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Dental ceramic materials
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Dental composites, also known as "white fillings", are a group of restorative materials composed of a mixture of powdered glass and plastic resin regularly used in modern dentistry to resemble the appearance of the natural tooth. Acrylic resin was first introduced to the dental profession in the mid 1950s. Since their introduction, acrylic based materials have continued to play a pivotal role in restorative and prosthetic dentistry. After the introduction of the bisphenol A glycidyl methacrylate, or BIS-GMA, by Bowen in the early 1960s the potential application of resins has emerged. This composition and formulation possessed a higher molecular weight and therefore better mechanical properties and reduced polymerization shrinkage, the newer polymer offered potential for much greater applications that included anterior and posterior composite resin restorations, indirect inlays/onlays, pit and fissure sealants and more wear resistant denture teeth.
Dental composites are widely used for crown preparation and in-lays formation. These materials are similar to those used in direct fillings and are tooth-colored. Their strength and durability is not as high as porcelain or metal restorations and they are more
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Cavity contamination results in failure to achieve adhesion between the filling and the tooth and subsequent leakage at this interface. Although composite resins have become stronger and more resistant to wear, it's not clear whether they last as long as amalgam fillings under the pressure of chewing. The composite may shrink when placed, producing gaps between the tooth and the filling. This can lead to more cavities in areas where the filling is not making good contact with your tooth. The shrinkage is reduced when your dentist places this type of filling in thin layers. The cost of the composite resins is less than gold filling but more than amalgam
Composite restoration usage in dentistry is increasing. Because of this interest in the longevity and reliability of composite fillings also is increasing1. One problem that can occur with composite restorations is micro-leakage. This is when microgaps at the tooth-restoration interface allow fluids and bacteria into the restoration2. These gaps are formed when the material is polymerized and shrinks, which causes the material to pull away from the margins of the preporation2. Problems that can arise from micro-leakage are secondary carries, hypersensitivity, pulp stimulation, and marginal discoloration3. This is why dentists are trying to find ways to reduce micro-leakage of composite restorations.
...at more tentatively, with fluoride gels and varnishes or a chlorhexidine varnish. Some dentists may restore root caries with amalgam restorations. Another treatment option used by some dentists to restore root caries is Glass Ionomer Cements. Glass ionomer cements were first introduced in the early 1970s. They have good adherence to mineralized tooth tissue, which keeps the removal of tooth structure to a minimum. Glass ionomer cements also have the ability to leak and absorb fluoride into the tooth, which decreases the rate of secondary caries. These factors have increased the potential for glass ionomer cements to replace amalgam as a restorative material. (Hammel)
Stoll, Betke et al. (2005) In a retrospective study estimated that the survival according their apical extent. Flush fillings had a 94% survival estimation while short and long fillings estimated results were 80.9% and 74.0% respectively in 5 to 10 years.(Caplan and Weintraub 1997) in a case control study found similar results but it was insignificant. They also found that teeth which had long fillings were extracted rather than retained in contrast to short filling which were retained more often than extracted. The previous results show that RCT within 2 mm of the radiographic apex have the best outcomes.
Made of semi-translucent flexible nylon thermo-plastic with no metal wire or clasps, these dentures allow the color of the patient's gum to show through. Flexite partials are virtually indestructible, rarely require adjusting, and have clasps (made of the same material as...
...your body it will not react badly against you. (Chetan, 2008. para. 1). A permanent aesthetic cement filling is sealed over the top of the tooth which can have a crown as a placement for a definite protection of the tooth.
It is regarded as a great challenge to be achieved in adhesive dentistry. The root dentin differ from the coronal dentin, thus the bonding will be different. The achievement of good infiltration and micromechanical retention remain a challenge because of limited access and vision, regional variation in bond strength, presence of a thick smear layer. The bond strength differs along the root canal and it is lower than coronal dentin.
Dental sealants are composed of plastic as a result, they will eventually wear down with use. However, eating hard foods can speed
3) Describe the rationale and demonstrate how to chart existing restorations (amalgam, composite, gold, crowns, bridges, other), missing teeth, incipient caries and caries.
Dental caries occurs through a complex interaction over time between acidogenic micro organisms and fermentable carbohydrate, and host factors including teeth and saliva.1 The caries process can be described as a imbalance between re and demineralization and when more minerals are lost than gained from the hard tissues over time, caries lesion occurs.2Dental caries, if allowed to progress will result in non cavitated caries lesions initially on tooth surfaces, and eventually can progress to cavitation. There has been a general trend in clinical practice that caries lesion management focus primarily on operative treatment rather than using preventive non invasive strategies. This will lead to several replacements over time with increasing restoration size and produces iatrogenic damage. It has been reported that 71% of all restorations are performed on previously restored teeth, with secondary carious lesions as a major cause.3 This shows that although the carious lesion was repaired, the dental caries was not adequately treated, since the actual cause and risk factors were not adequately resolved. Recently the concept for caries management has been changed and focused mainly on multifaceted nature of caries and biofilm involvement. Currently it has been shown that the success to caries prevention
...an be seen that composite teeth form a high stability bond than PMMA teeth. This is due to the filler content allowing for low shrinkage, increased wear resistance and better cross-linkage with the base. In overall consensus the technique of heat-curing is believed to achieve significantly more polymer cross-linkage than that of self-curing the acrylic resin PMMA base - giving us a stronger base to teeth interface. It should be noted however that both techniques can be used for denture fabrication to achieve a desired result and it is up to the dentist and the technician to determine which one they prefer however, composite teeth bonded to a heat-cured PMMA base works best. Though the tooth and base by themselves may be strong, if the interface between them is not strong, this will result in the overall denture produced being weak independent of material selection.
11. Bagis YH, Baltacioglu IH, Kahyaogullari S. Comparing Microleakage and the Layering Methods of Silorane-based Resin Composite in Wide Class II MOD Cavities. Oper Dent. 2009; 34(5): 578-585.
•Like an inlay, a white filling fills a hole in the tooth. Instead of porcelain, a composite resin is used. While this material is not as strong as porcelain, it is still durable.
Impression materials are used to register or reproduce the form and relations of the teeth and the surrounding oral tissues (1). Making an impression represents a critical step in processing and fitting of a dental prosthesis (2). Several types of impression materials are produced. These include silicones, polyether, polysulfide and alginate which are available for crowns and fixed partial denture impressions. Silicone impression materials are considered to be suitable impression materials to use for fixed prostheses (3). Also, it has been reported that silicone has the ability to remain dimensionally stable through disinfection procedures (4). Among silicone impression materials, one type of them, called polyvinyl siloxane (PVS) is reported
Dentures are designed to mimic natural teeth to give the wearer a youthful and healthy expression. Like natural teeth, they require daily cleaning, in order to maintain their strength and appearance. There is one hotly debated topic regarding denture cleaning: to brush or not to brush.
Palmer, C. (2013, September 16). American Dental Association. Retrieved January 28, 2014, from ADA: http://www.ada.org/news/8898.aspx