Performance can be evaluated by failure mechanism
Deformation → mechanical stress
fracture → mechanical stress
corrosion → chemical action
wear → removal by solid
erosion → removal by liquid To reduce local stresses:
Multiple simultaneous contacts
occlusal forces distributed over larger SA
Abrasion → shear force
Softer organic resin matrix = preferentially worn BEFORE harder filler particles
Attrition → direct contact force
Resin matrix and harder fillers are lost TOGETHER
Cracks occur in resin matrix due to occlusal stress Types of Stress → Deformation
internal resistance of a material to an external load
resistance is dependent on the surface area which the load was delivered
SA = more important than the force
Both the applied force and stress are distributed over an area of the body In dentistry, Occ. forces applied over small areas (cusp tip) → produce very high stresses
Deformation a body undergoes when a stress acts upon it
measured as a net change in the length of a material following the application of a load
deformation depends on the type of stress
you want ELASTIC deformation = not permanent (plastic) Modulus of Elasticity (E)
Ability to sustain deformation without permanent change in size or shape; stiffness of material within the elastic deformation
the slope of the linear region of the curve corresponding to 0-A on the Stress-strain curve
ratio of stress to strain (E = stress/strain)
Higher modulus of elasticity = more force required for deformation to happen
COMPOSITE MODULUS OF ELASTICITY = most similar to dentin
ability to plastically deform w/out fracture
materials ability to resist to the propagation of a crack
higher fracture toughness = lower rate of bulk fracture, marginal degradation, and surface wear
There is an optimal level of filler % for fracture toughness = more is not necessarily better but it is stronger up to a certain point Dentin = most similar in all mech. Categories when compared to RBC
Polymerization, mech properties, and clinical performance
Polymerization shrinkage and stress
de-bonding → marginal gaps → microleakage
cusp deflection (post-op sensitivity) or fracture
reccurent caries
Incomplete polymerization
presence of residual monomers
poor mech properties
release of monomers and other components that can reach the pulp → pulpal inflammation Biocompatibility = ability of a material to perform with an appropriate host response in a specific situation
Measuring biocompatibility - in Vivo/animal test
Animals = usage tests
Human subjects = clinical trials
Material is placed in a situation identical to its intended clinical use
Mucous membrane irritation: material placed in contact w/ hamster cheek-pouch or rabbit oral tissue
Skin sensitization: Material injected intradermally to test for development of skin hypersensitivity rxion
Implantation: materials that will contact subcutaneous tissue or bone
Dentistry examples:
Dental pulp irritation tests (Class V)
dental implants into bone
Mucosa and gingival usage test (evaluate gingival inflammation in terms of resto margins, etc)
Xenoestrogenic effects of RBC
Xenoestrogenics = imitate estrogen and are toxic
Bis-GMA, -DMA, -EMA, and -EBDMA are monomers that are derived from BPA (bisphenol A)
BPA = xenoestrogenic
In clinical conditions:
Esterases in saliva can break ester bonds
Esterase → Bis-GMA = NO BPA formed
Esterase → Bis-DMA → BPA FORMED
Some impurities may be present in Bis-GMA based resins
Concerns based on BPA
ADA and current evidence = low levels of BPA and brief exposure → no known health risk
1 time exposure of BPA from sealants = 200x lower than the daily level of safe exposure
Responsibilities of the dentist:
Follow manufacturer's directions regarding placement and polymerization helps to reduce exposure
washing unpolymerized resin layer away/asking patients to rinse mouths following sealants