Impression Materials - Alginates Flashcards

1
Q

What are impression materials

A
  • Used to produce a detailed replica of the teeth and oral tissues
  • A model is made from this impression
  • The model is then used in the construction of full and partial dentures, crowns, bridges and inlays, or as study casts depending on the impression material used
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2
Q

What kind of elastic impression material are alginates

A

Irreversible hydrocolloids

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3
Q

What kind of reaction is used to set alginates

A

Chemical cross-linking reaction

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4
Q

What are alginates extracted from

A

Seaweed

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5
Q

What happens when alginate is mixed with water

A

When alginate is mixed with water, it forms a colloidal suspension in it, and then it sets by a chemical cross-linking reaction (irreversible hydrocolloid)

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6
Q

What are the typical components of an alginate powder

A
  • Sodium/potassium alginate - 12%
  • Diatomaceous earth (filler) - 70%
  • CaSO4 (cross-linking agent) - 12%
  • Na3PO4/Na2CO3 (retarding agent)
  • Sodium silicofluoride/fluorotintinate (pH controller) - 4%
  • Magnesium Oxide (pH controller)
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7
Q

What part of the sodium alginate structure is where the cross-linking reaction occurs

A
  • COONa

- Bond breaks and forms a new COO-Ca-OOC bond between alginate molecules

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8
Q

What happens for the setting reaction of sodium alginate to occur

A
  1. CaSO4 (sparingly soluble) = Ca2+ + SO4^2-
  2. Na3PO4 (very soluble) = 3Na+ + PO4^3-
  3. Ca2+ + 2PO4^3- = Ca3(PO4)2 (insoluble)
  4. After PO4^3- ions are used up, the Ca2+ ions react with the alginate to set the material
  5. Sodium alginate + CaSO4 = Calcium alginate + Na2SO4
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9
Q

Describe the pH changes during the setting of alginates

A

Water + Na3PO4 = alkaline pH (~12)

- When setting pH decreases to below pH 3.5 and rises to about 9 on setting

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10
Q

Why are pH controllers important in alginates

A

They decrease the pH to near neutral as an acidic/alkaline set gel will give a poor plaster/stone surface

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11
Q

What colour changes occur with chromoclone alginate to indicate that the gel is at the correct pH

A
  • When water is added the alginate changes to purple
  • At this stage mix thoroughly and completely until the material changes to pink
  • Pink - the material is loaded into the tray
  • Light peach - insert the tray in the mouth
  • This prevents unnecessary time in the oral cavity
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12
Q

What is the mix to set time of chromoclone

A

90-110 seconds

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13
Q

What are the advantages of alginates

A

V good setting behaviour:

  • Na3PO4 suppresses setting at first so material is a viscous paste while impression tray is seated in the mouth
  • When the setting reaction begins, it is completed very quickly so it minimises the time of impression taking
  • The material is cheap and reliable
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14
Q

What are the disadvantages of alginates

A

Alginates in air loses water, which results in:
- Continual shrinkage in air
- Poor dimensional stability in air
- Impression must be covered with a damp napkin/gauze and placed in a plastic bag, sealed (only a few hours)
Alginate immersed water/disinfecting solution
- Initially swells, then shrinks
- Poor dimensional stability in solution; immersion in disinfecting solution - unsolved problem
- MUST follow disinfection protocol
- Alginates have a poor tear strength
Highly viscoelastic material:
- Snap-removal technique need to be employed
- Permanent deformation up to 1.5%
- Latter can be mined if undercuts are not deep
Doesn’t adhere to trays well - retention to tray is achieved by mechanical locking features ie. perforated trays or by applying an adhesive

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15
Q

What is the disinfection protocol for alginates

A
  • Remove set alginate/tray from mouth
  • Rinse in tap water to remove blood/saliva
  • Immerse in disinfecting solution (e.g. sodium hypochlorite) for only 10mins
  • Remove from disinfecting solution and rinse in tap water
  • Wrap a damp napkin/gauze and seal in a polythene bag
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16
Q

Describe the process for the dispensing of alginates

A

Tub should always be shaken before use and then left for 2 mins

17
Q

Why is there a process to dispense alginates

A

Silica particles in the dust are a possible health hazard but most alginate powders are dust free now

18
Q

Name a dust free alginate

A

Triethanolamine alginate

19
Q

What types of alginate are there

A
  • Fast set, regular set and slow set based on the amount of calcium sulfate and sodium phosphate varied
  • Sodium alginate
  • Potassium alginate
  • Mix of both
  • Triethanolamine alginate
20
Q

What kind of elastic impression material is Agar and how does it set

A

Reversible Hydrocolloid - set by a physical process

21
Q

What are the general properties of Agar impression materials

A
  • A solid gel at room temperature
  • A viscous liquid at 60C
  • On cooling, it reverts to the gel
  • Gelling (setting) is a physical process
22
Q

What are the components of Agar impression materials

A
  • Agar - 13-17%
  • Borates - 0.2-0.5%
  • Potassium Sulphates - 1-2%
  • Thixotropic Materials - 0.5-1%
  • Water - Balance
23
Q

What is the function of agar in agar impression materials

A

Colloid

24
Q

What is the function of borates in agar impression materials

A

Strengthen gel

25
Q

What is the function of agar in Potassium Sulphates impression materials

A

Accelerates setting of stone

26
Q

What is the function of Thixotropic materials in agar impression materials

A

Filler

27
Q

What is the function of agar in water impression materials

A

Dispersion medium

28
Q

Describe the dispensing of agar

A
  • Dispensed in tubes (prevent water loss)
  • Tubes are put into water bath at 60C
  • Transferred to a bath at 40C before use
  • Material is squeezed out onto a special metal tray - seated in the mouth
  • Cooled by water - circulated via cooling tubes attached on outer surface of tray
    Note: material sets from tray to mouth
29
Q

What are the advantages of Agar

A
  • Once the equipments’ set up, it is easy to use
  • The material is cheap
  • Impressions have good surface detail: fine detail recorded, due to setting behaviour
30
Q

What are the disadvantages of agar impression materials

A
  • Must be cast up immediately due to shrinkage from loss of water (syneresis)
  • Also absorbs water (imbibition) - distortio
  • Compatibility with model materials
  • Agar has a poor tear strength (but better than alginates)
  • Highly viscoelastic material: snap-removal technique needs to be employed - permanent deformation up to 1%