Dental Materials 1 - Introduction
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Questions and Answers

What should be considered when selecting a filling material for a dental restoration?

  • The brand reputation of the dental material
  • The historical use of the material in dentistry
  • The depth of the cavity and visibility when smiling (correct)
  • The patient's age and health history

What is an important requirement for a filling material that will be subjected to high stress?

  • It should be heat resistant
  • It needs to withstand moderately high stresses without fracturing (correct)
  • It must match the color of natural teeth
  • It should have a low cost and be easy to apply

Why is it important for dental practitioners to keep up to date with developments in materials?

  • To ensure they offer the most effective solutions for patients (correct)
  • To adopt new products before testing is completed
  • To increase the number of treatment options available
  • To reduce costs in their practice

Which factor may influence a dentist's final choice of material brand?

<p>The ease of handling and availability of the materials (B)</p> Signup and view all the answers

What is the primary objective of restorative dentistry?

<p>To replace diseased or lost tooth structure and restore function and appearance (A)</p> Signup and view all the answers

What materials are commonly used for constructing the framework of a removable partial denture?

<p>Nickel, cobalt, and chromium (D)</p> Signup and view all the answers

What are the primary components of a complete denture?

<p>A base and artificial teeth (A)</p> Signup and view all the answers

Which type of teeth are known to be more brittle yet more resistant to wear in removable partial dentures?

<p>Porcelain teeth (D)</p> Signup and view all the answers

What is a significant factor that influences the selection of dental materials?

<p>Properties of available materials (A)</p> Signup and view all the answers

What material is typically used for constructing dental implants?

<p>Titanium or titanium alloy (C)</p> Signup and view all the answers

Which factor is NOT considered a variable in the oral environment?

<p>Patient's age (C)</p> Signup and view all the answers

What are acrylic resins used for in relation to dentures?

<p>To fabricate artificial teeth (C)</p> Signup and view all the answers

What is the normal temperature range of the oral cavity?

<p>36-37 C (C)</p> Signup and view all the answers

How can masticatory forces impact dental materials?

<p>They may cause deformation of the material (B)</p> Signup and view all the answers

What pH range is typically observed in the oral cavity?

<p>pH 4 to pH 8.5 (C)</p> Signup and view all the answers

What should be the first step in the logical sequence for material selection in dentistry?

<p>Analysis of the problem (C)</p> Signup and view all the answers

Which statement correctly describes masticatory forces?

<p>They vary from tooth to tooth. (D)</p> Signup and view all the answers

What can be the consequence of incorrect material selection?

<p>Failure of the restoration or appliance (A)</p> Signup and view all the answers

Which characteristic ensures a material remains stable over time without deterioration?

<p>Corrosion resistance (C)</p> Signup and view all the answers

What is a primary reason for choosing resin composite materials for anterior teeth restorations?

<p>They match the appearance of teeth (B)</p> Signup and view all the answers

Which of the following does not describe an ideal characteristic of dental materials?

<p>Odorous and unpleasant to patients (B)</p> Signup and view all the answers

What type of dental restoration materials are used directly within the mouth?

<p>Direct restorative materials (B)</p> Signup and view all the answers

Why are metallic restorations often preferred for posterior teeth?

<p>They provide higher strength and wear resistance (D)</p> Signup and view all the answers

Which characteristic allows dental materials to adhere effectively to tooth structure?

<p>Adhesion to tissues (A)</p> Signup and view all the answers

What is the primary function of liners in direct restorative materials?

<p>To seal and protect the pulp (A)</p> Signup and view all the answers

Which dental material is most often used for posterior restorations due to its mechanical properties?

<p>Dental silver amalgam (A)</p> Signup and view all the answers

What is a primary reason amalgam restorations require mechanical retention?

<p>Amalgam cannot bond adequately to tooth structures. (D)</p> Signup and view all the answers

Which property makes gold an ideal material for dental restorations?

<p>Its harmlessness and rigidity. (B)</p> Signup and view all the answers

What is an indirect restoration?

<p>A restoration that is created outside of the mouth. (D)</p> Signup and view all the answers

In what situation would an onlay be used?

<p>When it involves the occlusal and proximal surfaces and covers all the cusps. (C)</p> Signup and view all the answers

What characterizes a cast metallic crown?

<p>It is suitable for situations where strength is needed. (C)</p> Signup and view all the answers

What type of crown combines esthetics with strength?

<p>Ceramic-fused-to-metal crown. (D)</p> Signup and view all the answers

What is the purpose of a bridge in dentistry?

<p>To replace missing teeth with support from adjacent teeth. (C)</p> Signup and view all the answers

Which alloys are commonly used for fixed partial dentures?

<p>Gold or nickel-chromium alloys. (D)</p> Signup and view all the answers

Flashcards

Oral Environment Variables

Factors in the mouth that affect dental materials, including temperature, pH, and masticatory forces.

