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PRESENTED BY-
SWARNEET KAKPURE (PG)
DEPT OF CONS & ENDO.
• Historical Perspective on Dental Casting Alloys
• Classification of Dental Casting Alloys
• Desirable Properties of Dental Casting Alloys
• Functional Mechanical Properties of Casting Alloys
• Alloys for All-Metal Prostheses
• Alloys for Metal-Ceramic Prostheses
• Alloys for Removable Partial Dentures
• Alternative Technologies for Fabricating Prostheses
• Biological Hazards of Base Metal Alloys
•
•
TAGGART
ONLAYS,
FDPS
•
type VHN values
type I soft, VHN, 50 to 90
type II medium, VHN, 90 to 120
type III hard, VHN, 120 to 150
type IV extra hard, VHN 150 and above
•

LIGHTER WEIGHT, GREATER STIFFNESS
GREATER STRENGTH, AND REDUCED COST.

•

FIXED EXCHANGE RATES BETWEEN GOLD AND CURRENCY.
 PRICE OF GOLD ROSE STEADILY
 REPLACED GOLD PARTIALLY OR ENTIRELY WITH A LESS EXPENSIVE
NOBLE METAL
•
•
•
PRICE OF PALLADIUM WAS LESS THAN HALF THAT OF
GOLD.
•
•
A.
B.
C.
•
•
A.
B.
C.
•
BIOCOMPATIBILITY
TARNISH AND
CORROSION
RESISTANCE
THERMAL
PROPERTIES
STRENGTH
REQUIREMENTS
FABRICATION OF
CAST PROSTHESES
AND FRAMEWORKS
PORCELAIN
BONDING
ECONOMIC
CONSIDERATIONS
MECHANICAL
PROPERTIES
YIELD
STRENGTH
DUCTILITYHARDNESS
FATIGUE
RESISTANCE

 BASE METAL ALLOYS
TWICE AS HIGH NOBLE
METAL ALLOYS.

0.2% OFFSET YIELD STRENGTH
 CAPACITY OF A CAST PROSTHESIS
TO WITHSTAND MECHANICAL STRESSES
High yield strength Higher capacity to deal with
stress
tensile yield strengths above 300 Mpa function satisfactorily in
the mouth.
 THE AMOUNT OF PLASTIC
DEFORMATION

ADJUSTING A PROSTHESIS BURNISHING
A CAST METAL MARGIN .
 RESISTANCE OF THE SURFACE TO
INDENTATION
 HIGH TO RESIST
SCRATCHING

REPEATED LOADING AND UNLOADING
 LOAD IS ABOVE A CERTAIN THRESHOLD, IT INITIATES CRACKS
 FRACTURES OF PROSTHESES AND RESTORATIONS

