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dental materials
is defined as the study and science of the development, properties, manipulation, care, evolution, and evaluation materials used in the treatment and prevention of dental disease
the earliest use of dental materials dates to about
600 BC
When was gold foil used to fill small cavities in italy
1500 AD
wax and plaster used around this time to make crude impressions
1500 AD
the first dental amalgam was used in
1800s, similar to the formula of today’s amalgam
when was the introduction of zinc phosphate cement which is still used today
1880s
hazardous chemical
is defined as any chemical that has been shown to cause a physical or health hazard
acute chemical toxicity
results from high levels of exposure over a short time
frequently caused by a large chemical spill in which the exposure is sudden
chronic chemical toxicity
results from repeated exposure, usually at lower doses, over a much longer time
why does studying dental materials enhance safety?
appropriate handling and disposal of dental materials
why does studying dental materials promote awareness
allows clinicians to have awareness of the overall success of a particular material’s properties in dental applications
why does studying dental materials maintain materials properly
Recognition of dental materials present in the oral cavity
effective cleaning, polishing, and instrumentation as a result
Why does studying dental materials allow the clinician to deliver correctly
accurate knowledge of the behavior of a dental material on application
correct manipulation of material
effective delivery or assistance in the delivery of material (education)
American Dental Association
established in 1930
establishes rigorous guidelines for testing products
ensures the efficacy of a product
voluntary program
ADA seal of acceptance
designed to help consumers make informed decisions about the safety and efficacy of products
U.S. food and drug administration (FDA)
regulates dental devices and dental materials
It is one of the oldest consumer protection agencies, designed to help consumers make informed decisions about the safety and efficacy of products
class I FDA regulation
gloves and prophy paste
class II FDA regulation
Amalgam or composite materials
class III FDA regulation
implants or bone grafting materials
ISO (international organization for standardization) and FDI (world dental federation)
Both international agencies listed here represent the standards used to develop specifications and testing on an international level
particulate matter
extremely small particles (dust from dental plaster)
personal protective equipment
PPE
gloves, mask, gowns, eyewear, and other protective equipment for the employee
These should be worn when using ANY dental material
bio-aerosol
a cloudlike mist containing droplets, tooth dust, dental material dust, and bacteria of a particle size less than 5 microns in diameter
splatter
small particles that may contain blood, saliva, oral particulate matter, water, and microbes
toxicity
The degree to which a product or a chemical can cause damage to the body
flash point
the lowest temperature at which the vapor of a volatile substance will ignite
low __ __ means that a substance can catch fire easily near an open flame (many solvents used with dental materials)
ignitable
a material or chemical that can erupt into fire easily
flammable or combustible
corrosive
usually a strong acid or strong base that can cause damage to metals and equipment
gradual chemical destruction of metallic materials
such as the rusting of metal instruments
reactive
The reaction of opposing chemical substances that creates a different end product
(chemically unstable or explosive, reacts violently with water, or is capable of giving off toxic fumes when mixed with water)
safety data sheet
printed product reports from the manufacturer containing important information about the chemicals, hazards, handling, cleanup, and special PPE related to a product
pneumonconiosis
Fibrotic lung disease that can be caused by chronic exposure to the dust generated in the manipulation of dental materials
hazardous materials in the dental office
exposure to
particulate matter
mercury
toxic effects of chemicals
airborne contaminants
biological contaminants
DOs of eco-conscience green practices
choose reusable
use alcohol hand rubs when hands are not visibly soiled
use trigger/pump sprays instead of aerosols
eliminate discarding excess product past its expiration date (manage inventory)
ensure accurate mixing of chemicals
switch to digital instead of film x-rays
ensure sterilizers and cleaning units are as full as possible
use products made from recycled materials
use products that are recyclable
top ten initiatives
Install an amalgam separator
Turn off equipment when not in use
reuse paper scraps
Use recycle bins and create a “green team” to bring items to recycling centers
Recycle shredded confidential patient information
convert to digital technology
Install solar or tinted shades
Install locked or programmable thermostats
install high efficiency light bulbs
Use non-toxic cleaners and dont use too much disinfectant
toxic
The substance contains arsenic, barium, chromium, mercury, lead, silver, or certain pesticides
ex: dental amalgam, asbestos, lead foil