Temperature Variations (Oral Cavity)

The normal oral temperature is 36-37°C, but intake of hot or cold foods can vary the temperature up to 0-75°C.

pH Variations (Oral Cavity)

The acidity or alkalinity of oral fluids, typically varying from pH 4 to 8.5, but intake of acidic or alkaline substances may vary the range to 2.0-11.0

Masticatory Forces

The forces applied to teeth and restorations during chewing. These forces vary from tooth to tooth and from anterior to posterior.

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Dental Material Selection

Choosing the right dental material involves analyzing the need, considering requirements, evaluating materials properties, and selecting the best materials.

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Material Evaluation

Assessing the success or failure of a dental material to help guide future material selections.

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Restorative Material Selection

Choosing the best dental material for a specific tooth restoration. Factors such as stress, visibility, and cavity depth need consideration.

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Material Requirements

Specific qualities a dental material must possess (e.g., color match, stress resistance) to fulfill the needs of a repair.

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Stress Levels in Restorations

Identifying areas of high stress on a tooth to select an appropriate material for a strong and durable restoration.

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Visible Restorations

Selecting a material that matches the color of the surrounding natural tooth to improve aesthetics when the restoration is visible to the patient.

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Dental Material Properties

Evaluating material characteristics like abrasion resistance, strength, and biocompatibility to choose the best material.

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Material Availability

Considering different materials and how they compare to the requirements of the restoration to select the best.

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Conservative Approach

Using existing materials well-tested and proven over new ones being launched in order to prevent potential complications by evaluating their effectiveness through proper testing before regular usage.

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Dental Material Selection Process

A multi-step approach to choosing a material, from identifying the needs to verifying the material's suitability.

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Restorative Dentistry Goal

To restore a tooth's function and appearance using suitable materials.

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Types of Tooth Cavities

Different types of cavities necessitate specific material choices including cavities created by toothbrush abrasion.

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Ideal Dental Material Characteristics

Properties of dental materials desirable for optimal function and patient comfort.

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Biocompatible

A material that does not elicit harmful response from the body.

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Non-toxic, non-irritating, non-allergenic

The material shouldn't poison, irritate or cause allergic reactions.

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Mechanically Stable & Durable

A material that can withstand stress, wear and tear without breaking or losing shape.

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Direct Restorative Materials

Dental materials placed directly into a tooth cavity without making a model.

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Indirect Restorative Materials

Dental materials made outside the mouth, then placed in the mouth.

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Resin Composites

Common restorative material, known for good esthetics and suitable for anterior teeth.

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Amalgam

Metallic restorative material, strong and durable, often used for posterior teeth.

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Posterior Teeth

Teeth in the back of the mouth.

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Amalgam Bonding

Amalgam cannot be adequately bonded to tooth structures, so restorations must be mechanically retained.

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Gold Alloys in Dentistry

Gold is used in dentistry as an alloy, prized for biocompatibility, precision, and strength.

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Posterior Restorations

Gold alloys are frequently used for reconstructions in the back of the mouth (posterior).

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Indirect Restoration

A restoration made outside the mouth, on a model, and then fitted into place.

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Inlays

A restoration cemented into a prepared tooth cavity; typically for occlusal and proximal tooth surfaces.

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Inlay Cavity Preparation

The cavity for a gold inlay is tapered, with a slightly smaller base than the occlusal surface.

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Onlays

Similar to inlays, but onlays cover all the cusps of a posterior tooth.

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Gold Crown

A restoration for part or all of a tooth's crown, often used in posterior areas for strength.

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Ceramic Crown

Ceramic crowns combine strength with aesthetic qualities, often used in the anterior (front) portion of the mouth.

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Ceramic-fused-to-metal crown

A crown combining ceramic's esthetics and metal's strength and fit.

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Veneers

Restorations used to improve the appearance of anterior teeth; may be resin-composite or ceramic.

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Fixed Partial Denture (Bridge)

A bridge replaces missing teeth, supported by abutment teeth.

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Bridge Materials

Gold or nickel-chromium alloys are often used for bridges due to strength, tarnish resistance, and castability.

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Fixed Partial Denture

A prosthetic appliance used to replace missing teeth, permanently attached to abutment teeth.

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Removable Partial Denture

A prosthetic appliance used to replace missing teeth, removable from the mouth.

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Complete Denture

Full denture used when all teeth in an arch are missing; it has an artificial teeth base.

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Denture Base Material

Often made of acrylic resin, pigmented to match the pink colors of the gum tissue.

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Clasps

Metal attachments that hold the removable partial denture to the abutment teeth.

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Implant

Artificial tooth root replacement that supports a crown after bone stabilization.

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Implant Material

Typically titanium or titanium alloy, sometimes ceramic; the surface is often plasma-sprayed with Titanium or coated with hydroxyapatite.

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Porcelain Teeth

Artificial teeth that are resistant to wear, but fragile.

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Acrylic Resin Teeth

Artificial teeth that are easy to create, but not as durable as porcelain.