•
VARIOUS ELEMENTS IN GOLD
Element uses
Platinum increases the hardness and
elasticity of gold and raises the
melting temperature of the alloy.
Silver Effective in neutralizing the
reddish color of copper in Au/Cu
alloys
In palladium based alloys, silver is
needed to develop the white color
of the alloys.
Palladium tarnish/ corrosion resistance
Zinc as an oxygen scavenger
Indium promote a gold-like color in pd-Ag-
based alloys
Iridium or ruthenium as a grain refiner
• SOME NOBLE METALS NO GOLD
Au-based
alloys
Ag-Pd alloys
•
Type of gold alloys Uses & properties
Type 1 Inlays supported by teeth and not
subjected to significant mastication forces
Type 2 Widely used for inlays, but they have less
ductility than type 1 alloys.
Type 3 Crowns and onlays for high-stress areas.
Type 4 High-stress areas such as bridges and
partial denture frameworks.
•
 RIGID TO RESIST FLEXURE
 HIGH YIELD STRENGTH
 DUCTILE ADJUSTMENT IN THE CLASP
Changes of alloy color
caused by the reduction in
gold
compensated for by an
increase in copper, silver,
and palladium
Higher silver and copper
content
reduces the corrosion
resistance
To harden the alloy, the temperature of the furnace is set
between 200 °C and 450 °C and the casting is heated for
15 to 30 minutes before it is quenched in water.
The tensile strength, proportional limit, and hardness are
reduced by such a treatment, and the ductility is increased
To soften the alloy, the casting is placed in a furnace for
10 minutes at 700 °C and then quenched in water.
These alloys are white and
predominantly silver in composition, but
they contain at least 25% of palladium to
provide nobility and increase the tarnish
resistance of the alloy.
The copper-free Ag-pd alloys may
have physical properties similar to
those of a type 3 gold alloy.
Despite reports of poor castability,
Ag-pd alloys can produce acceptable
castings.
The major limitation of ag-pd alloys is
their greater potential for tarnish and
corrosion.
Silver-Palladium
Alloys
The amount of corrosion expected
during service is negligible if the
palladium content is greater than
25%.
By melting palladium and indium at
the composition of 50% in and 50%
pd the alloy is copper colored but
increasing the palladium content
causes the alloy to lose its reddish
color and acquire a gold color.
A minimum of 15% by weight of
pd-in intermetallic compound is
needed to maintain the yellowish
color.
Silver, copper, and/or gold can be
added to increase the ductility and
improve the castability of the alloy
for dental applications.
Silver-Palladium
Alloys
Chromium
rapidly oxidizes
to form a thin
layer of
chromium oxide
Which prevents
the diffusion of
oxygen into the
underlying metals
and improves its
corrosion
resistance.
Rely on
chromium for
corrosion
resistance.
• NI-CR SMALL CASTINGS
CROWNS FDPS
• CO-CR ALLOYS REMOVABLE PARTIAL
DENTURES
base metal
dental alloys
nickel-
chromium
(Ni-Cr)
without
beryllium
With
beryllium
cobalt-
chromium
(Co-Cr)
• MOST BIOCOMPATIBLE METAL
• THIN
PASSIVATING OXIDE FILM (APPROXIMATELY 10 NM THICK),
•
All-metal
prosthesis
Metal-ceramic Implants
Removable
partial denture
frameworks.
 HIGH MELTING POINT (1668 °C)
OXIDATION ABOVE 900 °C

 HIGH MELTING TEMPERATURE
HIGHLY RESISTANT TO SAG DEFORMATION
• COMPARABLE TO THAT OF
TOOTH ENAMEL AND NOBLE ALLOYS LOWER THAN THAT
OF OTHER BASE METALS.
• EXCELLENT CORROSION
RESISTANCE.
•
1.
2.
3.
4.
An argon/arc with a non-consumable tungsten electrode
or high-frequency induction is used for melting titanium
alloys in an argon or helium atmosphere.
Crucibles are made of copper, magnesia, or carbon
Centrifugal force, casting pressure difference, and gas
pressure have been used to force the molten-metal flow
into the mold.
To eliminate the effect of oxygen during fabrication of
titanium prostheses, computer-aided design/computer-
aided manufacturing (CAD/CAM) has been used to
produce fixed prosthesis frameworks.
• CHIEF OBJECTIONS
LOW TENSILE STRENGTH AND
RELATIVELY LOW SHEAR STRENGTH
• SUPPORT THE
PORCELAIN WITH A CAST ALLOY SUBSTRUCTURE
STRONG BOND IS ATTAINED
BETWEEN THE PORCELAIN VENEER AND THE METAL.
•
• They should have the potential to bond to
dental porcelain,1.
• they should exhibit coefficients of thermal
contraction compatible with those of dental
porcelain
2.
• their solidus temperature is sufficiently high
to resist softening during the sintering of
porcelain.
3.
• ADDITION OF A SMALL QUANTITY OF BASE METAL TO NOBLE AND
HIGH NOBLE PROMOTES OXIDE FORMATION ON THE SURFACE
• POORLY ADHERENT
OXIDE
PORCELAIN DELAMINATING FROM THE METAL SUBSTRATE
• LOWER-PURITY ALUMINUM OXIDE
ABRASIVES
• SOLIDUS TEMPERATURE-
• LIQUIDUS TEMPERATURE-
When a metal-ceramic prosthesis is cooled from the
sintering temperature, the metal and its veneering
ceramic contract at different rates because of
differences in their thermal contraction coefficients.
Meanwhile, the chemical bond between the metal
and the porcelain prevents the two components from
separating; this condition forces the two components
to adjust their respective dimensions in response to
stresses that develop during the cooling cycle.
Thus, the component that contracts more will be
stretched by the adjacent component, which
contracts less; at the same time, the material that
contracts less will be compressed by the other.
Such changes in dimension are
controlled by certain stresses that act on
each of the two components
If the transient tensile stresses that
develop during cooling are
insufficient to cause immediate
cracking of the porcelain or delayed
cracking after cooling to room
temperature, the combination of a
metal-porcelain system is
considered thermally compatible.

