Science of Dental Materials: Complete SAQ Answers
Group A
1(a). Stress and strain. Classification of stress
Stress: Internal resistance produced in a material when an external force is applied.
[
\text{Stress} = \frac{\text{Force}}{\text{Cross-sectional area}}
]
Unit: Pascal (Pa) or MPa.
Strain: Change in dimension per unit original dimension when a force acts.
[
\text{Strain} = \frac{\Delta L}{L_0}
]
It is dimensionless.
Types of stress
-
Tensile stress: Pulling force that elongates a material.
Example: Orthodontic wire under tension.
-
Compressive stress: Pushing force that shortens a material.
Example: Amalgam during mastication.
-
Shear stress: Force acting parallel to a surface, causing sliding.
Example: Shearing force on a restoration.
-
Torsional stress: Twisting stress.
Example: Rotary endodontic file.
-
Flexural stress: Stress caused by bending, with compression on one side and tension on the other.
Example: Denture base during function.
1(b). Modulus of elasticity and importance
Modulus of elasticity or Young's modulus: Ratio of stress to strain within the proportional limit.
[
E = \frac{\text{Stress}}{\text{Strain}}
]
It measures the stiffness or rigidity of a material.
Importance in dentistry
- Indicates resistance to elastic deformation.
- A high modulus means a rigid material, such as cast metal or ceramic.
- A low modulus means a flexible material, such as an elastomeric impression material.
- Restorative material should preferably have modulus close to tooth structure.
- Important in bridges, clasps, orthodontic wires, posts, restorations, and denture bases.
- Excessively high modulus can transmit stress to enamel and dentin; lower modulus permits more deformation.
2(a). Stress-strain curve: proportional limit, yield point, ultimate strength
Stress
↑
│ D = Ultimate strength
│ /\
│ / \
│ C = Yield \ E = Fracture
│ /
│ B = Proportional limit
│ /
│ /
│______/________________________________→ Strain
A
- A-B: Elastic region: Material returns to original form when load is removed.
- B, proportional limit: Greatest stress at which stress is directly proportional to strain.
- C, yield point / elastic limit: Beyond this point, permanent deformation starts.
- D, ultimate strength: Maximum stress sustained by the material before failure.
- E, fracture point: Point at which the material breaks.
2(b). Primary interatomic bonds. Ionic bond
Primary bonds
- Ionic bond
- Covalent bond
- Metallic bond
Ionic bond: Formed by complete transfer of electron(s) from one atom to another. The atom losing electron becomes a positive ion, while the atom gaining electron becomes a negative ion. Electrostatic attraction between them forms the bond.
Na → loses electron → Na⁺
Cl ← gains electron ← Cl⁻
Na⁺ ← electrostatic attraction → Cl⁻
Example: Sodium chloride, NaCl.
Features: Strong, brittle, crystalline; conducts electricity in molten or dissolved state.
3(a). Space lattice and cubic lattices of dental interest
Space lattice: A three-dimensional, regular geometric arrangement of points representing positions of atoms, ions, or molecules in a crystal.
Cubic lattices of dental interest
| Lattice | Arrangement | Example |
|---|
| Simple cubic | Atoms only at eight corners | Rare in dental metals |
| Body-centered cubic (BCC) | Corner atoms plus one central atom | Iron, chromium |
| Face-centered cubic (FCC) | Corner atoms plus atoms at face centers | Gold, silver, copper, nickel |
3(b). Cubic structures
1. Simple cubic
Atoms are at eight corners only.
- Effective atoms per unit cell: 1
- Coordination number: 6
- Rare in metals
●─────●
/| /|
●────● |
| | | |
| ●───|-●
|/ |/
●─────●
2. Body-centered cubic, BCC
Atoms are at eight corners and one at the center.
- Effective atoms per unit cell: 2
- Coordination number: 8
- Examples: Iron and chromium
●─────●
/| /|
●────● |
| ● | |
| ●───|-●
|/ |/
●─────●
3. Face-centered cubic, FCC
Atoms are at eight corners and at the center of all faces.
