Dental Materials: Glass Ionomer Cements Quiz

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Questions and Answers

What is the primary adverse effect associated with the use of dental cements like glass ionomer cements (GICs)?

  • Dissolving in the oral environment (correct)
  • Adhesive failure in moist conditions
  • Release of antibacterial properties
  • Inability to withstand compressive forces

Which of the following dental materials has the highest compressive strength based on the provided data?

  • Chemfill-II (De Trey) (correct)
  • Ketac-Fil (ESPE)
  • Legend (SS White)
  • Opus-Fil (DSD)

Fluoride release from GICs is believed to enhance the resistance to what dental issue?

  • Tooth sensitivity
  • Plaque accumulation
  • Cavity formation (correct)
  • Gingival recession

What is the maximum particle size for filling materials in GICs?

<p>50µm (C)</p> Signup and view all the answers

Which characteristic of GIC contributes to its anticariogenic properties?

<p>Fluoride ionic release (C)</p> Signup and view all the answers

Which acid is NOT commonly associated with glass-ionomer cements?

<p>Citric acid (D)</p> Signup and view all the answers

What should be considered when selecting the shade of tooth-colored GICs?

<p>The type of rubber dam used (D)</p> Signup and view all the answers

How does polyacid concentration affect the strength of GICs?

<p>Strength increases with increased polyacid concentration (B)</p> Signup and view all the answers

What determines the rate of ion release from the glass used in GICs?

<p>Type of glass utilized (D)</p> Signup and view all the answers

What is one of the primary applications for GICs?

<p>Repair of crown margins (C)</p> Signup and view all the answers

How does the shade of GICs change during the setting process?

<p>It becomes slightly darker (C)</p> Signup and view all the answers

What is a significant disadvantage of reducing powder content in GICs?

<p>It leads to weaker, slower-setting cements (D)</p> Signup and view all the answers

Which copolymer is new and considered stronger than traditional copolymers used in GICs?

<p>Vinyl phosphonic acid (D)</p> Signup and view all the answers

What effect does tartaric acid have in glass-ionomer cements?

<p>Significantly affects working and setting time (B)</p> Signup and view all the answers

Which of the following components is used in GICs to achieve suitable handling characteristics?

<p>Alumino-silicate glass (A)</p> Signup and view all the answers

What primarily drives the final hardening reaction of glass ionomer cement (GIC)?

<p>Aluminium ions (B)</p> Signup and view all the answers

During the gelation phase of GIC setting, which ion has a more favorable reaction with carboxyl groups?

<p>Calcium ions (C)</p> Signup and view all the answers

What issue can arise from contamination of GICs during their initial setting phase?

<p>Color change and crumbling (D)</p> Signup and view all the answers

How long does the hardening phase of GIC typically last?

<p>7 days (C)</p> Signup and view all the answers

Why is it critical to protect GICs from moisture during the initial setting period?

<p>It minimizes the risk of dissolution and contamination (C)</p> Signup and view all the answers

Which of the following factors has a pronounced effect on the setting process of GIC?

<p>The composition of glass (A)</p> Signup and view all the answers

What is a potential enhancement for the cross-linking capability of polyacid molecules in GIC?

<p>Zinc-containing fillers (B)</p> Signup and view all the answers

What detrimental effect can occur if GICs are not preserved from drying?

<p>Loss of components (B)</p> Signup and view all the answers

What is one of the critical factors influencing the selection of glass for GIC formulations?

<p>Handling characteristics (D)</p> Signup and view all the answers

How do calcium and aluminium ions affect the setting process in GICs?

<p>Calcium ions promote initial gelation while aluminium ions drive hardening (C)</p> Signup and view all the answers

What is primarily contained in the liquid component of anhydrous glass-ionomer cements?

<p>Distilled water (A)</p> Signup and view all the answers

Which is a significant challenge in the use of glass-ionomer cements during clinical procedures?

<p>Difficulty in achieving the correct powder-to-liquid ratio (D)</p> Signup and view all the answers

What type of reaction describes the setting process of glass-ionomer cements?

<p>Acid-base reaction (A)</p> Signup and view all the answers

Why is the release of calcium ions faster than aluminium ions in the setting of glass-ionomer cements?

<p>Calcium ions are loosely bound in the glass structure (A)</p> Signup and view all the answers

What is a potential disadvantage of using pre-proportioned capsules for glass-ionomer cements?

<p>They can be considered wasteful (A)</p> Signup and view all the answers

What ions are released as sodium fluoride during the setting reaction of glass-ionomer cements?

<p>Sodium and fluorine ions (B)</p> Signup and view all the answers

Which of the following stages is NOT part of the setting reaction process of glass-ionomer cements?

