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54 Cards in this Set
- Front
- Back
- 3rd side (hint)
Silicate cements
- GR not used any more -the only adv |
-due to poor bio Prop (pulp irritation w presence of Arsenic which is toxic)
-F release (Anticariogenic) |
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EXAM
Unfilled acrylic restorative resin
-the Disadv |
-Dimensional instability (⬆️ polymerization shrinkage w cte), irritation, poor mech prop -loss of esthetics |
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Ideal Req -MCQ Soluble or insoluble -MCQ Must be Radiolucent or Radiopaque |
- should match the tooth in color, translucency w RI, without staining or Discoloration by time -not Toxic or irritant -insoluble -have good mech prop -have cte similar to tooth - minimal Dimensional Changes on Setting - Take Smooth Surface finish - Radiopaque -should adhere to enamel w dentin (Chemical bonding)
من الاخر -insoluble -Radiopaque |
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GR : - restoration should have cte similar to tooth -restoration should be Radiopaque |
-To prevent leakage
-To enable ID of overhanging edges w detection of 2ry caries |
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SCIENTIFIC TERM Combination of two or more Chemically Different Materials |
Composite structures |
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Term resin composite refers to |
Polymer |
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Dental Composities made by |
-Filler particles (dispersed phase) الحاجة الكويسة -Polymeric resin Matrix (dispersion medium or Continuous phase) الحاجة الوحشة |
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Composition |
-Organic matrix -Inorganic fillers -Coupling agent -Initiator- activator System -Inhibitor -Pigments |
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Organic Matrix
-other name -MCQ composed of.. As -MCQ Role |
-Dispersion medium or Continuous phase
-DiMA oligo-polymers (oligomer)....: 1)Bis-GMA 2)Bis-EMA 3)UDMA 4)TEGDMA بيس يا جي جي بيس -Plasticity -Polymerization reaction -Dispersion medium |
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Bis-GMA
-Abbrev -MCQ F45 also called -MCQ Viscosity high or low -water sorption high or low -Compressive strength high or low -Sometimes Substituted with -allow more Crosslinking by which Addition or Condensation |
-Bisphenol glycidyl MA
-Bowen's resin
-high
-low
-High
-Bis-EMA
-Addition |
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Bis-EMA
-abbrev -MCQ Viscosity high or low -Mech Prop high or low |
-Ethoxylated Bisphenol A MA
-low عشان كدا بنعتبره بديل للأول
-High |
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مهم فشخ
UDMA
-Abbrev -MW high or low Compared to Bis-GMA -Viscosity high or low -toughness high or low -Has Gt susceptibility to |
-Urethane DiMA
-low الضوء خفيف بقي
-low عشان كدا مهم فشخ
-High اوعي الخازوق
-visible Light Curing ما هو كان من أمثلة الlight cured افتكر بقي |
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TEGDMA
-Abbrev -MW high or low -MCQ Viscosity high or low -MCQ F4555 used as -GRمهم فشخ Added to Bis-GMA w UDMA بصمجها : GDMA ال UDMA و حرف الU بقي G اللي هي GMA |
-triethylene glycol diMA
-low
-Very low
-thinner or diluent
-to dec viscosity w allow more filler w better dispersion |
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Inorganic fillers الحاجة الكويسة
-other name -consist of -MCQ Heavy elements like w MCQ Contribute to composite -MCQ Recently also used as filler -MCQ F45 Blue Box Role - العيب الوحيد |
-Dispersed phase
-Quartz w borosilicate glass w LiAl silicate اي silicate ارشقه
-Barium w Strontium Glass ... Radiopacity هم زجاج بقي فا Radiopacity و دي افتكرها من GIC Strontium gaya mn Strong
-CAF Ca Fluoride
-⬆️mech prop -Provide Radiopacity -Provide good esthetics -⬇️polymerization shrinkage -⬇️cte -⬇️water sorption -Responsible for Viscosity of material -can used for Anti-cariogenic (F)
-Responsible for Viscosity |
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Class acc to filler size w Loading
Macrofill w Fine Particle (Midfill or minifill) w Microfilled w Hybrid (mix) w Nanofilled or Nanomers or Nanoclusters
Prop |
البصمجة Good Mech > Roughness Fine > Finishing ✅ Nano > translucency ⬆️ Micro > shrinkage ⬆️ |
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Alteration of filler Type |
-Prepolymerized اتفاعلت قبل كدا filler particles (Organic fillers) -Ceromers -Fiber reinforced composite |
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1)Prepolymerized filler particles
-other name -allows ⬆️ or ⬇️ filler loading (⬆️ or ⬇️ fillers)
2)Ceromer - Term stands for -⬆️ or ⬇️ Mech Prop -Used as
3)Fiber reinforced composite - Most common Type w GR |
1) -Organic fillers يعني filler بس بقت Organic
-⬆️ (⬆️)
2) -Ceramic (Ceramic fillers) optimized Polymers (Composite)
-⬆️
