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DENTAL AMALGAM

Finals lecture amalgam

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Page 1: Finals lecture  amalgam

DENTAL AMALGAM

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Terminology

Silver paste an alloy, one of the constituent of

which is mercury an alloy made by mixing Hg with

Ag-Sn dental amalgam alloy

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ComponentsComponents

1.1. Silver ( Ag) Silver ( Ag) - - increase expansion- retards setting time- enhances strength- decrease flow- resist tarnish/corrosion

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2.2. Copper (Cu)- Copper (Cu)- unites with Hg with difficulty

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2.2. Copper- Copper- unites with Hg with difficulty

- reduces setting time

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2.2. Copper- Copper- unites with Hg with difficulty

- reduces setting time- increases expansion

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2.2. Copper- Copper- unites with Hg with difficulty

- reduces setting time- increases expansion- increases strength and hardness

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2.2. Copper- Copper- unites with Hg with difficulty

- reduces setting time- increases expansion- increases strength and hardness

- reduces flow

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2. Copper- unites with Hg with difficulty

- reduces setting time- increases expansion- increases strength and hardness

- reduces flow-tarnishes readily

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3. Tin (Sn)3. Tin (Sn)

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3. Tin3. Tin - unites readily with Hg

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3. Tin3. Tin - unites readily with Hg-retards setting time

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3. Tin3. Tin - unites readily with Hg-retards setting time-improves plasticity

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3. Tin3. Tin - unites readily with Hg-retards setting time-improves plasticity -reduces expansion

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3. Tin3. Tin - unites readily with Hg-retards setting time-improves plasticity -reduces expansion-increases flow

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4. Zinc4. Zinc

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4. Zinc4. Zinc (Zn)- combines readily with Hg

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4. Zinc4. Zinc- combines readily with Hg-causes expansion

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4. Zinc4. Zinc- combines readily with Hg-causes expansion-increases setting time

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4. Zinc4. Zinc- combines readily with Hg-causes expansion-increases setting time-increases flow

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4. Zinc4. Zinc- combines readily with Hg-causes expansion-increases setting time-increases flow-inhibits oxidation

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4. Zinc4. Zinc- combines readily with Hg-causes expansion-increases setting time-increases flow-inhibits oxidation-decreases porosity

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ClassificationClassification

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ClassificationClassification

1. Amalgam alloy particle geometry and size

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ClassificationClassification

1. Amalgam alloy particle geometry and size

e.g. Lathe-cut – regular, fine microfine cut,

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ClassificationClassification

1. Amalgam alloy particle geometry and size

e.g. Lathe-cut – regular, fine microfine cut, Spherical

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ClassificationClassification

1. Amalgam alloy particle geometry and size

e.g. Lathe-cut – regular, fine microfine cut, Spherical

2. Copper Content

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ClassificationClassification

1. Amalgam alloy particle geometry and size

e.g. Lathe-cut – regular, fine microfine cut, Spherical

2. Copper Contente.g. Low Copper (conventional

amalgam),

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ClassificationClassification

1. Amalgam alloy particle geometry and size

e.g. Lathe-cut – regular, fine microfine cut, Spherical

2. Copper Contente.g. Low Copper (conventional

amalgam), High Copper

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ClassificationClassification

1. Amalgam alloy particle geometry and size

e.g. Lathe-cut – regular, fine microfine cut, Spherical

2. Copper Contente.g. Low Copper (conventional

amalgam), High Copper3. Zinc Content

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Classification

1. Amalgam alloy particle geometry and size

e.g. Lathe-cut – regular, fine microfine cut, Spherical

2. Copper Contente.g. Low Copper (conventional

amalgam), High Copper3. Zinc Contente.g. Zinc,

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Classification

1. Amalgam alloy particle geometry and size

e.g. Lathe-cut – regular, fine microfine cut, Spherical

2. Copper Contente.g. Low Copper (conventional

amalgam), High Copper3. Zinc Contente.g. Zinc, Zinc-free

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AAlloy- Mercury Ratiolloy- Mercury Ratio

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AAlloy- Mercury Ratiolloy- Mercury Ratio

irregular particle pack poorly and require a large amount of Hg (50%-60%)

