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Questions and Answers
What is a primary reason for repairing amalgam restorations?
What is a primary reason for repairing amalgam restorations?
Which of the following is a benefit of repairing an amalgam restoration compared to replacing it?
Which of the following is a benefit of repairing an amalgam restoration compared to replacing it?
In which location is a dentist most likely to repair an amalgam restoration?
In which location is a dentist most likely to repair an amalgam restoration?
What factor is most important factor related to the quality of an amalgam repair according to the content above?
What factor is most important factor related to the quality of an amalgam repair according to the content above?
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What percentage of flexural strength can a repaired amalgam reach when a freshly triturated amalgam is condensed directly onto a roughened existing amalgam surface?
What percentage of flexural strength can a repaired amalgam reach when a freshly triturated amalgam is condensed directly onto a roughened existing amalgam surface?
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What is the primary goal of condensation in amalgam placement?
What is the primary goal of condensation in amalgam placement?
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Which of the following best describes the appearance of a properly triturated amalgam?
Which of the following best describes the appearance of a properly triturated amalgam?
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What is a key difference between spherical and lathe-cut amalgams regarding condensation?
What is a key difference between spherical and lathe-cut amalgams regarding condensation?
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What is the effect of over-trituration on amalgam?
What is the effect of over-trituration on amalgam?
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During amalgam condensation, what is the recommended force to apply for condensable amalgam?
During amalgam condensation, what is the recommended force to apply for condensable amalgam?
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Why is it important to maintain a dry field of operation during amalgam condensation?
Why is it important to maintain a dry field of operation during amalgam condensation?
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What is the purpose of trituration in amalgam preparation?
What is the purpose of trituration in amalgam preparation?
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Which of the following is a characteristic of spherical amalgam alloys?
Which of the following is a characteristic of spherical amalgam alloys?
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Why is less condensation force required for spherical amalgams compared to other types?
Why is less condensation force required for spherical amalgams compared to other types?
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In what directions should amalgam be condensed within a preparation?
In what directions should amalgam be condensed within a preparation?
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What is a primary advantage of mechanical condensation over hand condensation?
What is a primary advantage of mechanical condensation over hand condensation?
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What is the purpose of precarve burnishing of an amalgam restoration?
What is the purpose of precarve burnishing of an amalgam restoration?
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When using a round-end burnisher during amalgam placement, in which direction should it be pulled?
When using a round-end burnisher during amalgam placement, in which direction should it be pulled?
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What is the objective of carving amalgam?
What is the objective of carving amalgam?
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What is the ideal angle for the amalgam margin at the occlusal surface?
What is the ideal angle for the amalgam margin at the occlusal surface?
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What is/are the objectives of burnishing amalgam?
What is/are the objectives of burnishing amalgam?
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Flashcards
Amalgam Placement Technique
Amalgam Placement Technique
The technique for placing amalgam is similar across different preparations, involving mixing, carrying, and condensing.
Amalgam Trituration
Amalgam Trituration
The process of mixing liquid mercury with dry amalgam alloy powder to form a plastic mix.
Types of Trituration
Types of Trituration
Includes hand trituration and mechanical trituration using electric amalgam mixers.
Proper Trituration Appearance
Proper Trituration Appearance
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Amalgam Condensation
Amalgam Condensation
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Objectives of Condensation
Objectives of Condensation
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Types of Condensation
Types of Condensation
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Condensation Force
Condensation Force
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Reasons for Amalgam Repair
Reasons for Amalgam Repair
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Conservative Repair Benefits
Conservative Repair Benefits
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Factors in Amalgam Repair
Factors in Amalgam Repair
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Amalgam Flexural Strength
Amalgam Flexural Strength
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Selective Replacement Strategy
Selective Replacement Strategy
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Mechanical Condensation
Mechanical Condensation
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Precarve Burnishing
Precarve Burnishing
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Carving
Carving
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Burnishing Objectives
Burnishing Objectives
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Occlusion Adjustment
Occlusion Adjustment
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Articulating Ribbon
Articulating Ribbon
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Amalgam Margin
Amalgam Margin
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Study Notes
Amalgam Placement
- Amalgam placement technique is consistent, regardless of the preparation type or classification.
- Amalgam is mixed, placed in the cavity, and condensed to eliminate voids and fill all areas of the cavity.
- The amalgam is then shaped (carved) to restore the missing tooth portion.
