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    Dental Materials

    Dr Hanan AlZraikat

    BDS, PhD in Dental materialscience

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    Course information

    Course Title Dental Materials

    Course Number Dent 203

    Credit hours Two

    Prerequisites None

    Instructor/Coordinator Dr Hanan AlZraikat

    Lecture venue and time Tuesday 2:15-4:15 pm, Science hall 2

    Laboratory sessions venue and time Prosthodontic lab :

    Sunday:8.00-10.00 am

    Monday: 8.00-10.00 am

    Tuesday: 8.00-10.00 am

    Wednesday: 8:00-10:00 am

    Office Location Postgraduate dental hospital. Level 1

    Office Phone 23975

    Office Hours Upon appointments. Available times are:

    1.00-2.00 pm Tuesday

    E-mail [email protected]

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    Text Book and Resources

    Dental materials. Clinical

    applications for dental

    assistants and dental

    hygienists.

    C. D.

    Hatrick

    Saunders

    publications

    1st

    ed2003

    Introduction to dental

    materialsVan noort Mosby

    2nd

    ed2002

    Applied Dental Materials.J.F.

    McCabe

    Blackwell

    Scientific

    Publications

    8th

    ed

    Phillips Science of Dental

    Materials

    Kenneth

    J.Anusavic

    e

    Sunders

    publications

    11th

    ed2003

    Dental materials,

    properties and

    manipulation

    Robert G.

    CraigJohn M.

    Powers

    John C.

    Wataha

    Mosby 8th 2004

    Assessment policy Weight

    Theory exams; 80 % of the total mark divided as follows:

    Midterm = 35%

    Final = 45%

    Laboratory sessions assessment 15% of the total mark

    Quizzes 5% of the total mark.

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    Week Lecture title Areas of interest Reference/chapter

    1. Introduction into the

    course

    2. Oral-cavity (1)

    considerations;

    Properties of Materials

    To identify factors inside the oral cavity that

    affect selection and performance of dentalmaterial

    To become familiar with material properties

    Reference booksand lecture notes

    3. Impression materialsHydrocolloid systemsRubber systems

    Compound systems

    Others

    Reference books

    4. Midterm Exam: Tuesday 10/7/2012- 2.15-3.15 pm Location:10H1,2,3

    5. Gypsum and investmentmaterials

    Impression plaster

    Dental plaster

    Dental stone

    Special die stone

    Investment materials

    Reference books

    6. Waxes Different sources of dental waxes and

    propertiesWaxes used in clinical and laboratory

    applications

    Handling of waxes

    Reference books

    7. Polymers Denture base materials

    Denture relining materials

    Alternatives to conventional materials

    Reference books

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    6

    Laboratory sessions

    Week Lab. subject Areas of interest

    2. Introduction to dental materials

    And laboratory sessions

    regulations

    Laboratory session regulations

    Students groups identification

    Quiz

    3. Impression Materials To identify different types of impression material, their properties, uses and

    the correct method of mixing them:

    oHydrocolloid systems

    oRubber systems

    oCompound systems

    oQuiz

    4. Gypsum and waxes To identify different gypsum materials, their properties and how to mixthem:

    oPlaster

    oStone

    oDie stone

    oInvestment material

    To identify waxes used in dental laboratories and clinics and their

    properties

    Quiz

    5. PolymersTo identify dental acrylic materials compositions and their properties usedas:

    oDenture base material

    oDenture relining materials

    oDenture teeth

    Quiz

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    Oral environment and patient

    consideration

    The oral environment represents a challenge to the

    success of dental materials. Understanding these challenges and limitations, is

    essential for a successful treatment.

    Materials must be biocompatible, aesthetic and

    durable.

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    Intraoral factors

    Force and stress:

    a. Compressive: crushing biting forces

    b. Tensile: biting force stretches a materialc. Shear: e.g. an incisor used for cutting

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    a cb

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    Resisting these forces creates stress within

    the material, which may lead to deformation,

    strain.

    Dental materials can withstand one type of

    stress while fail under another. But failure

    usually occurs after repetitive force

    application i.e. fatigue failure.

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    Moisture and acid levels:

    Intraoral pH depends on diet and acidproducing bacteria.

    Moisture. Interaction with moisture: Some materials take up

    water, color, odor, tastes of foods and beverages(e.g. resins, acrylic).

