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A SEMINAR BY NIKHIL.J
INTRODUCTION
Because pure metals are apt to be soft and many tend to corrode rapidly and also because of high cost their use is quite limited in dentistry. To optimize properties, most metals commonly used in dentistry are mixtures of two or
more metallic elements or one or more metal and/or non metals (THE
ALLOY). CASTING is one of the most widely used methods for fabrication of metal
restorations out of the mouth. A pattern of lost tooth structure or the dental
prosthesis to be reproduced in metal is constructed in wax. The wax is surrounded by an investment. After the investment has hardened the wax is
removed and the molten metal is forced into the mold space.
My seminar deals with these dental casting alloys.
Contents
Evolution Desirable properties Classification Microstructure of alloys Alloys for all metal and resin veneered restorations. High noble and noble alloys for metal ceramic prosthesis. Base metal alloys for cast metal and metal ceramic prosthesis Partial denture alloys Review of literature Alternatives to cast metal technology Troubleshooting Summary and conclusion References
The base metal removable partial denture alloys were introduced in the 1930s. Since that time, both Ni-Cr and CoCr formulati0ons have become increasingly popular
reduce the precious noble metal content and yet retain the
advantages of noble metals for dental use.
Even the proverbial needle in the haystack can be found if there is a system and method to the search
Cast dental alloys can be classified according to the following five categories: 1. USE (All metal inlays, crowns and bridges, metal and ceramic prostheses, posts and cores, removable partial dentures, implants). 2. MAJOR ELEMENTS :( Gold based, palladium based, silver based, nickel based, cobalt based and titanium based) 3. NOBILITY: High noble, noble, predominantly base metal. 4. PRINCIPAL THREE ELEMENTS: E.g.: Au-Pd-Ag, PdAg- Ni-Cr-Be Co-Cr-Mo etc DOMINANT PHASE SYSTEM: Solid solution(substitutional type and inter metallic type),Coring, Eutectic, Peritectic, and Intermetallic.
MICROSTRUCTURE OF ALLOYS
METAL: An element whose atomic structure rapidly loses electron to form positively charged ions, and which exhibits metallic bonding, opacity good light reflectance from a polished surface, and high electrical ands thermal conductivity. Of the 103 elements listed in the periodic table 80 are classed as metals and they exhibit the following properties: Metallic luster and metallic ring Opaque, harder, stronger and denser than other elements Solids at room temperature Good conductors of heat and electricity. Ductile and malleable Electropositive
ALLOY: A crystalline substance with metallic properties that is composed of two or more chemical elements, at least one of which is a metal. ALLOY SYSTEM is an aggregate of two or more metals in all combinations. In order to specify a particular alloy it is necessary to list the metals or elements \present in the alloy and the amount of each element present. Two methods are available: The weight percentage of each element. The atomic fraction or percentage. The properties of an alloy relate more to the atomic percentage.
6. The specific gravity of pure gold is between19.30 and 19.33 making it one of the heavy metals 7. Air or water at any temperature doesnt tarnish gold. 8.BHN of 25 9. Boiling point of 2970 degree Celsius 10.Linear coefficient of thermal expansion 0.142
PURITY OF GOLD
The purity of gold is expressed in karat or fineness Karat refers to parts of pure gold in 24 parts of gold alloy Fineness refers to parts of pure gold in 1000 parts of gold alloy.
PALLADIUM:
1. Palladium is not used in pure state in dentistry but it is used in many dental alloys combined with either gold or silver. 2. It is cheaper than platinum and since it imparts many of the properties of platinum to dental alloys it is often used as a replacement for platinum. 3. Palladium is a white metal some what darker than platinum. 4. Its specific gravity is 11.4 i.e., about half that of platinum and a little more than half of gold. 5. It is a malleable and ductile metal with a melting point of1555 degree Celsius which is the lowest of the platinum group of metals. 6. It hardens the alloy, imparts it whiter color and compensates the reddening effect of copper. Increase the melting point of the alloy and renders silver tarnish resistant.
SILVER:
Silver is malleable, ductile, white in color and best known for its conduction of heat and electricity. It is stronger and harder than gold but softer than copper. Melting point of 960.5 degree Celsius It combines with sulfur, chlorine and phosphorus or their vapors Pure silver is seldom employed in dental restorations because of the black sulfide formation on the metal in the mouth although it is used as small additions to many gold alloys. Addition of palladium to silver containing alloys prevents the rapid corrosion of such alloys in the oral environment. Silver increases the hardness slightly, whitens the alloy to over come the reddening effect of copper. Molten silver can dissolve oxygen and cause porosity in the casting and silver can encourage corrosion.