- Effective atoms per unit cell: 4
- Coordination number: 12
- Examples: Gold, silver, copper, nickel, platinum
●─────●
/| ● /|
●────● |
| ● |●
| ●───|-●
|/ ● |/
●─────●
4(a). Coefficient of thermal expansion and significance
Coefficient of thermal expansion (CTE): Change in length per unit original length of a material for each 1°C change in temperature.
[
\alpha = \frac{\Delta L}{L_0 \times \Delta T}
]
Unit: /°C.
Significance
- A restorative material should have CTE close to enamel and dentin.
- A major CTE mismatch causes repeated expansion and contraction at restoration margins.
- It can cause marginal gap, microleakage, postoperative sensitivity, staining, recurrent caries, and fracture.
- Important in amalgam, composite, ceramic, cement, denture base, and metal-ceramic crowns.
- In metal-ceramic restorations, metal should have slightly higher CTE than porcelain to place porcelain under compression during cooling.
4(b). Why a thick insulating base is used under metallic restoration
Metal restorations conduct heat and cold rapidly. A thick insulating base is placed under deep metallic restorations to:
- Reduce thermal transmission to the pulp.
- Prevent pulpal irritation and thermal shock.
- Prevent postoperative sensitivity.
- Replace lost dentin, which normally insulates the pulp.
- Protect the dentin-pulp complex.
Examples: Glass-ionomer cement, zinc phosphate cement, reinforced zinc oxide-eugenol cement. A calcium hydroxide liner may be used in a very deep cavity before placing the base.
5(a). Factors affecting contact angle. Explain two
Contact angle: Angle formed between the tangent to a liquid surface and the solid surface at their point of contact.
- Low contact angle: Good wetting.
- High contact angle: Poor wetting.
Factors
- Surface energy of solid
- Surface cleanliness
- Surface roughness
- Surface tension of liquid
- Viscosity of liquid
- Temperature
- Surface contamination
- Chemical nature of surfaces
Surface cleanliness: Saliva, oil, moisture, debris, and smear layer increase contact angle and reduce adhesion. A clean enamel surface wets more effectively.
Surface tension of liquid: A liquid of low surface tension spreads easily and has a low contact angle. Thus, dental adhesives should have low surface tension to wet etched enamel and dentin.
5(b). Adhesion and cohesion
Adhesion: Attraction between molecules of two different substances.
Example: Adhesion between composite bonding agent and etched enamel.
Cohesion: Attraction between molecules of the same substance.
Example: Cohesion between molecules within composite resin or water.
Adhesion:
Liquid
● ● ● ● ●
────────── Solid surface
↑ attraction between unlike materials
Cohesion:
● ↔ ● ↔ ● ↔ ●
Attraction between like molecules
If adhesive forces exceed cohesive forces, wetting is good and the contact angle is low.
6(a). Separating media: definition and classification
Separating medium: Material placed between two surfaces to prevent their union or adhesion and allow easy separation after processing.
Types
| Type | Example | Use |
|---|
| Alginate-based | Cold mould seal | Separates gypsum mould from acrylic resin |
| Soap-based | Soap solution | Separates plaster surfaces |
| Varnish/resin-based | Tin foil substitute | Used in denture processing |
| Petroleum-based | Petroleum jelly | Laboratory separating/lubricating medium |
| Metallic | Tin foil | Traditional denture flask separating medium |
Ideal requirements: Thin uniform film, prevents resin penetration into plaster, non-staining, easily applied, easy separation, no adverse effect on acrylic resin.
6(b). Factors affecting adhesion
- Clean, dry, uncontaminated surface.
- Good wetting and low contact angle.
- High surface energy of adherend.
- Low surface tension of adhesive.
- Appropriate viscosity of adhesive.
- Surface roughness and micromechanical retention.
- Acid etching or sandblasting where indicated.
- Chemical compatibility between adhesive and surface.
- Thin and uniform adhesive film.