    Metals (except noble metals) are affected byacid and moisture, i.e. corrosion, tarnish

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    Galvanism: an electric current transmitted

    between two dissimilar metals.

    Temperature:

    Dimensional changes (expansion/contraction)

    Coefficient of thermal expansion (CTE). Percolation: definition and consequences.

    Thermal conductivity and insulators (pulp

    sensitivity).

    Exothermic rxn of restorative material.

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    Retention: the ability of the materialto maintain its position and resist

    displacement

    Mechanical

    Chemical Bonding

    (micromechanical/chemical).

    Affected by:

    Wetting

    Viscosity

    Film thickness

    Surface characteristics:

    cleanliness, moisture

    contamination, texture, energy.

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    Rough enamel

    surface

    Micromechanical

    retention with dentine

    Resin

    tags

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    Adhesion: Chemical bond to enamel &dentine by ion

    exchange

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    Microleakage: the

    seepage of harmful

    materials through the

    gap between toothand restoration. Can

    cause:

    Staining

    Recurrent caries

    Sensitivity

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    Shrinkage outcomes

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    Biocompatibility: dental material must not

    have an adverse effect on living tissue Materials used on hard tissue vs. soft tissue

    Short term vs. long term exposure

    Small doses vs. high doses (fluoride treatment)

    Adverse effects maybe due to materials itself or the

    breakdown of its components.

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    Amalgam tattoo

    Fluoroses

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    Esthetics

    Color components:

    Hue: dominant color of wavelength detected

    (tooth color is seen in yellow and brown range) Chroma: color intensity or strength

    Value: how bright or dark a color is.

    Transparent vs. opaque

    Shade guide

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    Shade guide

    Conditions for assessing restorations:

    Dry field

    Good lighting

    Sharp explorer Radiographs

    Magnification

    Good knowledge of material

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    End of part one

    Reference:

    Dental materials

    Clinical applications for dental

    assistants and dental hygienists (ch. 2)

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    Material properties

    Physical properties: properties based on the laws of

    mechanics, optics, thermodynamics, electricity etc.(Phillips science of dental materials)

    A. Rheological properties (ref. Introduction to dentalmaterials ch.1.8)

    Definition: The study of flow or deformation of materials.

    Solids: elasticity and viscoelsticity

    Liquids: viscosity = shear stress/shear rate

    Consider extrusion of a fluid from syringe.

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    Viscosity: resistance of a liquid to flow. The ways in which

    materials flow or deform under stress are important to their

    use in dentistry.

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    Thixotropy: for some liquids, the viscosity may change at aparticular shear rate, so, the viscosity for an increasing shearrate is different from the viscosity for a decreasing shear rate(the gel become liquefied under repeated pressure such as

    when shaken, stirred or vibrated). A thixotropic fluiddisplays a decrease in viscosity over time at a constantshear rate. A shear thinning fluid displays decreasingviscosity with increasing shear rate.

    Viscoelasticity: intermediate behaviour between elastic solidand viscous liquid. Depends on the amount of load, andduration of the load applied. (elastomeric impression

    materials), so, to prevent permanent deformation, thesematerials should not be loaded for a long time

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    B. Mechanical properties (ref. Dental Materials,properties and manipulation)

    Properties defined by the laws of mechanics; the

    physical science that deals with energy and

    forces and their effects on bodies.

    Maximum biting force decreases from molars toincisors. Average biting force

    1st and 2nd molars = 580 N

    Bicuspids (premolars) = 310 N

    Cuspids (canines) = 220 N

    Incisors = 180 N

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    To compare the performance of materials irrespective oftheir shape or size, an objective standard is needed.This standard is stress and strain. Description ofmechanical properties depends on these two.

    Stress = force/unit area (compressive, tensile, shear)

    Strain: the deformation per unit of length as a result offorce = deformation/length(e.g. rubber vs. gold alloy)

    Force (N) Area (mm) Stress (MPa)

    111 645 0.1724

    111 64.5 1.724111 6.45 17.24

    111 0.645 172.4

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    Stress-strain curves are a convenient way to comparematerials mechanical properties whether in compression,tension or shear, especially when strain is independentof the length of time the load is applied

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    Strain-time curves are sometimes used when strain

    depends on the time the load is maintained (e.g.

    alginate, rubber impression material)

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    Values resulting from stress-strain curves:

    Elastic modulus = stress/ strain (MPa), a measure

    of stiffness

    Proportional limit: measure of stress allowed

    before permanent deformation occurs.

