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Dental Materials
DM Test #2
121
Dentistry
Undergraduate 1
10/26/2014

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Cards

Term
Polymers?
Definition
Materials that are made of large, long molecules formed by chemically reacting molecular building blocks called monomers.
Term
Polymerization?
Definition
The chemical reactions that links the monomers together to produce a polymer
Term
Thermoplastic Polymers?
Definition
Polyethylene materials that can be remelted and reprocessed
Term
Thermoset Polymers?
Definition
Polymers that decompose and can not be remelted or reprocessed
Term
Acrylic Resins?
Definition
Used for dentures and partials. At one time they were used for anterior restorations, but failed to last.
Term
Dental Composites?
Definition
1960's dental composites were developed and replaced dental acrylic resins for anterior fillings
Term
Composite Materials?
Definition
  • Combination of two materials.
  • 2 Phases:
  • Composite matrix
  • Composite Fillers

 

Term
What typicalls is the monomer for a polymer?
Definition
bis-GMA
Term
Composite matrix phase?
Definition
The phase that polymerized to form a solid mass and bonds to the tooth structure
Term
What are the composite matrix short comings?
Definition
  1. It is the weakest, least wear-resistant phase of a dental composite material
  2. It absorbs water and can stain and discolor
Term
Composite fillers?
Definition
Give the matrix proper strength and hardness to withstand the forces of the mouth.
Term
Filler size?
Definition
The particle size of the filler gives the composite its smooth or rough feel and apperance.
Term

Filler content?

 

Definition
The amount of filler also affects the composite. As the filler content increases the resin (matrix) content decreases but it increases the abrasion resistance and makes the composite harder.
Term
What are the two components of fillers that are molecular?
Definition

1. Silane Coupling Agent

2. The Polymerization System

Term
Silane Coupling Agent?
Definition
Must be compatible with the filler and the matrix and help bond the filler and the matrix together.
Term
The Polymerization System?
Definition

Used to convert the matrix-filler psate to a solid composite material.

(add it to the polymerization)

Term
What are the two systems of the Polymerization System?
Definition

1. Chemically Activated Materials

2. Light-Activated Materials

Term
When was the first composite developed?
Definition
1960's
Term
macrofilled Composites?
Definition
  • Large sized filler particles gives a rough feel and appearance.
  • When rubbed with an explorer it leaves a gray line
  • Plaque accumulation and staining is greater
  • Not used much anymore
Term
What class is a macrofilled composite used for?
Definition
Class III, IV and V restorations
Term
Microfilled Composites?
Definition
  • Developed in the late 1970's
  • Particle size is smaller than macro
  • Problem is the low % of filler
  • Not used for posterior teeth and biting forces
  • Class IV and V
Term
Hybrid Composites?
Definition
  • Developed in the late 1980's
  • Strong and polish well
  • Average size filler particle
  • Very popular
  • Class I, II, III and IV

 

Term
Class I?
Definition

Pits and Fissures

(particularly posterior teeth)

Term
Class II?
Definition
Caries or restorations on the proximal (distal or mesial) surfaces of the molars and premolars
Term
Class III?
Definition
Interproximal carries on the anterior teeth
Term
Class IV?
Definition
Incisal angle of anterior teeth
Term
Class V?
Definition
Gingival third of the facial and lingual surfaces of both anterior and posterior teeth
Term
Class VI?
Definition
Cusp tip of posterior teeth or incisial edge of anterior teeth
Term
Steps in addition polymerizations?
Definition

1. Initiation

2. Propagation

3. Termination

Term
Glass Ionmer?
Definition

Chemically bond to enamel & dentin & release fluoride overtime.

  • Opaque color (tooth)
  • Great for high carries risk patients
  • Used when force is not an issue (Class V)

 

Term

Amalgam?

 

Definition
Made by mixing equal parts of powdered allow w/ liquid mercury
Term
What is the mixing process for amalgam termed?
Definition
Amalgamation or trituration
Term
How are amalgam fillings held in?
Definition
By mechanical retention
Term
Galvanic Corrosion?
Definition

Happens when two different metals touch

(happens with amalgam)

Term
Mercury Toxicity?
Definition
  • Toxic to the kidneys and CNS of the nervous system
  • Always use a HVE when messing w/ amalgam
Term
Direct Gold?
Definition
  • May be used in small restoration
  • Comes in powder wrapped foil, rope gold & mat gold
  • Used for Class I, II, III and V
Term
Direct Restorative materials?
Definition
Materials that are placed directly into the mouth without the need for an impression or dental lab
Term
Indirect Restorations?
Definition
Materials that are constructed outside of the patients mouth. Usually these restorations are made in dental lab
Term
Fixed Restoration?
Definition
Materials that cannot be removed from the oral cavity. These restorations are luted into place.
Term
Inlay?
Definition

