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MAIN COMPONENTS
1. Feldspars
● They are an-hydrated potassium and
sodium aluminum silicate
● Upon firing at high temperature, they: fuse,
become glassy, retain their form without
foundation.
● They precipitation of leucite
BASIC STRUCTURE (K2o.Al2o3.4Sio2) (crystalline structure)
● Basically porcelain is a type of glass - three will change the properties of dental
dimensional network of silica (silica porcelain
tetrahedral) ○ Increase strength
● Since pure glass metals at too high a ○ Increase hardness
temperature ○ Decrease aesthetics
○ Modifiers added to lower the fusion 2. Quartz (Crystalline Phase)
temperature ● It is present as fine crystalline dispersion
○ Sodium or potassium throughout the vitreous phase
● It remains unchanged during firing
● It acts as strengthening agent
3. Kaolin
● It is hydrated aluminum silicate
● It becomes sticky during mixing
● During firing, it adheres to quartz and
shrinks considerably
● Feldspathic porcelain does not contain
kaolin
OTHER COMPONENTS
1. Glass Modifier
● It is an alkali metal ion, as sodium,
potassium or calcium which can associate
COMPOSITION with the oxygen atoms at the corners of
● It mainly consist of silicate glasses, porcelains, the silica tetrahedral of the vitreous phase,
glass ceramic or highly crystalline solids thereby:
● Wide variety of porcelain products available in ○ Lowering the fusing temperature of
the market the dental porcelain to be suitable for
● Traditional Porcelain: feldspathic porcelains different applications
○ Increasing its fluidity
BASIC CONSTITUENTS ○ It reduces the chemical durability of
● Feldspathic Porcelain the vitreous phase
1. Feldspars are mixtures of ○ Devitrification (crystallization) may
(K2o.Al2o3.6SiO2)(Sanidinite) Potash occur during porcelain firing
Feldspar and (Na2o.Al2o3.6SiO2)(Albite), 2. Flux
fuses when melts forming a glass matrix ● It is a low fusing glass e.g., boron oxide
2. Quartz (SiO2) SIlicon Dioxide, remains based glass
unchanged during firing, present as a fine ● It’s action is similar to glass modifier
crystalline dispersion through the glassy 3. Sugar and Starch
phase. ● They help in forming workable mix instead
3. Fluxes: used to decrease sintering of kaolin
temperature 4. Pigments and Fluorescent Agents
4. Kaolin acts as a binder ● They provide different and natural shades
METAL CERAMIC RESTORATIONS
● Also known as Porcelain Fused to Metal (PFM)
● It has the advantage of being esthetic as well
as adequate strength
● Most commonly used
BUILD-UP
● There are three types of porcelain used:
A. Opaque Porcelain
○ Mask the color of the cement used for
adhesion of the restoration
B. Body or Dentin Porcelain
○ Makes up the bulk of the restoration
METAL-CERAMIC BOND by providing most of the color or
● Most important requirement for good long-term shade
performance C. Enamel Porcelain
● The bond is a result of chemisorption by ○ It provides the translucent layer of
diffusion between the surface oxide layer on porcelain in the incisal portion of the
the alloy and the porcelain tooth
VARNISHES
● Materials painted on cavity walls or surfaces to
serve as a chemical barrier protecting the pulp
from irritating effects of some cements or
restorative materials and reduce the initial
micro-leakage of amalgam restorations
BASE
● When mixed to a secondary consistency, are
used as temporary filling materials to provide
thermal insulation and mechanical support to
teeth restored with other materials such as
amalgam.
TYPES:
● High Strength Bases:
○ Are used to provide thermal protection for
the pulp, as well as mechanical support for
the restoration
○ Zinc phosphate
○ Zinc polycarboxylate
○ Glass ionomer cement (type III)
○ Reinforced zinc oxide eugenol SURGICAL/PERIODONTAL AGENTS
● Low Strength Bases: ● Mixed from a paste-paste system to form one
○ Have minimum strength and low rigidity. paste which is packed over surgical sites to
Their main function is to act as a barrier to protect the underlying tissues.
irritating and to provide therapeutic benefit
to the pulp.
○ Calcium hydroxide
○ Zinc oxide eugenol
● Advantages
○ Compressive strength
○ Thermal insulator
○ Does not dissolve in oral liquids
● Disadvantages
ENDODONTIC SEALERS ○ No chemical adhesion
● Cements used to coat the canal space and dill ○ Pulp irritation
in any voids between the canal wall and the ○ Poor esthetics
gutta percha filling material ● Composition
○ Powder:
⇒ Zinc oxide: 90.2%
⇒ Magnesium oxide: 8.2% → Aids in
sintering
⇒ Other oxide: 0.2% → improve
smoothness of mix
⇒ Silica: 1.4% → filter
● Mixing Time
⇒ Sintering: is the process of
○ The amount of time the auxiliary has to
compacting and forming a solid mass
bring the components
of material by heat or pressure without
● Working Time
melting it to the point of liquefaction
○ The time permitted to manipulate the
○ Liquid:
material in the mouth
⇒ Phosphoric acid: 38.2% → react with
● Setting Time
zinc oxide
○ The time that begins when the material
⇒ Water: 36.0% → control rate of
can no longer be manipulated in the mouth
reaction
○ The time when the material has reached
⇒ Aluminum phosphate: 16.2% → buffer
its ultimate state (desired hardness or
⇒ Aluminum: 2.5%
consistency)
⇒ Zinc: 7.1%
⇒ Buffer: a substance capable in
ZINC PHOSPHATE
solution of neutralizing both acids and
● ADA SPECIFICATION NUMBER 96
bases and thereby maintaining the
● Zinc phosphate is the oldest of the luting
original acidity or basicity of the
cements and thus serves as a standard with
solution
which newer cements can be compared.