-Direct : Light cured restoration in all cavity classes -Indirect : Both Light w heat Curing السيراميك لو النور فا بيبان الصبح فشخ انما بليل هنحتاج نطفي التكييف
3) -Glass fibers... Due to their good esthetics (translucency) w good bonding with resin matrix |
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Coupling Agent
-MCQ Most common Ex -Characterized by having : A) MCQ name of groups B) Name of parts of this groups w Bond with -GR Strong Bonding important |
-Silane دا سيلان يا بيه لازم نجوزهم
A) bifunctional groups
B) -Inorganic part that can bond with inorganic fillers -Organic part that can bond with matrix
-Allow Stress tranfer so Improves Composite Strength |
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MCQ
Initiator w Activator
Comp between Self (Chemical) cureينشف لوحده w Light cure ينشف بالضوء
-Initiator -Activator -Supplied forms -Adv -Disadv |
Bulk Filling كمية واحدة ➡️ self هاكل الكمية دي كلها لوحدي من غير توتر Controlled Wt براحتي ➡️Light طالما النور منور يبقي هعرف الساعة كام Aliphatic ➡️Light |
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-GR Light cured requires incremental Packing |
To overcome Limited light penetration علي الله حاجة تعدي بقي |
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MCQ f45 Depth of cure is dependent on variables as |
- Characteristics of Light Source (Light intensity w wavelength range) -Distance between Source w composite -Curing time |
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Relation between Light intensity w Distance |
Indirect |
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Dual cure resin composite : -mean Chemical or Light -GR Combination of Types -MCQ GR preferred in core Build up -Form of Supply |
-Both
-to ensure proper polymerization especially in deep areas//// which may not be subjected to Light cured -Bec it combines between Chemical w Light cured to ensure proper polymerization
بتاعة الchemical -Two paste System -Auto mixing syringe |
مجرد ما خد Light هيبتدي ينشف |
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Inhibitors
-GR Added -MCQ F45555 Commonly used Ex -MCQ NB what Ex also |
-to prevent polymerization w control wt by dec Sensitivity to Light
-hydroquinone but now mono ethyl ether of hydroquinone( MEE of hydroquinone)
-O2 or eugenol |
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GR -mono ethyl ether of hydroquinone used than hydroquinone |
- Bec hydroquinone has poor color stability w causes Discoloration |
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1)Pigments :GR inorganic oxides are added in small amounts 2)MCQ UV Stabilizers : GR added 3)Fluorescing agent : GR added |
1)to provide shades
2)to absorb electromagentic radiation w ⬆️ color stability as they Prevent discoloration with age
3)to give Fluorescene Natural like appearance |
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Prop of resin composite
1)Working w ST : Light or Chemical 2)Mech Prop : rely on filler or matrix 3)Polymerization Shrinkage w stresses : A) السبب B)read keda can lead to |
1)Light بمزاج
2)filler
3) A) matrix
B)High Stresses may result in : composite /tooth bond failure resulting in : -microleakage -post operative HSN - Recurrent Caries -enamel cracking |
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MCQ f45 Blue Box
To Reduce polymerization shrinkage or stresses we should |
-use incremental tech -Use Indirect composites (Inlay or onlay) -Use low shrinkage composites -Use Low E cavity liner (sandwich tech) -Slow Curing rate |
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MCQ
1)Using incremental tech : A) apply composite in kam B) GR increments will Chemically adhere together 2)Indirect composites (Inlay or onlay) :Only shrinkage occ in 3)Use Low E : A) name of tech B) lining cavity with 4)Slow Curing rate Ex |
1) A)2mm
B) due to presence of O2-inhibited layer
2)resin cement طبقة اللزق اللي انا حطتها بس
3) A) sandwich tech
B) Flowable composite or GIC
4) - Chemical or dual cure composites -Soft Start Curing or ramp(delay) curing in Light Curing |
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Thermal Prop -Relation between Filler loading w Cte w thermal conductivity |
⬆️ W ⬇️ w ⬆️ |
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Water sorption
Excessive water sorption may lead to W GR |
Degradation at filler/matrix interface... due to Hydrolysis of bond between fillers w matrix |
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Solubility
Related to leaching out of |
Residual monomers |
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Esthetic Prop
-Related to filler loading or filler size or matrix w which is more effective -GR color stability of Light cured better than self |
-Filler size w Loading... Size
-Due to color Changes resulting from breakdown of tertiary amine activator in self Curing |
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Bio Prop
-all major comp of matrix are Toxic or not w in vitro or vivo -MCQ What reduce ability of comp to reach pulp Tissue -MCQ Relation between Degree of conversion w Toxicity |
