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94 Cards in this Set

  • Front
  • Back
General amalgam principals
no term on cusp tips, remove weakend enamel, smooth, 1.5mm depth
Class II outline form
carious fissures, pulpal depth 1.5, smooth curves, isthsumus ¼ intercuspal, gingival floor with 1-.5, axial wall contour, marginal ridge with (1.6/2)
Class II retention
convergence of walls and box, dovetails, bonding agent
Class II resistance
round line angles, flat pulpal floor, isthsmus, MD wall, margins, ridges, axial wall
Class II convenience
isthmus width, gingival/proximal clearance
When to check occlusion
prior to prep and after carving
Indications for amalgam
class 1,2,5,6; core buildup, large, poor isolation, heavy contact, abutment for dentures, temporary restorations
Contraindications for amalgam
esthetic, small restorations
Advantages of amalgam
easy, high compressive strength and wear resistance, long term, cost
Disadvantages of amalgam
non-esthetic, poor insulator, less conservative, weakens tooth, difficult prep, marginal leakage
Spherical amalgam
little condensation pressure, high early strength, large restorations, faster set
Lathe cut
irregular, more condensation pressure
Admixed amalgam
lathe + spherical
Coef. Of expansion of amalgam
2.5X tooth structure
Compressive strength
similar to tooth structure
Tensile strength
low
Is amalgam brittle?
Yes
High or low edge strength?
Low
Good thermal conductor?
yes
Should you burnish matrix band?
Yes
Number of ways to make band
three
Band arch should go towards
occlusal surface
Wedges help prevent gingival overhang
true
Wedges help restore interprox. Contour
true
Wood wedges are made of
sycamore
Cool property of sycamore
expands when wet
Type of plastic wedge
fender, for protection adjacent tooth
Holder arm of matrix goes
on buccal side of tooth
Trituration
mixing mercury and amalgam powder
If properly triturated amalgam is
homogeneous
Under and over trituration can cause
decreased strength
Obj of condensation
adaptation, compaction, reduce residual mercury
Wich condenser is used first?
Smallest
Larger the nib
less force per unit area
First condense to
deeps part of prep
Overfill
covering cavosurface with amalgam
Overfill purpose
eliminate voids, reduce mercury
Precarve burnish
ensures adaptation of amalgam at margins, smooth, pushes merc to surface
Carving
restore form/function, remove mercury rich layer, remove overhang
Overcarving amalgam can cause
weakness, undercontouring
Undercarving amalgam can
leave a layer of flash
Flash
is overhang, can fracture and cause a void
Avoid chewing sticky things for
24 hours after restoration has been placed
In class II remove facial/lingual excess with
hollenback or explorer
Removing matrix band
do not take off straight up
What to use for polishing
white stone, rubber abrasive point
Repairing fracture when placing
use highspeed to cut small prep then fill it
The gama1 and 2 phase are present in low copper amalgam allow powder before its mixed with mercury
false
Epsilon and eta phase are present in
high copper amalgams
Metallic phase that’s most corrodible, softest, weakest
gamma 2
High copper amalgam allow powder contains
more than 6% copper, tin, gamma phase
Metal that may or may not be present
zinc
Correlation with low copper amalgam and
increased margin breakdown, increased corrosion
No relationship with mercery amalgam and medical problems
true besides allergy
Threshold limit for exposure to mercery vapor
.o5 mg/cubic meter
To reduce mercury vapor in office
use spray/hivac, premeasured capsuls, ventilation
Conditions for delayed expansion
zinc, contamination, several days/weeks time
Reasons for bulk fractor of amalgam
inadequate condensation, wrong mercury/alloy ratio, high surfaces after carving
Polishing should be delayed because
strength of restoration increases with time
Amalgam with more than 6% copper
modern, high coper
Zinc
acts as scavenger during manufacturing
Strongest phase set in amalgam
gamma
Weakest most corodable phase?
Gamma 2
Amalgamation reaction
between mercury silver tin copper
Amalgam used in posterior because
high wear resistance, high compressive strength
Dimensional change that occurs in zinc with moisture contamination is
delayed expansion
Increased copper leads to
increased strength
Gamma 2 phase is
tin-mercury
New amalgams use
gallium, doesn’t work good
Spherical has greater resistance to condensation than lathe
false
Delayed expansion occurs with contamination after set
false (during set)
Strength of dental amalgam
increases with time
amalgam with lower than 6% copper
conventional (lower)
beta phase
silver-tin a
gamma phase
silver-tin b; INTERMETALLIC COMPOUND
eutectic phase of amalgam
silver-copper
epsilon phase of amalgam
copper-tin
gamma 1 phase
silver-mercury
gamma 2 phase
tin-mercury
new (n) phase
copper-tin (2)
dispersalloy
high copper amalgam used in lab
silver-tin-copper + mercury
amalgam setting reaction
mercury disolves silver-tin around gamma phases
G1,G2,E,N phases form around unused gammas in that order
the gamma 2 phase is undesirable
the gamma 2 phase is incerased if partiles are not heat treated or if heat treated for too long
true
true
which phase eliminates the gamma 2 phase in admix high copper?
n
why is burnishing done during carving?
for better adaptation at margins
positive effects of polishing amalgam are
resistance to calculus
reduce tarnishing and corrosion
which type of amalgam has the most creep?
low copper (2.00)
which type of amalgam is the strongest (compresive and tensile)
high copper SINGLE composition
knoop hardness
106-174
why do northern eruopean contries ban the use of amalgam?
to reduce the overall amount of mercury in their enviornment
where should scrap amalgam be stored?
under water in enclosed containers
which is more affordable -amalgam or resin?
amalgam
which has a lower wear resistance and is more technique sensitive amalgam or resin?
resin
esthetics is a justifiable reason to use resin over amalgam
true