DENTISTRY (Metallic Restorations)

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Metallic Restorations Metallic Restorations Student: Student: Alonso Martinez Tapia Alonso Martinez Tapia Dr. Alfredo Dr. Alfredo Nevarez Nevarez Rascon Rascon

Transcript of DENTISTRY (Metallic Restorations)

Page 1: DENTISTRY (Metallic Restorations)

Metallic RestorationsMetallic Restorations

Student: Student: Alonso Martinez TapiaAlonso Martinez TapiaStudent: Student:

Dr. Alfredo Dr. Alfredo NevarezNevarez RasconRascon

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M E T A L SM E T A L SM E T A L SM E T A L S

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DEFINITIONDEFINITION

“Chemical substance that “Chemical substance that is a good electrical and is a good electrical and

thermal conductor, thermal conductor, when is polished is a when is polished is a when is polished is a when is polished is a

good reflector “good reflector “

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FEATURESFEATURES

�� SHINESHINE

�� RESISTANCE TO CORROSIONRESISTANCE TO CORROSION

�� THERMAL AND ELECTRICALTHERMAL AND ELECTRICAL

CONDUCTORCONDUCTORCONDUCTORCONDUCTOR

�� STRENGTH AND RIGIDITY STRENGTH AND RIGIDITY

�� DRIVE RESISTANCEDRIVE RESISTANCE

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�� ALLOYALLOY :: ThisThis areare unionsunions ofof 22 oror moremoremetallicmetallic elementselements..

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In Dentistry, alloys are use In Dentistry, alloys are use

except for:except for:

•• pure gold laminatedpure gold laminated•• pure gold laminatedpure gold laminated

•• commercial pure titanium commercial pure titanium

•• Silver points for endodonticSilver points for endodontic

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CHANGES IN THE METAL STRUCTURE

� lackluster : Loss of gloss or sheen in a alloy ormetal surface.

� Pigmentation : Partial impariment on metalsurface, or color change.

� CORROSION : Actual deterioration on metalsurface.

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• FACTORS CAUSING CORROSION– pH of the saliva.– Wrong adapted prosthesis.– Poor dental position.– Deposits of food.– Poor hygiene.– Poor hygiene.– Food that release certain chemical

components.– Drugs.– Fluctuations in temperature.

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ALLOYS USED IN DENTISTRYALLOYS USED IN DENTISTRY

Highly noble alloys (precious)Highly noble alloys (precious)Highly noble alloys (precious)Highly noble alloys (precious)Alloys of noble metalsAlloys of noble metalsPredominantly base alloysPredominantly base alloys

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PRECIOUS METALSPRECIOUS METALS

CorrosionCorrosion resistanceresistance in in thethe oral oral cavitycavity: : GoldGold, , PlatinumPlatinum, , PalladiumPalladium, , RhodiumRhodium, , RutheniumRuthenium, , IridiumIridium, , OsmiumOsmium and and SilverSilver..

ThereThere are are fourfour mainmain metalsmetals : : GoldGold, , PalladiumPalladium, , PlatinumPlatinum and and SilverSilver..

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CastCast Metal Metal OrOr DrainDrain

Process for the Process for the constuctionconstuction of a of a restoration or appliance out for the restoration or appliance out for the previously made a mouth waxed or previously made a mouth waxed or previously made a mouth waxed or previously made a mouth waxed or patternpattern..

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CAST ALLOYS FOR HIGHLY NOBLECAST ALLOYS FOR HIGHLY NOBLE

CompositionComposition::

1.1. GoldGold:: malleability,malleability, resistanceresistance totocorrosioncorrosion..

2.2. SilverSilver:: HardnessHardness

3.3. ZincZinc:: decreasesdecreases TT fusionfusion

PlatinumPlatinum oror PalladiumPalladium:: HardnessHardness4.4. PlatinumPlatinum oror PalladiumPalladium:: HardnessHardness

5.5. CopperCopper:: resistanceresistance andand

bactericidalbactericidal

NotaNota:: thethe whitewhite goldgold castingcasting whitwhit lessless goldgoldandand coppercopper areare notnot..

