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DENTAL AMALGAM WITH
RECENT ADVANCES
Overview
• Introduction
• History
• Indications, Contraindications,
Advantages & Disadvantages
• Basic Composition
• Manufacture of Alloy
• Mode of Supply
• Classification of Alloy
• Technical Considerations
• Properties of Amalgam
• Mercury Toxicity
• Newer Advances
• Controversy of Amalgam
• Conclusion
Introduction
Alloy
History
• 1833
– Crawcour brothers introduce
amalgam to US
• powdered silver coins mixed with mercury
– expanded on setting
• 1895
– G.V. Black develops formula
for modern amalgam alloy
• 67% silver, 27% tin, 5% copper, 1% zinc
– overcame expansion problems
Sir Regnart is called the father of amalgam.
Amalgam was first introduced in England in 1819
and later in Paris by Taveau in 1826
Indications, Contraindications,
Advantages & Disadvantages
Basic Composition
Alloy Powder:
• Silver
• Tin
• Copper
• Zinc
• Indium
• Platinum & Palladium
• Liquid:
• Mercury
Manufacturing Process
• Lathe-cut alloys
– Ag & Sn melted together
– alloy cooled
• phases solidify
– heat treat
• 400 ºC for 8 hours
– grind, then mill to 25 - 50 microns
Phillip’s Science of Dental Materials 2003
Manufacture of the Alloy
Manufacturing Process
• Spherical alloys
– melt alloy
– atomize
• spheres form as particles cool
– sizes range from 5 - 40 microns
Phillip’s Science of Dental Materials 2003
Particle Shape
• Lathe cut
• Spherical
•Spheroidal
Mode of Supply
• Powder & Liquid
• Capsule
• Sachets & Pellets
Alloy
Classification
• Depending upon the copper content.
– Low copper alloy.
– High copper alloy Admixed alloy
Single composition alloy
• Based on zinc content
– Zinc containing alloy
– Zinc free alloys.
• According to the shape of the powder particle
– Lathe cut.
– Spherical.
– Spheroidal
• Based on number of alloying metals:
1. Binary.
2. Tertiary.
3. Quarternary.
• Based on noble metal content
• Generations of amalgam
Conventional Low-Copper Alloys
Ag3Sn + Hg  Ag3Sn + Ag2Hg3 + Sn8Hg
Phillip’s Science of Dental Materials 2003
  1 2
Ag3-Sn Alloy
Mercury (Hg)
+
 2
Ag3-Sn + Ag2-Hg3 + Sn8Hg
1
• Composition:
– Silver – 63-70%
– Tin – 26-28%
– Copper- 2-5%
– Zinc – 0-2%
Admixed High-Copper Alloys
• Ag enters Hg from Ag-Cu
spherical eutectic particles
– eutectic
• an alloy in which the elements
are completely soluble in liquid
solution but separate into distinct
areas upon solidification
• Both Ag and Sn enter Hg
from Ag3Sn particles
Phillip’s Science of Dental Materials 2003
Ag3Sn + Ag-Cu + Hg  Ag3Sn + Ag-Cu + Ag2Hg3 + Cu6Sn5
  1 
Ag-Sn
Alloy
Ag-Sn
Alloy
Mercury
Ag
Ag
Ag
Sn
Sn
Ag-Cu Alloy
Ag
Hg
Hg
High-Copper Alloys
Admixed High-Copper Alloys
• Sn diffuses to surface of
Ag-Cu particles
– reacts with Cu to form
(eta) Cu6Sn5 ()
• around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy

Ag-Sn
Alloy
Phillip’s Science of Dental Materials 2003
Ag3Sn + Ag-Cu + Hg  Ag3Sn + Ag-Cu + Ag2Hg3 + Cu6Sn5
  1 
Admixed High-Copper Alloys
• Gamma 1 (1) (Ag2Hg3)
surrounds () eta phase
(Cu6Sn5) and gamma ()
alloy particles (Ag3Sn) Ag-Sn
Alloy
1
Ag-Cu Alloy

Ag-Sn
Alloy
Phillip’s Science of Dental Materials 2003
Ag3Sn + Ag-Cu + Hg  Ag3Sn + Ag-Cu + Ag2Hg3 + Cu6Sn5
  1 
Single Composition
High-Copper Alloys
• Gamma sphere () (Ag3Sn)
with epsilon coating ()
(Cu3Sn)
• Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)

