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21 Cards in this Set

  • Front
  • Back
What is another term for stiffness?
Modulus or elastic modulus. The higher the elastic modulus, the higher the stiffness of the material.

ex. rubberband has low elastic modulus; stainless steel has a high elastic modulus
What do composites come in?
Either come in tubes or carpules
- injected into the patient
then polymerized by a light (curing light)

-They can be bonded by these curing lights. Currently, use LEDs.
What are some early tooth colored restoratives?
Silicate cement: soluble, very low mechanical strength
Acrylic resin: high coefficient of thermal expansion; low wear resistance, marginal problems
What does composite require on the operator over amalgam?
They require more time and manual dexterity compared to amalgam.
What are the advantages of resins?
-easy to shape
-can be made in various shades and translucencies
-generally non soluble
-soft, non damaging to opposing teeth
-generally biocompatible in cured form
-good insulators
-compabitle with adhesives
-comfortable, no galvanic response
What are the disadvantages of resins?
-generally low modulus
-generally low resistance to wear
-high coefficient of thermal expansion
-polymerization process causes shrinkage
-often porous and degradable
-tend to accumulate plaque and deposits
What do we see when acrylic is used as a filling material?
we get degradation and marginal decay. there is also discoloration.

better to use for dentures
Describe the properties of concrete.

What material is used in combination with concrete often?
-its made of sand and gravel bonded with cement and water.
-great compressive but poor tensile strength
-reinforcing steel overcomes the weak tensile strength
-steel bars are placed prior to the concrete being poured
What is reinforced concrete?
combining tensile strength of steel w/ compressive strength of concrete
What are the 2 phases in dental resin composites?
1. matrix phase: resine paste with easy handling, shaping, and fast curing at room temp
2. filler (dispersed phase) - particles (usually ceramic) to reduce shrinkage, to make it stronger, and thermal coefficient. must be optically and chemically compatible
Definition of composite
2 or more materials with different properties that in combination, results in a material with different prop than either one of the products

-simply a combination of materials
-not a reactive material, so you should still be able to separate them after mixing it.
Why can't pure porcelain be placed in the mouth?
Pure porcelain, resemebles tooth structure, but can't be placed immediately into the mouth because it needs to be fired in a lab.

So, immediate way to do it is to crush porcelain into fine particles, mix it up with glue (resin) and you make a composite
Who invented the resin BIS-GMA?
Ray Bowen. But this was very difficult to use.
What is a diluent resin?
TEGDMA. This makes it flow better
What are used as filler and binder?
filler: quartz, glass, silica
binder: silane

quartz - particles too large. so now we use glass and silica. quartz is also radiolucent which you cannot see on an xray.

silane - has affinity to plastics or resins, and to ceramics.
quantity of BISGMA and TEGDMA each is 50%, but BISGMA has a much larger molecular weight. TEGDMA has a lower molecular weight and it more runny.
What aspects of composites have changed over time?
-self cure vs. light cure, now used more.
-composites - much smaller particles nw called macrofils.

Europe - use microfils.

Microhybrids: most important ones used today. We also have condensable or packable hybrids that are similar to amalgam.
Describe 2 curing devices that are used.
UV curing device: poor depth of cure, no longer in use

Visible light curing device - better now. 400-500 mW/cm2
What are the advantages of microhybrids?
-more publishable
-better shade ranges
-grades of opacity
-layering technique
Name the stages of restoring with dental composites
-tooth preparation
-etching the enamel
-applying a bonding resin
-curing
-applying the composite resin
-shaping
-curing
-shaping and polishing
What is the current composite material called?
bimodal composites - particle sizes are in the range to micron to half micron. in between the 2 are submicrons. we fill the composite as much as possible.

2 different ranges of particle size, 1 larger and 1 smaller.
Who was an important dentist in reducing caries in the new england?
Michael bonapour - targeted kids who had a lot of occlusal decay. developed sealants.
came up with idea that you can acid etch and bond something to etched enamel (acrylic resin).