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Acceptable dental materials need to expand and contract _______ with the ______
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Excessive expansion may lead to What?
fractured cusps
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Excessive contraction may lead to what?
leakage of fluids and bacteria into the open gaps, producing sensitivity
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Measurements of expansion and contraction=what?
Coefficient of Thermal Expansion (CTE)
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Large difference between CTE and tooth structure causes __________; and ___________ may occur
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CTE = 11
Thermal conductivity = 2.0
enamel
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CTE = 8
Thermal conductivity = 1.30
dentin
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CTE = 20-28
Thermal conductivity = 54
Amalgam
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CTE = 15
Thermal conductivity = 350
gold
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CTE = 15
Thermal conductivity = 2.5
porcelain
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CTE = 26-40
Thermal conductivity = 2.60
composite
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________ material may reduce thermal conductivity
insulator
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nonmetals such as ceramics, resins, cements, enamel, and dentin are very poor conductors, and poor conductors can be used as what?
insulators
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________ is a natural insulator
dentin
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What is one of the best thermal conductors?
gold
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When there is a large difference between the CTE and the restorative material as for amalgam and tooth structure, the percolation will be __________
greater
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The reactions of some components when they are mixed may result in the production of heat
exothermic reaction
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Name 4 'other' factors in material selection
- retention
- mikroleakage
- biocompatibility
- esthetics
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the ability of a material to maintain its position without displacement when under stress
retention
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What might help secure retention of a material?
mechanical chemical adhesion or bonding
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What type of retention uses undercuts?
mechanical
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Dental cements retain restorations by __________ and/or __________ connecting the two surfaces
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___________ of materials occurs when the tooth surface is prepared through the use of an acid-etch technique to create microscopic pores in enamel and dentin.
bonding
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What kind of retention is using etch material?
when the fluid fills the poors created by the etch it is mechanical; then the restorative materials on top of that chemically adhere to that material
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What are 6 factors that can affect the bond strength or the success of a material as an adhesive?
- wetting
- viscosity
- film thickness
- surface characteristics of the tooth
- restoration
- adhesive
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When liquids bead up on a surface, the surface has ______ surface energy
low
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Lliquids generally wet or spread over high surface energy surfaces better such as what? (3)
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What happens if the interface of a resoration is not sealed?
fluids and microorganisms can penetrate between tooth structure and restorative material
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What is responsible for much of the recurrent decay, marginal staining, and postoperative sensitivity?
mikroleakage
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Tubule fluid flow causes what?
sensitivity
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not adversely affecting living tissue
biocompatibility
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Nickel and acrylic hypersensitivity are caused from what factor?
biocompatibility
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It has been reported that a significant percentage of people have skin allergies or hypersensitivity to some metals in particular what 2?
nickel and acrylics
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What are the 3 components that describe the resultant color?
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intensity or strength of color
chroma
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describes how light or dark the color is
value
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the dominant color of the wavelength detected
hue
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colors look different under different light sources
metamarism
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Why is the detection of restorative material critical in dental hygiene?
so we can recognize what is a restoration or tooth and not damage it
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What are 4 sources that can have adverse affects on restorations that are used in dental hygiene?
- scaling
- sonic and ultrasonic scaling
- air and polishing
- fluoride
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What are 3 ways to detect different restorative materials?
- x-rays
- explorer (tactile)
- visual, light, air, magnification
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What is the most reliable way of detecting a restorative restoration with tooth colored fillings?
explorer/tactile senses
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What is an example of galvanism?
amalgam contacting gold
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An excessive film thickness may cause what?
improper seating of restoration
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microleakage may be responsible for what?
- marginal staining
- postoperative sensitivity
- recurrent decay
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