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TIPOS DE OROS PARA COLADOSTIPOS DE OROS PARA COLADOS

�� Type I (SOFT GOLD)Type I (SOFT GOLD)

For the construction of scale in class III y VFor the construction of scale in class III y V

�� Type II (MEDIUM GOLD)Type II (MEDIUM GOLD)

For all types of deposits, plus For all types of deposits, plus ¾ crowns and ¾ crowns and completecomplete

�� Type III (HARD GOLD)Type III (HARD GOLD)

For small fixed bridges and removableFor small fixed bridges and removable

�� Type IV ( GOLD EXTRA HARD)Type IV ( GOLD EXTRA HARD)

For large fixed bridges and removable palatal For large fixed bridges and removable palatal bars and lingualbars and lingual

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NOBLE METAL ALLOYSNOBLE METAL ALLOYS

(Semiprecious)(Semiprecious)

�� 25% of noble metals, does not require gold:25% of noble metals, does not require gold:

�� Silver Silver -- PalladiumPalladium

�� Palladium Palladium -- SilverSilver

�� Silver Silver -- TinTin

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SILVERSILVER--

PALLADIUM PALLADIUM

ALLOYSALLOYS

(Ag(Ag--Pd)Pd)(Ag(Ag--Pd)Pd)

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��DDevelopedeveloped as as anan alternativealternative toto thosethose basedbasedonon goldgold. . ThereThere are are twotwo varietiesvarieties::

��SilverSilver 6060--70% 70% PalladiumPalladium 2525--30%30%

Note:Note: SomeSome containecontaine 10% 10% coppercopper..

��PalladiumPalladium 60% 60% SilverSilver 30%30%

Note:Note: El 10% of El 10% of otherother metalsmetals toto failitatefailitatebondingbonding withwith porcelainporcelain..

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CHEMICAL PROPERTIESCHEMICAL PROPERTIES

�� PigmentationPigmentation and and resistanceresistance toto corrosioncorrosion

properlyproperly handledhandled. .

Note:Note: ItIt isis possiblepossible toto achieveachieve adequateadequateNote:Note: ItIt isis possiblepossible toto achieveachieve adequateadequate

accuracyaccuracy casting and a casting and a goodgood polishingpolishing and and

acceptableacceptable weldswelds..

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CLINICAL CLINICAL

APPLICATIONAPPLICATION

��ScaleScale

��CrownsCrowns

��FixedFixed partialpartial

DentureDenture

EndopostesEndopostes

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PALLADIUMPALLADIUM--

SILVER ALLOYSILVER ALLOYSILVER ALLOYSILVER ALLOY

(Pd(Pd--Ag)Ag)

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TheyThey are are anan alternativealternative

toto goldgold alloyalloy forfortoto goldgold alloyalloy forfor

ceramicsceramics..

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ThisThis are are alloysalloys of of highhigh meltingmelting

pointpoint and and whichwhich supportsupport thethe

firingfiring of of ceramicsceramics of of porcelainporcelain..

(1400(1400°°C)C)(1400(1400°°C)C)

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ADVANTAGESADVANTAGES

��GoodGood physicalphysical propertiesproperties and and bondingbondingwithwith ceramicsceramics..

��BiocompatibBiocompatiblele

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DISADVANTAGESDISADVANTAGES

��TheThe likelylikely changechange in color of in color of

porcelainporcelain bakedbaked..porcelainporcelain bakedbaked..

��ExpensiveExpensive

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SILVERSILVER--TIN TIN

ALLOYALLOYALLOYALLOY

(Ag(Ag--Sn)Sn)

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TheseThese alloysalloys havehave beenbeen usedused forfor decadesdecades in in

dentistrydentistry toto makemake depositsdeposits, , notnot beingbeing

suitablesuitable forfor prostheticprosthetic purposespurposes..

INDICATIONS:INDICATIONS:INDICATIONS:INDICATIONS:

TemporaryTemporary inlaysinlays..