-Cytotoxic... Vitro
-Dentin barrier (base)
-Indirect |
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Manipulation
1)MCQ EXAM Material Selection : A) for anterior restoration what Type of filler considered B) for posterior what Type of filler considered 2)Etching enamel w dentin :Acid etch is applied how long for enamel w dentin 3)Chemically cured : A) how many pastes used on Mixing B) Mix using 4)Light cured : A) Depth cure B) GR celluloid matrix شفاف (transparent) can be applied aw GR Celluloid has adv and diaadv C) In accessible areas so use D) In inacessible areas so use |
1) A)Micro-filled w Micro-Hybrid w nano
B) nano-filled w Hybrid
2)Enamel : 30 sec w Dentin : 15 sec
3) A)2
B) plastic spatula عشان لو معدن اللون هيتغير هاكل لوحدي بقي فا المعلقة لازم
4) A)2mm
B) Adv : - provide Smooth Surface finish w Prevent O2 inhibited layer formation Disadv : -o2 inhibited layer will be removed through finishing w polishing
C) celluloid matrix
D)overfill then Remove excess |
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-General App -Limitations |
-Anterior w Posterior Restoration - Anterior venners -core build up -Flowable composite -pits and fissure sealant
-High polymerization shrinkage -Low mech Durability Compared to amalgam -more susceptibility to Recurrent caries -Tech Sensitivity and several steps -Surface Discoloration |
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Modifications
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Alteration of matrix type -List -Aim |
1)ormocer 2)low shrinkage matrix Systems
⬇️ Shrinkage . |
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Ormocer
-MCQ Stands for -composed of - adv |
-Organic modified ceramics
-Ceramic polysiloxane
-⬆️mech prop w ⬇️Shrinkage |
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Low Shrinkage matrix |
-Ring opening silorane monomer -High MW resins -SDR Stress decreasing modulators |
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Ring opening
-MCQ Called -Chemical subunits -MCQ Limitations |
-Silorane
-siloxanes w oxiranes
-hydrophobic - not compatible with other resins -req special bonding agents |
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High MW resins
-MCQ the Most common -structure -Function |
-DX 511
-Long Rigid core w flexible arms
-⬇️ total polymerization shrinkage w shrinkage stress. |
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SDR
-ACTION |
⬇️ polymerization shrinkage w stresses |
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F releasing |
Compomer Giomer |
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Compomer
-other name -mix between -Hydrophobic or Hydrophilic |
-polyacid (part of Glass ionomer) modified composite
-composite w part of glass ionomer
-Hydrophobic |
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اكتر واحد يطلع F بالترتيب |
Glass ionomer Compomer Giomer الترتيب العادي يعني |
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Giomer
-mix between -EXAM Name of particles added to resin w act as |
-Glass ionomer w composite
-Pre reacted filler particles... F Reservoir |
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Antibacterial (under research)
-Ex |
-MDPB مدب اللي في الدنتشن -Quaternary ammonium -Ag nanoparticles |
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Bioactive
- Stimulate -Releasing |
-Remineralization -Ca w F w PO4 |
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Flowable composites
-relied on low or High Filler loading -Prop -App |
-low filler loading w ⬆️amount of diluents
-Good Flow -Low E -High Shrinkage -Low wear resistance w Strength
-cavity (base) lining under composite مهمة -Paediatric restoration الأطفال -Class V restorations مهمة - PRR بداية التسوس |
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EXAM Bulk fill composite
- MCQ Filling cavity with increments Thicker or thinner w kam -forms - MCQ Technology behind it -App : Anterior or Post restoration |
-Thicker...4-5 mm
-Flowable bulk fill -Viscous or packable bulk fill
-Enhanced polymerization by Luricin (active photoinitiator يقدر يقعد المدة دي) -⬇️polymerization shrinkage
-posterior restoration especially in large deep cavities |
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Self adhesive Flowable
-MCQ no need for - MCQ As -MCQ EXAM Incorporating -MCQ is its bonding efficacy is more than using separate bonding Steps |
-bond or etch
-GPDM w 4 META اعكس MDB و حط G
-Acid monomer
-No |
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1)Types of Light Curing 2)Which fan is necessity 3)Which lamps Must be caliberated تتأكد كل شوية انها شغالة 4)which Generate heat 5)which Spreading Rapidly |
1) -QTH Quartz tungsten halogen lamps ابو سلك و مروحة -LED Light emitting diodes (wireless)lamps
2)QTH
3)QTH
4)QTH
5)LED |
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NB |
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