RECOMMENDED
ARE
PROTECTIVE IN NATURE.

 BOTH COMPRESSIVE
 A THERMAL CONTRACTION MISMATCH
HIGHER COEFFICIENT OF CONTRACTION OF PORCELAIN
 ADDITIVE EFFECT OF TANGENTIAL TENSILE STRESS
CRACK PROPAGATION

LOWER THAN THAT OF THE METAL (ΑP MUCH LOWER THAN ΑM),
PORCELAIN CRACKING

 DELAYED CRACKS IN PORCELAIN
 STRESS CORROSION

 ACUTE EXTERNAL ANGLES ON THE
INCISAL EDGES
 SANDBLASTING
LIMIT THE TIME OF SANDBLASTING
This adverse effect has been
overcome recently by the
compositional modification of
some veneering porcelains.
Discoloration of the porcelain
near the cervical region of the
metal-ceramic prosthesis has
been reported to occur when a
silver-containing alloy is used
as the substrate.
Color changes included green,
yellow-green, yellow-orange,
orange, and brown hues.
This discoloration
phenomenon has generally
been called “greening.”
The extent of porcelain
discoloration was most severe
for higher-silver-content
alloys, lighter shades, lower
opacifier and higher sodium
contents.

 LIGHTWEIGHT METAL-CERAMIC ALLOYS
•
•
•
•
•
•
•
•

HIGHER HARDNESS AND ELASTIC
MODULUS (STIFFNESS)


•
ACETYLENE-OXYGEN FLAME
ELECTRICAL INDUCTION HEATING SOURCE
• PHOSPHATE- OR
SILICATE-BONDED INVESTMENT MATERIAL
CASTING TEMPERATURE
• ABOUT HALF
• LIGHTER WEIGHT
NOT
•
A VENT AND A LARGER
SPRUE SIZE
The brand name of the alloy, the alloy type, and the porcelain. The
response allows you to determine if the alloy has been tested and
accepted according to the standards of national or international
standards organizations (ADA, ISO, British Standards Institute [BSI]
etc.).
The number of years of experience with the material systems and
main problems encountered. If the system has been used for less
than 3 years, limited information will be available on its clinical
performance. If porcelain debonding or crack formation is the major
problem, find another laboratory or a more reliable product.
If there is difficulty in soldering the alloy or bonding porcelain to it,
the laboratory should provide evidence of at least 3 years of proven
success of the system used in all aspects of use for the indicated
purposes.
•
• RIGID AND RESIST
PLASTIC DEFORMATION,
• CLASPS TYPE 4 GOLD
•
Sintering
CAD-CAM
Copy milling of
metal blocks
Electroforming
Three-
dimensional
printing
•
•
• CAPTEK P AND CAPTEK G,
• CAPCON AND CAPFIL
• CAPTEK REPAIR PASTE AND CAPFIL

