Composition Liquid: Aqueous solution of polyacrylic acid,itaconic acid Copolymer with tartaric acid not more than 5%
Applications
1. 2. 3. 4. 5. 6. 7. Cement Liner / Base Core Retrograde Filling Material P/F Sealant Root Caries Cervical Restoration Temporary, or ART Restoration
Setting Reactions
The following stages on mixing 1. Dissolution 2. Migration 3. Reaction and precipitation (Hardening) Dissolution of the surface glass by the acid H+ attack glass to
release cation (Ca++,AL+++) and fluoride ions between 20% to 30% of the glass is decomposed by acid attack. Migration of the surface ions (Ca++,AL+++) and fluoride ions complex into the liquid. The divalent Ca++ will migrate first and react with carboxylic group to form cross linked carboxylic acid gel leading to initial set ,followed by trivalent AL+++ the latter reaction takes longer time 24 H and results in stronger cements so the reaction protected from saliva with varnish. The sodium ions form silica gel on the surface of the particles.
Properties
Bond strength to dentin of 2 to 3 Mpa lower than composite. When the dentin etched, the glass-ionomer may use 4 years clinical data showed a retention rate for glass-ionomer. 1-Cervical restoration 75% pulp reaction was mild. 2-If the thickness of dentin is less than 1mm use calcium hydroxide Liner. The fluoride in glass-ionomer released over a period of two years.
Manipulation
G.I. packed in bottles and in capsules, mixing time 30 to 40 sec. is used with a typical setting time of 4 minutes. Placing the restorative and carving the correct contour should protect the surface from saliva by applications of varnish. Trimming and finishing had done after 24 H.
summary. Cements are popular applications for GI to attach crowns and bridges to tooth structure. Cores or foundations for fixed prosthetics: are popular but not as durable as composite or amalgam. Tunnel restorations are MO or DO restorations formed under marginal ridges without breaking them. Sandwich restorations are composites bonded over GI with the GI exposed as surfaces in some cases for fluoride release. Retrograde filling materials are root canal fillings of teeth that are removed, filled, and replanted. Sealant applications have not fared well because GI tend to be brittle. Cervical restorations are hard to restore because of moisture control challenges so traditional glass ionomers are often preferred because of the ability to work in wet fields. Temporary restorations in permanent teeth or ART restorations in primary teeth are extremely popular.
Three classifications of GIs a) Glass Ionomer Cements or traditional glass ionomer restorative products. Consist of an acid-decomposable glass and an acidic polymer that undergo an acid/base reaction when mixed. The reaction does not require light to occur - the mixed material sets in the dark. Examples of these products are Ketac-Fil (ESPE) and Fuji II (GC America).
b) Resin-Modified Glass-Ionomer Cements This group can be divided into 2 subgroups : Light Cured Resin Modified Glass Ionomer Base/Liners & Light Cured Resin Modified Glass Ionomer Restoratives. Resin has been added in one form or another. In addition to the GI acid/base reaction, they also undergo a resin polymerization reaction that is usually initiated by light exposure (these products require light exposure to harden.) Examples are Fuji II LC (GC America), Vitremer (3M), and Photac-Fil (ESPE).
c) Polyacid Modified Composite Resins These are more resin than glass ionomer. They contain one or both of the basic glass-ionomer components These products usually do not set without light exposure or set very slowly. Examples are VariGlass VLC (Caulk), Dyract (Caulk), and Geristore (Den-Mat).
Applications 1-Used for low stress bearing 2- High caries risk patients (civically eroded teeth)
Compositions
Supplied as one past system more related to glassionomer than composite, the liquid contains
monomers, polyacid and water reaction Advantages: 1.Better optical. 2.Less sensitivity to moisture after setting. 3. Superior mechanical properties. 4. They are used as anterior restorative.
They are used as lining materials under composite resin used as anterior restoration specially as class V cavities Set by acid base reaction and both light cured and selfcured
Properties
Not need bonding agent the tooth has conditioned (etched) with polyacrylic acid or a primer before placement of the hybrid ionomer. More fluoride release than compomers and composite but less than glass ionomer recharge when exposed to fluoride treatment or fluoride dentifrices.
Manipulation
Packaged as powder/liquid or encapsulated forms Hybrid Ionomer set has immediately when light cured and can be finished immediately. Not need bonding agent.
RESIN CEMENTS There are two major groups of resin cements A-Unfilled acrylic resin cement B-Composite cements
Clinical applications
1.
2.
3.
Cements are recently used substituted the conventional resin They are also used for cementation of veneers, cast ceramic crowns , inlays, bridges composite inlays and orthodontic brackets .
These are based on methyl methacrylate + compomers The accelerator initiator system is typically amine and peroxide Setting occurs As a result of free radical, polymerization characterized by heat liberation and shrinkage of polymer Supplied as powder + liquid Used for cementation of orthodontic brackets
2-Composite resin cements Replaced the unfilled resin due to their superior properties Classification according to bonding mechanism to tooth structure Conventional cure. resin cement These types gain their retention to tooth structure through acid etching in conjunction with enamel and dentin bonding.
1-Self cured Powder + liquid or two paste systems. Composition Diacrylates oligomers Diluted with dimethaerylate monomer ( low molecular weight) Silanated silica or Glass filler. initiator accelerator system Peroxide amine
Composition:The other major past (Bis- GMA) or( urethane dimethaerylate) diluted with dimethacrylate monomer or TEGDMA Or Silica or glass fillers 20-75 (or) both
They are photo initiated in the presence of camphorquinine (amin system ) they are provided as a paste which requires no mixing .
3. Dual cured
Similar to the light cure Polymerize by the mechanisms of light or Chemical supplied as base + catalyst paste must be mixed before use after mixing , self cure chemical reaction takes place slowly and provided extended working time until the cement is exposed to light at which the cement solidifies rapidly.
The phosphate end of the phosphonate react with calcium of the tooth or with metal oxide. the phosphonate is very sensitive to oxygen so a gel has provided to coat the margins of a restoration until the setting has occurred.
Properties
The effect on the pulp: Irritating to the pulp so pulp protection via calcium hydroxide is very important or glass ionomer liner .If the bonding are a involves only enamel or if the remaining dentin thickness is sufficient, The irritation not significant . Film thickness: It is varies according to uses. Solubility: It is insoluble in the oral fluids.
4- Bonding 1- To enamel by acid etching. 2- To dentin by dentin bonding agents 3- To restoration previously treated with surface or chemical preparations. 5) Strength It has high compressive strength 180-260 MPA fracture toughness high. 6) Optical They are translucent radiopaque types are available to be used in the posterior teeth.