Intracoronal restorations that replace small to medium amounts of the tooth strucutre and lay within the tooth. (not on cusps)

Class I and Class II

Term
Onlay?
Definition

AKA Overlay

-Almost the same as the inlay but involved the cusp

Term
Veneers?
Definition
Thin layer of material that covers another material. This is a shell like material usually made out of porcelain.
Term
Crown?
Definition
Restoration that is placed on a tooth that has had significant loss of tooth structure or if the crown of the natural tooth is cracked.
Term
Complex restorations?
Definition
A combinations of indirect restorations
Term
Dental bridge?
Definition
A bridge replaces a missing tooth or several teeth. Like a crown on both ends w/ a prosthetic tooth in the middle.
Term
Metals?
Definition

Most metallic indirect restorations are made by a casting process. Melting metal & forcing it into a mold.

Works well in high stress areas

Term
Ceramic materials?
Definition
Used when esthetics are important. Simulate the natural tooth color and translucencu of a natural tooth. Most common material is pocelain
Term
Ceramometals?
Definition
A metal & ceramic combination restoration. This is a gold crown or bridge that is covered w/ porcelain. "Porcelain fused to metal"
Term
Adhesive?
Definition
A material that can stick to a flat surface or bond two flat surfaces together
Term
Micromechanical bonding?
Definition

Using surface irregularities smaller than can be seen with the naked eye or felt with a dental explorer.

SMOOTH

Term
Macromechanical bonding?
Definition

Using a type of adhesion that can be felt w/ a dental explorer or can be seen w/ the naked eye

ROUGH

Term
Use od dental cements?
Definition

Luting agents

Pulp Protection

Temporary Restorations

Cavity Sealers

Term
Powders used in dental cements?
Definition
  1. Zinc Oxide
  2. Powdered Glass
  3. Reactivity of Powders
Term
Liquids used in Dental Cements?
Definition
  1. Eugenol
  2. Phosphoric Acid
  3. Polyacrylic Acid
Term
ZOE?
Definition

Zinc Oxide-Eugenol

When zinc oxide powder is mixed with eugenol

Term
Zinc Phosphate?
Definition
When zinc oxide powder is mixed w/ phosphoric acid
Term
Glass ionmer mix?
Definition
Glass powder mixed with an equaous solution of polyacrylic acid
Term
Polycarboxylate mix?
Definition
Zinc oxide powder mixed with an aqueous solution of polyacrylic acid
Term

Stock mouthguard?

 

Definition
Available in different sizes and may be purchased over the counter
Term
Mouth-formed guards?
Definition
"boil and bite"
Material is heated in water and then placed in the mouth. Over the counter
Term
Custom made mouthguard?
Definition
Impressions taken, gypsum cast is made and mouthguard fabricated in the dental office.
Term
Fluoride trays?
Definition

Ideal for patients that have a high prevalance for dental decay.

 

Term
Fluoride gels (percentages)
Definition

Acidulated phosphate 0.5%

Sodium fluoride 1.1% or Stannous Fluoride 0.4%

Term
Space maintainers?
Definition
Holds the space for a tooth that needs to come into place when a primary tooth has been lost prematurely
Term
Extrinsic stain vs. Intrinsic stain?
Definition

Ex-Occurs on the surface of the tooth.

Causes- Foods, drinks and tobacco

 

In- Occurs within the tooth structure

Causes- Post eruptive stain and pre-eruptive stain

Term
Ingrediants in whitening agents?
Definition

Hydrogen proxide and Carbamide peroxide

 

Sodium perborate used in nonvital teeth

Term
One problem w/ polymers is their high coefficients of thermal expansion. These coefficients can be ________ to __________ times greater than that of the tooth.
Definition
2 to 10
Term
What advantages do microfill composites have compared to macrofilled composites?
Definition
Smooth and lustrous polished surface
Term
Which of the following characteristics best desccribes chemical-cure composite restorative materials?
Definition
May incorporate air bubbles during mixing
Term
A specific amount of composite (thickness) that is cured by a light source is termed?
Definition
Depth of cure
Term
The size of the filler particles in a dental composite determines the?
Definition
Surface smoothness of the resulting restoration
Term
The _____ composite restorative materials are those with lower viscosity (decreased filler) to aid in placement?
Definition
Flowable
Term
Hybrid composites are recommended for?
Definition
Areas needing strength
Term
A combination of pits and fissure sealant and a composite restorative is termed?
Definition
Preventive resin restoration
Term
Abrasion resistance for hybrid composite restorative materials is said to be?
Definition
Very good
Term
Thermal expansion for microfill composite restorative material is considered to be?
Definition
Poor
Term
Which composite material has the largest percentage of filler by weight?
Definition
Hybrid
Term
Composite materials that polymerize using light activation are?
Definition
Supplied as a single paste
Term
A restorative material that initially releases some fluoride like glass ionmers but bonds and sets like composites is called?
Definition

Compomer

 

Term
Which of the following best describes microfill composite materials?
Definition
Polishability is very good, strength is low
Term
An amalgam restoration located on the gingival third of tooth #3 would be what class?
Definition
Class V
Term

What element is used in the highest amount in an amalgam restoration?