Spherical Alloys
- Spherical alloys create amalgam needing a lower mercury-alloy ratio and less condensation force.
- The direction of condensation force is critical for spherical amalgam as it does not adapt to cavity walls as well as other amalgam types.
- Spherical amalgam has a shorter working time and a faster set than admixtures.
Trituration
- Trituration involves mixing liquid mercury with dry amalgam alloy powder.
- This can be done by hand or mechanically.
- Electric amalgam mixers (amalgamators) are used for trituration.
- The duration and speed of trituration must be just enough to coat all alloy particles with mercury, forming a plastic amalgam matrix.
- Under-triturated amalgam is dry and crumbly, setting quickly. Over-triturated amalgam is wet and soft, also setting quickly. Properly triturated amalgam appears shiny and separates into a single mass.
Condensation
- Condensation is the process of compressing and directing amalgam into the tooth preparation.
- Amalgam condensing instruments are used until the cavity is entirely and slightly overfilled with dense amalgam.
- Objectives of condensation include adapting the amalgam to the cavity walls, removing excess mercury, and increasing the restoration's density.
- Two types of condensation are hand and mechanical condensation.
- The field of operation must be kept absolutely dry during condensation.
- Condensation is performed using sufficient pressure (3-4 pounds) in both vertical and horizontal directions, starting with smaller condensers.
- Spherical amalgam requires considerably less condensation force, as heavy forces force particles to the side or through the amalgam mass.
- Amalgam should be condensed vertically and horizontally, or laterally.
Precarve Burnishing
- After condensing, the amalgam can be shaped further occlusally using a large egg-shaped or ball burnisher.
- The round-end burnisher is used on the unprepared enamel adjacent to the amalgam margin to remove excess material parallel to the margin without overcarving the marginal amalgam.
Carving
- The objective of carving is simulating the tooth's anatomy instead of precisely recreating fine details.
- Carving is started only after the amalgam has hardened enough to resist the carving instrument.
- Carving is performed from the tooth surface to the restoration surface to avoid removing amalgam at the margins.
- The dentist tries to develop amalgam margins that form 90-degree angles at the occlusal amalgam.
Burnishing
- Burnishing aims to further reduce voids, force out excess mercury, and adapt the amalgam to the cavity.
- Burnishing is done using a burnisher moving from the amalgam to the tooth.
- Final smoothing may be done with moist cotton.
Amalgam Placement Problems
- Overpacked amalgam is a placement problem.
- Initial grooves, carving to the margins, removing flash, final shape and burnishing are steps to resolve amalgam placement flaws.
- Class II restoration is crucial for proper procedures to avoid mistakes.
- Initial condensation, overpacking, marginal ridge condensation, removing wedge, removing band are all parts of the procedure.
Repair of Amalgam Restorations
- Main reasons for amalgam restoration repair include secondary caries, marginal defects, and cusp fractures.
- Reasons for replacing or repairing amalgam include loss of dental tissue, increasing preparation, cost, time-consuming procedures, and potential pulp damage.
- Benefits of repair are more conservative tissue usage, reducing iatrogenic damage, minimizing anesthesia need, providing a better patient experience, and saving time.
- Dentists tend to more often repair restorations in molars than premolars, preferring ones with single surfaces over multiple surfaces.
- Amalgam repair quality relies on the interfacial bond between the new and old amalgam. Roughening the old amalgam surface helps remove corrosion and saliva contaminants.
- If a mesio-occlusodistal restoration fractures in the mesial box but the remaining portion includes a deep distal margin, conservative replacement of the mesio-occlusal part of the restoration is recommended.
Adjusting the Occlusion
- After carving the amalgam, a rubber dam is removed, and the occlusion is checked.
- This process uses articulating ribbon to mark points of contact between mandibular and maxillary teeth.
Other Key Concepts
- Amalgamators assist in creating the amalgam mixture.
- Properly prepared amalgam results in a satisfactory restoration.
- Specific procedures like initial groove creation, carving, flash removal, final shaping and burnishing ensures quality.
- Understanding procedures such as initial condensation, overpacking, and marginal ridge condensation are important.
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Description
Test your knowledge on the repair and placement of amalgam restorations. This quiz covers benefits, techniques, and factors influencing the quality of the repairs. Ideal for dental students and practitioners looking to enhance their skills.