- Adequate pressure during placement.
- Correct curing/polymerization.
- Prevention of moisture contamination.
- Similar thermal expansion characteristics to avoid bond failure.
Group B
7(a). Hardness and clinical significance
Hardness: Resistance of a material to indentation, scratching, abrasion, wear, or penetration.
Common hardness tests: Brinell, Rockwell, Vickers, Knoop.
Clinical significance
- Restoration should resist wear during mastication.
- It should not excessively wear opposing natural teeth.
- Hardness helps in polishing and finishing procedures.
- Hardness is related to resistance to scratching by instruments.
- High hardness is desirable in dental burs, cutting instruments, abrasives, and ceramics.
- It helps compare restorative materials with enamel and dentin.
7(b). Brittleness, examples, and reason
Brittleness: Property by which a material fractures with little or no plastic deformation when stress is applied.
Examples of brittle dental materials
- Porcelain
- Dental stone
- Plaster of Paris
- Zinc phosphate cement
- Glass-ionomer cement
- Amalgam
- Acrylic resin under sudden impact
- Some ceramics
They are called brittle because they cannot undergo appreciable permanent deformation before fracture. They have low tensile strength and low toughness.
8(a). Why proportional limit of restoration should be higher than masticatory stress
The proportional limit is the highest stress that a material can bear while still returning to its original shape after unloading.
A restoration must have proportional limit greater than masticatory stress because:
- It prevents permanent deformation under normal chewing force.
- It preserves anatomical contour and occlusion.
- It prevents marginal breakdown.
- It prevents fracture and loss of contact points.
- It maintains adaptation and reduces microleakage.
- It increases service life of restoration.
8(b). Resilience and toughness from stress-strain curve
Resilience: Capacity of a material to absorb energy when elastically deformed and release the energy when the stress is removed.
- Represented by the area under the stress-strain curve up to the proportional limit.
- Important for orthodontic wires and denture clasps.
Toughness: Capacity of a material to absorb energy before fracturing.
- Represented by the total area under the stress-strain curve up to fracture.
- A tough material resists crack propagation and fracture.
Stress
↑
│ /\
│ / \
│ / \ fracture
│ /
│ /
│___________________/____________→ Strain
Resilience Total area = Toughness
9(a). Stainless-steel wire stretched to 1.001 m: strain and CTE
The question appears incomplete because original length and temperature rise are not stated.
If the original length is assumed to be 1.000 m:
[
\text{Strain} = \frac{L_f-L_0}{L_0}
]
[
= \frac{1.001-1.000}{1.000}=0.001
]
[
\text{Strain}=0.001=0.1%
]
For coefficient of thermal expansion:
[
\alpha=\frac{\Delta L}{L_0\Delta T}
]
Therefore, if the temperature change is (\Delta T),
[
\alpha=\frac{0.001}{\Delta T}/^\circ C
]
A numerical CTE cannot be calculated unless the temperature change is given.
9(b). Why metal is a good conductor of heat and electricity
Metals contain a lattice of positive metal ions surrounded by free or delocalized electrons.
Positive metal ions: + + + +
Free electrons: e⁻ e⁻ e⁻ e⁻
Heat conduction: Free electrons rapidly transfer thermal energy through the metal.
Electrical conduction: Free electrons move under an applied voltage and carry electric current.
Dental importance
- Metallic restorations transmit heat/cold to pulp.
- Insulating bases may be needed in deep cavities.
- Metals can cause galvanic current when dissimilar metals contact in saliva.
10(a). Creep and flow. Importance
Creep: Time-dependent permanent deformation of a material under a constant stress.
Flow: Plastic deformation of a material under a small, sustained force. It is commonly discussed in waxes and impression materials.
Importance of creep
- Excessive creep in amalgam causes marginal breakdown and ditching.
- Causes loss of contour and occlusal anatomy.
- Affects long-term performance of restorations.
- Low creep is desirable in amalgam.
Importance of flow
- High flow in wax may distort a wax pattern.
