6 Operative Dentistry I: Amalgam Restoration
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Questions and Answers

What is the primary characteristic of low copper amalgam in comparison to high copper amalgam?

  • It requires less mercury content.
  • It has the lowest compressive strength. (correct)
  • It has higher compressive strength.
  • It exhibits greater tensile strength.
  • What happens to the strength of amalgam when the temperature increases from root temperature to mouth temperature?

  • Strength increases by 15%.
  • Strength decreases by 50%.
  • Strength remains unchanged.
  • Strength decreases by 15%. (correct)
  • Which factor is most likely to decrease the strength of amalgam by up to 50%?

  • High mercury content. (correct)
  • Lower temperature exposure.
  • Increased trituration time.
  • Low condensation pressure.
  • What is the range of tensile strength for amalgam after 7 days?

    <p>48-60 MPa (C)</p> Signup and view all the answers

    What is the modulus of elasticity for amalgam compared to dentin?

    <p>Amalgam is less stiff than dentin. (A)</p> Signup and view all the answers

    What effect does under-trituration or over-trituration have on amalgam?

    <p>Decreases the strength of the amalgam. (C)</p> Signup and view all the answers

    Which type of amalgam has the lowest creep characteristics?

    <p>High copper amalgam. (C)</p> Signup and view all the answers

    What is the primary concern associated with high mercury content in amalgam?

    <p>Decreased strength. (D)</p> Signup and view all the answers

    What percentage of copper defines a high copper alloy?

    <p>More than 12% (D)</p> Signup and view all the answers

    What is the main benefit of adding zinc to a dental amalgam?

    <p>Prevent oxidization of other metals in the alloy (D)</p> Signup and view all the answers

    In the low copper amalgam setting reaction, what compound represents the weakest phase?

    <p>Gamma 2 (D)</p> Signup and view all the answers

    What is dental amalgam primarily composed of?

    <p>Silver, tin, copper alloy, and mercury (B)</p> Signup and view all the answers

    Which property of dental amalgam is defined by its ability to withstand forces applied toward it?

    <p>Compressive strength (B)</p> Signup and view all the answers

    Which of the following is NOT an advantage of dental amalgam restoration?

    <p>Aesthetic appeal (D)</p> Signup and view all the answers

    What is a primary contraindication for the use of dental amalgam?

    <p>Mercury-sensitive patients (C)</p> Signup and view all the answers

    What is the primary consequence of adding copper to dental amalgam?

    <p>Increase in tarnish resistance (C)</p> Signup and view all the answers

    Which classification of dental amalgam requires less condensation during use?

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

    Which component in dental amalgam is known to enhance flow and creep?

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

    In which situation is dental amalgam most appropriately used?

    <p>Core build up for crowns (D)</p> Signup and view all the answers

    How long does it take for dental amalgam to reach its specified compressive strength range of 300-500 Mpa?

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

    What is a disadvantage of dental amalgam regarding tooth preparation?

    <p>More difficult tooth preparation (B)</p> Signup and view all the answers

    What characterizes a zinc containing alloy in dental materials?

    <p>More than 0.01% Zn (B)</p> Signup and view all the answers

    Which type of dental amalgam is typically used for larger cavities?

    <p>Lathe-cut alloy (D)</p> Signup and view all the answers

    What is the classification of dental amalgam based on particle shape?

    <p>Spherical, lathe-cut, and admix (C)</p> Signup and view all the answers

    What effect does the presence of $ ext{γ}_2$ in low copper amalgam have on creep?

    <p>Increases the creep (D)</p> Signup and view all the answers

    Which factor can lead to an increase in amalgam expansion during the setting process?

    <p>High mercury content (B)</p> Signup and view all the answers

    How long does the initial contraction of amalgam occur after mixing?

    <p>20 minutes (C)</p> Signup and view all the answers

    What is the main consequence of delayed expansion in zinc-containing alloys due to moisture contamination?

    <p>Post-operative sensitivity (D)</p> Signup and view all the answers

    What happens if amalgam is under-triturated?

    <p>It will expand (B)</p> Signup and view all the answers

    What is tarnish in relation to dental amalgam?

    <p>Discoloration due to chemical reaction (D)</p> Signup and view all the answers

    If amalgam experiences high coefficients of thermal expansion, what might be a significant dimensional change threshold?