• AS 0.3
MM.
• ANTERIOR CROWN
0.7 TO 1.0 MM
• POSTERIOR CROWNS 1.2 MM
•
ONE
APPOINTMENT.
•
HIGHER QUALITY CERAMICS
IMPROVED
PROPERTIES COMPARED WITH
CONVENTIONAL SINTERED OR HOT-
PRESSED CERAMICS.
The computer controlled milling machine can then perform the milling or grinding for fabrication
of a ceramic prosthesis within a few minutes.
Within minutes, the prosthesis can be fabricated and placed on prepared teeth and bonded or
cemented in the mouth of the patient in a time ranging from 10 minutes to 1 hour
The image data can be retrieved immediately to mill or grind a metal, ceramic, or composite
prosthesis by computer control from a solid block of the chosen material.
Stores these data in the memory of a computer.
The optical scanning procedure eliminates the need for an impression
A CAD-CAM system electronically or digitally records surface coordinates of the prepared teeth
• OF TRACING THE SURFACE
OF A RESIN PROSTHESIS PATTERN, WH REPLICATED ON A
BLANK OF CERAMIC, COMPOSITE, OR METAL
ROTATING WHEEL
•
• MASTER CAST OF THE PREPARED TOOTH
• A CONDUCTIVE SILVER LAYER IS APPLIED
• THICK LAYER OF GOLD OR OTHER METAL IS
DEPOSITED
• COATED WITH A BONDING AGENT
SUBSEQUENT CERAMIC LAYERS ARE CONDENSED
•
• TO GENERATE WAX PATTERNS
FOR CASTING AND PROVISIONAL PROSTHESES
•
The metal powder is first spread across the
working platform
A laser traces the outline of each part being
printed, and metal powder is fused to the layer
below it.
As the platform is lowered, a new layer of
material is spread across the platform and the
process is repeated until the printing process is
completed. This process is called direct laser
metal sintering (DLMS).
For dental applications, the metal powder can be
titanium, Co-Cr, or a noble metal.
•
1.
2.
3. ACUTE DISEASE STATES-
CONTACT DERMATITIS TO SEVERE CHEMICAL PNEUMONITIS
4. CHRONIC DISEASE STATE
COUGHING, CHEST PAIN, AND
GENERAL WEAKNESS TO PULMONARY DYSFUNCTION.
THE INTRAORAL EXPOSURE TO NICKEL
•
STUDIES

AGES OF 24 AND 44

4.5% FOR FEMALES AND 1.5% FOR MALES.

PIERCED EARS 90%

1. A HIGH-SPEED EVACUATION
SYSTEM
2. INFORMED OF THE POTENTIAL ALLERGIC EFFECTS OF
NICKEL EXPOSURE A THOROUGH MEDICAL HISTORY SHOULD BE
TAKEN
3.
PREVIOUS ALLERGIC RESPONSE
REJECT THE USE OF NICKEL-BASED ALLOYS.
4. IDENTIFY THE ALLOYS
AVOID INHALATION OF DUSTS AND VAPORS
PRACTITIONERS
RECORDS
SPECIFIC BRAND NAME OF ALLOYS USED
DOCUMENTATION
8. PATCH TESTING
BY PROFESSIONALS
Dental Casting alloys [DENTAL MATERIALS]

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Dental Casting alloys [DENTAL MATERIALS]