● Setting Reaction
● ADA Spa. No. 96 designates them as:
○ When the powder is mixed with liquid,
○ Type I: Fine grained for luting. Film
phosphoric acid attacks the surface of the
thickness should be 25 micrometer
particles and releases zinc ions.
○ Type II: Medium grained for luting and
○ The aluminum in the liquid is essential for
filling. Film thickness should not be more
cement formation
than 40 micrometers.
⇒ Exothermic: releases heat
1. Powder and liquid system
⇒ Setting time: average of 7 minutes
2. Capsulated
⇒ Mixing time: 1 minute 15 seconds
⇒ P/L ratio: 1.4mg/0.5ml
○ Biological Properties
⇒ At the time of cementation the pH is 2
⇒ Starting pH is 3.5
⇒ After 24 hours the pH is 5.5
○ Low p/l increases the solubility *P/L 1.5
APPLICATION parts powder/1 parts L
● Luting for restoration ○ Thermal insulator → good
● High strength bases ○ Adhesion properties: micromechanical and
● Temporary restoration chemical
● Luting for orthodontic bands and brackets ○ Opaque
○ Anticariogenic properties: less as
ZINC POLYCARBOXYLATE compared to GIC
● First dental cement to exhibit chemical bonding ● Advantages
to teeth ○ Chemical bonding
● Not used for restorative purpose because the ○ Good marginal adaptation
cement is opaque ○ Anticarcinogenic properties
● Uses: ○ Mildly acidic
○ Permanent cement for crowns, bridges, ● Disadvantages
inlays and onlays ○ Less compressive strength
○ Orthodontic cementation ○ High solubility
○ High-strength base ○ Poor esthetics
● Composition
○ Powder: GLASS IONOMER CEMENT (PolyAlkenoate
⇒ Zinc oxide: 89% Cement)
⇒ Magnesium oxide: 9% → aids in ● ADA specification No. 96
sintering ● Developed in the 1970s
⇒ Barium oxides: 0.2% → radiopacity ● Tooth colores; anticarcinogenic restorative
⇒ Other oxide: 1.4% → improve materials
smoothness of mix ● Minimal cavity preparation as it bonds
○ Liquid: adhesively to tooth structure
⇒ Polyacrylic acid: 32-48% → reacts ⇒ Th powder is glass - the setting reaction
with ZnO and adhesive bonding to tooth structure is
⇒ Carboxylic acids: 30-55% → controls due to ionic bond
the rate of reaction
⇒ Stannous fluoride → increases the CLASSIFICATION OF GLASS IONOMER
strength CEMENT (GIC)
● Setting Reaction ● Type I: Luting crowns, bridges, and orthodontic
○ Setting begins by dissolution of the brackets
powder particles by the acid, which ● Type IIa: Esthetic restorative cements
release zinc, magnesium and tin ions ● Type IIb: Reinforced restorative cements
○ The hardened zinc polycarboxylate ● Type III: Lining cements, base
cement is an amorphous gel matrix in ● Composition
which unreacted powder particles are ○ Powder
dispersed. ⇒ Silica (SiO)2 41.9%
⇒ Mixing time: 30 seconds to 90 ⇒ Alumina (Al2O3) 28.6%
seconds ⇒ Aluminum fluoride (AlF3) 1.6%
⇒ Setting time: 6 to 9 minutes ⇒ Calcium fluoride (CaF2) 15.7%
● Properties ⇒ Sodium Fluoride (NaF) 9.3%
○ Compressive S. = 55 MPa ⇒ Aluminum phosphate (AlPO4) 3.8%
○ T.S = 6.2 MPa, less brittle ⇒ Barium/strontium oxide → radiopacity
○ pH: rapidly rises from 3 to 6 ○ Liquid
○ Pulpal response: mild ⇒ Polyacrylic acid or a copolymer of
○ Pulpal Protection: less irritation as the acrylic acid 40-50%
particle size and molecular weights is ⇒ React with SiO and Al2O3
higher and the acidic content is neutralized ⇒ Other carboxylic acids 30% to 55%
rapidly - Controls the rate of reaction
○ Solubility = 0.6% → more soluble than ⇒ Tartaric acid rate - controlling additive
zinc phosphate ● Setting Reaction
○ Powder and liquid are mixed together ● Type III: temporary fillings and thermal
○ Acid attacks the glass particles leaching insulating bases
calcium, aluminum, sodium and fluoride ● Type IV: intermediate fillings
ions into the aqueous medium ○ Also used as a root sealer and periodontal
○ Polyacrylic acid chains: cross-linked by the dressings
Al ions which is further replaced by ● Composition
calcium ions - 24 hours ○ Formulated as a powder-liquid or
○ The cross-linked phase becomes hydrated two-paste system
over time as it matures ○ Powder or base paste: zinc oxide particles
● Properties ○ Liquid or accelerator paste: eugenol
○ Setting time ○ Water in the eugenol solution that
⇒ Type I: 4 to 5 minutes hydrolyzes the zinc oxide to form zinc