    <p>20 $ ext{μm/cm}$ (B)</p> Signup and view all the answers

    What effect does proper condensation pressure have on high copper amalgam?

    <p>Decreases the creep (C)</p> Signup and view all the answers

    Flashcards

    Dental Amalgam Restoration

    A metallic restorative material made of silver-tin-copper alloy mixed with mercury. It's pressed into a cavity to restore tooth shape and function.

    Amalgam Advantages

    Easy to use, strong, resists wear, and has good long-term results. It's also relatively inexpensive.

    Amalgam Disadvantages

    Not attractive, may need more tooth removal, not insulating, and has some environmental concerns.

    Amalgam Indications

    Used in posterior teeth, large cavities, areas with limited moisture, and as core buildup for crowns.

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    Amalgam Contraindications

    Avoid in esthetic regions, small cavities, patients sensitive to mercury, and where composite offers more conservative solutions.

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    Amalgam Classifications

    Amalgam categorized by particle shape (spherical, lathe-cut, or admixture), copper content, and zinc content. Different shapes offer different handling characteristics.

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    Amalgam Composition

    A mixture of silver–tin–copper alloy and mercury.

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    Amalgam Setting Reaction

    A chemical process where mercury combines with the alloy to set the filling.

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    Low copper amalgam composition

    Dental amalgam with less than 6% copper, primarily composed of silver-tin and mercury.

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    High copper amalgam composition

    Dental amalgam with more than 12% copper, containing silver-copper and silver-tin phases in addition to mercury.

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    Amalgam compressive strength

    The ability of amalgam to withstand force pushing in on it, measured in Mpa.

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    Dental Amalgam

    A restorative material used in dentistry to fill cavities and repair teeth.

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    Silver (Ag) in Amalgam

    Increases amalgam strength, but also increases tarnish and corrosion.

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    Tin (Sn) in Amalgam

    Decreases amalgam strength and expansion but improves flow and creep.

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    Zinc (Zn) in Amalgam

    Prevents oxidation of other metals, and raises strength and creep resistance.

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    Amalgam Creep

    The tendency of amalgam to deform or flow over time.

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    Amalgam Composition (Creep)

    The elements in amalgam affect how much it creeps (deforms).

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    Amalgam Manipulation (Creep)

    Correct manipulation methods (mixing and condensing) can reduce creep in amalgam restorations.

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    Amalgam Dimensional Changes

    Amalgam's tendency to change its shape or size due to various factors like temperature or chemical reactions.

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    Delayed Amalgam Expansion

    Amalgam can expand slowly over days or weeks after its initial set.

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    Amalgam Mercury Content (Dimensional Change)

    High mercury content results in more expansion in amalgam restorations.

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    Amalgam Trituration (Dimensional Change)

    Improper mixing can cause dimensional changes in amalgam: under-trituration leads to expansion; over-trituration leads to contraction.

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    Amalgam Tarnish and Corrosion

    Metals lose their shine or break down due to reactions with environment (Corrosion), and discoloration (Tarnish).

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    Amalgam's tensile strength

    Amalgam's ability to withstand pulling forces. Low copper amalgam has the lowest tensile strength.

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    Amalgam's modulus of elasticity

    A measure of how stiff a material is. Indicates how much it resists deformation under stress. High copper amalgam is stiffer than low copper amalgam.

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    Amalgam creep and flow

    Time-dependent deformation of amalgam under continuous load. Creep happens after setting, while flow happens while setting.

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    Effect of temperature on amalgam strength

    Temperature significantly impacts amalgam strength. Significant drop in strength when temperatures climb from root to body.

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    Effect of mercury content on amalgam strength

    High mercury content decreases amalgam strength. Low mercury content is ideal for strength and consistent surface.

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    Effect of trituration on amalgam strength

    The process of mixing the amalgam components impacts its strength. Proper mixing is crucial for optimal strength in fillings.

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    Effect of condensation on amalgam strength

    Amalgam 'packing' affects its strength. Different alloys require different packing techniques

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    Study Notes

    Operative Dentistry I: Amalgam Restoration and Manipulation I

    • Lecture Objectives:
      • Define dental amalgam restoration
      • List advantages, disadvantages, indications, and contraindications of amalgam restoration
      • Identify dental amalgam classifications
      • Identify dental amalgam composition
      • Explain dental amalgam setting reaction
      • Describe dental amalgam properties

    Introduction to Dental Amalgam

    • Definition: A metallic restorative material composed of a mixture of silver-tin-copper alloy and mercury.
    • Application: The unset mixture is pressed (condensed) into a prepared tooth cavity and contoured to restore the tooth's form and function.

