GIs, RMGIs, Class III and V preps Flashcards
(28 cards)
What is the difference between Ionomers and Adhesives?
Ionomers - need a clean, intact dentin surface with exposed minerals. They attach via chelating with HA surfaces
Adhesives - need a demineralized dentin surface with exposed collagen (Hybrid layer)
What type of materials are Conditioners used with
Glass Ionomers
Conditioners
Mild organic acids
They solubilize and remove the smear layer
But they leave the smear plugs intact
They do not demineralize dentin or enamel
Etchants
Inorganic acid 35% H3PO4 Completely removes smear layer and plugs Demineralizes surface dentin Leaves a collagen rich surface with numerous pores
What are the two components of a GI?
Powder = acid soluble glass Liquid = 50% water, 50% polyacid copolymers (long chain polymers [ph = 1])
What is the immediate rxn of a GI?
Acid dissolves the glass
Glass releases Ca+2
What is the rxn of a GI 1-3 days later?
Al replaces the Ca
This increases the strength
F is released
Acid side groups cal also chelate with glass and HA
What are the disadvantages of GI?
Slow setting Early dissolution Optical properties (opaque) Poor stain resistance Poor strength
What are the components of RMGI?
Powder = acid soluble glass (same as GI) Liquid = 35% water, 35% methyacrylate modified polyacid copolymers, 30% HEMA (pH = 2)
What is the reaction of RMGI?
Same as GI
The only difference is RMGI undergoes polymerization shrinkage, but swells due to water sorption, with a net 0 change
RMGI Triple Cure
LC, SC, and acid-base rxn
Free radical react immediate immediately (protects from early solubility)
Acid-base rxn occurs slowly (properties improve over time)
What are the advantages of GI and RMGI?
Good seal
Caries inhibition due to F release
What is RMGI better at than GI?
Solubility resistance
Improved strength
Less stiff
Improved optics
What types of patients would you GI or RMGI?
Caries-prone patients
What are the three different prep designs for a class V?
Conventional
Beveled conventional
Modified conventional
Conventional prep design
90' cavosurface margin Follow the curvature of the tooth Amalgam only Uniform depth into dentin (0.5mm) M and D walls slightly diverge Gains retention via incisal grooves
Beveled conventional prep design
Composites only
Use when enamel prep walls aren’t under high stress
Increases the interface that the prep has with the adhesive, and that the adhesive has with the composite (increased retention)
Uniform depth (0.5mm into dentin)
Modified Conventional prep design
Beveled enamel margins
Remove defective tooth only
Beveled enamel margins
Describe a Class V prep
Pulpal floor follows the curvature of the cavosurface margin
0.2-0.5mm into dentin
90’ cavosurface angle
M-D walls slightly diverge
Deeper incisally than gingivally
Spoon bur to remove remaining caries
1/4 round bur to make retention grooves (for amalgam)
What are the advantages of composite with Class Vs?
Adhere to tooth structure so we can be more conservative
Better esthetics
Class V prep dimensions
Gingival margin is 0.5mm above gingiva
1.5mm I-G height
Axial depth = 1.2mm @ incisal, 1.0mm @ gingival
Gingival floor follows tooth contour
M-D length should reach line angles of tooth
90’ cavosurface margins
What materials are used in Class III restorations
Composite
RMGI
Amalgam
When do you use a composite in Class III restoration?
When surrounded primarily by enamel
When do you use a RMGI in a Class III restoration?
When surrounded primarily by cementum and dentin
High caries risk pt
