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Dental products are specially fabricated materials, designed for use in dentistry. There are many different types of dental products, and their characteristics vary according to their intended purpose.
Zinc oxide eugenol (ZOE) is a material created by the combination of zinc oxide and eugenol contained in oil of cloves. An acid-base reaction takes place with the formation of zinc eugenolate chelate. The reaction is catalysed by water and is accelerated by the presence of metal salts. ZOE can be used as a dental filling material or dental cement in dentistry. It is often used in dentistry when the decay is very deep or very close to the nerve or pulp chamber. Because the tissue inside the tooth, i.e. the pulp, reacts badly to the drilling stimulus, it frequently becomes severely inflamed and precipitates a condition called acute or chronic pulpitis. This condition usually leads to severe chronic tooth sensitivity or actual toothache and can then only be treated with the removal of the nerve (pulp) called root canal therapy. For persons with a dry socket as a complication of tooth extraction, packing the dry socket with a eugenol-zinc oxide paste on iodoform gauze is effective for reducing acute pain. The placement of a ZOE "temporary" for a few to several days prior to the placement of the final filling can help to sedate the pulp. But, ZOE had in vitro cytotoxicity majorly due to release of Zn ions, not eugenol. In spite of severe in vitro cytotoxicity, ZOE showed relatively good biocompatibility in animal study when ZOE was applied on dentin. When ZOE was used as dentin-protective based materials, use of dental composite resin on ZOE was strongly prevented due to its inhibition of resin polymerization through radical scavenging effect. It is classified as an intermediate restorative material and has anaesthetic and antibacterial properties. The exact mechanism of anesthetic effect from ZOE was not revealed perfectly, but possibly through anti-inflammatory effect, modulating immune-cells to less inflamed status.
Dental restoration, dental fillings, or simply fillings are treatments used to restore the function, integrity, and morphology of missing tooth structure resulting from caries or external trauma as well as to the replacement of such structure supported by dental implants. They are of two broad types—direct and indirect—and are further classified by location and size. A root canal filling, for example, is a restorative technique used to fill the space where the dental pulp normally resides.
Dental sealants are a dental treatment intended to prevent tooth decay. Teeth have recesses on their biting surfaces; the back teeth have fissures (grooves) and some front teeth have cingulum pits. It is these pits and fissures that are most vulnerable to tooth decay because food and bacteria stick in them and because they are hard-to-clean areas. Dental sealants are materials placed in these pits and fissures to fill them in, creating a smooth surface which is easy to clean. Dental sealants are mainly used in children who are at higher risk of tooth decay, and are usually placed as soon as the adult molar teeth come through.
In dentistry, a crown or a dental cap is a type of dental restoration that completely caps or encircles a tooth or dental implant. A crown may be needed when a large dental cavity threatens the health of a tooth. A crown is typically bonded to the tooth by dental cement. They can be made from various materials, which are usually fabricated using indirect methods. Crowns are used to improve the strength or appearance of teeth and to halt deterioration. While beneficial to dental health, the procedure and materials can be costly.
Dental composite resins are dental cements made of synthetic resins. Synthetic resins evolved as restorative materials since they were insoluble, of good tooth-like appearance, insensitive to dehydration, easy to manipulate and inexpensive. Composite resins are most commonly composed of Bis-GMA and other dimethacrylate monomers, a filler material such as silica and in most applications, a photoinitiator. Dimethylglyoxime is also commonly added to achieve certain physical properties such as flow-ability. Further tailoring of physical properties is achieved by formulating unique concentrations of each constituent.
In dentistry, inlays and onlays are used to fill cavities, and then cemented in place in the tooth. This is an alternative to a direct restoration, made out of composite, amalgam or glass ionomer, that is built up within the mouth.
A temporary crown is a temporary (short-term) crown used in dentistry. Like other interim restorations, it serves until a final (definitive) restoration can be inserted. Usually the temporary crown is constructed from acrylic resins (monomethacrylate-based/polymethacrylate-based) or, chemical-cure/light cure composite (dimethacrylate-based), although alternative systems using aluminium crown forms are occasionally used. Temporary crowns function to protect the tooth, prevent teeth shifting, provide cosmetics, shape the gum tissue properly, and prevent sensitivity.