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Study Notes

Dental Materials 1 - Introduction

  • Dental materials study composition, properties, and interaction with the oral environment
  • Dentist's success depends on proper material selection and careful manipulation
  • Dentists and technicians have a wider variety of materials available

Oral Environment

  • Understanding oral cavity variables is crucial
  • Key variables include temperature variations, pH variations, and masticatory forces

Temperature Variations

  • Normal oral cavity temperature is 36-37°C
  • Intake of hot or cold food/drinks increases temperature range to 0-75°C

pH Variations

  • Oral cavity pH typically ranges from 4 to 8.5
  • Intake of acidic or alkaline substances can cause pH to vary from 2.0 to 11.0

Variations in Masticatory Forces

  • Restorations are subjected to heavy forces during mastication

  • These forces can cause deformation and impact durability

  • Force application varies from tooth to tooth, increasing from anterior to posterior

  • Tooth | Average Force (N)

  • ---|---|

  • Second molar | 80800

  • First molar | 390

  • Bicuspids | 288

  • Cuspids | 208

  • Incisors | 155

Selection of Dental Materials

  • Material selection follows a logical sequence—problem analysis, requirements consideration, material/property analysis, material choice
  • Evaluation of material success/failure is used to inform future choices
  • Factors like visibility, cavity depth/type, and stress concentration are important

Requirements

  • Filling material requirements can include appropriate color matching and ability to withstand moderate stress without fracturing
  • Toothbrush or toothpaste abrasion may require high resistance in some cases

Available Materials

  • Practitioners must stay updated on material developments and new products should be used carefully
  • Material comparison is done at two levels (criteria and direct comparison)

Choice of Material

  • Material properties are compared to requirements to narrow the choice
  • Dentist preferences and issues of pricing, availability, and ease in handling play a vital role

What are Dental Materials?

  • Dentistry aims to improve the quality of life for patients
  • This goal is achieved by preventing dental disease, treating pain, improving mastication efficiency, speech, and appearance
  • Restorative dentistry replaces lost or diseased tooth structures to restore function and appearance

Characteristics of Ideal Materials

  • Biocompatibility (non-toxic, non-irritating, non-allergenic)
  • Mechanical stability and durability (strong, resistant to fracture and wear)
  • Resistance to corrosion and deterioration over time
  • Dimensional stability
  • Minimal thermal/electrical conductivity
  • Aesthetic qualities (looks like natural oral tissue)
  • Easy manipulation
  • Adherence and sealing to tissue
  • Tasteless and odorless
  • Cleanability and repairability
  • Cost-effective

General Classification of Materials

  • Dental materials are broadly categorized into polymers, metals, ceramics, and composites

Restorative Dental Materials

  • Direct restorative materials are used intraorally—direct application on the tooth
  • Indirect restorative materials are used extraorally—made outside the mouth, then fitted into the mouth

Direct Restorative Materials

  • Amalgam, bonding agents, resin-based composites, compomers, liners, bases, dental polymers

Resin Composite Materials

  • Chosen for anterior restorations due to aesthetic resemblance
  • Strength is secondary to aesthetic requirements as biting forces are less

Metallic Restorations

  • Often preferred for posterior teeth due to greater strength needed to withstand high forces
  • Silver amalgam and gold inlays are commonly used
  • Amalgam is placed directly into the cavity, then carved to fit

Amalgam

  • Cavity preparations are tapered to accommodate the material
  • This design is necessary because an amalgam cannot directly bond to tooth tissues and needs mechanical support

Gold

  • Gold alloys are ideal for prosthetics due to harmlessness, precision, and rigidity
  • Mostly used in posterior restorations

Indirect Restoration

  • Created outside the mouth on models of prepared teeth, then placed into the mouth
  • Examples include crowns, bridges, inlays, onlays, veneers, and complete/partial dentures

Inlays

  • Prepared and cemented outside the mouth to the prepared tooth

Onlays

  • Involves the occlusal and proximal surfaces and all the cusps

Gold Crowns

  • Used for posterior teeth where strength is essential

Ceramic Crowns

  • Combining strength with esthetics in various types
  • Ceramic-fused-to-metal crowns combine aesthetics and fit/strength of metal crowns

Veneers

  • Used to correct discoloration, malformations, or erosions in anterior teeth
  • Made from resin composite or cemented ceramic

Bridge

  • Replaces missing teeth and involves support structures for the artificial teeth (pontics) from adjacent teeth
  • Gold or nickel-chromium alloys are used

Removable Partial Dentures

  • Used when multiple teeth are missing
  • Mounted on a metal framework, attached using clasps to abutment teeth
  • Materials used include strong, corrosion-resistant metals (nickel, cobalt, chromium)

Acrylic Resin

  • Used for dentures and tooth components, important for esthetics in removable dentures
  • Porcelain teeth are more durable, but more brittle

Complete Dentures

  • Used when all teeth in an arch are missing
  • Teeth and base are made from acrylic resin with pink pigmentation for esthetics

Implants

  • Used to replace tooth roots
  • Implants are made from titanium and sometimes ceramic, and are connected to a crown
  • Surface may be plasma-sprayed with titanium or coated with hydroxyapatite

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Description

This quiz covers the fundamental concepts of dental materials, focusing on their composition, properties, and interactions within the oral environment. Understanding variables such as temperature, pH, and masticatory forces is essential for dentists to select and manipulate materials effectively. Test your knowledge on how these factors influence dental restoration durability.

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