- Impression materials require controlled flow.
- Flow in wax increases with temperature.
- Low flow is desirable in inlay wax at oral temperature.
10(b). Clinical significance of hardness
- Indicates resistance to wear during mastication.
- Determines scratch resistance during finishing and polishing.
- Helps select cutting instruments and abrasives.
- Affects abrasion resistance of a restoration.
- A very hard restoration may abrade opposing enamel.
- Important for enamel, ceramics, cast alloys, composite resin, burs, and stones.
11(a). Covalent bond with example and figure
Covalent bond: Bond formed by sharing of one or more pairs of electrons between atoms.
Example: Hydrogen molecule, H₂; carbon-carbon bond in polymers.
H· + ·H → H:H
H-H
Characteristics
- Strong and directional bond.
- Electrons are shared rather than transferred.
- Common in organic compounds and polymers.
- Carbon chains in acrylic resin are linked by covalent bonds.
11(b). Ideal separating medium and why it is ideal
Ideal separating medium: Alginate-based cold mould seal is commonly considered ideal for denture processing.
Why it is ideal
- Produces a thin, continuous, smooth film.
- Separates acrylic resin from gypsum mould.
- Prevents acrylic resin from adhering to or penetrating gypsum.
- Does not discolor acrylic resin.
- Is water soluble and easy to apply.
- Allows easy deflasking and produces a smooth denture surface.
- Does not interfere with polymerization.
12(a). Malleability and ductility. Measurement
Malleability: Ability of a material to deform plastically under compressive force and be formed into thin sheets without fracture.
Example: Gold foil.
Ductility: Ability of a material to deform plastically under tensile force and be drawn into wire without fracture.
Example: Gold, platinum, wrought orthodontic wire.
Measurement
- Malleability: Assessed by the ability to form thin sheet or by compression test.
- Ductility: Measured by percentage elongation or percentage reduction in area in a tensile test.
[
% \text{ elongation}=\frac{\text{Increase in length}}{\text{Original length}}\times100
]
12(b). Latent heat of fusion
Latent heat of fusion: Amount of heat required to change unit mass of a substance from solid to liquid at its melting temperature without a change in temperature.
Dental relevance
- Important during melting and casting of dental alloys.
- Determines heat required to melt metal for casting.
- During solidification, this heat is released.
Group C
1(a). Dental material science: definition
Dental material science: Branch of dentistry concerned with the composition, structure, properties, manipulation, application, and biological behavior of materials used for dental treatment and restoration.
It studies the physical, mechanical, chemical, biological, and esthetic properties of materials used in the oral cavity.
1(b). Tarnish and causes in oral cavity
Tarnish: Surface discoloration or loss of luster of a metal due to formation of a thin surface film, usually oxide, sulfide, chloride, phosphate, or other reaction product.
Causes of tarnish in oral cavity
- Saliva and moisture
- Food debris and plaque
- Sulfur compounds from food or bacteria
- Oxidation
- Chloride ions in saliva
- Low pH due to acidic food or bacterial activity
- Poor oral hygiene
- Different metals in the mouth
- Surface roughness and scratches
- Heat treatment or contamination during processing
2(a). Corrosion: definition, classification, examples
Corrosion: Deterioration of a metal by chemical or electrochemical reaction with its environment.
Classification
-
Dry or chemical corrosion
Direct reaction of metal with gases, usually oxygen, without an electrolyte.
Example: Oxidation of metal at high temperature during casting.
-
Wet or electrochemical corrosion
Occurs in presence of electrolyte, such as saliva.
Example: Corrosion of amalgam or base-metal alloys in the oral cavity.
-
Galvanic corrosion
Occurs when two dissimilar metals contact in saliva, forming an electrochemical cell.
Example: Gold restoration near amalgam restoration.
-
Concentration-cell corrosion
Occurs due to differences in concentration of oxygen, ions, or saliva around the same metal.
Example: Corrosion in crevices under a restoration.
-
Crevice corrosion
Localized corrosion in narrow spaces with stagnant fluid.
