Restorative Materials in Pediatric Dentistry牙科修复材料.pptVIP

Restorative Materials in Pediatric Dentistry S.Lal, DDS Course Director Preventive Materials Fluoride gels, foam and varnish: Used for remineralisation of decalcified enamel and incipient caries. Sealants: Indicated for preventing and arresting incipient lesions. Available as clear or white, filled or unfilled, containing Fluoride or not. Resin based composites(RBC) Resin matrix (Bis-GMA) with inorganic filler particles. 1. Filler content- Filled vs Unfilled Flowable vs packable Anterior vs posterior composite Particle size- macro, microfilled and hybrids Resin Restorations Steps: Etch, wash, dry or dessicate? Enamel and Dentin adhesives Composite selection and placement Curing tools and techniques Resin Restorations Disadvantages: Polymerization shrinkage Technique sensitive Performance of posterior composites in large, stress bearing preparations is questionable Dentin/Enamel adhesives in Pediatric Dentistry Dentin bonding agents or Primers: Smear layer Etch Hydrophillic and hydrophobic component (HEMA) Enamel adhesives or bonding agents: Hydrophobic resin such as Bis-GMA Hybrid layer- copolymerized layer of primer, bonding resin and collagen Dentin/Enamel adhesives in Pediatric Dentistry 3-step total etch Total etch using prime and bond Self etch primers with bonding agent All-in-one adhesives e.g.- prompt L-pops Glass Ionomer cements Fluorosilicate glass powder(base) combined with a water soluble polymer(acid) e.g. - Ketac cement Resin-modified glass ionomer cements: are glass ionomers with a light polymerised resin component. e.g.- Vitrebond and Vitremer Resin-modified glass ionomers Advantages: Increased mechanical properties Physiochemically bonds to tooth structure Biocompatible, moisture forgiving Similar coefficient of thermal expansion as dentin therefore a good dentin replacement material. (sandwich technique) Ion lechability - Fluoride release(anticariogenic action) Minimal polymerization shrink