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AAlloy- Mercury Ratiolloy- Mercury Ratio

irregular particle pack poorly and require a large amount of Hg (50%-60%)

precapsulated amalgam (spherical)has 42%- 45% mercury

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Mercury rich mixtures – uses squeeze cloth to remove excess mercury

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Mercury rich mixtures Mercury rich mixtures – uses squeeze cloth to remove excess mercury

1960 -Eames technique or no squeeze cloth technique

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TriturationTrituration

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TriturationTrituration

process of manual mixing of alloy with Hg

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TriturationTrituration

process of manual mixing of alloy with Hg

done by proportioning mercury and Hg into a mortar and grinding the mixture with a pestle

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TriturationTrituration

process of manual mixing of alloy with Hg

done by proportioning mercury and Hg into a mortar and grinding the mixture with a pestle

mixing of alloy with mercury

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Types of TriturationTypes of Trituration

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Types of TriturationTypes of Trituration

1. Hand

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Types of TriturationTypes of Trituration

1. Hand2. Mechanical

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Types of TriturationTypes of Trituration

1. Hand2. Mechanical –use of Amalgamator

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Types of TriturationTypes of Trituration

1. Hand2. Mechanical –use of Amalgamator reusable capsule

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Types of TriturationTypes of Trituration

1. Hand2. Mechanical –use of Amalgamator reusable capsule – a hallow tube

with rounded ends constructed as two pieces that could be friction fit or screwed together

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precapsulated (preproportioned)-

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precapsulated (preproportioned)- the components are separated in the capsule by a special diaphragm that is broken when the capsule is placed in an amalgamator.

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Reaction

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Reaction

Mercury+Silver-Tin

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Reaction

Mercury+Silver-Tin Silver-Tin phase+ Silver-mercury phase + Tin-mercury phase

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Reaction

Mercury+Silver-Tin Silver-Tin phase+ Silver-mercury phase + Tin-mercury phase

Silver-tin phase is called the gamma phase, composed of unreacted alloy particle

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Silver-mercury phase is called the gamma one

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Silver-mercury phase is called the gamma one

Tin-mercury phase is called the gamma two

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Silver-mercury phase is called the gamma one

Tin-mercury phase is called the gamma two

amalgam can be thought of as particles of gamma surrounded by or bonded together by a matrix of gamma1 and gamma2

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Hardening of amalgam

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Hardening of amalgam

2 Phenomena

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Hardening of amalgam

2 Phenomena1. Solution

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Hardening of amalgam

2 Phenomena1. Solution2. Crystallization

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Hardening of amalgam

2 Phenomena1. Solution2. Crystallization

when Hg comes in contact with amalgam alloy, the particles (gamma) are wet by mercury and begins to absorb it.

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the solution of mercury into silver-tin particles leads to the formation of the surface of Ag-Hg and Sn-Hg phases

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the solution of mercury into silver-tin particles leads to the formation of the surface of Ag-Hg and Sn-Hg phases

the crystallization of the gamma1 and gamma2 phases and their subsequent growth leads to hardening of amalgam

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Mercury Management

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Mercury Management

Sources of Mercury Hazards

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Mercury Management

Sources of Mercury Hazards1. Mercury vapors released from

stored materials

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Mercury Management

Sources of Mercury Hazards1. Mercury vapors released from

stored materials2. Amalgamator aerosols

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Mercury Management

Sources of Mercury Hazards1. Mercury vapors released from

stored materials2. Amalgamator aerosols3. Spillage during restoration

procedure

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Mercury Management

Sources of Mercury Hazards1. Mercury vapors released from

stored materials2. Amalgamator aerosols3. Spillage during restoration

procedure4. Amalgam removal and

replacement

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5. Amalgam waste on cotton rolls

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5. Amalgam waste on cotton rolls6. Amalgam and mercury in

plumbing and sewer system

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5. Amalgam waste on cotton rolls6. Amalgam and mercury in

plumbing and sewer system7. Amalgam scrap container

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5. Amalgam waste on cotton rolls6. Amalgam and mercury in

plumbing ans sewer system7. Amalgam scrap container8. Mercury trapped in tiles and

carpeting

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THAT'S ALL FOLKS