Example: Under plaque or at restoration margins.
-
Stress corrosion
Corrosion accelerated by tensile stress.
Example: Corrosion fatigue or cracking of metal appliances.
-
Pitting corrosion
Localized deep corrosion producing pits.
Example: Chloride-associated pitting in some alloys.
2(b). Factors enhancing corrosion in oral cavity
- Presence of saliva as electrolyte.
- Low oral pH and acidic diet.
- Temperature changes.
- Oral bacteria and plaque.
- Food debris.
- Chloride and sulfide ions.
- Dissimilar metallic restorations.
- Large difference in electrode potentials.
- Rough or scratched surface.
- Crevices and poor polishing.
- Improper alloy composition.
- Porosity in casting.
- Mechanical stress and fatigue.
- Poor oral hygiene.
- Frequent intake of hot, cold, acidic, or carbonated beverages.
3(a). Two restorations: one directly made and another made outside mouth
-
Direct restoration: Restoration fabricated and placed directly in the prepared cavity in the mouth.
Example: Amalgam restoration, direct composite resin restoration.
-
Indirect restoration: Restoration fabricated outside the mouth on a cast or die, then cemented or bonded to tooth.
Example: Cast gold inlay, ceramic crown, metal-ceramic crown.
Direct: Tooth cavity → material inserted directly → restoration
Indirect: Tooth preparation → impression/scan → lab fabrication
→ cementation in mouth
3(b). Effects of galvanism and prevention
Galvanism: Production of electric current when two dissimilar metals are connected through saliva, which acts as an electrolyte.
Effects
- Sharp pain or electric shock sensation.
- Metallic taste.
- Pulpal irritation.
- Increased corrosion of the less noble metal.
- Tarnish and discoloration.
- Tissue irritation in susceptible persons.
- Possible acceleration of restoration failure.
Prevention
- Avoid contact between dissimilar metals.
- Use similar or compatible alloys.
- Place an insulating base under metallic restoration where appropriate.
- Avoid placing new amalgam adjacent to a different metallic restoration.
- Polish restorations smoothly.
- Maintain good marginal adaptation.
- Use non-metallic restorative materials where suitable.
4(a). Dental materials and ideal requirements
Dental materials: Materials used to prevent, restore, replace, or modify oral tissues and teeth.
Ideal requirements
Biological
- Non-toxic
- Non-irritant to pulp and oral tissues
- Non-allergenic
- Non-carcinogenic
- Biocompatible
- No adverse systemic effect
Mechanical
- Adequate strength
- Good fatigue resistance
- Appropriate hardness
- Good wear resistance
- Low creep
- Adequate toughness
Physical
- Dimensional stability
- Low thermal conductivity when needed
- CTE similar to tooth
- Adequate radiopacity
- Low solubility and water sorption
Chemical
- Corrosion resistant
- Tarnish resistant
- Stable in saliva
- Insoluble in oral fluids
Handling and esthetics
- Easy manipulation
- Adequate working and setting time
- Good adhesion or retention
- Color similar to tooth when required
- Easily finished and polished
- Economical and available
4(b). Classification based on property and behavior
Based on physical behavior
-
Rigid materials
- Metals
- Ceramics
- Gypsum products
- Resin after polymerization
-
Elastic materials
- Alginate
- Agar
- Elastomeric impression materials
-
Plastic materials
- Impression compound
- Modelling wax
- Acrylic resin dough
-
Viscoelastic materials
- Waxes
- Some impression materials
- Resins during manipulation
Based on physical property
- Metallic materials: Gold alloy, amalgam, stainless steel.
- Ceramic materials: Porcelain, zirconia.
- Polymeric materials: Acrylic resin, composite resin.
- Composite materials: Resin composite, glass-ionomer cement.
- Dental cements: Zinc phosphate, glass ionomer, polycarboxylate cement.