COPPER
1.Hardens the alloy. 2.Reduces the melting point of alloy. 3. Reduces the density of the alloy 4. Excessive copper renders the alloy more susceptible to tarnish and corrosion and reddens the alloy.
ZINC:
It is an oxide scavenger during melting of the alloy for casting procedure. in the absence of zinc silver absorbs oxygen at high temperature from the atmosphere. This oxygen is rejected during solidification tending to produce porosity in the casting
GALLIUM:
Used mainly in silver free alloys to compensate for the decreased thermal expansion seen in silver free alloys. (Silver is avoided in metal ceramics as it has as greening effect) IRON,TIN: Increases the hardness. Also provides an oxide coat which improves bonding of porcelain to alloy.
SOLUTION HEAT TREATMENT: It involves heating the casting to a temperature below the solidus (usually 700 degree Celsius) , holding for a short period of time (typically 10 min) so that the alloy returns to random substitutional solid solution , and then quenching to retain this atomic arrangement at room temperature. The tensile strength, hardness and proportional limit are reduced by such a treatment but the ductility is increased. This treatment is indicated for structures that are to to be ground, shaped or otherwise cold worked, either in or out of the mouth.
CASTING SHRINKAGE: All metals and alloys of practical dental interest shrink when they change from liquid to solid state. This occurs in three stages: The thermal contraction of the liquid metal between the temperature to which it is heated and the liquidus. The contraction of the metal inherent in its change from the liquid to the solid state. The thermal contraction of the solid metal that occurs on further cooling to room temperature.
those of dental porcelains. Their solidus temperature is sufficiently high to permit application of low fusing porcelains. The coefficients of thermal expansion tend to be reciprocal to melting point of the alloys. high sag resistance.
GOLD PALLADIUM SILVER ALLOYS (LOW SILVER CONTENT) ADVANTAGES: Economical Excellent resistance to tarnish and corrosion Relative freedom from technique sensitivity DISADVANTAGE: The potential for porcelain discoloration when silver vapor is released.
ADVANTAGES:
These alloys are considered nearly ideal because: Contain no silver Their surface oxide layer is virtually indiscernible Their sag resistance is better than that of Au-Pt-Pd alloys Their castability, corrosion resistance and adherence to porcelain are excellent Cost effective PROPERTIES:
PALLADIUM-GOLD-SILVER ALLOYS:
These have a potential for porcelain discoloration. Gold content is from 5-32% and silver content from 6.5-14%. These alloys have a range of thermal contraction coefficients that increase with an increase in silver content
PALLADIUM-SILVER ALLOYS:
This alloy type was introduced in the market in 1974 as the first gold free noble alloy available for metal ceramic restorations The Pd content is 53-61% and 28-40% Ag in addition to tin and/or indium. ADVANTAGES: The low specific gravity and their low cost make them attractive economic alternatives to gold based alloys. Adequate physical properties Alloys of this type are easy to polish and burnish Adherence to porcelain is acceptable although a predominantly mechanical type of bonding has been suggested for this alloy. DISADVANTAGES: Silver discoloration effect is most severe for these alloys. Gold metal conditioners or ceramic coating agents may minimize this effect. In addition many of todays porcelains are formulated to minimize this
problem
PALLADIUM-COPPER-GALLIUM ALLOYS:
First introduced in 1983, these alloys were very popular in 1990s. However the price volatility of palladium required dentists to use other alloys. A brown or black oxide layer is formed during oxidation and subsequent porcelain firing cycles. Because of all these factors these alloys have not been well accepted in the dental practice.
PALLADIUM-GALLIUM-SILVER ALLOYS:
These alloys have a slightly lighter oxide layer than Pd-Cu alloys and they are thermally compatible with lower expansion porcelains. In addition they have a comparatively low hardness which allows the alloy to be adjusted in the dental lab or the chair side.
PREVENTION OF DISCOLORATION:
Use of ultra low fusing porcelain or non greening porcelain A pure gold film can be fired on a metal substrate to reduce the surface silver concentration. A ceramic conditioner can be fired as a barrier between the alloy and the porcelain. Use of a graphite block routinely to maintain a reducing atmosphere.
BASE METAL ALLOYS FOR CAST METAL AND METAL CERAMIC PROSTHESIS
The no of dental laboratories using base metal alloys steadily increased through 70s and 80s. Although the increased acceptance of these alloys during this period was greatly influenced by the price fluctuation of the noble metals, the trend continued through 90s even when the prices of noble metals had come down. The Ni-Cr-Be alloys have retained their popularity despite the potential toxicity of beryllium and the allergenic potential of nickel.