  • 1. PRESENTED BY- SWARNEET KAKPURE (PG) DEPT OF CONS & ENDO.
  • 2. • Historical Perspective on Dental Casting Alloys • Classification of Dental Casting Alloys • Desirable Properties of Dental Casting Alloys • Functional Mechanical Properties of Casting Alloys • Alloys for All-Metal Prostheses • Alloys for Metal-Ceramic Prostheses • Alloys for Removable Partial Dentures • Alternative Technologies for Fabricating Prostheses • Biological Hazards of Base Metal Alloys
  • 3.
  • 4. • TAGGART ONLAYS, FDPS • type VHN values type I soft, VHN, 50 to 90 type II medium, VHN, 90 to 120 type III hard, VHN, 120 to 150 type IV extra hard, VHN 150 and above
  • 5. •  LIGHTER WEIGHT, GREATER STIFFNESS GREATER STRENGTH, AND REDUCED COST. 
  • 6. •  FIXED EXCHANGE RATES BETWEEN GOLD AND CURRENCY.  PRICE OF GOLD ROSE STEADILY  REPLACED GOLD PARTIALLY OR ENTIRELY WITH A LESS EXPENSIVE NOBLE METAL
  • 7. • • • PRICE OF PALLADIUM WAS LESS THAN HALF THAT OF GOLD.
  • 10.
  • 13.   BASE METAL ALLOYS TWICE AS HIGH NOBLE METAL ALLOYS.
  • 14.  0.2% OFFSET YIELD STRENGTH  CAPACITY OF A CAST PROSTHESIS TO WITHSTAND MECHANICAL STRESSES High yield strength Higher capacity to deal with stress tensile yield strengths above 300 Mpa function satisfactorily in the mouth.
  • 15.  THE AMOUNT OF PLASTIC DEFORMATION  ADJUSTING A PROSTHESIS BURNISHING A CAST METAL MARGIN .
  • 16.  RESISTANCE OF THE SURFACE TO INDENTATION  HIGH TO RESIST SCRATCHING  REPEATED LOADING AND UNLOADING  LOAD IS ABOVE A CERTAIN THRESHOLD, IT INITIATES CRACKS  FRACTURES OF PROSTHESES AND RESTORATIONS 
  • 18. Element uses Platinum increases the hardness and elasticity of gold and raises the melting temperature of the alloy. Silver Effective in neutralizing the reddish color of copper in Au/Cu alloys In palladium based alloys, silver is needed to develop the white color of the alloys. Palladium tarnish/ corrosion resistance Zinc as an oxygen scavenger Indium promote a gold-like color in pd-Ag- based alloys Iridium or ruthenium as a grain refiner
  • 19. • SOME NOBLE METALS NO GOLD Au-based alloys Ag-Pd alloys
  • 20. • Type of gold alloys Uses & properties Type 1 Inlays supported by teeth and not subjected to significant mastication forces Type 2 Widely used for inlays, but they have less ductility than type 1 alloys. Type 3 Crowns and onlays for high-stress areas. Type 4 High-stress areas such as bridges and partial denture frameworks.
  • 21.
  • 22. •  RIGID TO RESIST FLEXURE  HIGH YIELD STRENGTH  DUCTILE ADJUSTMENT IN THE CLASP Changes of alloy color caused by the reduction in gold compensated for by an increase in copper, silver, and palladium Higher silver and copper content reduces the corrosion resistance
  • 23. To harden the alloy, the temperature of the furnace is set between 200 °C and 450 °C and the casting is heated for 15 to 30 minutes before it is quenched in water. The tensile strength, proportional limit, and hardness are reduced by such a treatment, and the ductility is increased To soften the alloy, the casting is placed in a furnace for 10 minutes at 700 °C and then quenched in water.
  • 24. These alloys are white and predominantly silver in composition, but they contain at least 25% of palladium to provide nobility and increase the tarnish resistance of the alloy. The copper-free Ag-pd alloys may have physical properties similar to those of a type 3 gold alloy. Despite reports of poor castability, Ag-pd alloys can produce acceptable castings. The major limitation of ag-pd alloys is their greater potential for tarnish and corrosion. Silver-Palladium Alloys
  • 25. The amount of corrosion expected during service is negligible if the palladium content is greater than 25%. By melting palladium and indium at the composition of 50% in and 50% pd the alloy is copper colored but increasing the palladium content causes the alloy to lose its reddish color and acquire a gold color. A minimum of 15% by weight of pd-in intermetallic compound is needed to maintain the yellowish color. Silver, copper, and/or gold can be added to increase the ductility and improve the castability of the alloy for dental applications. Silver-Palladium Alloys
