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Dental Amalgam: by Tooba Nadeem 029 and Shanzay Wazir 028

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DENTAL AMALGAM

By Tooba Nadeem 029 


And
Shanzay Wazir 028
1.Definition of dental amalgam
2.Composition of amalgam
3.Classification of amalgam
4.Setting reaction
5.Advantages
6.Disadvantages
7.Properties 
8.Manipulative variables 
definition

" A liquid mercury and metal alloy mixture" 


composition
• Silver
• Tin 
• Copper (highest percentage in new)
• Zinc 
• Mercury 

These are added accordingly to improve handling


characteristics and clinical performance 
(Composition vary in conventional and new)
Classification 
• According to composition 
Low copper (4%)
Hight copper (13%)
• According to shape
Spherical 
Lathe cut
admixed
Setting reaction
LOW COPPER ALLOY  HIGH COPPER ALLOY

Consists of y1 (silver-mercury) Consists of Copper tin phase and


phase and y2 (tin-mercury) phase Silver mercury phase

Ag3Sn + Hg -------- Ag3Sn + Ag2Hg3 + Sn8Hg Ag3Sn + Cu + Ag------ Ag3Sn +


                    (unreacted)       (matrix)
Ag3Hg3 +Cu6Sn5

Gamma 2 phase present which Gamma 2 phase is eliminated


weakens the alloy which strengthens the alloy
• Durable  • Destruction of sound tooth
• Least technique sensitive structure
• Long term performance  • Poor aesthetics 
• Ditching due to creep and
• One appointment placement 
corrosion
• Corrosion products seal tooth • Galvanic shock
restorative interface
• Allergic potential
• Economical 
• Mercury toxicity
• Often can be repaired
• Marginal breakdown
Properties
Dimensional changes
Contraction ( due to alloy dissolution)  --------- microleakage 
Expansion     ( due to crystal formation) --------- pressure on
pulp
Microleakage
Poor condensation tech
Lack or corrosion products
Difference in coefficient of expansion 
Creep
Stresses
Gamma 2 phase
Click to add text

Strength

withstand high pressure


after 1hr trituration – 40 to 60% strength
by 24hrs – 90% of compressive strength
spherical and cu rich alloys have more strength
• Can affect the structure and
CORROSION mechanical properties of
amalgam.
• Different phases of amalgam
form the anode and cathode
• Saliva acts as electrolyte
• Gamma 2 phase forms anode
and breaks down to give tin
containing corrosion
products & mercury which
can react with unreacted
alloy (gamma phase)
• Minimized by polishing
surface of restoration or by
use of copper enriched
amalgam
THERMAL PROPERTIES
High value of thermal diffusivity

Coefficient of thermal expansion x3


that of dentin MICROLEAKAGE
BIOLOGICAL PROPERTIES
• Good ventilation

• Excess and waste should be stored in a sealed container

• Do not touch mercy or freshly mixed amalgam

• Keep mercury away from heat source


MANIPULATIVE VARIABLES
• Proportioning and dispensing
• Trituration
• Condensation
• Carving
• Polishing
Proportioning & Dispensing

Ratios vary between 5:8 and 10:8

VOLUME DISPENSER WEIGHING SCALE AMALGAM CAPSULE AMALGAMATOR


TRITURATION
Signs of a good mix:
a shiny homogenous
mass that adheres
together

HAND MIXING
MORTOR AND PESTLE MECHANICAL MIXING
AMALGAMATOR
NOTE: High condensation

CONDENSATION
pressure required for lathe-cut
alloys and low for spherical
alloys.

Amalgam Condenser Amalgam Condensation Ultrasonic Amalgam Condenser


CARVING
Objective is to
remove mercury
rich layer and to
rebuild the tooth
anatomy.
POLISHING Polishing is performed to obtain
a smooth, shiny luster on the surface
of the amalgam

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