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Amalgam Steps
1.
2.
3.
4.
5.
Trituration (mixing)
Condensation (packing)
Carving
Burnishing
Polishing
Trituration
Overall Reaction:
*y1 and y2 are inferior in strength, corrosion resistance and creep to y phase limit y1 an y2 by
limiting the amount of Hg
Trituration Process:
- Add Hg to gamma phase
o Initial contraction occurs (volume of Hg and gamma mixture is less than the total of
the initial volumes of the two mixtures)
o This is as y acts as a sponge absorbing the Hg
- Shake mixture to break up the alloy removes oxide layer and increases surface area for
Hg to react with gamma
o Increase SA as you break up the alloy Break off gamma particles off the big
unreacted gamma particle (breaking off anita)
o Hg reacts with Ag rich area to form gamma 1
o Hg reacts with Sn rich area to form gamma 2
o Continued shaking ensures that you remove the newly form y1 and y2 particles
Short Trituration Time: Stop shaking after a short period of time
- y1 and y2 dont fall off the y particle (no new surface area at y for Hg to react diffusion of
Hg into y particles are suppressed)
- Gamma 1 and 2 crystallise upon formation (nucleation) and results in expansion
o Nucleation = Forming the new phase of y1 and y2 from y results in expansion
Condensation
-
Condensation: Pressure applied with a packing instrument when placing the amalgam into a
cavity
Increase condensation pressure will
o Counteracts setting expansion
This is as the initial diffusion layer of Hg is disrupted and more Hg diffusion
takes place
o Also packs the amalgam alloy particles closer together leaving less room for Hg
Inhibits contraction from initial reaction? Sponge absorbing Hg
Excess Hg moves to the surface and is removed (less likely to react after it
sets) Prevent further formation of y1 and y2 (which tends to counteract
expansion)
Good condensation will remove as much of the mercury rich y1 and y2 phases
Inefficient condensation:
o Dont pack amalgam strong enough increased porosity which
can lead to 30% increase in creep
Restoration failure
Consequences of Creep
- Creep: Is the flow of set amalgam which causes
o Flattening of contact points between the amalgam restoration and neighbouring
tooth
o Overhang Margins
o Biting on amalgam can cause amalgam to flow up/over to the margins and can chip
off and cause leakage
o Amalgam can protrude into tooth margins which leads to marginal breakdown
*Overhang Margins: An excess of dental filling material beyond the cavity margin
Consequences of Corrosion?
- Corrosion: Amalgam undergoes chemical reaction with its environment forming breakdown
products
- Corrosion reaction: y2 + O2 Tin Salts and free Hg
o From this reaction; a passivating film of oxides is formed Insulate amalgam from
further reaction/corrosion?
o However, biting in amalgam removes the oxide layer and exposes amalgam Draw
picture
Gamma 2 is most reactive and a small electrolytic cell is created (galvanic
corrosion)
Gamma 2 is lost into the saliva as it corrodes (higher reduction potential
gain electrons and will be released as tin salts and free Hg)
o Zinc can be added to react with O2 preferentially to reduce corrosion (prevents
corrosion/oxidation of y2)
If it is contaminated it results in expansion
*Continued corrosion causes staining of dentine and stains amalgam as a dark grey/black
Tooth fracture
- Cavity preparations with sharp internal line angles are usually needed to increase
mechanical retention for amalgam
o There is very little bonding strength between amalgam and the tooth
o However sharp line angles = act as stress raises are contribute to tooth fracture
o COMPROMISE: use a slightly rounded cavity that also provides sufficient mechanical
retention
- Round off the acute cavosurface angles (unsupported enamel rods) to decrease risk of
chipping/marginal breakdowns Cavosurface angles should be 90o
- Amalgam does not reinforce remaining cusps on teeth
o Cusps are more likely to fracture/chip off
Coefficient of thermal expansion/contraction
- Large discrepancy between tooth (11.4) and amalgam (28)
o Expands and contracts very differently to tooth upon exposure to heat
o Contraction = leakage
o Expansion = cracking of tooth
- Amalgam also has a high coefficient of thermal conductivity
o Composite has similar thermal expansion/contraction as amalgam but much lower
thermal conductivity heat transfer rate is low; expands/contracts slower
- Opening the interface between tooth and restoration Allows bacterial ingress and
recurrent caries
Contamination of cavity
- Need to work in a dry environment Want amalgam to bond directly to the tooth (nothing
between tooth and amalgam which can cause failure at margins of restoration)
- Contamination with moisture (saliva) during packing can cause expansion (along with short
trituration and poor condensation)
o This can cause cracking of mesial/distal margins of teeth with Class 1 restorations
Amalgam failure
o Restoration is too thin relative to the surface
Cracks easily when biting on it
o Line angles in the cavity are too sharp
o Cavity preparation has poor mechanical retention
Amalgam restoration can fall out of cavity