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DENTAL

AMALGM
&
COMPOSIT.
ABCD’S&G.
DENTAL AMALGM & COMPOSITE

DENTAL AMALGAM :
Dental amalgam is a metal like
restorative material composed of a
mixture of silver/tin/copper alloy and
mercury.

DENTAL COMPOSITE :
They are highly cross linked polymeric
materials reinforced by a
dispersion of glass,crystalline or
resin filler particles or short
fibers bound to the matrix by
silane coupling agents.
COMPOSITION OF AMALGM & COMPOSITE

Dental Amalgam: Dental Composite:


Alloy of mercury, silver, tin, and 1-Resin matrix
copper, it may also contain 2-Filler particles
palladium, zinc , gold to improve 3-Coupling agent .
the handling characteristics 4-Activator-initiator system
required to convert resin to soft
moldable filling material to hard
durable restoration.
CALSSIFACTION OF AMALGM & COMPOSITE

Based on copper content :


1-Low copper alloy -- < 6% copper (conventional alloy) .
2- High copper -- 6-30% copper
(1) admixed alloy (2) single composition alloy
Based on zinc content :
(1) zinc containing alloy -- > 0.01% zinc
(2) zinc free alloy -- < 0.01 zinc.
Based on shape of alloy particles :
(1) lathe cut alloy.
(2) spherical alloy
(3) admixed alloy.
Based on size of alloy particles
(1) micro cut
(2) fine-cut
(3) coarse-cut.
Based on presence of noble metals :
(1) noble metal alloys (palladium, platinum, gold)
(2) non-noble metal alloys
COMPOSITION OF AMALGM & COMPOSITE

Dental Composite:
• Based on curing mechanism:
• 1-Chemically activated
• 2-Light activated
• Based on size of filler particles:
• 1-Conventional 8-12 um
• 2-Small particle 1-5 um
• 3-Microfilled 0.04-0.4 um
• 4-Hybrid 0.6-1.0 um.
INDICATIONS OF AMALGM & COMPOSITE

Dental Amalgam:
• Restoration of posterior
teeth(ClassI&II) (Moderate
to large preparations).
• Class V preparations (when
esthetics is not the prime
concern).
• Core build up for badly
broken down teeth in the
posterior teeth.
• Sometimes in distal surface
of canines.
• For moderate caries control.
INDICATIONS OF AMALGM & COMPOSITE

Dental Composite:
• Class I,II,III,IV,V,VI
restorations.
• Foundation or core buildup.
• Esthetic enhancement
procedures-
• Partial veneers and Full
veneers.
• Diastema closure.
• For periodontal splinting.
CONTAINDICATIONS OF AMALGM & COMPOSITE

Dental Amalgam: Dental Composite:


1-Esthetics. 1.High caries incidence and
2- Extensive loss of tooth poor oral hygiene.
structure 2.Teeth with heavy or
3- Small class I and class abnormal Occlusal stress.
II cavities. 3.If access & isolation
difficulties.
4.Patient allergic or
sensitive to resin
composite.
ADVANTAGES OF AMALGM & COMPOSITE

Dental Amalgam: Dental Composite:


1-Ease of use. 1.Esthetic.
2- High compressive strength. 2.Conservation of tooth structure.
3-Excellent wear resistance. 3.Insulative.
4- long-term clinical results. 4.Bonded to tooth structure.
5- Economic 5.Repairable.
6-Can be bonded to tooth structure. 6.Can be polished at the same
7-Self-sealing ability. appointment
DISADVANTAGES OF AMALGM & COMPOSITE

Dental Amalgam: Dental Composite:


1-Lack of esthetics 1.polymerization shrinkage.
2- Less conservative 2.time consuming and expensive.
3- Non-insulating 3. More technique sensitive.
4- Corrosion and galvanism 4. difficult to finish and polish.
5- Lack of reinforcement of 5. increased coefficient of
weakened tooth structure thermal expansion
MANIPULAION OF AMALGM & COMPOSITE

MANIPULATION OF AMALGAM
1. Selection of alloy and mercury
2. Mercury alloy ratio (Proportioning)
3. Trituration (Mechanical and hand)
4. Mulling
5. Condensation (Hand and mechanical)
6. Pre-carve burnishing
7. Carving.
8. Post-carve burnishing.
9. Polishing .
MANIPULAION OF AMALGM & COMPOSITE

Manipulation of composite:
1. Selection of the resin composite
type and shade.
2. Isolation of the field.
3. Pulp protection.
4. adhesive application.
5. Matricing.
6. Wedging.
7. Packing.
8. Contouring and shaping.
9. Polymerization.
10. Finishing and polishing.
11. Maintenance.
Cavity preparation of amalgam and
Composite.
CAVITY PREPARTION OF AMALGM & COMPOSITE

Cavity preparations for amalgam restorations :

1. 90 degree CSA .

2. The walls must be parallel or perpendicular to


occlusal loads.

3. A definite gingival seat of 1.5-2 mm. in depth for


compound cavities.

4. Rounded internal line angles.

5. Sufficient bulk at the isthmus area

6. Each portion must have its own


independent retention and resistance.
CAVITY PREPARTION OF AMALGM & COMPOSITE

Cavity preparations for Composite restorations :

Tooth preparation :
1.Minimal extension.
2.Pulpal and axial walls of
varying depth.
3.Enamel bevel.
4.Butt joint on root surface.
5.Tooth preparation walls must
be rough.

CAVITY PREPARTION OF AMALGM & COMPOSITE

Cavity preparations for Composite restorations :

Cavity design preparation:


1-Conventional 2-Beveled conventional 3-modified
4-Box shape 5-Facial/lingual slot

Conventional Beveled conventional Modified (adhesive)


AMALGM & COMPOSITE
AMALGM & COMPOSITE
Amalgam filling material is still used
everyday by most dentists. It is
considered safe to use and is very
effective in a lot of circumstances.
There are problems with amalgam. The
main ones are it’s appearance and
inability to bond/stick to teeth. White,
composite fillings are therefore
becoming much more widely used and are
the preferred choice for many people..

Composite filling material is a modern


‘white’ choice available as an alternative
to the older amalgam ‘silver’ fillings. It
has many uses and benefits. However, it
has some problems and amalgam is still
better in some circumstances
ABCD’S&G.

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