 

Definition
Mercury
Term
Amalgam is strongest in _______ strength after is has set?
Definition
Compressive
Term
The elements composing the gamm-two phase (weakest and most corrosion-prone phase) of the amalgam reaction are?
Definition
Tin and Mercury
Term
The function of silver in the amalgam reaction is to?
Definition
Increase strength and corrosion resistance
Term
Control of the mercury content during mixing and condensing of amalgam must be carefully considered because?
Definition
The lower the mercury content, the higher the strength and the lower the marginal breakdown
Term
The single most important feature that accounts for the clinical success of amalgam restorations is?
Definition
Marginal seal
Term
The manufactures of dental amalgam control everything except?
Definition
Proper trituraton technique
Term
An amalgam restoration that has been finished and polised?
Definition
Reduces the ability of plaque to adhere, Resists tarnish and corrosion and is most likely to have continous margins with tooth structure
Term
In the low-copper or traditional amalgam reaction, tin reacts with mercury. In the high-copper alamgam reaction, tin reacts with?
Definition
Copper
Term
Ashley was condensing an amalgam during lab and she noticed that the triturated amalgam had a softer, "mushy" feel. She most likely used what type of alloy in the mixed amalgam?
Definition
Spherical
Term
Just after Jennifer triturated her amalgam the apperance of it was "crumbly" and dry. It already looked set. The amalgam was most likely?
Definition
Over triturated
Term
It has been reported in scientific literature that ______ of dental patients have a TRUE mercury allergy?
Definition
0.1%
Term
The use of gold foil is limited to small restorations because of its?
Definition
Low strength compared to other restorative materials
Term
Postage stamps are now self-adhesive. The stamp is referred to as the ______ and the sticky material on the back of the stamp is termed _____?
Definition
Adherend, adhesive
Term
Orthophospheric acid is commonly used in a ______ concentration?
Definition
37%
Term
Why do primary teeth need to be etched longer than permanent teeth?
Definition
The enamel rods are less regularly arranged than on permanent teeth
Term
Dentinal bonding systems function by way of?
Definition
Micromechanical bonding and secondary atomic bonds
Term
The "dentin debris" that is created when dentin is cut or prepared by dental instruments is called?
Definition
Smear layer
Term
The use of bondning in dentisty serves what functions?
Definition
  1. Reduction of recurrent caries
  2. Reduction of microleakage
  3. Retention of restorations
Term
An adhesive mechanism of a dentinal bonding system is a hybrid layer. It is composed of?
Definition
Resin and decalcified dentin
Term
If a mold that is created for investing and casting does not _______ to compensate for the action of the metal alloy, the casting will not fit?
Definition
Expand
Term
The most obvious purpose of the investment is to?
Definition
Form the mold for the casting
Term
Porcelain is "best suited" for what?
Definition
Veneers on anterior teeth
Term
The crown portion of a dental bridge is called?
Definition
Retainer
Term
What wax is hard, leaves no burnout residue and has a higher melting temp?
Definition
Inlay
Term
A 33% gold alloy may also be expressed as?
Definition
333 fine
Term
The term used to define the process of firing porcelain powder to become a solid is?
Definition
Sintering
Term
An onlay is considered to be what type of restoration?
Definition
Fixed indirect
Term
Another name for a provisional restoration is a _____ restoration?
Definition
Temporary
Term
Silver is classified as what type of metal?
Definition
Precious
Term
An advantage of bonding porcelain to metal is?
Definition
A precise fit of the metal
Term
The term nonvital may be used to dsecribe a tooth that has?
Definition
  • Been treated w/ a root canal
  • A necrotic pulp
  • No pulp tissue in the pulp cavity

 

Term
A tooth treatment that tequires no removal of tooth structure?
Definition
Vital tooth whitening
Term
Teeth with a moderate degree of what are the most difficult to whiten?
Definition
Tetracycline stain
Term
What is the most common esthetic procedure in dentistry?
Definition
Tooth whitening
Term
When should a bleached tooth be restoraed with a composite restoration?
Definition
1-2 weeks
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