Core build up and Amalgam bonding.ppt

Core build up and Amalgam bonding 12th October Learning outcomes To know the definition of a core build up. To understand the advantages and disadvantages of amalgam as a restorative material To understand the aims of amalgam bonding To know the clinical stages to perform a bonded amalgam Core Definition that part of a preparation for an indirect restoration consisting of restorative material. Types of Core Materials Amalgam Composite Glass Ionomer Resin Reinforced Glass Ionomer Compomer AMALGAM Advantages Not especially technique sensitive Strong in bulk section Sealed by corrosion products  Disadvantages Best left to set for 24 hours before tooth preparation Weak in thin section Mercury content may be of concern to some patients and dentists Potential electrolytic action between core and metal crown Not intrinsically adhesive How is the amalgam retained as the core? Retention Form Resistance Form How is the amalgam retained as the core? Mechanical Retentive grooves and notches Pin Placement Adhesion Amalgam Bonding A technique to bond amalgam to the cavity. Aims Behind ‘Bonded Amalgams’ Conserve more tooth structure by reducing the need to remove sound tooth tissue for mechanical retention. Increased Amalgam retention. Reduce marginal leakage Reduce the need for dentine pins. Potentially reduce sensitivity Improve fracture resistance Improved amalgam margins Materials for Amalgam Bonding Resin Cements ( Panavia) Adhesive Bonding Agents -initially designed for composites -OptiBond solo -Amalgambond -Scotchbond multipurpose OptiBond solo How do they work? Etching dentine opens up dentinal tubules enabling adhesive resin to flow into dentine and is retained micromechanically Adhesive resin adheres to amalgam roughness micromechanically and by 4-META adhesive Claimed Advantages of Amalgam Bonding Techniques Decreased microleakage YES Increased amalgam retention YES, if cavity lacks mechanical retention Avoids risk of usi