Filling materials: Filling materials



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Filling materials:

  • Filling materials:

    • short term temporary
    • long term temporary
    • definitive
    • underfilling materials
  • Endodontic materials

  • Prophylactic, preventive materials:

    • fissure sealer
    • varnish, gel
  • Impression materials

  • Luting materials:

    • cements
    • orthodontic bonding


Characteristics:

  • Characteristics:

      • non toxic
      • good retention
      • good marginal adaptation
      • easy to apply and to take out
      • aesthetic
      • not expensive


Effects:

  • Effects:

      • Temperature stability, isolation
      • Protection:
      • Therapeutical action:
      • - antiinflammatory
      • - dentinbridge
      • Dentine tube obliteration
      • Antibacterial


Cink oxy-phosphate cement

  • Cink oxy-phosphate cement

      • liner – fast setting,
      • luting – long setting,
      • No obliteration of the dentintubes
      • pulp – phosphoric acid
      • in vitro: citotoxic, mutagen
      • setting: acid-basic reaction


Polycarboxylate cement

  • Polycarboxylate cement

      • Phosphoric acid → polyacrylic acid
      • Setting: acid-base reaction
      • Tooth structures: chemical binding
      • in vivo: ↓ toxicity
      • in vitro: ↑ ~ - Zn, F-, mutagenic
      • ↓ mechanical properties, ↑ solubility
      • difficult „handling”


Calcium-hydroxide - Ca(OH)2

  • Calcium-hydroxide - Ca(OH)2

      • antiseptic
      • facilitates dentin formation
      • Ca(OH)2 release /absorption– results week structure
      • self-curing: - ↑ solubility
      • underfilling, direct and indirect pulp capping
      • light-curing: - ↓ solubility
          • - ↑ mechanical properties
          • - 0,5 – 1mm: pulplesion, under amalgam
      • - ↓ toxicity




reactive glassparticules (composite: inert glass)

      • reactive glassparticules (composite: inert glass)
      • setting: acid-basic reaction
      • „sandwich” technique
      • ion: F-, Al3+, Sr2+
      • structure: - calcium-aluminium-fluor-silicate glass
          • - strocium-aluminium-fluor-silicate glass
          • Polyakrilic acid/polycarbonate acid
          • glass-polyalchenoate cement




CERMET CEMENT

  • CERMET CEMENT



Molars short after eruption or partially erupted - FS;

  • Molars short after eruption or partially erupted - FS;

  • Allergic reactions;

  • „Barbie” filling in primary dentition.





Additional indications

  • Additional indications





Quantity:

  • Quantity:

    • Cu contents:
      • low: 2-5% - conventional ~
      • high: 12-30% - non-gamma-2 ~
  • Form: < 20-25 µm

    • lathe-cut plate
    • spherical
    • Irregular form
    • mixed








= min. two, chemically different material and one phase 3D combination

  • = min. two, chemically different material and one phase 3D combination





Special composite,

  • Special composite,

  • Composition:

    • bifunctional monomer - composite
    • Reactive glass filler – GIC
  • Setting:

    • - free radical polymerisation
    • - acid-basic reaction (water absorption from the environment, 3% max. water content, during several month):→ chemical setting: material and tooth
    • → F-
  • Light curing → filling material

  • Self curing → luting cement



Light curing coloured compomer

  • Light curing coloured compomer

  • Primary dentition

  • Alternative ~ amalgam

  • Radiopaque

  • F-

  • Compliance



Oba AA, Sönmez IS, Sari Ş.

  • Oba AA, Sönmez IS, Sari Ş.

  • Clinical Evaluation of a Colored Compomer

  • In Primary Molars

  • Med Princ Pract 2009; 18:31-34

  • 36 patients → 80 II. class fillings, primary dentitions

  • M/F = 1; 12 month

  • Minimally invasive technique

  • 2 mm thickness, 40”

  • Results:

    • 3,9% (3 fillings) – replacement
    • 1,3% caries
    • 1,29% (1 filling) - fracture
    • 2,6% - marginal shinkage
    • 2 fillings – marginal discolouration


Coloured compomer

  • Coloured compomer

  • Dual setting

  • Insensitive to moisture

  • F- , Zn2+ → bactericidal

  • Setting: 40” → 4’

  • Croll TP. MagicFil: A colourful kiddie compomer. Compend Contin Educ dent 2002; 23:1044-1048.

  • Jafaranta B, Soderholm K-J, Guelmann M. Light penetration and bond strength of MagicfilTM to primary molars. Baltimor Convention Center 2005.

  • blue < white < purple < yellow









PedoPearlsTM (1980)

  • PedoPearlsTM (1980)





PedoPearls (1980)

  • PedoPearls (1980)



NuSmileR

  • NuSmileR



NuSmileR

  • NuSmileR





LOCAL

  • LOCAL

  • - CARIES INCIPIENS sealing;

  • - pulp – phosphoric acid;

  • - gingival irritation - fluoride;

  • SYSTEMIC

  • - allergy, anaphylactic reaction ,asthma;

  • - carcinogenic, teratogenic





Self etching: 15” - AdperTM PromptTM L-PopTM;

  • Self etching: 15” - AdperTM PromptTM L-PopTM;

  • No need for rinse;

  • Only for occlusal surfaces;



Insensitive to moisture

  • Insensitive to moisture

  • No bond necessary.



Light curing composite

  • Light curing composite

  • ↓ polym. shrinkage: 1,6%;

  • Cavity preparation I – V, FS, primary dentition, ceramic veneers reparation





Medication for damaged primary pulps.

  • Medication for damaged primary pulps.



No irritation;

  • No irritation;

  • Form stability;

  • Radiopaque;

  • No solubility;

  • Wall coating;

  • (biocompatibility);

  • Antiseptic and bacteriostatic;

  • Easy to remove;

  • No discoloration.



ADULT ENDODONTIC THERAPY

  • ADULT ENDODONTIC THERAPY



ADULT ENDODONTIC THERAPY ~

  • ADULT ENDODONTIC THERAPY ~



Properties:

  • Properties:





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