed material is very thick so it is compokompresif so it can not print in detail.
When cold is stiff, so it can not print undercut Stable dimensional stability, and
low thermal conductivity
Manipulation
This material before use should be softened first in the waterbath, with
temperature 55-60ᵒ C
Composition
The preparation there are 2 pastes with contrasting colors, paste 1 is a
base and 1 catalyst
Properties
Manipulation
The printed material in a sealed container is put into boiling water for 10-45
minutes. After heating the printed material can be stored for 8 hours at 65
5. Alginate printing materials
Composition
Sodium alginate 18%, as a hydrogel-forming
Calcium sulfate dihydrate 14%, as a provider of calcium ions
Sodium phosphate 2%, as control work time
Potassium sulfate 10%, as setting model
Diatom soil filler 56%, as control consistency
Sodium silicone fluoride 4%, as pH control.
Properties
-Accuracy
-Other Properties
Manipulation
Alginate printing materials are used in printing for prosthetic devices
(GTS, GTL, Ortodontie)
3. Students are able to explain the nature, composition, function,
how to apply, the type and manner of manipulation of the cast?
According to Craig et al (1987), the chemical properties of the
cast are:
a. Solubility (solubility) is the number of parts of a substance
dissolved by 100 parts of solvent at a given temperature and
pressure expressed in percent weight / volume.
b. Setting time is the time it takes the cast to be hard and is
calculated since the gypsum contacts with water.
According to Craig et al (1987) hard cast has mechanical properties, among
others:
1. Compressive strength (compressive compressive strength) the strength of
the cast corresponds directly to the density or gypsum period. The dental
stone particles are fine, the water needed to mix less when compared to
the water required for plastering of paris.
2. Tensile strength The range power of the cast is essential when the cast is
removed from the printed material. Due to the absence of bending
properties in the cast, the model will tend to be broken. The hard cast
gratitude is twice as large as the soft cast in both wet and dry conditions.
3. Surface hardness and abrassive ressistance (surface hardness and
abrasion resistance). The surface hardness of the cast is related to the
crushing compressive strength. increased abrasion resistance and
increased crushing compressive strength. Resistance to maximum
abrasion is obtained when the casts reach strength strength. The hard cast
is a cast that has a high abrasion resistance.
Classification of casts American Dental Asosiations (ADA)
specification number 25
1. Impression plaster (type I) Impression plaster is now rarely used in
the field of dentistry and this material is replaced with a material
that is not too stiff and elastic impression material
2. Plaster model (type II) Plaster models are usually used for cast and
articulated diagnostics of stone cast. This product is traditionally
produced in white to distinguish it from dental stone.
3. Dental stone (type III) Dental stone ideal for modeling of full or
partial denture, orthodontic models and others.Dental stone
traditionally berwarana yellow or white
4. Dental stone, high strength (type IV) This type IV material is often
used as a die stones because it is suitable for pattern making from
night in cast restoration
5. High strength, high expansion dental stone (type V) An addition in
the ADA classification for this material develops in response to
meeting the need for higher strength and expansion of the cast
than the dental stone. These materials are blue or green and cost
the most compared to all gypsum products. (Hatrick et al., 2003)