<p>Evaporation (A)</p> Signup and view all the answers

What happens to the aluminium, calcium, sodium and fluorine ions during the setting reaction of glass-ionomer cements?

<p>They deplete, leading to the formation of a silica gel (D)</p> Signup and view all the answers

Which of the following accurately describes a characteristic of glass-ionomer cements?

<p>They require rigorous mixing to incorporate the powder (D)</p> Signup and view all the answers

What effect does varying the powder-liquid ratio have on glass-ionomer cements?

<p>It affects the mechanical properties and setting time (A)</p> Signup and view all the answers

What is the main reason GICs are considered advantageous over phosphoric acid-based cements?

<p>They bond to enamel and dentin and release fluoride. (A)</p> Signup and view all the answers

Which component is NOT part of the main composition of Glass-Ionomer Cements?

<p>Zinc oxide (B)</p> Signup and view all the answers

How did the introduction of GICs in the 1970s impact the dental materials available at the time?

<p>They provided a more complex formulation than zinc-phosphate cements. (A)</p> Signup and view all the answers

Which of the following is a significant aspect of the processing of GIC glass composition?

<p>It undergoes a melting and rapid cooling process. (A)</p> Signup and view all the answers

What distinguishes resin-modified glass-ionomer cements (RMGICs) from traditional GICs?

<p>RMGICs set with light activation. (B)</p> Signup and view all the answers

Which application of GICs involves their use as a core material?

<p>Cavity bases and liners in deciduous dentition (A)</p> Signup and view all the answers

What primarily limits the composition of GIC glasses to a specific region in a phase diagram?

<p>The requirement for translucency. (D)</p> Signup and view all the answers

What was one of the first commercial products developed for GICs?

<p>ASPA (A)</p> Signup and view all the answers

Which of the following components is essential in GICs for achieving optimal bonding?

<p>Polyacrylic acid (A)</p> Signup and view all the answers

Flashcards

Fluoride-releasing dental cements

Dental cements that release fluoride ions into the oral environment, potentially increasing enamel caries resistance.

Cement Dissolution

The process of dental cements dissolving in the oral environment, which can be a negative effect.

Glass Ionomer Cement (GIC)

A type of dental cement known for its fluoride release and adhesive properties.

Inherent Adhesiveness of GICs

The ability of GICs to bond directly to tooth structure without the need for a separate adhesive.

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Compressive Strength

The strength of a material measured by its resistance to compression forces.

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Diametral Tensile Strength

The strength of a material measured by its resistance to tensile forces.

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Tooth-Colored Filling Materials

Dental cements that come in different formulations, including powder-liquid, anhydrous, and encapsulated.

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Zinc Phosphate Cement

A dental cement containing zinc oxide powder and phosphoric acid liquid, known for its strength and ability to bond to tooth structure.

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Zinc Polycarboxylate Cement

A type of dental cement using polyacrylic acid as a liquid component, producing a strong bond to tooth enamel.

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Setting Reaction of GIC

A dental cement that relies on a chemical reaction between an alumino-silicate glass powder and a liquid polyacid to set.

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Polyacid Concentration in GIC

The concentration of polyacrylic acid in the liquid component of a GIC, influencing its strength and setting characteristics.

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Particle size of powder in GIC

The size of glass particles used in GICs, impacting the cement's smoothness, handling, and release properties.

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Glass composition in GIC

The precise chemical composition of the glass powder used in GICs, directly influencing the cement's strength, fluoride release, and aesthetics.

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Tartaric Acid in GIC

The addition of tartaric acid to the liquid component of GICs crucial for controlling setting time and achieving the desired consistency.

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Water-hardening GIC

The type of GIC where powder and liquid are mixed to form the cement.

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Glass Powder Composition

The combination of aluminosilicate glass, polyacid powder, and tartaric acid. This blend is used in the powder form of anhydrous GICs.

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GIC Capsules

Pre-proportioned capsules containing all the necessary components for a GIC mix. Simplifies the process but may be more expensive.

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Powder-to-Liquid Ratio

The method of mixing the components of a GIC where the powder and liquid are combined in a predetermined proportion to produce a desired consistency.

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Acid-Base Reaction of GICs

The chemical reaction that occurs when the acid component of the GIC reacts with the glass powder to form a hardened cement.

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GIC Dissolution

The initial stage of GIC setting where the acid dissolves the glass powder.

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GIC Gelation

The second stage in the setting process where a gel-like structure begins to form within the mixture.

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GIC Hardening

The final stage of GIC setting where the gel structure hardens into a solid, strong cement.

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Ion Release from Glass

The process where the acid in the GIC reacts with the glass, breaking down its structure and releasing ions like calcium, aluminium, sodium, and fluoride.