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ADVANTAGESADVANTAGES

��CheapCheap

��EasyEasy handlinghandling��EasyEasy handlinghandling

��PoorPoor precisionprecision castingcasting

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DISADVANTAGESDISADVANTAGES��FragileFragile marginal marginal edgesedges

��PigmentationPigmentation

��Can Can notnot bebe weldedwelded

��SlightSlight corrosioncorrosion resistanceresistance

��AfterAfter a short a short clinicalclinical use and use and eveneven

beforebefore cementedcemented in in thethe mouthmouth havehave

lostlost shineshine and and laterlater changedchanged toto darkdark

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BASE METALSBASE METALS

�� TheseThese are noble are noble elementselements..

�� IsIs thethe so so calledcalled becausebecause itit reactsreacts withwith thethe�� IsIs thethe so so calledcalled becausebecause itit reactsreacts withwith thethe

environmentenvironment and are use and are use toto protectprotect anan

alloyalloy againstagainst corrosioncorrosion byby passivitypassivity..

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COBALTCOBALT--

CHROMIUM CHROMIUM

ALLOYSALLOYSALLOYSALLOYS

(Co(Co--Cr)Cr)

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FEATURESFEATURES

HighHigh hardenesshardeness

GoodGood glossgloss

MechanicalMechanical strengthstrength

ResistanceResistance toto corrosioncorrosion

y corrosióny corrosión

CheapCheap

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CLINICAL CLINICAL

APPLICATIONAPPLICATIONDevelopmentDevelopment of of

bases in bases in

removableremovableremovableremovable

denturesdentures..

BasisBasis of of denturesdentures

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PRESENTATIONPRESENTATION

FormForm of granulesof granules

IngotsIngots

TRADE NAMESTRADE NAMESTRADE NAMESTRADE NAMES

�� VitaliumVitalium (Co(Co--Cr)Cr)

�� TiconiumTiconium (Ni(Ni--Cr)Cr)

�� DentilliumDentillium ((FFee--Cr)Cr)

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ADVANTAGESADVANTAGES

CheapCheap

VeryVery lightlightVeryVery lightlight

More durable More durable adjustingadjusting hookshooks..

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DISADVANTAGES

Excessive hardness

Minor casting accuracy

Complicated heat treatment

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WeldsWelds

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WeldsWelds

WELDINGWELDING : Intermediate : Intermediate element that is used to element that is used to join metallic surfaces join metallic surfaces each other.each other.

It’s a technique for join 2It’s a technique for join 2It’s a technique for join 2It’s a technique for join 2Or more metal elements,Or more metal elements,Rebuild or repair a metal Rebuild or repair a metal

surfacesurface..

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REQUIREMENTSREQUIREMENTS

Free Free toxictoxic substancesubstanceResistantResistantFlowFlowSimilar colorSimilar colorSimilar colorSimilar colorLowerLower temperaturetemperature of of

•• fusionfusionCorrosionCorrosion resitantresitant

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TECNICAS PARA SOLDARTECNICAS PARA SOLDAR

1.1. TECHNICAL COMMTECHNICAL COMM : Requires the use : Requires the use of an intermediate (welding).of an intermediate (welding).

2.2. WELD TECHNICALWELD TECHNICAL : Application of heat : Application of heat 2.2. WELD TECHNICALWELD TECHNICAL : Application of heat : Application of heat to melt the two metal surfaces.to melt the two metal surfaces.

3.3. ELECTRICAL TECHNICALELECTRICAL TECHNICAL : Application : Application of electric currentof electric current--tap to join metallic tap to join metallic surfacessurfaces..

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FLUXFLUXFacilitateFacilitate thethe flowflow of of weldingwelding,,

EliminatingEliminating impuritiesimpurities..TheyThey come in come in powderpowder and pasteand pasteCompositionComposition of flux of flux forfor alloysalloys withwithchromiumchromium ::

pottasiumpottasium fluoridefluoride, , boricboric acidacid, , boraxborax glassglass, , and and sodiumsodium carbonate carbonate oror silicasilica. And . And forforgoldgold alloysalloys: : BoraxBorax powderpowder, , boricboric acidacid and and silicasilica..