Ag
Sn
Ag
Sn
Ag3Sn + Cu3Sn + Hg  Ag3Sn + Cu3Sn + Ag2Hg3 + Cu6Sn5
Phillip’s Science of Dental Materials 2003
  1 
 
Single Composition
High-Copper Alloys
• Gamma 1 (1) (Ag2Hg3) crystals
grow binding together partially-
dissolved gamma () alloy
particles (Ag3Sn)
• Epsilon () (Cu3Sn) develops
crystals on surface of
gamma particle (Ag3Sn)
in the form of eta () (Cu6Sn5)
– reduces creep
– prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1

Ag3Sn + Cu3Sn + Hg  Ag3Sn + Cu3Sn + Ag2Hg3 + Cu6Sn5
Phillip’s Science of Dental Materials 2003
  1 
 
Technical Considerations
• Selection of the alloy
• Proportioning of the alloy
• Trituration
• Condensation
• Precarve burnishing
• Carving
• Burnishing
• Finishing and polishing
Selection of the alloy
• EAMES Technique
– Alloy & mercury 1:1
Proportioning of the alloy
Trituration
• Normal mix
• Overtrituration
• Undertrituration
Phillip’s Science of Dental Materials 2003
Hand mixing
Mechanical mixing
Condensation
Precarve burnishing
Carving
Burnishing
Ben-Amar Dent Mater 1987
Finishing
Polishing
Properties of Amalgam
• Dimensional change
• Strength
• Corrosion
• Creep
Dimensional Change
• According to ADA specification
No. 1 Amalgam should not either
contract or expand more than
20µ per cm at 37°C.
– Stage I – Initial contraction for
20mins followed by
– Stage II – Expansion
– Stage III – Delayed contraction.
Phillip’s Science of Dental Materials 2003
Strength
Phillip’s Science of Dental Materials 2003
Compressive
Strength (MPa)
% Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 2.0 60
Admixture2 137 431 0.4 48
Single Composition3 262 510 0.13 64
Amalgam Properties
Corrosion
Sutow J Dent Res 1991
Creep
Phillip’s Science of Dental Materials 2003
Mercury Toxicity
Newer Advances
• High copper amalgam
• Bonded amalgam
• Gallium based alloys
• Direct filling silver
• Powder coated technology
• Alloying additions
Controversy of amalgam
Conclusion
Thank you

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Dental amalgam - Recent advances