Zinc phosphate is an inorganic compound with the formula Zn3(PO4)2. This white powder is widely used as a corrosion resistant coating on metal surfaces either as part of an electroplating process or applied as a primer pigment (see also red lead). It has largely displaced toxic materials based on lead or chromium, and by 2006 it had become the most commonly used corrosion inhibitor. Zinc phosphate coats better on a crystalline structure than bare metal, so a seeding agent is often used as a pre-treatment. One common agent is sodium pyrophosphate.
A glass ionomer cement (GIC) is a dental restorative material used in dentistry as a filling material and luting cement, including for orthodontic bracket attachment. Glass-ionomer cements are based on the reaction of silicate glass-powder and polyacrylic acid, an ionomer. Occasionally water is used instead of an acid, altering the properties of the material and its uses. This reaction produces a powdered cement of glass particles surrounded by matrix of fluoride elements and is known chemically as glass polyalkenoate. There are other forms of similar reactions which can take place, for example, when using an aqueous solution of acrylic/itaconic copolymer with tartaric acid, this results in a glass-ionomer in liquid form. An aqueous solution of maleic acid polymer or maleic/acrylic copolymer with tartaric acid can also be used to form a glass-ionomer in liquid form. Tartaric acid plays a significant part in controlling the setting characteristics of the material. Glass-ionomer based hybrids incorporate another dental material, for example resin-modified glass ionomer cements (RMGIC) and compomers.
A luting agent is a dental cement connecting the underlying tooth structure to a fixed prosthesis. To lute means to glue two different structures together. There are two major purposes of luting agents in dentistry – to secure a cast restoration in fixed prosthodontics, and to keep orthodontic bands and appliances in situ.
In dentistry, amalgam is a liquid mercury and metal alloy mixture used to fill cavities caused by tooth decay.
Mineral trioxide aggregate (MTA) was developed for use as a dental root repair material by Mahmoud Torabinejad. It is formulated from commercial Portland cement, combined with bismuth oxide powder for radio-opacity. MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, and treating internal root resorption. This can be used for root-end filling material and as pulp capping material. Originally, MTA was dark gray in color, but white versions have been on the market since 2002.
Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. The minimally invasive endodontic techniques of vital pulp therapy (VPT) are based on improved understanding of the capacity of pulp (nerve) tissues to heal and regenerate plus the availability of advanced endodontic materials. During the caries removal, this results in a carious or mechanical pulp exposure (bleeding) from the cavity. During pulpotomy, the inflamed/diseased pulp tissue is removed from the coronal pulp chamber of the tooth leaving healthy pulp tissue which is dressed with a long-term clinically successful medicament that maintains the survival of the pulp and promotes repair. There are various types of medicament placed above the vital pulp such as Buckley's Solution of formocresol, ferric sulfate, calcium hydroxide or mineral trioxide aggregate (MTA). MTA is a more recent material used for pulpotomies with a high rate of success, better than formocresol or ferric sulfate. It is also recommended to be the preferred pulpotomy agent in the future. After the coronal pulp chamber is filled, the tooth is restored with a filling material that seals the tooth from microleakage, such as a stainless steel crown which is the most effective long-term restoration. However, if there is sufficient remaining supporting tooth structure, other filling materials such as amalgam or composite resin can provide a functional alternative when the primary tooth has a life span of two years or less. The medium- to long-term treatment outcomes of pulpotomy in symptomatic permanent teeth with caries, especially in young people, indicate that pulpotomy can be a potential alternative to root canal therapy (RCT).
Minimal intervention dentistry is a modern dental practice designed around the principal aim of preservation of as much of the natural tooth structure as possible. It uses a disease-centric philosophy that directs attention to first control and management of the disease that causes tooth decay—dental caries—and then to relief of the residual symptoms it has left behind—the decayed teeth. The approach uses similar principles for prevention of future caries, and is intended to be a complete management solution for tooth decay.
Dental compomers, also known as polyacid-modified resin composite, are used in dentistry as a filling material. They were introduced in the early 1990s as a hybrid of two other dental materials, dental composites and glass ionomer cement, in an effort to combine their desirable properties: aesthetics for dental composites and the fluoride releasing ability for glass ionomer cements.
Pulp capping is a technique used in dental restorations to prevent the dental pulp from necrosis, after being exposed, or nearly exposed during a cavity preparation, from a traumatic injury, or by a deep cavity that reaches the center of the tooth causing the pulp to die. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. This can lead to the pulp of the tooth either being exposed or nearly exposed which causes pulpitis (inflammation). Pulpitis, in turn, can become irreversible, leading to pain and pulp necrosis, and necessitating either root canal treatment or extraction. The ultimate goal of pulp capping or stepwise caries removal is to protect a healthy dental pulp and avoid the need for root canal therapy.
