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Direct Restoration > Week 14 Polymerization > Flashcards

Week 14 Polymerization Flashcards

1
Q

Modern composite systems are made with:

A

bis-GMA

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2
Q

What happens when resin is exposed to light?

A

reorganization of the molecules

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3
Q

volumetric contraction of composite:

A

2.6% to 7.1%

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4
Q

Reorganization of molecules in polymerization:

A

gelation, contraction, or hardening

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5
Q

3 gel phases:

A
  1. pre-gel phase 2 gel-point 3. post-gel phase
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6
Q

This gel phase is viscous, flow cannot keep up with contraction:

A

gel-point

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7
Q

This gel phase is the rigid-elastic phase when contraction is obstructed stress occurs:

A

post-gel phase

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8
Q

This gel phase is the viscous-plastic phase, material is able to flow:

A

pre-gel phase

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9
Q

What results if the bond strength is lower than stress?

A

gap formation

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10
Q

What results if the bond strength is higher than stress?

A

deformation, shrinks toward the center of the mass

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11
Q

Invisible polymerization contraction:

A

stress

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12
Q

Stress due to shrinkage is approximately:

A

4-7 MPa

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13
Q

What type of stress is applied to resin?

A

compressive stress

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14
Q

What is polymerization contraction in posterior teeth associated with?

A

separation of the resin at the weakest margins, formation of tensional forces at the margins, fractures in the enamel, deformation of the cusps, secondary caries, postoperative sensitivity, penetration of bacteria, passage of dentinal fluid from tubules to the gap at the dentin-resin interface

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15
Q

Factors we need to understand to prevent the formation of stress:

A

Resins, preps, curing lights, polymerization techniques, restorative techniques

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16
Q

Each resin needs a minimum amount of ___ to obtain clinically acceptable results.

A

energy, from paste to hard

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17
Q

unit of energy is measured in __ in dentistry.

A

joules: power per time

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18
Q

1 joule =

A

1 milliwatt/cm^2/sec

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19
Q

Optimal energy to polymerize modern composite resin:

A

16 joules, most monomers converted to polymeric chains

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20
Q

40 seconds at 400 mW/cm^w =

A

16 (450-475 non-motile of light)

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21
Q

Joules =

A

watts X time

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22
Q

400 miliwatts X 40 seconds =

A

16 joules

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23
Q

800 milliwats X 20 seconds =

A

16 joules

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24
Q

1600 milliwats X 10 seconds =

A

16 joules

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25
Q

True or False? When you double the amount of energy, the curing tim could be reduced by 50%

A

F

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26
Q

What requires time to absorb energy in curing a resin?

A

photo-initiator, this is why the relationship between intensity and time is not proportional.

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27
Q

True or False? The relationship between intensity and time is proportional.

A

F

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28
Q

How do manufacturers reduce polymerization time of composite?

A

add proprietary initiators to the resin so they can absorb the energy faster, material absorbs energy faster

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29
Q

Advantages of fast polymerization resins:

A

rapid polymerization, place faster, deeper depth of the cure

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30
Q

Disadvantages of fast polymerization resins:

A

short working time, greater margins stress, incomplete reaction leaving a more fragile material (conversion is never 100%, more unreacted monomer?, more fragile?), greater microleakage.

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31
Q

Theories regarding shrinkage upon polymerization resins:

A

away from margins to which is bonded the weakest

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32
Q

True or False? Each resin needs a different amount of energy to polymerize.

A

T

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33
Q

Stress is formed when the resin:

A

cannot adequately contract due to the bond between the resin and the walls

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34
Q

What surfaces act as stress relievers during the plastic deformation of the resin (the initial stages of polymerization)?

A

only the free surfaces (of the tooth structure or the placed resin?)

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35
Q

True or False? The fewer the free surfaces, the higher the stress

A

F. greater

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36
Q

What does C-Factor stand for?

A

configuration factor

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37
Q

C =

A

bonded surface/ unbonded surface

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38
Q

The higher the C-factor,

A

the greater the stress generated

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39
Q

What classes of lesions produce the greater stress when restored?

A

class I and class V

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40
Q

What Class of lesions produce the least stress when restored?

A

Class III and Class IV

41
Q

Types of curing lights:

A

halogen, plasma arc, argon laser, LED

42
Q

How many mW/cm^2 are halogen lights?

A

600-800

43
Q

True or False? Halogen lights have different polymerization modalities.

A

T

44
Q

Benefit to LED curing lights:

A

last years

45
Q

Low intensity:

A

50-400 mW/cm^2

46
Q

Medium intensity:

A

400 - 800 mW/cm^2

47
Q

High intensity:

A

1000+ mW/cm^2

48
Q

Types of light output:

A

continuous vs. discontinuous

49
Q

3 divisions of continuous light output:

A

High, medium, and low/light intensity

50
Q

2 divisions of discontinuous light output:

A

high and low intensity

51
Q

What is high intensity continuous light output?

A

high energy

52
Q

What is medium intensity continuous light output?

A

continuous uniform

53
Q

What is low/high intensity continuous light output?

