Professional Documents
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➢ Other composition for whitening the alloy kasi hindi naman yellow2 yun
➢ Responsible for whitening the alloy we have silver, platinum, palladium and zinc.
➢ Composition or ingredients that are resistant to tarnish and corrosion here we have gold,
platinum and palladium.
I mention all the composition with their old contribution of each one but notice that among the
composition and the ingredients.
❖ It is the palladium and platinum that has more contribution. It gives more strength, it whitens
the gold alloy, increases resistance to tarnish and corrosion.
• Palladium is the one that gives more because palladium whitens the gold alloy more than
platinum.
• Platinum gives more strength and gives more resistant to tarnish and corrosion compared to
palladium.
➢ We cannot make an appliance with just the hardest number of less than 50.
➢ Stated also for this classification is the Vickers hardest number Brinells hardest number. These
are to determine the hardness of the metal.
There are four hardest number indicated to determine the hardest of the material:
➢ Knoops hardest number which are use for nonmetallic substances like composite, and dental
cement.
➢ We have the Rockwell's hardest number which are for gypsum products.
➢ Vickers and Brinells hardest number which are specified for metals.
❖ Type 1: 50-90
❖ Type 2: 90-120
❖ Type 3: 120-150
Easy to remember rather than breenels hardest number which is point something.
TYPE 1 CASTING OF GOLD ALLOYS
➢ Used for simple proximal cavities of anterior teeth and the gingival 3rd cavities of anterior and
posterior teeth.
➢ Just imagine central incisor may cavity sa proximal that is simple proximal cavities of anterior
teeth and gingival 3rd cavities of anterior and posterior teeth.
➢ Pag sinabing gingival 3rd cavities it's more on the cervical 3rd.
➢ In oral anatomy ana we divided the crown into three parts the: incisal third, middle third, and
the cervical third. So that the cavity is on the cervical third.
➢ Kaya sometimes patient will come to the clinic and will say nangingilo sa part na yan. Because the
moment is abrasion of cervical 3rd that is sensitive specially the dentin is already exposed.
➢ Proximal cavities of posterior teeth and proximal cavities of anterior involving the incisal angle
➢ Composition same as type 1: Gold, copper, silver, and small amount of platinum and
palladium
➢ Imagine nasa proximal ng posterior ng pre molars and molars cavities that are on the proximal of
posterior teeth and also proximal cavities of anterior teeth involving the incisal angle.
➢ The cavities is extended to the angle we have mesio-incisal angle, disto-incisal angle. Pag nag
extend dun sa angle or form ng distal at sharp ng mesial it means that is already class 4 cavities.
➢ It is indicated for the construction of crowns and bridges or substance consist up to the molars
➢ Composition is the same as type 2: Gold, silver, palladium but more of platinum and palladium
➢ Big appliances that are constructed and makes use of type 4 casting gold alloys.
➢ Pustiso na nakikita niyo sometimes they are smiling and you see the they make use of type 4 dental
casting gold alloys
QUESTION:
Why the Vickers hardest number for type 1 starts with 50-90? Why not starts 30 or 20?
➢ Because the author mention of type 1 dental casting gold alloy the Vickers hardest number is 50-
90. It is also because of several researches and testing of the gold alloy to form an appliance they
make use of 40 and 45 but it is very soft, and when they use 50 it started to form an appliance. If
you use less than 50 Vickers hardest number the appliance will be very soft. This is a gold even if
we add light to it is still soft. That's is why all the Vickers hardest number type 1, 2,3 and 4 it was
tested for subcase.
➢ The importance of karat and fineness these are systems of identifying the gold.
➢ We said that a pure gold is 24 karat and pure gold is 1000 fineness.
➢ Important to dentist is to know the price because the patient might be requesting for 20 karat or 18
karat. So, a 18 karat probably sufficient to a gold alloy restoration. You charge the patient higher
and patient will request a discount. And you will give discount but you have to mention the price
and the karat is not the one that you are requesting it might be 16 karat or 14 karat.