Apexification is a method of dental treatment to induce a calcific barrier in a root with incomplete formation or open apex of a tooth with necrotic pulp. Pulpal involvement usually occurs as a consequence of trauma or caries involvement of young or immature permanent teeth. As a sequelae of untreated pulp involvement, loss of pulp vitality or necrotic pulp took place for the involved teeth.
Dental cermets, or silver cermets, are a type of restorative material dentists use to fill tooth cavities.
Atraumatic restorative treatment (ART) is a method for cleaning out tooth decay from teeth using only hand instruments and placing a filling. It does not use rotary dental instruments to prepare the tooth and can be performed in settings with no access to dental equipment. No drilling or local anaesthetic injections are required. ART is considered a conservative approach, not only because it removes the decayed tissue with hand instruments, avoiding removing more tissue necessary which preserves as much tooth structure as possible, but also because it avoids pulp irritation and minimises patient discomfort. ART can be used for small, medium and deep cavities caused by dental caries.
References
- ↑ "dental cement". TheFreeDictionary.com. Retrieved 2017-11-21.
- ↑ Goldey, Glenn J.; Roumis, Demetris K.; Glickfeld, Lindsey L.; Kerlin, Aaron M.; Reid, R. Clay; Bonin, Vincent; Schafer, Dorothy P.; Andermann, Mark L. (November 2014). "Removable cranial windows for long-term imaging in awake mice". Nature Protocols. 9 (11): 2515–2538. doi:10.1038/nprot.2014.165. ISSN 1750-2799. PMC 4442707 . PMID 25275789.
- 1 2 3 J., Bonsor, Stephen (2013). A clinical guide to applied dental materials. Pearson, Gavin J. Amsterdam: Elsevier/Churchill Livingstone. ISBN 9780702031588. OCLC 824491168.
{{cite book}}: CS1 maint: multiple names: authors list (link) - 1 2 International Organization for Standardization (12 February 2023). "ISO 4049: 2019 (en) Dentistry — Polymer-based restorative materials". www.iso.org.
- ↑ Jack L Ferracane, 2001. Materials in Dentistry Second Edition. Colombia
- ↑ Daugela, Povilas; Oziunas, Rimantas; Zekonis, Gediminas (2008). "Antibacterial potential of contemporary dental luting cements". Stomatologija, Baltic Dental and Maxillofacial Journal. 10 (1): 16–21. PMID 18493161.
- 1 2 McCabe, J. F. (John F.) (2008). Applied dental materials. Walls, Angus. (9th ed.). Oxford, UK: Blackwell Pub. ISBN 9781405139618. OCLC 180080871.
- 1 2 Bonsor, Stephen; Pearson, Gavin (2013). A Clinical Guide to Applied Dental Materials. Elsevier. pp. 167, 168 and 169.
- ↑ Sulaiman, Taiseer A.; Abdulmajeed, Awab A.; Altitinchi, Ali; Ahmed, Sumitha N.; Donovan, Terence E. (June 2018). "Mechanical properties of resin-based cements with different dispensing and mixing methods". The Journal of Prosthetic Dentistry. 119 (6): 1007–1013. doi:10.1016/j.prosdent.2017.06.010. ISSN 1097-6841. PMID 28967397. S2CID 7518684.
- 1 2 MSEd, AEGIS Communications, By Mojdeh Dehghan, DDS, Ashanti D. Braxton, DDS, James F. Simon, DDS. "An Overview of Permanent Cements | ID | aegisdentalnetwork.com". www.aegisdentalnetwork.com. Retrieved 2019-01-23.
{{cite web}}: CS1 maint: multiple names: authors list (link) - ↑ Dean, Jeffrey A. (2015-08-10). McDonald and Avery's dentistry for the child and adolescent. Dean, Jeffrey A. (Jeffrey Alan),, Jones, James E. (James Earl), 1950-, Vinson, LaQuia A. Walker,, Preceded by (work): McDonald, Ralph E., 1920- (Tenth ed.). St. Louis, Missouri. ISBN 9780323287463. OCLC 929870474.
{{cite book}}: CS1 maint: location missing publisher (link) - ↑ Deshpande A N, Verma S, Macwan C. January 2014. Allergic Reaction Associated with the use of Eugenol Containing Dental Cement in a Young Child. Research Gate.
- Acid-base Cements (1993) A. D. Wilson and J.W. Nicholson
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