  • 2. Overview • Introduction • History • Indications, Contraindications, Advantages & Disadvantages • Basic Composition • Manufacture of Alloy • Mode of Supply • Classification of Alloy • Technical Considerations • Properties of Amalgam • Mercury Toxicity • Newer Advances • Controversy of Amalgam • Conclusion
  • 4. History • 1833 – Crawcour brothers introduce amalgam to US • powdered silver coins mixed with mercury – expanded on setting • 1895 – G.V. Black develops formula for modern amalgam alloy • 67% silver, 27% tin, 5% copper, 1% zinc – overcame expansion problems Sir Regnart is called the father of amalgam. Amalgam was first introduced in England in 1819 and later in Paris by Taveau in 1826
  • 6. Basic Composition Alloy Powder: • Silver • Tin • Copper • Zinc • Indium • Platinum & Palladium • Liquid: • Mercury
  • 7. Manufacturing Process • Lathe-cut alloys – Ag & Sn melted together – alloy cooled • phases solidify – heat treat • 400 ºC for 8 hours – grind, then mill to 25 - 50 microns Phillip’s Science of Dental Materials 2003 Manufacture of the Alloy
  • 8. Manufacturing Process • Spherical alloys – melt alloy – atomize • spheres form as particles cool – sizes range from 5 - 40 microns Phillip’s Science of Dental Materials 2003
  • 9. Particle Shape • Lathe cut • Spherical •Spheroidal
  • 10. Mode of Supply • Powder & Liquid • Capsule • Sachets & Pellets Alloy
  • 11. Classification • Depending upon the copper content. – Low copper alloy. – High copper alloy Admixed alloy Single composition alloy • Based on zinc content – Zinc containing alloy – Zinc free alloys. • According to the shape of the powder particle – Lathe cut. – Spherical. – Spheroidal
  • 12. • Based on number of alloying metals: 1. Binary. 2. Tertiary. 3. Quarternary. • Based on noble metal content • Generations of amalgam
  • 13. Conventional Low-Copper Alloys Ag3Sn + Hg  Ag3Sn + Ag2Hg3 + Sn8Hg Phillip’s Science of Dental Materials 2003   1 2 Ag3-Sn Alloy Mercury (Hg) +  2 Ag3-Sn + Ag2-Hg3 + Sn8Hg 1 • Composition: – Silver – 63-70% – Tin – 26-28% – Copper- 2-5% – Zinc – 0-2%
  • 14. Admixed High-Copper Alloys • Ag enters Hg from Ag-Cu spherical eutectic particles – eutectic • an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification • Both Ag and Sn enter Hg from Ag3Sn particles Phillip’s Science of Dental Materials 2003 Ag3Sn + Ag-Cu + Hg  Ag3Sn + Ag-Cu + Ag2Hg3 + Cu6Sn5   1  Ag-Sn Alloy Ag-Sn Alloy Mercury Ag Ag Ag Sn Sn Ag-Cu Alloy Ag Hg Hg High-Copper Alloys
  • 15. Admixed High-Copper Alloys • Sn diffuses to surface of Ag-Cu particles – reacts with Cu to form (eta) Cu6Sn5 () • around unconsumed Ag-Cu particles Ag-Sn Alloy Ag-Cu Alloy  Ag-Sn Alloy Phillip’s Science of Dental Materials 2003 Ag3Sn + Ag-Cu + Hg  Ag3Sn + Ag-Cu + Ag2Hg3 + Cu6Sn5   1 
  • 16. Admixed High-Copper Alloys • Gamma 1 (1) (Ag2Hg3) surrounds () eta phase (Cu6Sn5) and gamma () alloy particles (Ag3Sn) Ag-Sn Alloy 1 Ag-Cu Alloy  Ag-Sn Alloy Phillip’s Science of Dental Materials 2003 Ag3Sn + Ag-Cu + Hg  Ag3Sn + Ag-Cu + Ag2Hg3 + Cu6Sn5   1 
  • 17. Single Composition High-Copper Alloys • Gamma sphere () (Ag3Sn) with epsilon coating () (Cu3Sn) • Ag and Sn dissolve in Hg Ag-Sn Alloy Ag-Sn Alloy Ag-Sn Alloy Mercury (Hg)  Ag Sn Ag Sn Ag3Sn + Cu3Sn + Hg  Ag3Sn + Cu3Sn + Ag2Hg3 + Cu6Sn5 Phillip’s Science of Dental Materials 2003   1   
  • 18. Single Composition High-Copper Alloys • Gamma 1 (1) (Ag2Hg3) crystals grow binding together partially- dissolved gamma () alloy particles (Ag3Sn) • Epsilon () (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn) in the form of eta () (Cu6Sn5) – reduces creep – prevents gamma-2 formation Ag-Sn Alloy Ag-Sn Alloy Ag-Sn Alloy 1  Ag3Sn + Cu3Sn + Hg  Ag3Sn + Cu3Sn + Ag2Hg3 + Cu6Sn5 Phillip’s Science of Dental Materials 2003   1   
  • 19. Technical Considerations • Selection of the alloy • Proportioning of the alloy • Trituration • Condensation • Precarve burnishing • Carving • Burnishing • Finishing and polishing
  • 21. • EAMES Technique – Alloy & mercury 1:1 Proportioning of the alloy
  • 22. Trituration • Normal mix • Overtrituration • Undertrituration Phillip’s Science of Dental Materials 2003 Hand mixing Mechanical mixing
  • 29. Properties of Amalgam • Dimensional change • Strength • Corrosion • Creep
  • 30. Dimensional Change • According to ADA specification No. 1 Amalgam should not either contract or expand more than 20µ per cm at 37°C. – Stage I – Initial contraction for 20mins followed by – Stage II – Expansion – Stage III – Delayed contraction. Phillip’s Science of Dental Materials 2003
  • 31. Strength Phillip’s Science of Dental Materials 2003 Compressive Strength (MPa) % Creep Tensile Strength (24 hrs) (MPa) Amalgam Type 1 hr 7 days Low Copper1 145 343 2.0 60 Admixture2 137 431 0.4 48 Single Composition3 262 510 0.13 64 Amalgam Properties
  • 33. Creep Phillip’s Science of Dental Materials 2003
  • 35. Newer Advances • High copper amalgam • Bonded amalgam • Gallium based alloys • Direct filling silver • Powder coated technology • Alloying additions