❖ So that if we are going to say if one fourth of the alloy is pure gold it is said to be how
many fineness.
❖ One fourth of 1000 it is 250 fineness of gold and 750 other metals.
❖ If you mention of the other way around, 3/4 of the alloy is pure gold , gold is 750 and 250
is other metals.
➢ Casting is one of the widely used method for the fabrication of the metallic appliance outside the
mouth. All restoration with regards to processing of acrylic, casting, it is done outside the mouth.
DENTAL INVESTMENT
➢ In casting the investing material is dental investment, there is no dental plaster in dental
investment.
➢ The essential component of dental investment is alpha-hemihydrate it is a dental stone.
➢ How many percent is the dental investment together with the other ingredients because formerly it
was 25-45% is dental investment.
Dental Investment
If done already, there is two ways of investing:
1 method of investing : standing upright (wax pattern)
s t
Casting proper:
Which one are you going to hear first? The metal ring, casting ring or gold alloy.
You are going to heat first the casting ring. If the color is black you have to heat it until it
becomes flame in color (baga) stop heating the casting ring and transfer the device or the air gas
flow pipe to the gold alloy.
There are 4 zones coming out from the air gas flow pipe:
1. Nozzle zone - unang pagbukas ng air gas flow pipe (you open the air gas flow pipe) una mong
makikita ay flame yun ung the nozzle zone.
2. Combustion zone - then you try to increase the gas and you will notice that the flame is
surrounded by a green color and that is the 2nd zone.
3. Reducing zone - You don’t have to use it but still increase the gas and you will notice that the
green color was changed into blue color. This blue color is considered the reducing zone.
⁃ the hottest portion of the flame. That is the zone that we are going to use to heat the casting
ring and the gold alloy.
4. Oxidizing zone *Hindi mo sila iaano doon sa combustion to the nozzle because the oxidizing
zone is the last, that is the time that you decrease. Isasarado mo na yun ang tnatwag na
oxidizing zone.
So you have to heat the casting ring and the golden alloy in the casting machine using the air gas
flow pipe using the reducing zone. And the first that you are going to heat is the casting ring, and
followed by the heating of the gold alloy. Now the gold alloy, hindi na natin tatawagin na melted
metal. Gold alloy is called Molten metal. The molten metal should show a mirror like
appearance. (Para yung mercury) while you are heating it. After obtaining the mirror like
appearance of the golden alloy, you take out the spring of the casting machine.
In removing the spring of the casting machine, the casting machine now is turned into clockwise
rotation and turning is less than one minute. Now when the casting machine stops, all the molten
metal now are inside the mold space. Assured that the molten metal enter into the mold space.
Now in acrylic, after 20-25 minutes its send we have to bench it. You cool it or do it the next day.
In casting no. Its the opposite, immediately from the casting machine the casting ring is put in
water. Sa acrylic hindi nillgay sa malamig dahil sa dimensional change. In casting there is no
dimensional change because this is metal.
In casting, immediately after the casting, while the casting ring is hot, put it in the water. And
this is your quenching process.
In Quenching process, there is rapid dissolution or removal of the dental investment from the
casting ring. There is no difficulty in removing now unlike in acrylic. In acrylic you do the dental
plaster as the investing material you have to pound it in removing it from the denture flask. But
in casting no. Immediately from the casting machine you put it in water and suddenly there is
rapid disintegration of the investment compound from the casting ring. And what you will see is
the metal now (the casted metal). You will notice that the casted metal is dirty (filled up with
sulfur and you need to clean it through the process of pickling.
That is why the best picking method is putting the casted metal in a test tube with an acid.
What is the pickling agent or solution that can be used to clean the casted metal?
⁃ Hydrochloric acid
⁃ Hydrochloric acid and Sulfuric acid
After the picking process, clean the casted metal with sodium bicarbonate and that is the time
that you start doing the finishing and polishing of the casting metal.
Porosities in casting:
⁃ In book daw.
Condensation in dental amalgam- remove excess mercury and allow the fixture to be seated
properly in the walls of the cavity.