  • 26. Chromium rapidly oxidizes to form a thin layer of chromium oxide Which prevents the diffusion of oxygen into the underlying metals and improves its corrosion resistance. Rely on chromium for corrosion resistance.
  • 27. • NI-CR SMALL CASTINGS CROWNS FDPS • CO-CR ALLOYS REMOVABLE PARTIAL DENTURES base metal dental alloys nickel- chromium (Ni-Cr) without beryllium With beryllium cobalt- chromium (Co-Cr)
  • 28. • MOST BIOCOMPATIBLE METAL • THIN PASSIVATING OXIDE FILM (APPROXIMATELY 10 NM THICK), • All-metal prosthesis Metal-ceramic Implants Removable partial denture frameworks.
  • 29.  HIGH MELTING POINT (1668 °C) OXIDATION ABOVE 900 °C   HIGH MELTING TEMPERATURE HIGHLY RESISTANT TO SAG DEFORMATION
  • 30. • COMPARABLE TO THAT OF TOOTH ENAMEL AND NOBLE ALLOYS LOWER THAN THAT OF OTHER BASE METALS. • EXCELLENT CORROSION RESISTANCE.
  • 32. An argon/arc with a non-consumable tungsten electrode or high-frequency induction is used for melting titanium alloys in an argon or helium atmosphere. Crucibles are made of copper, magnesia, or carbon Centrifugal force, casting pressure difference, and gas pressure have been used to force the molten-metal flow into the mold. To eliminate the effect of oxygen during fabrication of titanium prostheses, computer-aided design/computer- aided manufacturing (CAD/CAM) has been used to produce fixed prosthesis frameworks.
  • 33. • CHIEF OBJECTIONS LOW TENSILE STRENGTH AND RELATIVELY LOW SHEAR STRENGTH • SUPPORT THE PORCELAIN WITH A CAST ALLOY SUBSTRUCTURE STRONG BOND IS ATTAINED BETWEEN THE PORCELAIN VENEER AND THE METAL.
  • 34. • • They should have the potential to bond to dental porcelain,1. • they should exhibit coefficients of thermal contraction compatible with those of dental porcelain 2. • their solidus temperature is sufficiently high to resist softening during the sintering of porcelain. 3.
  • 35. • ADDITION OF A SMALL QUANTITY OF BASE METAL TO NOBLE AND HIGH NOBLE PROMOTES OXIDE FORMATION ON THE SURFACE • POORLY ADHERENT OXIDE PORCELAIN DELAMINATING FROM THE METAL SUBSTRATE • LOWER-PURITY ALUMINUM OXIDE ABRASIVES
  • 36. • SOLIDUS TEMPERATURE- • LIQUIDUS TEMPERATURE-
  • 37. When a metal-ceramic prosthesis is cooled from the sintering temperature, the metal and its veneering ceramic contract at different rates because of differences in their thermal contraction coefficients. Meanwhile, the chemical bond between the metal and the porcelain prevents the two components from separating; this condition forces the two components to adjust their respective dimensions in response to stresses that develop during the cooling cycle. Thus, the component that contracts more will be stretched by the adjacent component, which contracts less; at the same time, the material that contracts less will be compressed by the other.
  • 38. Such changes in dimension are controlled by certain stresses that act on each of the two components If the transient tensile stresses that develop during cooling are insufficient to cause immediate cracking of the porcelain or delayed cracking after cooling to room temperature, the combination of a metal-porcelain system is considered thermally compatible.
  • 40.
  • 41.  BOTH COMPRESSIVE  A THERMAL CONTRACTION MISMATCH HIGHER COEFFICIENT OF CONTRACTION OF PORCELAIN  ADDITIVE EFFECT OF TANGENTIAL TENSILE STRESS CRACK PROPAGATION  LOWER THAN THAT OF THE METAL (ΑP MUCH LOWER THAN ΑM), PORCELAIN CRACKING 
  • 42.  DELAYED CRACKS IN PORCELAIN  STRESS CORROSION 
  • 43.  ACUTE EXTERNAL ANGLES ON THE INCISAL EDGES  SANDBLASTING LIMIT THE TIME OF SANDBLASTING
  • 44. This adverse effect has been overcome recently by the compositional modification of some veneering porcelains. Discoloration of the porcelain near the cervical region of the metal-ceramic prosthesis has been reported to occur when a silver-containing alloy is used as the substrate. Color changes included green, yellow-green, yellow-orange, orange, and brown hues. This discoloration phenomenon has generally been called “greening.” The extent of porcelain discoloration was most severe for higher-silver-content alloys, lighter shades, lower opacifier and higher sodium contents.