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Salt Matrix of GICs

The material resulting from the reaction between the acid and glass, contributing to the strength and properties of the final GIC.

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Gelation Phase

The initial setting of GICs, where calcium ions rapidly react with the carboxyl groups of the acid, creating a gel-like structure.

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Hardening Phase

The secondary stage of GIC setting, where aluminium ions gradually strengthen the cement. It takes longer, typically up to 7 days, to fully harden and gain strength.

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Contamination

The process where moisture, such as saliva or blood, can significantly affect the hardening process of GICs, potentially resulting in weakened cement.

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Structure of GIC

The structural makeup of GIC, consisting of glass particles embedded in a matrix with interconnected polyacrylic acid chains.

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Ion Release

The ability of GICs to slowly release calcium and aluminium ions into the surrounding environment.

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Glass Composition

The specific chemical composition of the glass powder used in GICs, which greatly influences the material's strength, fluoride release, and aesthetics.

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Dissolution

The ability of GICs to dissolve within the oral environment, which is a negative factor to minimize.

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Protection From Contamination

The process of protecting GICs from outside contamination during the initial setting period to ensure proper hardening.

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Clinical Relevance

The importance of using GICs during the initial setting phase to prevent dissolution and contamination.

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Properties & Handling

The characteristics of GIC that relate to how easy it is to handle, its resistance to dissolving in the mouth, how well it releases fluoride, and how pleasing it looks in the mouth.

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What is glass-ionomer cement?

A type of dental cement developed in the 1970s that releases fluoride and bonds directly to tooth structure.

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What is the composition of GIC glass?

The powder component of GICs, consisting mainly of silica, alumina, calcium fluoride, and other fluorides, heated to a high temperature, melted, cooled, and finely ground for use.

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What is the liquid component of GICs?

A polyacid solution, usually containing polyacrylic acid, used to react with the glass powder to set the GIC.

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How does GIC set?

The chemical reaction between the glass powder and polyacid solution that creates GICs.

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What is the bonding property of GICs?

The ability of GICs to bond directly to tooth structure, eliminating the need for a separate adhesive.

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What is fluoride release in GICs?

The process by which GICs release fluoride ions into the oral environment, which can help strengthen enamel and prevent decay.

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What is resin-modified GIC (RMGIC)?

A type of GIC that also contains resin monomers, which can be activated by light, making the setting faster and stronger.

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What are some applications of GICs?

GICs are commonly used for restorations in areas like proximal lesions, occlusal restorations, and core materials.

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How are GICs different from previous cements?

Previous dental cements, like zinc-phosphate cements, used phosphoric acid. GICs replaced phosphoric acid with polyacrylic acid, offering improved bonding.

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What are the benefits of GIC composition variability?

The composition of GIC glass can be varied, leading to numerous suitable combinations for copolymerization, unlike the fixed powder-to-liquid ratio of zinc-phosphate cements.

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Study Notes

Glass-ionomer Cements (GICs)

  • GICs are polyalkenoate cements, frequently referred to as glass polyalkenoate cements (RMGIcs)
  • GICs are a group of restorative materials that consist of a powder and a liquid
  • The powder is a glass, and the liquid is usually a polycarboxylic acid
  • GICs are a fluoride-releasing, intrinsically adhesive, bulk-filling material
  • They are used for various dental applications
  • They are available in three formulations: traditional powder-liquid, anhydrous systems with dried powder, and encapsulated versions
  • GICs have a number of advantages, including their fluoride release, the ability to bond directly to tooth structure, and shorter working and setting times, compared to other dental cements
  • GICs have a low diametral tensile strength, which can often be a disadvantage in situations with high tensile loads

Fluoride Release

  • The fact that dental cements dissolve in the oral environment, it leads to degradation and radiation by acid dissolution
  • GICs release fluoride by an ion exchange mechanism, which is believed to increase the fluoride release of the restoration
  • Factors like adjacent restorations, tooth structure affect the release of fluoride
  • The release of fluoride is a function of the type of glass employed

Setting Reaction

  • The setting reaction of GICs is an acid-base reaction
  • The setting process of a GIC involves three overlapping stages: dissolution, gelation, and hardening
  • The calcium and aluminum ions are released from the glass more rapidly than the other ions
  • The setting reaction of the glass and polyacid creates a silica gel
  • The material takes some time to fully set, often up to 24 hours.

Shade Selection

  • The aesthetic quality of the tooth-coloured GICs is considered a drawback, but there has been a marked improvement
  • The choice of shade and isolation prior to application may alter the colour of the tooth
  • Change in shade is, during the setting process
  • There can be a colour change due to increase in translucency during the setting process, with the shade becoming slightly darker after placement.

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