Types of condensation:
⁃ Spatulation
⁃ Brush technique
⁃ Whipping condensation
⁃ Vibration
⁃ Gravitation
(Combustion Zone)
Combustion zone. To increase the gas, and you will notice that
the green color will change into a blue color which is the
reducing zone which is the hottest portion of the flame.
Reducing zone. This is the zone we are going to use to heat the
casting ring and the gold alloy.
Oxidizing zone. This is the time that you decrease (isasarado
mo na)
The first you will be going to heat is the casting ring, followed
by the heating of the gold alloy. Now the gold alloy is now a
molten metal. The molten metal should show a mirror like
appearance while you are heating it. after obtaining the mirror
like appearance of the gold alloy, you take out the spring of the
casting machine. Now in removing the spring of the casting
machine, the casting machine is now turned in a clock wise
notation and turning is less than 1 minute. Now, when the
casting machine stops, all the molten metal is now inside the
mold space. (pag nag stop na, halos tapos na yung casting moo).
It is assured that the molten metal enters into the mold space.
Now in acrylic, after 20-25 mins, you have to bench it. cool it or
do it the next day. But in casting, it is the opposite. Immediately
from the casting machine, the casting ring is put in water. While
the casting ring is hot, put it in water which is what we call the
quenching process.
What happens during the quenching process?
- There is rapid dissolution or removal of the dental invested
from the casting ring. There will be no difficulty in
removing unlike in acrylic.
You will notice that the casting metal is dirty, filled up with
sulfur. You need to clean it through the process of Pickling
Pickling is the process of cleaning the casting metal with an
acid. Then the methods of pickling are:
1. Put the casting metal in a test tube with an acid
2. By holding the casting metal, directly pouring the acid to it.
this is dangerous to the operator. That is why the best
pickling method is the first one.
Pickling agent is the HCl or the Hydrochloric acid and
Sulfuric acid but the best pickling solution is the sulfuric acid
because HCL causes tarnish on the other metal furnaces in the
laboratory compared to sulfuric acid which is more stable when
it comes to tarnish.
After the pickling process, you have to clean the casting metal
with sodium bicarbonate to remove the acid and that is the time
where you start doing the finishing and polishing of the casting
metal.
Polishing
• Production of a smooth, mirror-like surface without the use of a film
• Producing a virtually scratch free surface
• If particle of abrasive is reduced sufficiently, the scratches finally becomes
extremely fine and may disappear entirely, the surface acquires a smooth
shiny layer known as polish.
• During the polishing procedure, polishing agents remove material from the
surface, molecule by molecule, and thus produce a very smooth surface. In
the process, fine scratches and irregularities are filled in by the powdered
particulate being removed from the surface. This microcrystalline layer is
referred to as the Beilby Layer or polish layer. (Fine crystalline layer?)
• The difference between an abrasive agent and polishing agent may be hard to
define. E.g. a given agent having a large particle size may act as an abrasive
and the same abrasive with a smaller particle size may leave a polished
surface.
Types of Abrasives
1. Emery – consist of natural oxide of aluminum (corundum), with presence of
impurities such as iron oxide.
2. Aluminum Oxide – from bauxite and supplied in various grain sizes and has
partially replaced emery.
Levigated Alumina (from water flotation process) is used extensively as abrasive
agents for metal
3. Garnet – comprises the silicates of any combinations of aluminum, cobalt,
magnesium, iron and manganese. Common denture abrasive disks.
4. Pumice- Highly siliceous material of volcanic origin. Used either as abrasive
or polishing agent.
7. Rouge – a fine red powder composed of iron oxide. It is usually cake form.
Excellent polishing agent for gold and precious metal alloy.
10. Sand – sand and other forms of quarts are used as abrasive agents.
Common example is sand paper.
11. Carbides – Silicon carbide (SiC) and boron carbide (B4C). Most of the
stone burs employed for cutting tooth structure are made of silicon carbide.
