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what is gypsum
Calcium sulfate dihydrate
CaSo4 2H2o
uses of diagnostic/study casts
evaluating patient's dentition/occlusion
treatment planning
patient education
evaluating progress of ortho/prosth treatment
uses of definitive casts
used in fabrication of dental restorations (indirect)
what is a die
reproduction of a single tooth made out of gypsum, epoxy resin, metal, or refractory material
can be continuously removed and replaced in a working cast
when are casts with removable dies used
fabrication of crowns or fixed partial dentures (bridges) when access to prepared margins is needed
impressions
negative replica of the oral cavity
casts
reproduction of the shape/surface that was made in an impression
what is the lay term for a cast
a model
calcination
the process of driving a specific amount of water out of gypsum to create specific plasters, stones, or investment die stones
t/f varying heat of calcination varies the type of product
true
110-130°C product
plasters and stones (calcium sulfate hemihydrate)
130-200°C
hexagonal anhydrite
200-1000°C
orthorhombic anhydrite
mode of use of gypsum
mixed with water in specific proportion
exothermic reaction-> hemihydrate to dihydrate as material sets
slurry water can speed up the setting reaction
Two types of gypsum powder particles
B-hemihydrate (plaster)
a-hemihydrate (stone)
characteristics of B-hemihydrate
irregular
spongey
requires more water for rxn
characteristics of a-hemihydrate
regular in shape
dense
less water required for reaction
die stone
modified a-hemihydrate
shorter and thicker crystals
requires even less water than a-hemihydrate
higher strength stone
type I gypsum
impression plaster--- impressions and occlusal records
type II gypsum
model plaster (study casts and ortho models)
type III gypsum
dental stone (definitive casts)
type IV gypsum
high strength dental stone (die stone for wax patterns)
type V gypsum
High strength, high expansion dental stone
what types are b-hemihydrates
type I and II
what types are a-hemihydrates
type III, IV, and V
desired properties of gypsum
adequate working time
short setting time
high strength, harness, and resistance to abrasion
low setting expansion (except type V)
when does setting time begin for gypsum
upon contact with water
inadequate wetting does what to gypsum product
reduces strength, hardness, and resistance to abrasion
longer mixing time does what to the working time
reduces
T/F the water to powder ratio is critical
true
what does the water:powder ratio tell us
the amount (in mL) of water needed to add to 100g of powder
dry compressive strengths (compressive strength at one hour (mPa))
type I: 4
type II: 9
type III: 20.7
type IV: 34.5
type V: 48.3
what happens to dry compressive strengths over time
after initial set, dry compressive strength increases for about 24 hours and then remains constant
dissolution-precipitation theory
supersaturated solution precipitation
upon mixing with water a solution is formed
hemihydrate dissolves forming a concentrated solution of calcium and sulfate
dihydrate precipitates out of solution and recrystallization occurs to form the stone
initial setting time
when the mix cannot be penetrated by light Gillmore needle pressure
final setting time
barely perceptible mark left by heavy Gillmore needle pressure
two types of mixing times
1. mechanical mixing time (use a vacuum mixer)
-20-30seconds
2. handmixing- (bowl and stone spatula)
-approx. 60 seconds
3 ways to control setting time
1. solubility of hemihydrate
-increase solubility= rate of crystallization
2. number of crystalline nuclei
-increased number=increased rate of crystallization
3. retardants/accelerants
result of increased water to powder ratio
increased working and setting times
decreased hardness, strength, and resistance to abrasion
decreased setting expansion
how does mixing time affect setting time
longer and more vigorous mixing shortens setting time
what does water temp due to setting time
warmer water: decreases setting time (erratically)
colder water: increases setting time
effect of slurry water on setting time
increases rate of crystallization by providing additional seeds of nucleation
shortens setting time
chemical accelerants
potassium sulfate
sodium chloride
sodium sulfate
borox
difference of uses of borax dependent on concentrations
low conc: accelerant
high conc: retardant
setting expansion
the slight swelling of the gypsum while it is getting hard; crystals push against each other creating porosities
initial contraction, expansion, smaller contraction
hygroscopic setting expansion
expansion that occurs when gypsum or a gypsum-bonded investment sets while immersed in water
2x more than normal setting expansion
crystals can grow more freely
most effective method at controlling setting expansion
chemical modulation
does increasing or decreasing the water:powder ratio decrease setting expansion? why?
