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Silver paste announced in
1826
Dental amalgam consists of
Mercury metal + Amalgam alloy
3 classifications of amalgam alloy powder
Lathe-cut (Low copper)
Admixed (high copper)
Spherical (high copper)
Solubility of amalgam alloy in mercury
Cu - 1 atom
Ag - 10 atoms
Sn - 170 atoms
Gamma phases and composition
Gamma: Ag3Sn
Gamma1: Ag2Hg3
Gamma 2: Sn7Hg
3 major alloys for dental amalgam
Ag, Sn, Cu (Silver, Tin, Copper)
Properties of the alloys for dental amalgams
Silver - Strength, setting reaction & expansion
Tin - Amalgamation, reduced expansion
Copper - strength, hardness, setting reaction
Zinc - Amalgamation, O2 & H2O remover
Mercury - Amalgamation
What is the creep, compressive strength tests and dimensional change ADA specifications of dental amalgam
Creep: < 1 %
Compressive Strength: 1 hr > 80 MPa | 24 hr > 300 MPa
Dimensional change: -0.15 to +0.20
Amalgam waste handling
Scrap amalgam stored under water, glycerin or tightly capped jar that is completely filled with liquid to minimize gas space
Facts about mercury
naturally occuring
½ of Hg released comes from human activity
<1 % from dentistry but causes up to 45% mercury in water
Biggest exposure of mercury?
Methylmercury (most toxic) from fish
Having ___ amalgam surfaces may increase brain mercury concentration by about ___ micrograms/kgs
25, 10
Mercury exposure symptoms
Kidney inflammation, swollen gums, pronounced tremor and nervous system disturbances
Use of amalgam is contraindicated/ not recommended when:
In proximal or occlusal contact to dissimilar metal restorations
Renal deficiency, allergies to it, endo, children or pregnant
Summary of amalgam
one of most common, safe, used widely, strong, lasting and low-cost
Amalgam is ____ in compression and _____ in tensile
strong, weak
No chemical bonding properties, only mechanical
Lathe-cut vs Spherical
Lathe- more surface area needs more mercury 1.2/1
Spherical - Less surface area less mercury 0.8/1
T/F Elemental mercury is toxic when swallowed
False
Mercury is toxic when spills and inhaled
Yes, 80% by lungs, acute toxicity is rare (easy to die)