12. Diamond – the hardest and most effective abrasive for tooth enamel.
13. Polishing should initially be performed with coarse abrasion.
14. Followed by fine abrasion
15. Gradual shift from coarser to finer abrasives results in scrstched lesser
that 0.5µ . These scratches have a diameter lesser than the wavelength of
the visible light, thereby making the surface
22. Abrasive agent should be carefully selected as the hardness of the agent
should not exceed the hardness of the surface to be polished.
23. Polishing should initially be performed with coarse abrasion.
24. Followed by fine abrasion
25. Gradual shift from coarser to finer abrasives results in scratched lesser
that 0.5µ . These scratches have a diameter lesser than the wavelength of
the visible light, thereby making the surface
26. Abrasive agent should be carefully selected as the hardness of the agent
should not exceed the hardness of the surface to be polished.
30. Abrasive agent should be carefully selected as the hardness of the agent
should not exceed the hardness of the surface to be polished.
31. Zirconium Silicate – occurring in nature as zircon, and used as a polishing agent in
ground form. Common constituent in prophylactic pastes. Also used as an abrasive
impregnated polishing strip and discs,
12. Diamond – the hardest and most effective abrasive for the tooth
enamel, only for the structure of the tooth. The enamel, the dentin. The
diamond and the carbides are used for cutting, polishing. Polishing should
initially be performed with coarse abrasion followed by fine abrasion.
• Coarse abrasion is between irregular particles.
• In final polishing, you use fine abrasive agents.
Polishing Procedure:
• Polishing should initially be performed with coarse abrasion.
• Followed by fine abrasion.
• Gradual shift from coarser to finer abrasives results in scratched lesser
that 0.5µ . These scratches have a diameter lesser than the
wavelength of the visible light, thereby making the surface
• Abrasive agent should be carefully selected as the hardness of the
agent should not exceed the hardness of the surface to be polished.
(Pag nasobrahan, it might cause fracture)
DENTIFRICE
▪ Its primary function is to assist the tooth brush in cleaning the surfaces
of the teeth of debris and stains.
▪ French word for toothpaste
▪ Toothpaste, mouthwash
Composition of Dentifrice
1. Abrasive and polishing agent (20-55%)
For the removal of plaque/stains and polish tooth surface
e.g. Calcium Carbonate, Dibasic Calcium Phosphate dihydrate,
Hydrated alumna, Hydrated silica, Sodium Bicarbonate or mixtures
of abrasives
2. Humectant (20-35%)
Maintains moisture (e.g. Sorbitol, glycerin)
3. Water (15-25%) - e.g. Deionized water
4. Flavoring Agent
5. Sodium and alginate derivatives
Control the consistency of the paste and aid in keeping the solid paste in
suspension
Types of Toothpaste
1. Children's toothpaste
Contains less fluoride and abrasives than those designed for adults.
2. Teeth-whitening Toothpaste
Contain abrasives and cleansers that help remove stains; whitening
Usually found in advertisements.
3. Sensitive Teeth Toothpaste
Contains potassium nitrate, substance that can reduce painful
sensation.
For sensitive teeth.
4. Herbal Toothpaste
A natural cleaning alternative . May have fluoride component or not.
o Subdivisions:
▪ Blade form
▪ Root form
o Categories:
▪ One-stage
▪ Two-stage
*but now it is only one-stage
o Components:
▪ Implant body
▪ Cover/ healing screw
▪ Healing abutment
▪ Impression coping
▪ Implant analog
▪ Implant abutment
▪ Abutment screw
▪ Implant screw
Definition of Terms:
Abutment – refers to a structure/tooth that acts as an anchor or a common
attachment to a jacket crown, fixed bridge or a removable dental
prosthesis.
▪ For example, you do the preparation of the jacket crown. The
preparation you do is the abutment (ng ikakabit mong jacket crown)
▪ Kung saan nakakabit ung pustiso, you call it abutment. Kung ano ung
kinakapitan.