5(a). Physical factors affecting dental pulp. Explain two
Factors affecting pulp through restorative materials include:
- Thermal conductivity
- Thermal diffusivity
- Electrical conductivity
- Coefficient of thermal expansion
- Polymerization shrinkage
- Exothermic heat during setting
- Permeability and microleakage
- Pressure from condensation or manipulation
1. Thermal conductivity
High thermal conductivity allows heat and cold to reach the pulp rapidly. Metals are good thermal conductors, so deep metallic restorations may require insulating base.
2. Thermal expansion
If restorative material expands or contracts more than tooth structure, marginal gaps can occur. This causes microleakage and bacterial penetration, leading to pulpal irritation.
5(b). Classification based on application with examples
| Application | Examples |
|---|
| Restorative materials | Amalgam, composite resin, glass-ionomer cement |
| Impression materials | Alginate, elastomers, impression compound |
| Luting materials | Zinc phosphate, glass-ionomer, resin cement |
| Preventive materials | Pit and fissure sealant, fluoride varnish |
| Endodontic materials | Gutta-percha, root canal sealer |
| Prosthodontic materials | Acrylic resin, porcelain, cobalt-chromium alloy |
| Orthodontic materials | Stainless steel wire, nickel-titanium wire, brackets |
| Periodontal materials | Periodontal dressing, bone graft material |
| Surgical materials | Sutures, implants, bone substitutes |
6(a). Biointegration and osseointegration
Biointegration: Stable, long-term functional coexistence of an implanted material with living tissue without adverse reaction. The body accepts the material and forms a stable interface.
Osseointegration: Direct structural and functional connection between living bone and the surface of a load-bearing implant, without intervening fibrous tissue.
Example: Titanium dental implant directly integrated with alveolar bone.
6(b). Biomaterial and classification from biological perspective
Biomaterial: A material intended to interface with biological systems to evaluate, treat, augment, repair, or replace any tissue, organ, or body function.
Classification by biological response
-
Bioinert materials
Cause minimal tissue reaction and are separated from tissue by a fibrous capsule.
Examples: Alumina, zirconia, some stainless-steel alloys.
-
Bioactive materials
Produce a specific biological response and may bond with tissue.
Examples: Bioactive glass, hydroxyapatite, calcium phosphate, some glass-ionomer materials.
-
Bioresorbable materials
Gradually dissolve or are absorbed and replaced by body tissue.
Examples: Tricalcium phosphate, some bone graft materials, absorbable sutures.
-
Biotolerant materials
Tolerated by tissue but may be isolated by fibrous tissue.
Examples: Some polymers and metallic alloys.
Group D
1(a). Critical tissues and organs susceptible to adverse effects of dental materials
Dental materials can produce local and systemic adverse effects.
Local tissues
-
Oral mucosa
- Irritation, ulceration, contact stomatitis, lichenoid reaction.
-
Gingiva and periodontal tissues
- Inflammation, discoloration, allergic reaction.
-
Dental pulp
- Thermal injury, chemical irritation, postoperative sensitivity, pulpal inflammation.
-
Dentin and enamel
- Demineralization, marginal leakage, crack formation.
-
Bone
- Implant-related reaction, inflammation, failure of osseointegration.
-
Skin
- Contact dermatitis in dental personnel from resin, latex, eugenol, acrylates, or metals.
Systemic organs
-
Kidneys
- Can be affected by toxic substances such as mercury in excessive exposure.
-
Liver
- Detoxifies absorbed chemicals and metal ions.
-
Central nervous system
- Potentially affected by high exposure to mercury and organic solvents.
-
Respiratory system
- Dust from silica, acrylic, gypsum, polishing materials, and metal grinding.
-
Immune system
- Allergy or hypersensitivity to nickel, cobalt, latex, resin monomers, or eugenol.
-
Reproductive system
- Possible risk from chronic exposure to certain chemicals, solvents, and radiation.
1(b). Occupational hazards for dental personnel
Physical hazards
- Radiation exposure from X-rays.
- Noise from handpieces and laboratory equipment.
- Eye injury from curing light, lasers, flying particles, and chemicals.
