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Flashcards in Dental amalgam Deck (27)
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1

what is dental amalgam a product of?

amalgamation :
alloy + mercury react to form silvery hard grey mass

2

why is it not increasingly demanded from the public?

performs better but has poor aesthetics

3

why is the use of dental amalgam declining?

-development of viable alternatives
-concerns on safety and environmental pollution

4

what are the two compositions of dental amalgam?

-conventional (products pre 1996)
-higher copper (post 1986)

5

what was development of amalgam stimulated by?

better understanding of structure properly relationships

6

what is the conventional composition of amalgam?

-65% Ag
-29% Sn
-6% Cu
-2% Zn
-3% Hg

7

what is the typical high copper composition of amalgam?

-40% Ag
-32% Sn
-30% Cu
-2% Zn
-3% Hg

8

what are the variations in alloy morphology?

-lathe cute
-sperhical

9

what gamma phases is wanted and which is not wanted?

wanted - phase 1
not wanted - phase 2

10

Describe the dental amalgam setting reaction.

-preponderance of Ag3Sn (undergoes setting reaction)
-Cu has strengthening effect on amalgam
-Zn acts as scavenger in alloy production (may eliminate if manufacture in inert atmosphere

11

what is mixing termed?

trituration

12

Describe the setting reaction and dimensional changes.

Dimensional changes :
-30 mins small shrinkage (Hg diffuses into alloy)
-30-60 mins - expansion due to crystallisation
-overall effect is either net expansion /contraction
-ISO limit +/- 0.1% expansion/contraction
-manipulative variables help limit

13

why is moisture controlled during setting reaction?

when Zn combines with H20 , H2 gas is produced

14

how long is the setting reaction from placement to function?

15-20 minutes

15

how long is the setting reaction for final strength?

24 hours

16

How does compressive strength relate to tensile and transverse strength?

compressive strength is greater than tensile and transverse

17

what is strength proportional to?

Mercury (Hg) content
-optimum if Hg 44-48%

18

Describe creep properties.

Plastic deformation under load :
clinically flows manifesting as protrusions at restoration margins
-fracture off producing ditching
-responsible: gamma 2 largely, but not exclusively
-corrosion of the alloy exacerbates (releases Hg in marginal crevice ) --> localised expansion of amalgam

19

Describe corrosion properties.

Electrochemical interactions of different alloy phases with salvia as electrolyte :
-gamma 2 anode
-gamma 2 breaks down to Sn and Hg ( Hg remains free and is ingested)
- ADVANTAGE- corrosion products provide marginal seal
-in high copper phase undergoing most corrosion is CU-Sn (does not corrode as much)

20

Describe thermal properties.

-metal has high thermal diffusivity
- three fold coefficient of thermal expansion of dentine
-in reality not a problem due to transient nature of functionally encountered thermal stimuli

21

Describe biological properties.

Hg compounds know to be toxic to CNS:
-risk to dental team

22

what risk does dental amalgam have to the patient?

-1998 placement and removal of dental amalgam restorations banned by D o H during pregnancy
-no conclusive evidence but perceived elevated risk:
Hg doses high -placement,contouring, removal
-Hg concentrates and crosses placenta (abortion/child abnormalities?)
-high concentration of Hg in urine/blood of those with amalgam restorations

23

what do some reports link dental amalgam to?

-multiple sclerosis
-behavioural problems
-psychiastric disturbances
(removals of amalgam restorations claimed to bring about relief of symptoms)

24

What about environmental pollution?

-water of dental unit
-release of Hg during trituration
-crematoria

25

Describe manipulative variables

-alloy:Hg ratio
-range 5:8 to 10:8
-drier mixes achieved by mechanical mixing
-packing and condensation removes excess mercury

26

Describe dispensation of dental amalgam.

-weight (most accurate)
-volume dispensers
-alloy tablets
-proportioning and mixing devices
-now generally manufacturer encapsulated (accurate and most reproducible)

27

what are the manufacturer variables?

Particle size of alloy :
-smaller achieves higher 1 and 24 hour strengths
-if extremely small : too rapid a set -cannot remove excess Hg by manipulation