⇒ Type II: 7 minutes hydroxide
⇒ Release of Fluoride ○ Zinc hydroxide and eugenol chelate and
- Release fluoride in amounts solidify to form zinc oxide eugenolate
comparable to those released ○ Slow but proceeds more rapidly in a warm,
initially from silicate cement humid environment
- Inhibit enamel and dentin ○ Powder:
demineralization ⇒ Zinc oxide 69%
- Greater pulpal reaction than ZOE ⇒ White sedin 29.3% → reduces
cement but less than zinc brittleness
phosphate cement ⇒ Zinc stearate 1% → accelerator,
- Luting agents pose a greater plasticizer
pulpal hazard than restorative ⇒ Zinc acetate 0.75% → improves
agents strength
- Protective liner such as Ca(OH)2 ○ Liquid:
should be used if the preparation ⇒ Eugenol 85% → reacts with zinc oxide
is closer than 0.5 mm to the pulp ⇒ Olive oil 15% → plasticizer
chamber ● Setting Reaction
- Compressive strength is similar to ○ Hydrolysis of ZInc Oxide to its hydroxide
that of zinc phosphate takes palace
⇒ Water is essential for the reaction
○ (dehydration zinc oxide will not react with
dehydrated eugenol)
○ Acid-base reaction
○ Setting time is around 4 to 10 minutes
● Factors Affecting Setting Time
○ Particle size: smaller zinc oxide particles
set faster
○ Powder to liquid ratio: higher the ratio,
faster the set
○ Cooling the glass slab: slows the reaction
ZINC OXIDE-EUGENOL CEMENT (ZOE) 1890s ○ P/L ratio 4 parts:1 part
● ANSI/ADA Specification No. 30 ● Uses
● Used for luting and intermediate restorations ○ For temporary and permanent
because of its medicament quality and neutral cementation
pH ○ For temporary fillings
● Cements of low strength ○ Cavity lines and base
● They are at least irritating of all dental cements ○ Pulp capping agent
and are known to have an effect on exposed ⇒ Secondary use: root canal
dentin. restorations
● Type I: temporary cementation
● Type II: long-term cementation of fixed
prostheses
CALCIUM HYDROXIDE Ca(OH)2 ⇒ Accumulation of calcium salts in the
● It has multipurpose use though not used as pulp
permanent restorative material ○ Internal resorption
● Ca(OH)2 is a white odorless powder ○ Ankylosis
● Mixed with water or saline to a form a paste ○ Increased brittleness of dentin
● It is strongly alkaline with a PH of 12.5
● Commonly employed as the direct or indirect FINISHING AND POLISHING MATERIALS
pulp capping agent ● Finishing and polishing instruments are used to
finish and polish dental material surfaces to
improve their aesthetic quality.
POLISHING
● Process of providing luster or gloss on material
● Composition surface
○ Chemically activated Ca(OH)2 paste ● The use of progressively finer abrasives to
system remove scratches and give a high shine or
○ Catalyst paste luster to the material
⇒ Calcium hydroxide - 51% ● Polishing a restoration involves smoothing the
⇒ Zinc oxide - 9.23% surface with a series of abrasives to create the
⇒ Zinc stearate - 0.29% lowest surface roughness and a high surface
⇒ Ethylene toluene sulphonamide - luster or polish.
39.48% ● The advantages of finishing and polishing
○ Base plate include:
⇒ Titanium oxide - 45.1% ○ Minimizing plaque accumulation at
⇒ Calcium tungstate - 15.2% margins and on surfaces of restorations
⇒ Barium sulphate - 4% ○ Minimizing the risk of surface staining
⇒ Glycol salicylate - 35.7% ○ Minimizing surface degradation and wear
● Adverse Effect in clinical service
○ Calcifications in pulp ○ Maximizing the aesthetics of the
restoration by creating a high luster polish
○ Enhanced patient and dentist satisfaction
○ Reduced likelihood that a dentist will SILICON CARBIDE
decide to replace the restoration ● Is the preferred material for amalgam/gold
unnecessarily polishers and acrylic polishers because it won’t
● There are, however, some potential cause discoloration. These polishers come in a
disadvantages of excessive finishing and variety of shapes suitable for these materials.
polishing:
○ A notable problem is increased heat
generation. Which may adversely affect
the pulp.
DIAMOND ABRASIVES
● Are more expensive, lasts longer, have a faster
working time and provide a mirror finish.
● These instruments are preferred for porcelain,
ceramic, zirconia and metals.