Dental Amalgam Overview and Analysis
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Questions and Answers

What is the primary function of silver in dental amalgam?

  • Increases hardness and strength
  • Acts as a deoxidizer
  • Reduces the setting expansion
  • Major element that whitens the alloy (correct)
  • Which disadvantage of dental amalgam is primarily associated with its metal color?

  • Marginal breakdown
  • Brittleness when exposed to stress
  • Corrosion susceptibility
  • Does not match tooth structure (correct)
  • Which element in dental amalgam serves as a scavenger during its manufacture?

  • Zinc (correct)
  • Silver
  • Copper
  • Tin
  • What effect does tin have on dental amalgam?

    <p>Controls the reaction speed between silver and mercury</p> Signup and view all the answers

    What is a common reason for the declining popularity of dental amalgam?

    <p>Environmental pollution concerns</p> Signup and view all the answers

    What is a characteristic of low copper amalgam alloys?

    <p>They are either irregular or spherical in shape.</p> Signup and view all the answers

    Which factor does NOT favor contraction in amalgam?

    <p>Increased mercury content in the mix.</p> Signup and view all the answers

    In amalgam properties, what occurs during the initial setting phase?

    <p>A temporary contraction within the first 20 minutes.</p> Signup and view all the answers

    What distinguishes high copper alloys from low copper alloys?

    <p>They contain 13% to 30% copper.</p> Signup and view all the answers

    What effect does longer triturating times have on amalgam?

    <p>It accelerates setting and may favor contraction.</p> Signup and view all the answers

    Study Notes

    Dental Amalgam Overview

    • Amalgam is an alloy combining liquid mercury with solid metal particles (silver, tin, copper, sometimes zinc, palladium, indium, selenium)
    • Used as a dental restoration material for over a century, due to low cost, ease of application, strength, and durability
    • Concerns regarding aesthetics, environmental pollution, mercury toxicity, and the availability of composite materials have diminished its popularity
    • Commonly used for posterior restorations and large foundation restorations, sometimes for cores with crowns.

    Advantages of Dental Amalgam

    • Reasonably easy to insert, not a sensitive technique
    • Maintains anatomical form
    • Provides adequate resistance to fractures (strength)
    • Prevents marginal leakage over time
    • Suitable for stress-bearing areas
    • Relatively long service life (durability)
    • Cost-effective

    Disadvantages of Dental Amalgam

    • Silver color does not match tooth structure
    • Brittle, prone to corrosion and galvanic action
    • Can exhibit marginal breakdown
    • Does not retain weakened tooth structure
    • Regulatory concerns regarding disposal in wastewater

    Composition of Dental Amalgam

    • Primarily consists of silver and tin, with smaller amounts of copper, zinc, and trace elements (gold, palladium, indium, selenium).
    • Various types exist based on copper content (low copper, high copper) and zinc content: zinc containing and zinc free.
    • Specific percentages of silver, tin, copper, and zinc vary by amalgam type (e.g., low copper has 70.3% silver)

    Function of Amalgam Constituents

    • Silver (Ag):
      • Crucial in the reaction and provides its alloy color -Reduces creep -Increases strength, setting expansion & resistance to tarnish
    • Tin (Sn):
      • Controls the reaction between silver and mercury, preventing unacceptable speed and expansion -Reduces strength, hardness, resistance to tarnish and corrosion
    • Copper (Cu): -Increases hardness & strength -Increases setting expansion
    • Zinc (Zn): -Acts as a scavenger during manufacture -Reduces brittleness in the amalgam form -Can cause delayed expansion with moisture contamination

    Classification of Amalgam Alloys

    • Based on copper content (low copper, high copper) and zinc content (zinc containing, zinc-free).
    • Based on the shape of the particles (lathe-cut, spherical, mixed shapes)
    • Further classified as binary (e.g., silver-tin), ternary (e.g., silver-tin-copper), or quaternary (e.g., silver-tin-copper-indium) alloys based on the number of metals

    Properties of Set Amalgam

    • Dimensional changes are minimal after setting, with slight expansion or contraction
    • Initial contraction period (first 20 minutes) occurs due to mercury dissolving in alloy particles
    • Expansion occurs later, possibly from mercury reacting with silver and tin
    • Factors favoring contraction include: low mercury-alloy ratio, higher condensation pressure, smaller particles and longer triturating times
    • Stable dimensions usually achieve after 6–8 hours
    • Delayed expansion can occur due to zinc contamination with water during trituration or condensation, spanning 3–5 days to months

    Strength of Amalgam

    • Good compressive strength but does not withstand high tensile/bending strength
    • Cavity design crucial for minimizing tension/shear forces during service
    • Factors affecting strength include: triturating (under-trituration/over-trituration), mercury content, and condensation pressure
    • Initial strength gain takes time. At least 70% of its strength is gained within 8 hours post placement
    • Cavity design to reduce tensile stresses, with sufficient depth in the amalgam
    • Porosity weakens the material

    Creep as a Factor in Amalgam

    • Creep is a time-dependent permanent deformation under static or intermittent loads
    • Low-copper amalgams exhibit higher creep rates linked to marginal deterioration
    • High-copper amalgams exhibit lower creep rates

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    Description

    This quiz explores the characteristics, advantages, and disadvantages of dental amalgam as a restoration material. Learn about its composition, historical use, and the factors affecting its popularity. Test your knowledge on its properties and applications in dentistry.

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