- Musculoskeletal problems from poor posture.
- Needle-stick and sharp injuries.
Chemical hazards
- Mercury vapor from amalgam.
- Methyl methacrylate monomer.
- Resin monomers and bonding agents.
- Disinfectants and sterilizing chemicals.
- Latex allergy.
- Silica, gypsum, acrylic, and metal dust.
Biological hazards
- Hepatitis B and C.
- HIV.
- Tuberculosis.
- Influenza and other respiratory infections.
- Aerosol-borne infections.
Psychological hazards
- Stress, fatigue, anxiety, burnout.
Prevention
- PPE: gloves, mask, protective eyewear, apron.
- Good ventilation and suction.
- Proper mercury hygiene.
- Correct posture and ergonomic practice.
- Vaccination, especially hepatitis B.
- Sterilization and infection-control procedures.
- Safe sharps disposal.
- Use of dust extraction in laboratory.
2(a). Galvanic corrosion with prevention
Galvanic corrosion: Electrochemical corrosion that occurs when two dissimilar metals are electrically connected in saliva or another electrolyte.
The less noble metal acts as anode and corrodes. The more noble metal acts as cathode.
Amalgam / base metal = Anode Gold = Cathode
↓ corrosion
Anode ───── saliva electrolyte ───── Cathode
Electron flow through metallic contact
Example: Amalgam restoration adjacent to a gold crown.
Prevention
- Avoid direct contact of dissimilar metals.
- Use similar metals or compatible alloys.
- Use non-metallic restorations where indicated.
- Maintain good polishing and finishing.
- Avoid crevices and defective margins.
- Use insulating base under deep metallic restoration where indicated.
- Replace incompatible restoration if persistent galvanic pain occurs.
2(b). Addition polymerization and steps
Addition polymerization: Process in which unsaturated monomer molecules join together without loss of by-products to form a polymer.
Example: Methyl methacrylate polymerizing to polymethyl methacrylate.
[
n(CH_2=C(CH_3)COOCH_3) \rightarrow [CH_2-C(CH_3)(COOCH_3)]_n
]
Steps
-
Activation
- Initiator is activated by heat, light, or chemical activator.
- Benzoyl peroxide forms free radicals.
-
Initiation
- Free radical attacks double bond of monomer and forms active monomer radical.
-
Propagation
- Active chain reacts with more monomer molecules.
- Polymer chain length increases.
-
Termination
- Growth stops when two active radicals combine or are deactivated.
Initiator → Free radical
Free radical + Monomer → Active monomer radical
Active chain + Monomer → Growing polymer chain
Two active chains combine → Termination
3(a). Biocompatibility and hazardous dental materials
Biocompatibility: Ability of a material to perform its intended function in contact with living tissue while producing an appropriate host response and no unacceptable harmful effect.
Potentially hazardous materials
| Material | Possible adverse effect |
|---|
| Mercury in amalgam | Toxicity risk with improper handling and vapor exposure |
| Nickel-containing alloy | Allergy, dermatitis, stomatitis |
| Cobalt-chromium alloy | Rare allergy or corrosion-related reactions |
| Methyl methacrylate monomer | Mucosal irritation, allergy, dermatitis |
| Composite resin monomers | Cytotoxicity if incompletely cured, allergy |
| Formaldehyde-containing materials | Irritant and sensitizer |
| Eugenol | Pulpal irritation or contact allergy in some patients |
| Latex | Allergic reaction |
| Silica and acrylic dust | Respiratory irritation |
A recent
systematic review of resin-composite biocompatibility found that cellular effects remain an area of concern, particularly where resin materials are incompletely polymerized.
3(b). Denture indicated for two patients
Patient 1: 65 years old, no natural teeth in upper and lower arches
Indicated denture: Complete denture for both maxillary and mandibular arches.
Patient 2: 50 years old, some natural teeth remain but several are missing
Indicated denture: Removable partial denture, preferably a cast partial denture if remaining teeth and periodontal condition permit.