    Ultimate strength: maximum amount of strength a

    material can withstand without breaking.

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    Other mechanical properties

    Elasticity: the ability to stretch and not break

    (impression material and undercuts)

    Elastic (recovery immediate) vs. viscoelastic

    (recovery slow or with some degree of permanent

    deformation

    Toughness

    Resilience

    Creep

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    Hardness: resistance to wear or abrasion (enamel

    and porcelain are among the hardest). Hardness is

    measured using several tests such as Knoop, or

    Vickers hardness tests

    Fatigue properties (refer to slides only):

    Materials are subjected to intermittent stress overlong period of time, stress is small, but over time,

    failure may occur by a fatigue process. This

    involves the formation of microcracks, resulting

    from stress concentration at a surface fault, so

    crack propagates until fracture occurs. Final

    fracture occurs at a low stress level.

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    Fatigue is studied in 2 ways:1. Fatigue life: application of stress cycles at a certain

    amount and frequency and observe number of

    cycles needed to cause failure.

    2. Fatigue limit: select a number of cycles (e.g. 10

    000) and determine the value of the cyclic stress

    which is required to cause fracture within this

    number of cycles.

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    Ultimate strength values of selected dental

    materials

    Material Tensile strength Compressive strength

    Dentine 98 297Enamel 10 400

    Amalgam 48-69 310-483

    Gold alloys 414-828 -----

    Composite 34-62 200-345

    Porcelain 40 150

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    C. Thermal properties: (ref. Dental Materials, propertiesand manipulation)

    Materials have different rates of conducting

    heat. (Metals vs. plastics and ceramics). Thermal conductivity: its a measure of heattransferred through a material or rate of heat

    flow. Compare Enamel and dentine to dental

    amalgam.

    Coefficient of thermal expansion (explained

    previously)

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    Insulation

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    D. Electrical properties: (ref. Dental Materials, properties andmanipulation)

    Galvanism: generated electrical current a

    patient can feel resulting from dissimilar metals

    present in a solution that contains ions (e.g.oral cavity)

    Corrosion: can result from

    adjacent dissimilar metals. Galvanic action can cause the

    metal to dissolve resulting in pitting and roughness.

    Chemical corrosion

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    E. Solubility and sorption: (ref. Dental Materials,properties and manipulation)

    important criteria for dental materials selection.

    Laboratory studies are used to evaluate and

    rank materials. Sorption includes:

    Absorption vs. Adsorption

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    F. Wettability: (ref. Dental Materials, properties and manipulation)

    measure of the affinity of a liquid for a solid indicated

    by spreading of a drop of the liquid on a solid.

    wettability is observed by shape of a drop of liquid onsolid surface identified by contact angle:

    Low contact angle = high wettability (hydrophilic

    if liquid is water)

    High contact angle = low wettability (hydrophobic

    if liquid is water)

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    Good wetting of a solid by a liquid with low

    contact angle (left), poor wetting forming a high

    contact angle (right).

    liquid

    solid solid

    liquid

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    G. Optical properties: (ref. Introduction to dental materials) Every object we see is as a result of reflectance of light from

    that object reaching an extremely sensitive photodetector,namely the eye. This is characterized by:

    Color:

    (Hue, value, chroma).

    Perception of color is subjective. Cone cells in retina aresensitive to light, rod cells are sensitive to brightness, bothsend signals to the brain.

    Visible light wavelength is 380-780 nm

    The light we see is a combination of wavelengths

    Translucency: Translucent materials allows some light to pass, absorbs

    some, and scatters the rest

    Opaque material does not transmit light, but absorbs andscatters it.

    Surface texture: the polishability of a material is an importantcriteria for selection

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    Important terms to know:

    *Metamerism: change of color of an object due

    to a change in light source

    *Fluorescence: the ability of an object to absorblight near ultraviolet and then release light in a

    longer wavelength range wavelength

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    Shade guide and selection

    A (reddish brown)

    B (reddish-yellow)

    C (grey)

    D (reddish grey) 49

    H. Biological properties: (ref. applied dental materialsch.2)

    Primary requirements of any dental material:

    Non-toxic

    Non-irritant

    Should not have carcinogenic or allergic potential

    If used as filling material should be harmless to pulp

    Biological evaluation of dental materials:

    Level 1

    Level 2

    Level 3

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