This document discusses the requirements of direct filling materials used in dental restorations. It states that direct filling materials are used for chairside restoration of teeth, as opposed to indirect materials which require a laboratory stage. The key requirements outlined are that direct filling materials must have appropriate rheological and setting properties to allow for easy handling during the restoration process. They must also demonstrate good chemical, thermal, and mechanical properties to withstand the conditions inside the mouth over many years. Direct filling materials offer advantages over indirect materials in that they are less time consuming, less costly, and more convenient for dentists to use.
2. OBJECTIVES
At the end of the lecture the student will know
What are restorative materials
Different types of restorative materials
Classification of filling materials
Why patients needs restorations
Requirements of filling materials
Advantages of direct filling materials over indirect filling materials
5. Direct filling materials: for chair side restoration of teeth
Indirect filling materials: for restoration of teeth involving laboratory
stage
6. Classification of filling materials
1. Direct filling materials 2. Indirect filling materials
1. Direct filling materials
A. Permanent B. Temporary
A. Permanent filling materials
Amalgam, Composite, GIC, Pure Gold, Silicate, Acryl ate
8. B. Temporary filling materials
Zinc-Phosphate, Zinc-oxide, Zinc-polycarboxylate
2. Indirect filling materials
Type 1 & 2 gold alloys
Porcelain
Composite
9. REQUIREMENTS OF DIRECT
FILLING MATERIALS
Why teeth need restorations?
Dental caries
External Trauma
lost intentionally during tooth preparation to improve esthetics and
mastication
Wear
Overzealous tooth brushing using an abrasive dentifrice
Diet
Working environment of habits of the patient
10. Lost of the tooth structure vary in Size, Shape and
Location
One wall, many walls and surfaces involvement
One material is not needed and suited
Some times we need to assess strength, abrasion
resistance
Otherthe hand
appearance and adhesive properties
11. To assess the success or failure
Durability is used which depends on physical, biological properties
If the material is easy to handle, then it is acceptable to the operator
12. Rheological properties & setting characteristics
Materials are supplied in 2 or more components (require mixing)
Easy to mix
Mixed materials easy to handle depends on
Viscosity, Tackiness and setting characteristics (working and setting
time)
Materials should flow readily into the prepared cavity
13. Ideally mixed materials should not adhere to instrument
Working time should be sufficiently long
Setting time should ideally, be short
Comfortable and convenient to the patient and dentist
14. Chemical properties
To withstand the hostile environment of the oral cavity for many
years without dissolving, degrading or eroding
Must withstand large variations in pH and a variety of solvents
(drinks, foodstuffs and medicaments)
Should not undergo excessive corrosion or be involved in the
development of electric currents, causing galvanic pain
15. Thermal properties
Should be good thermal insulator to protect the dental pulp
Thermal insulating properties are best characterized in terms of
thermal diffusivity
The value of thermal diffusivity should be ideally low
Those material which has got high value of thermal diffusivity
needing lining or base materials to protect pulp
16. The thermal expansion and contraction should match able to
surrounding tooth substances
Should have values of coefficient of thermal expansion similar to
those of enamel and dentin
Large mismatch values result in leakage
17. MECHANICAL PROPERTIES
Vary considerably
Depends on the type of tooth and particular surfaces being
restored
For larger cavities, a strong material with adequate abrasion
resistance is required
Should be able to resist plastic deformation or creep
18. In anterior region should be more abrasion resistance
Should have high modulus of elasticity
Adhesion
Should be adhesive
Minimizing the Micro-leakage
20. ADVANTAGES OF DIRECT FILLING
MATERIALS OVER INDIRECT FILLING
MATERIALS
Not time consuming
Cost
Convenient to use
Historically three filling materials gain acceptance
are
Cohesive gold foil, dental amalgam and silicates
Amalgam is still widely used
The parts of teeth which require replacement by a restorative material vary in size, shape and location in the mouth. Thus, at one extreme, it may be necessary to restore a large cavity which extends over the mesial, occlusal and distal surfaces of a molar tooth. An entirely different situation is the restoration of the corner of an incisor which has been lost in an accident. The requirements of materials used in these and other applications vary and it is not surprising that no single restorative material is suitable for all cases. For some situations the strength and abrasion resistance of the material may be the prime consideration. In other situations appearance and adhesive properties may become more important.
Ideally materials should flow readily into the prepared cavity (materials needs little pressure, require packing under considerable pressure)
The mechanical properties requirements of materials vary considerably depending on the type of tooth and particular surfaces being restored
For larger cavities, a strong material with adequate abrasion resistance is required to withstand larger stresses developed in that region of the mouth
When materials are subjected to direct masticatory loading they should also be able to resist plastic deformation or creep
In anterior region (interproximal cavities) need to resist against abrasion
The material should have high modulus of elasticity (marginal gap between materials and tooth may be lost if the material undergo creep)
Adhesion
The materials ideally should have good adhesive bond with the tooth substances, thus preventing the ingress of fluids and bacteria
Biological properties
The filling materials ideally should be harmless to both the operators and patients
The specific requirements of the products relate to their effect on the pulp
They should not either directly or indirectly cause irritation to the pulp not they should contain substances which are able to leach out and cause irritation