4(a). Define polymer, monomer, polymerization, and free radical
Monomer: Small, low-molecular-weight molecule capable of joining with similar molecules to form a polymer.
Example: Methyl methacrylate.
Polymer: Large molecule formed by repeated joining of monomer units.
Example: Polymethyl methacrylate.
Polymerization: Chemical process in which monomers join to form polymer.
Free radical: Atom or molecular fragment with an unpaired electron. It is highly reactive and initiates addition polymerization.
R· = free radical
4(b). Features of cross-linking of polymers
Cross-linking: Formation of covalent bonds between adjacent polymer chains, producing a three-dimensional network.
Features and effects
- Increases strength and rigidity.
- Increases hardness.
- Improves heat resistance.
- Reduces solubility.
- Reduces flow and creep.
- Reduces water sorption.
- Improves resistance to crazing.
- Reduces deformation.
- Makes material less soluble in organic solvents.
- Excessive cross-linking may make material brittle and difficult to repair.
Example: Cross-linked acrylic denture base resin containing ethylene glycol dimethacrylate.
5(a). Requisites of dental resin
An ideal dental resin should have:
Biological requirements
- Non-toxic
- Non-irritant
- Non-allergenic
- Tasteless and odorless
Physical requirements
- Good esthetics and color stability
- Translucency similar to natural tissue when needed
- Low water sorption and solubility
- Dimensional stability
- Low thermal conductivity
- Appropriate thermal expansion
- Radiopacity where needed
Mechanical requirements
- Adequate strength
- High impact resistance
- Adequate hardness and wear resistance
- Good fatigue resistance
- Low creep
- Easy to polish
Handling requirements
- Easy to manipulate
- Adequate working and setting time
- Minimal polymerization shrinkage
- Low residual monomer
- Easily repaired
- Economical
5(b). Applications of resin in dentistry
- Denture bases.
- Artificial denture teeth.
- Temporary crowns and bridges.
- Composite resin restorations.
- Pit and fissure sealants.
- Adhesive bonding agents.
- Luting resin cements.
- Orthodontic appliances and retainers.
- Orthodontic brackets.
- Custom impression trays.
- Provisional restorations.
- Occlusal splints and mouthguards.
- Maxillofacial prostheses.
- Soft liners and tissue conditioners.
- 3D-printed dental models, guides, and provisional restorations.
6(a). Induction and propagation steps of addition polymerization
1. Induction period
Time between mixing of monomer and initiator and beginning of polymerization. During this time, inhibitor is consumed and free radicals begin to form.
2. Initiation
Initiator decomposes to form free radicals.
[
\text{Benzoyl peroxide} \rightarrow \text{Free radicals}
]
Free radical attacks carbon-carbon double bond of monomer and creates an active monomer radical.
3. Propagation
The activated monomer radical successively reacts with more monomer molecules, extending the polymer chain.
R· + M → RM·
RM· + M → RMM·
RMM· + M → RMMM·
4. Termination
Polymer chain growth stops when two active radicals combine or when a radical is deactivated.
6(b). Prevention of corrosion in oral cavity
- Select corrosion-resistant materials and alloys.
- Use noble alloys, titanium, or passivating alloys where suitable.
- Avoid coupling dissimilar metals.
- Avoid direct contact between amalgam and gold/alloys of very different electrode potential.
- Provide smooth, polished restoration surfaces.
- Avoid roughness, porosity, cracks, and crevices.
- Ensure proper casting, finishing, and polishing.
- Ensure good marginal adaptation.
- Maintain oral hygiene and remove plaque.
- Reduce acidic oral environment by controlling diet and caries activity.
- Use fluoride and preventive care as indicated.
- Avoid contaminated alloys and improper heat treatment.
- Use insulating material or non-metal restoration in selected situations.
Corrosion is clinically relevant because corrosion products and released ions can contribute to local irritation and allergy, especially with nickel-containing appliances. A
review of dental polymeric materials describes the relationship between metal-ion release, corrosion, and biocompatibility.