There are several reasons for the use of nickel chromium and/or cobalt chromium alloys in dentistry Nickel is combined with Chromium to form a highly corrosion resistant alloy Cost effectiveness Alloys such as Ticonium 100 have been used in re4movable partial denture frameworks for many years with few reports of allergic reactions. Although Beryllium is a toxic metal, dentists and patients should not be affected because the main risk occurs mainly in the vapor form which is a concern for the technician. Nickel alloys have excellent mechanical properties such as high elastic modulus, high hardness, high sag resistance and a reasonably high elongation (ductility) Lower density
On the other hand it is also important the realize the limitations of these alloys, particularly Vis-a Vis metal ceramic restorations: These alloys are more difficult to cast and presolder The ability to obtain acceptable fitting castings may require special procedures to adequately compensate for the higher solidification shrinkage Potential for porcelain delamination as a result of separation of poorly adherent oxide layer from the metal substrate. Finishing and polishing require special procedures and is not easy either in the lab or at chair side. Removal of defective restorations may take time. Repair of crowns with fractured porcelain veneers which may be simply performed on noble metal substrates using pin-retained facings or metal ceramic onlays, is more difficult to accomplish in base metal frameworks
CHROMIUM:
Chromium content is responsible for the tarnish resistance and stainless properties of these alloys. When the chromium of an alloy is over 30% the alloy is more difficult to cast. It also forms a brittle phase known as the zigma phase. Therefore dental alloys of these types should not contain more than 28-29% chromium.
CARBON CONTENT: The hardness of cobalt based alloys is increased by the increased content of carbon. A change in the carbon content in the order of 0.2 % in these alloys changes their properties to c\such an extent that the alloy would no longer be usable in dentistry.
ALUMINIUM: Al in Ni containing alloys forms a compound of Nickel and Aluminium (Ni3-Al).This compound increases the ultimate tenmsile and yield strength.
BERYLLIUM:
1 % of this element to Nickel based alloys reduces the fusion range of the alloy by about 100 degree Celsius. It also aids in solid solution hardening. It improves the casting characteristics which possibly aid in porcelain bonding.
MOLYBDENUM: The presence of 3-6% molybdenum contributes to the strength of the alloy. SILICON AND MANGANESE: These are added to increase the castability of these alloys. They are present primarily on oxide to prevent oxidation of other elements during melting. . When the nitrogen content of the final alloy is more than 0.1 % the castings loose some of their ductility since the minor ingredients of carbon, nitrogen and oxygen effectively increase the properties of the final formulated and designed in such a way as to maximize the rigidity of the prosthesis.
The allowable maximum concentration is 5microgram/m3(not to be exceeded for a 15 min period). The National Institute for Occupation Safety and Health (NIOSH) recommends a limit of 0.5 micrograms /m3 based on a 130 min sample. Moffa et al reported that when a local exhaust system was used the concentration of beryllium was reduced to safe levels.
Physiologic responses to beryllium vary from contact dermatitis to severe chemical pneumonitis which can be fatal. Symptoms may range from coughing, chest pain and general weakness to pulmonary dysfunction.
PROPERTIES OF TITANIUM
The physical and mechanical properties of titanium and its alloys vary greatly with the addition of traces of other elements such as oxygen, iron and nitrogen. Commercially pure Ti is available in four grades (Grade I to Grade IV) based on the incorporation of small amounts of oxygen, nitrogen, hydrogen, iron and carbon during purification procedures. The most commonly used and important Ti alloy is Ti-6Al-4V alloy because of its desirable proportion and predictable producibility.
A density of 4.51, VHN of 130-210, % elongation of 15-24 yield strength of 241-548 MPa Melting point of 3035
A special casting machine with arc melting capability and argon atmosphere is used along with a compatible investment are used to ensure acceptable castability. The most widely used Ti alloy used in dentistry is Ti-6Al-4V which is a alpha-beta alloy. Although it is stronger than CP Ti, it is not as attractive from a biocompatibility point of view due to slow release of Al and V atoms in vivo.
REVIEW OF LITERATURE
P.J Brockhurst and R.W.S Canon in 1981 examined the requirements of
J. Robert Kelly and Thomas C.Rose in 1983 discussed the various physical properties, biocompatibility, porcelain bonding and corrosion resistance of various non precious alloys and concluded that though the manipulation of non precious alloys is technique sensitive and exacting, their better physical properties and clinical performance merited consideration. They were of the opinion that beryllium was not a health hazard provided proper exhaust and ventilation was used in the dental lab and that the allergenic potential of nickel needed further research. Russel R. Wang and Aaron Fenton in 1996 reviewed the literature on Titanium for prosthodontic applications. They described the development and properties of titanium for the purpose of evaluating the present status and future trends in its use.