increasing water: powder ratio
solution is more dilute and there is less crowding when gypsum is setting so less impinging and therefore can grow without crowding
two ways to increase setting expansion
lower W:P ratio
longer mixing time
wet strength vs dry strength
wet strength=green strength
-strength when excess water is still present
dry strength
-strength after all excess water is used
2-3x that of wet strength
what is the result of increased W:P ratio on strength
decreases strength
fewer crystals per unit volume
mixing time on strength
increasing mixing time increases strength
too much mixing can decrease strength by preventing crystal interlocking
additives on strength
additives can increase strength of final product
is hand mixing or mechanical mixing preferred method
mechanical
two things needed for handmixing
parabolic bowl and rigid/stiff spatula
how long should you handmix
thoroughly for 1 minute
what does increasing mixing time do to working time
decreases
what is the advantage of mixing on a vibration table
decreases incorporated air
what type of vibration should be used
high frequency/low amplitude
what can too much vibration cause
air bubbles
how to pour an impression with gypsum
surface of impression should be free from excess water/surfactant
add small amount of stone to one end of the impression, adjust vibration speed to allow to flow freely
tilt impression to control movement
add more stone to same spot under light vibration
mound stone on flat plate (two pour technique)
disinfection of gypsum cast
should be disinfected
solution shouldnt disrupt accuracy or details
can be incorporated into material but hasnt been FDA approved yet
what is the effect of water on gypsum casts
dissolves it
what temperature can you not store/heat gypsum casts past
130°
what gypsum is used at marquette
buffstone (whipmix)
water:powder ratio of buffstone
0.3
30mL/100g
working time of buffstone
6-8 minutes
setting time of buffstone
15 minutes
setting expansion of buffstone
0.15%
compressive strength, wet of buffstone (1 hour)
28 mPa
compressive strength, dry of buffstone (48 hours)
56 mPa
3 ways to classify impression material
1. usage/clinical application
-preliminary(low accuracy)
-definitive (very high accuracy
2. elastic vs non-elastic
-nonelastic (edentulous)
-elastic (edentulous and dentulous)
3. setting rxn
-reversible (not used anymore)
-irreversible
two types of impression trays
stock and custom
two types of tissue management
perioral (lips/cheeks)
intraoral (hard and soft tissues, gingiva)
types of stock metal trays
quadrant
full arch
maxillary
mandibular
use of adhesive with stock metal trays
no adhesive used
stock plastic trays
quadrant
full arch
mandibular
maxillary
use of adhesive with stock plastic trays
generally use an adhesive
how are custom trays made
fabricated on a cast
use of adhesive with custom trays
generally use an adhesive
purpose of perforations and ridges in impression trays
retention of impression material
T/F adhesives are material specific
true
what is working time
time from beginning of mixing to initial setting
what is setting time
Time elapsed from the onset of mixing until the end of setting
importance of elasticity in impression material
after removal from mouth, material should return to its original dimensions without permanent deformations
viscoelastic behavior
allow for accurate impressions of undercuts of teeth
types of hydrocolloids
reversible (agar)
irreversible (alginate)
what type of impressions does alginate produce
preliminary
what can be produced from alginate impressions
study (diagnostic) casts, treatment planning, patient education, preparing custom trays
accuracy needed for preliminary vs definitive impressions
minimum for preliminary: 75 micrometers
minimum for definitive: 25 micrometers
imbibition
Absorption of water from environment, swelling
syneresis
Loss of water, shrinkage
what is the result of a volatile byproduct of an impression
shrinkage
alginate used by marquette
jeltrate (dentsplysirona)
mixing time
60s
working time
2 min 15 seconds
initial setting time of jeltrate
2 min 30 s
setting time of jeltrate
3 min 30s
ratios for partial/quadrant impression
1 scoop, 1/3 measure of water
ratios for medium maxillary / any mandibular impression
2 scoops, 2/3 measure water
ratio for large maxillary impression
3 scoops and 1 measure of water