Edentulous – it is the state of lacking or missing or absence of teeth
Endosteal – into/inside the bone
Osseointegration – histological intimate connection between the alveolar
bone and the implant.
Periosteum - a dense outer layer of vascular connective tissue enveloping
the bones except at the surfaces of the joints
Prosthesis – an artificial replacement of an absent part of the human body
Subperiostal – under the periosteum
Titanium - is a chemical element with the symbol Ti and atomic number
22. It is a lustrous transition metal with a silver color, low density, and
high strength. It is a type of metal often used in dental implants because its
properties are known to fuse well with human bone. It has been used for
decades, and it's so strong and lightweight that surgeons use it for hip and
knee replacements.
Titanium alloys - are alloys that contain a mixture of titanium and other
chemical elements. Such alloys have very high tensile strength and
toughness (even at extreme temperatures). They are light in weight, have
extraordinary corrosion resistance and the ability to withstand extreme
temperatures.
Transosteal – through the bone
Zirconia - (zirconium dioxide) is a white, powdered metal oxide. Like
other common dental crown materials, it is a ceramic. It is made from
zirconium, a metal with similar properties to titanium
Zirconium - is a silver-gray transition metal, a type of element that is
malleable and ductile and easily forms stable compounds. It is also highly
resistant to corrosion and makes a good choice for dental material because
it is chemically unreactive.
Classifications of Dental Implants:
Implants can be classified according to implant design, implant properties,
or implant attachment mechanism. There are four types of implant designs
that have evolved during centuries of development.
Main classifications:
1. Subperiosteal Implants
2. Transosteal Implants
3. Endosteal Implants
4. Epithelial Implants(Anusavice)
Orthodontics
Classification of materials:
▪ According to structure
▪ According to usage
Paediatric Dentistry
Preventive:
▪ Flouride (hindi ba dapat Fluoride spelling?)
- Minumizes caries formation
▪ Fissure sealing
- For as long the occlusal is out but there is a slight discoloration.
Hindi sira at walang cavity but only discoloration, you apply
fissure sealant to prevent the occurrence of caries.
Therapeutic:
▪ Stainless steel crown
▪ Open-faced steel crown
▪ Componer
- Combination of composite and glass ionomer.
OCTOBER 18, 2021
(2:20:00-2:40:00)
Endo-Perio- they are always together.
Biocompatible materials – a calcium silicate base materials that
has drawn attention in recent years. It is dentin replacement
material that is bioactive and biocompatible.
Indentions:
- No retention
- Indication for deep carries
- Pulp exposure
- Perforations
- Pulpotomies
- Apexifications
1. MPA(mineral trioxide aggregate) they are used for
apexifications but also used for root canal
The examples for perio are:
Bone Grafts- used as fillers and scaffold to facilitate bone
formation and wound healing
- If bone graft is paced specially on the anterior there are no
change that are seen specially on the appearance.
BLEACHING MATERIALS
- The bleaching agents are 30-35% hydrogen peroxide,
sodium perborate, 30-35% hydrogen peroxide, 10-15%
carbamide peroxide. It is upon the literature of the
manufacturer.
CAD CAM MATERIALS
- Just now, it is used in the US. You can finish your work with
the help of the computer and without going to the
laboratory but very expensive.
CAD/CAM: The term CAD refers to computer-aided design
technology, which is based on the use of computer software and
systems to assist in the creation, modification, analysis, and
optimization of two-dimensional or three-dimensional models of
objects. Any computer program that embodies computer
graphics and an application program that facilitates engineering
functions in the design process can be classified as CAD
software. The term CAM refers to computer-aided
manufacturing of a restorative device using the CAD input file.
CAM may be additive (buildup) or subtractive (machining of a
device from a larger starting piece of material).
Copy milling: Process of cutting or grinding a desired shape
to the same dimensions as a master pattern in a manner similar
to that used for cutting a key blank from a master key.
Optical Scanning/ 3D Scanning: is the process of analyzing
a real-world object or environment to collect data on its shape
and possibly its appearance. The collected data can then be used
to construct digital 3D models.