  • 47.  HIGHER HARDNESS AND ELASTIC MODULUS (STIFFNESS)  
  • 48. • ACETYLENE-OXYGEN FLAME ELECTRICAL INDUCTION HEATING SOURCE • PHOSPHATE- OR SILICATE-BONDED INVESTMENT MATERIAL CASTING TEMPERATURE • ABOUT HALF
  • 49. • LIGHTER WEIGHT NOT • A VENT AND A LARGER SPRUE SIZE
  • 50. The brand name of the alloy, the alloy type, and the porcelain. The response allows you to determine if the alloy has been tested and accepted according to the standards of national or international standards organizations (ADA, ISO, British Standards Institute [BSI] etc.). The number of years of experience with the material systems and main problems encountered. If the system has been used for less than 3 years, limited information will be available on its clinical performance. If porcelain debonding or crack formation is the major problem, find another laboratory or a more reliable product. If there is difficulty in soldering the alloy or bonding porcelain to it, the laboratory should provide evidence of at least 3 years of proven success of the system used in all aspects of use for the indicated purposes.
  • 51.
  • 52. • RIGID AND RESIST PLASTIC DEFORMATION, • CLASPS TYPE 4 GOLD
  • 53. • Sintering CAD-CAM Copy milling of metal blocks Electroforming Three- dimensional printing
  • 54. • • • CAPTEK P AND CAPTEK G, • CAPCON AND CAPFIL • CAPTEK REPAIR PASTE AND CAPFIL
  • 55.  • AS 0.3 MM. • ANTERIOR CROWN 0.7 TO 1.0 MM • POSTERIOR CROWNS 1.2 MM
  • 56. • ONE APPOINTMENT. • HIGHER QUALITY CERAMICS IMPROVED PROPERTIES COMPARED WITH CONVENTIONAL SINTERED OR HOT- PRESSED CERAMICS.
  • 57. The computer controlled milling machine can then perform the milling or grinding for fabrication of a ceramic prosthesis within a few minutes. Within minutes, the prosthesis can be fabricated and placed on prepared teeth and bonded or cemented in the mouth of the patient in a time ranging from 10 minutes to 1 hour The image data can be retrieved immediately to mill or grind a metal, ceramic, or composite prosthesis by computer control from a solid block of the chosen material. Stores these data in the memory of a computer. The optical scanning procedure eliminates the need for an impression A CAD-CAM system electronically or digitally records surface coordinates of the prepared teeth
  • 58. • OF TRACING THE SURFACE OF A RESIN PROSTHESIS PATTERN, WH REPLICATED ON A BLANK OF CERAMIC, COMPOSITE, OR METAL ROTATING WHEEL •
  • 59. • MASTER CAST OF THE PREPARED TOOTH • A CONDUCTIVE SILVER LAYER IS APPLIED • THICK LAYER OF GOLD OR OTHER METAL IS DEPOSITED • COATED WITH A BONDING AGENT SUBSEQUENT CERAMIC LAYERS ARE CONDENSED
  • 60. • • TO GENERATE WAX PATTERNS FOR CASTING AND PROVISIONAL PROSTHESES •
  • 61. The metal powder is first spread across the working platform A laser traces the outline of each part being printed, and metal powder is fused to the layer below it. As the platform is lowered, a new layer of material is spread across the platform and the process is repeated until the printing process is completed. This process is called direct laser metal sintering (DLMS). For dental applications, the metal powder can be titanium, Co-Cr, or a noble metal.
  • 62.
  • 63.
  • 64. 1. 2. 3. ACUTE DISEASE STATES- CONTACT DERMATITIS TO SEVERE CHEMICAL PNEUMONITIS
  • 65. 4. CHRONIC DISEASE STATE COUGHING, CHEST PAIN, AND GENERAL WEAKNESS TO PULMONARY DYSFUNCTION.
  • 66. THE INTRAORAL EXPOSURE TO NICKEL •
  • 67. STUDIES  AGES OF 24 AND 44  4.5% FOR FEMALES AND 1.5% FOR MALES.  PIERCED EARS 90% 
  • 68. 1. A HIGH-SPEED EVACUATION SYSTEM 2. INFORMED OF THE POTENTIAL ALLERGIC EFFECTS OF NICKEL EXPOSURE A THOROUGH MEDICAL HISTORY SHOULD BE TAKEN 3. PREVIOUS ALLERGIC RESPONSE REJECT THE USE OF NICKEL-BASED ALLOYS.
  • 69. 4. IDENTIFY THE ALLOYS AVOID INHALATION OF DUSTS AND VAPORS PRACTITIONERS RECORDS SPECIFIC BRAND NAME OF ALLOYS USED DOCUMENTATION 8. PATCH TESTING BY PROFESSIONALS