Selcuk Oruc and Ybrahim Tulunoglu in 2000 evaluated the marginal and inner fit of metal cramic restorations and frameworks made with a Nickel-Chromium alloy (Remanium CS) and a commercially pure Titanium (Rematitan). They concluded that the fit of base metal alloy metal ceramic crowns was better than the commercially pure Titanium metal ceramic crowns. However both the artificial crowns were clinically acceptable.
A study was conducted in the dept. of prosthodontics ,under the able guidance of DR.N.P.Patil, to evaluate the effects of recasting on the mechanical properties like yield strength and percentage elongation of High Palladium alloys. It was concluded that: Both the high palladium alloys tested for mechanical properties like yield strength and percentage of elongation
showed lesser values for the cast test samples as compared to the values
given by the manufacturer.
The test cast specimen made with new alloy and mixed alloy to50:50
proportion had almost same yield strength and percentage of elongation values for both alloys tested.
Another study was conducted under the able guidance of Dr.N.P.Patil, in 1997, to evaluate the effect of heat cycles on the release of nickel and chromium from nickel-chromium base metal alloys. It was concluded that : There is a definite release of metal ions from the alloys used for restoration in the oral cavity. The release rate of metal ions was found to be maximum after 1 day and diminished over time. There was a significant difference in release of nickel ion from alloy A to alloy B and it was related to difference in chromium content.
The amount of metal ions (nickel and chromium) released from these alloys may not cause systemic toxicity ,but the local effects on oral tissues cannot be ignored.
CAD-CAM PROCESSING
A CAD-CAM System electronically or digitally records surface coordinates of the prepared tooth and stores these retrieved data in the memory of a computer. The image data can then be retrieved immediately to mill or grind a metal, ceramic or composite prosthesis by computer control from a solid block of the chosen material. Within minutes the prosthesis can be fabricated and placed in a prepared tooth and bonded or cemented in the mouth of a patient. The optical scanning procedure eliminates the need for an impression. An advantage of ceramics is that homogeneous, high quality materials with minimal porosity and other typical defects are designed for CAD-CAM applications.
COPY MILLING
This process is based on the principle of tracing the surface of a pattern that is then replicated from a blank of ceramic, composite, or metal that is ground, cut or milled by a rotating wheel whose motionis controlled by a link through the tracing device. Eg : The Celay : Mikrona Technologies, Spreintenbach, Switzerland)
ELECTROFORMING
A master cast of the prepared tooth is prepared and coated with a special die spacer to facilitate separation of the duplicating material. After applying a conductive silver layer to the duplicated surface (Gypsum product) , the die is connected to a plating head and connected to a power source and then placed in a plating solution. After a sufficiently
TROUBLESHOOTING:
When combinations of dissimilar metals are in direct physical contact, GALVANIC CORROSION OR GALVANISM is produced. This may occur either due to two adjacent dissimilar crowns or two dissimilar opposing crowns. Hence care should be taken when two or more teeth are being restored. When the surface of crown is heterogeneous as regards to its composition and surface topography corrosion ensues. Especially solder joints. In case of surface irregularity such as roughness concentration cell corrosion is seen. These can be avoided by proper selection of alloy, proper heat treatment and immaculate finishing. The correct mass of alloy required for a casting a particular wax pattern is given by the formula:
Mm = Dm x Mw Dw
Where: Mm is mass of metal alloy Dm is density of the metal alloy Mw is mass of the wax pattern Dw is density of the wax pattern Because of difference in hardness, percentage elongation and ultimate tensile strength, different trimming and polishing techniques are employed for different alloys: Gold alloy: Carbide burs, Al oxide, rubber wheels, Tripoli or rouge Metal ceramic alloys: Carbide burs are preferred as Al oxide may contaminate with residual abrasive and interfere with bonding. Base alloys: Sand blasting or Carbide burs are used followed by electrolytic polishing.
EFFORT-THAT IS WHAT MAKES A TEAM WORK, A COMPANY WORK, A SOCIETY WORK, A CIVILIZATION WORK."
References
Phillipsscience of dental materials Kenneth J.Anusavice,11th Edition. Removable partial prosthodontics- McCracken,9th Edition. Dental laboratory procedures Fixed partial dentures -Robert M. Murrow, Kenneth D. Rudd, John E. Rhoads. Notes on Dental materials E.C.Combe,6th Edition. Contemporary Fixed Prosthodontics Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto,3rd Edition. Restorative dental materials Robert G.Craig, John M. Powers.
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