A

pulsed, ramp, or step

54
Q

What is high intensity discontinuous light output?

A

stroboscopic

55
Q

What is low intensity discontinuous light output?

A

delayed pulse

56
Q

Theory regarding polymerization method to reduce stress by regulating the amount of energy given to the resin:

A

soft polymerization , ramp (lower intensity to higher, to prolong the preferred-gel stage, less generation of stresses) polymerization, and discontinuous polymerization?

57
Q

Theory regarding polymerization method to reduce stress by controlling the amount of resin polymerize (restorative technique):

A

in bulk (more stress than layers), in layers (thin layers, less stress), in direct

58
Q

True or False? Direct, conventional light causes stresses in the resin whereas direct, high intensity light does not.

A

F. both do

59
Q

When to use the layers technique:

A

if you polymerize from the occlusal, polymerization incrementally

60
Q

composite restorations, rule #1:

A

keep first layer thin

61
Q

Filling a preparation:

A

dentin adhesive, flowable composite (check?), microhybrid composite (with oblique addition for occlusal restorations)

62
Q

Composite restorations, Rule #2:

A

never connect opposing cusps (enamel) with a single layer

63
Q

What is a Class II slot preparation also called?

A

modified Class II, Class II box-only

64
Q

When is a Class II Slot preparation indicated?

A

when only the proximal surface is carious with no lesions on the occlusal surfaces

65
Q

Where do you gain access when preparing a Class II Slot Preparation?

A

the marginal ridge area/ Bur is held parallel t the long azis of the tooth

66
Q

What are he facial, lingual, and gingival extensions dictated by?

A

the caries

67
Q

When is a Class II MOD preparation indicated?

A

when both proximal surfaces and the occlusal surface are carious

68
Q

True or False? MOD can be either conventional Class II or Slot Class II.

A

F. conventional only

69
Q

True or False? Both MO and DO can be either conventional Class II or Slot Class II.

A

T

70
Q

True or False? bis GMA both expands and contracts

A

T.

71
Q

Where are there tensional forces?

A

adhesion layer

72
Q

How do you avoid connecting cusp tips with addition of resin?

A

addition in oblique layers

73
Q

True or False? There is never complete polymerization into chains.

A

T

74
Q

Advantage of slow polymerization in the first layer of the restorations

A

helps dissipate stresses that are being formed

75
Q

What can polymerization shrinkage result in?

A

formations of gaps around the margins, white lines on cavosurface margins of the restorations

76
Q

What kind of fractures can you see on enamel?

A

cohesive

77
Q

What does the addition of proprietary materials to resin control?

A

polymerization time

78
Q

Which have higher C-factors, posterior or anterior teeth?

A

posterior (more prone to stresses)

79
Q

This class is the conventional box type preparation:

A

Class I

80
Q

How many bonded and unbounded surfaces in a Class 1 restoration?

A

5 bonded surfaces and one unbounded (occlusal - the only stress reliever) C factor = 5

81
Q

How many bonded and unbounded surfaces in a Class 2 restoration?

A

4 bonded, 2 unbonded: C factor = 2 (occlusal and distal are stress relievers)

82
Q

How many bonded and unbounded surfaces in a Class III restoration?

A

4 bonded, 2 unbonded (MF: 2 unbonded = M and F) C factor = 2 OR (MFL: 3 bonded, 3 inbonded: C-factor = 1)

83
Q

How many bonded and unbounded surfaces in a Class IV restoration?

A

2 bonded, 4 unbonded (axial and pulpal) C factor = 0.5

84
Q

How many bonded and unbounded surfaces in a Class V restoration?

A

1 bonded (axial), 5 unbonded = C-factor of 0.2

85
Q

The lower the C-factor, the better in terms of:

A

stresses

86
Q

Type of lights in lab:

A

Quartz, tungsten, LED or halogen

87
Q

Which curing lights are not commonly used?

A

plasma arc and argon laser

88
Q

2 most commonly used curing lights:

A

LED and halogen

89
Q

Are halogen lights of higher or lower intensity

A

lower intensity

90
Q

What color light is used for LED curing lights?

A

blue, no degradation of filters

91
Q

Direct light curing is specifically recommended for:

A

occlusal restorations

92
Q

Point of adding flowable composite as the first layer to a restoration:

A

to keep first layer very thin (0.5 movements or so)

93
Q

What teeth are we restoring today?

A

Tooth #12 MOD Class II with 2 boxes andTooth #21 MO/DO Class II modified slot preparation

94
Q

What does adhesive allow?

A

pathology specific preparations, no need for aggressive preparations

95
Q

What are 2 boxes connected by?

A

isthmus

96
Q

Which preparation do we use if only proximal tooth structure is carious?

A

Slot preparation (modified class II, class II, box only)

97
Q

Where on the proximal surface of tooth structure do caries typically form?

A

under the contact area with the adjacent tooth

98
Q

Access for our preparation in the slot preparation:

A

margins ridge area

99
Q

True or False? You always need to use a hatchet to remove unsupported enamel.

A

T

Direct Restoration (23 decks)

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