    Advantages of Amalgam Restoration

    • Ease of use
    • High strength
    • Excellent wear resistance
    • Favorable long-term clinical research results
    • Low cost

    Disadvantages of Amalgam Restoration

    • Non-aesthetic
    • Less conservative (more tooth removal during preparation)
    • Non-insulating
    • More difficult tooth preparation
    • Environmental concern

    Indications for Amalgam Restoration

    • Posterior teeth restorations
    • Large cavities
    • Areas with limited moisture control
    • Core build-up for crowns

    Contraindications for Amalgam Restoration

    • Aesthetic areas (anterior teeth)
    • Mercury-sensitive patients
    • Small cavities
    • If composite restoration offers better conservative restoration

    Amalgam Classification

    • Based on particle shape:
      • Spherical alloy: Requires less condensation, easy carving, improper proximal contact, used in class I cavities
      • Lathe-cut alloy: Requires more condensation, difficult carving, proper proximal contact, used in class II cavities
      • Admix alloy: Combines advantages of spherical and lathe-cut alloys
    • Based on copper content:
      • Low copper alloy: Less than 6% copper
      • High copper alloy: More than 12% copper
    • Based on zinc content:
      • Zinc-containing alloy: More than 0.01% zinc
      • Zinc-free alloy: 0.01% or less zinc

    Amalgam Composition

    • Silver (Ag): Increases strength and expansion, increases tarnish and corrosion resistance

    • Tin (Sn): Decreases strength and expansion, increases flow and creep

    • Copper (Cu): Increases strength, increases tarnish and corrosion resistance

    • Zinc (Zn): Prevents oxidation of other metals, increases strength and creep resistance

    • Components: Alloy powder particles and mercury form the matrix and unreacted alloy particles, forming the reacted layer

    Amalgam Setting Reaction

    • Low copper (conventional): AgSn + Hg → AgSn + AgHg + SnHg
    • High copper: AgSn + Ag-Cu + Hg → AgSg + AgHg + SnHg + Ag-Cu
      • formation of gamma1 (strongest), gamma2 (weakest) and phases

    Dental Amalgam Properties

    • Compressive Strength: Ability to withstand force loaded towards an object. Amalgam has high compressive strength (300-500 MPa after 7 days), influenced by amalgam type
    • Tensile Strength: Resistance to lateral force (stretching). Amalgam has low tensile strength (48-60 MPa after 7 days), influenced by amalgam type.
    • Modulus of Elasticity: Measurement of material stiffness. Amalgam (20-50 GPa) compared with dentin (15-20 GPa), composite (17-22 Gpa), and enamel (50-80 GPa)
    • Creep & Flow: Time-dependent plastic deformation under static load. Flow measured during setting, creep after. Creep leads to flow at the margin. High copper amalgam has lower creep than low copper amalgam
    • Dimensional Changes: Property of a material to change shape and dimensions under heat or chemical reaction. Amalgam has high dimensional changes and high coefficient of thermal expansion. Highest in low copper amalgam (19.7 µm/cm).
    • Tarnish & Corrosion: Process of surface discoloration (tarnish) or metal dissolution (corrosion) in the oral environment. Tarnish can progress to corrosion; causes mechanical failure. Excessive corrosion increases porosity, reduces marginal integrity, and lowers strength
    • Factors Affecting Amalgam Creep: Amalgam composition(presence of gamma phase in low copper), manipulation(condensation pressure and trituration time), which reduce creep in high copper amalgam

    Factors Affecting Amalgam Dimensional Changes

    • Mercury Content: High mercury content leads to high expansion
    • Trituration: Under-trituration leads to expansion, over-trituration leads to contraction
    • Condensation: Less condensation pressure leads to expansion

    References:

    • Sturdevant Art and Science of Operative Dentistry (Chapter 13 "Introduction to Amalgam Restorations," Chapter, 18 "Biomaterials")

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    Description

    This quiz explores the fundamental aspects of dental amalgam restoration, including its definition, advantages, disadvantages, and classifications. Participants will assess their understanding of amalgam properties and its setting reaction. Perfect for students of Operative Dentistry I.

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