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In order to discuss the cements and
restoratives manufactured with the
glass powder used
to make dental cements, it is imperative that the reader
understands the basics of glass production in general, and
alumino-fluoro-silicate glass in particular.
Alumino-Fluoro-Silicate
glass (powder)
The glass powder that is used in the production of both Silicate cement and
Glass Ionomer cement is made from a glass formulated
with Sodium Fluoride and stabilized with minimal alumina. It
is technically known as Alumino-Fluoro-Silicate
glass. This glass is ground into a very
fine powder. While Al-Fl-Si glass is stabilized to make it insoluble in water,
it is formulated to remain partially soluble in very highly acidic solutions.
(It is not soluble in saliva or in any food or liquid that can be consumed by
mouth.) By the use of
different trace metals, zirconium, and other components, the glass can be fabricated to match the
various colors and opacities of tooth structure.
One of the major characteristics
of this type of glass is its ability to partially dissolve, and form a
hard, waterproof matrix when mixed with either phosphoric acid or polyacrylic
acid (See the table).
When the powder to liquid ratio is varied correctly, a stiff
paste results This
paste can then be used to fill cavities, and the paste will set in time to form
a very hard and insoluble solid.. A major characteristic of the cements
made with Al-Fl-Si glass is that they are translucent, and
their color characteristics can be controlled by varying the
composition of the glass. The hardness and durability of the resulting restoration is largely dependent on the nature of
the chemistry of the matrix formed when the glass particles begin to dissolve in
the acidic solution. The appearance of the resulting restoration is
dependent on the exact composition of the glass.
The two cements made with Al-Fl-Si glass
particles are silicate cement,
and glass ionomer cement. Both will be discussed in
more detail on the
next page in this course.
Restorations and cements made with
alumino-fluoro-silicate glass have a number of advantages and disadvantages:
- Alumino-fluoro-silicate glass cements and
restorations bond chemically with enamel, dentin and most metallic dental
alloys
- This means that they can be applied directly to
clean tooth structure without etching or bonding or even cutting
retentive undercuts.
- These materials will also chemically bond to
metallic substructures such as gold and base metal crowns and bridges, so
they can be used to anchor esthetic facings made of resin composite to
these structures.
- Alumino-fluoro-silicate glass cements will slowly
release fluoride into the adjacent tooth structure. This converts
hydroxyapatite into fluoroapetite, thus strengthening the tooth structure
and making it more resistant to decay.
- The major disadvantages of restorations and
cements made from unmodified alumino-fluoro-silicate glass are:
- The materials are very water soluble during the
setting phases, and if they are allowed to get wet during placement,
they can leach out allowing the final restoration to leak.
- They are also not especially resistant to
abrasion, and are not suitable as restorations on occlusal or stress
bearing areas.
The chemistry of Al-Fl-Si glass
Silicate cement was probably the very first tooth colored filling material
(if you discount whalebone). Glass Ionomer restoratives came later.
However, in order to understand silicate cement, and, indeed, in order to
understand the characteristics of most modern composites, it is very important
to understand the composition and chemistry of the glass powder that
gives them their special characteristics.
Glass is composed of
three major components. The first, silica (silicon dioxide), is a
naturally occurring mineral known as quartz.. Silica is the chief
component in ordinary sand. Silica is the major glass former in
most glass formulations (but it is not the only glass former). The melting temperature of quartz is very high, but it was
discovered early in human civilization that the addition of certain
metallic oxides could serve to lower the melting point of the glass quite a
bit. These additional metalic oxides, when added to sand in order to lower the
melting temperature are called "fluxes".
Fluxes are the second major constituent in glass.
Fluxes
are oxides of alkaline metals such as sodium, potassium, lithium,
boron and lead. They serve to dissolve the silica, a bit like water
dissolves sugar. This is important, since glass is composed of silicon
dioxide which has a very high melting temperature. ( Pure quartz melts
at 1713 degrees centigrade. The addition of 25 % sodium oxide can lower
the melting temperature to 793 degrees centigrade.) The most common
fluxes used in ceramics are sodium and potassium oxides, but there is a
long list of fluxes, each one with its own set of characteristics and
uses.
The third component of glass is a
stabilizer.
Stabilizers make the glass strong and water resistant. Calcium carbonate,
(limestone) is a stabilizer. Without a stabilizer, water and humidity
attack and dissolve glass. Glass lacking a stabilizer is often called "waterglass"
since it can dissolve in water.
-
When lead is used as the stabilizer,
the resulting glass has superior clarity and durability, and will ring like a
bell when tapped. Historically, lead "crystal" has been used for years in
the manufacture of fine tableware including drinking glasses and wine
canisters (Reference Waterford crystal). It is also fairly insoluble, even in acidic solutions,
and has never been implicated in any cases of lead toxicity in humans.
However, the FDA (US food and drug
administration) has recommended that lead stabilized glass not be used to store
liquids as small amounts of lead have been known to leach out of the glass
and into the liquid. Lead is not used to flux or stabilize
any dental glass manufactured in North America or Europe.
-
Boron oxide is, like silica, a glass former.
When added to silicon based glass at a minimum of 5% by weight, the glass becomes
a borosilicate. Glass fortified in this way is resistant to
mechanical and thermal shock and is used to make baking pans (Pyrex),
laboratory ware and sealed beam headlights.
-
Alumina (aluminum oxide) is found combined
with silicon in naturally occurring
glasses called feldspars. It is used as a glass stabilizer in molecular form to toughen the
glass and and is also used as a crystalline structure dispersed throughout the glass that
acts as a sort of framework or skeleton. This "framework" stiffens the glass
during firing and makes it less likely to slump. The inclusion of
crystalline structures transforms the glass
into porcelain which is much tougher and less prone to fracture than
the same glass without such a matrix. Alumina is a major component in
ordinary clay and is present in nearly all the ceramic products you buy such
as the plates and cups in your dinnerware and your mother's bone china.
It is generally added to dental porcelain in the form of aluminum oxide.
-
The addition of
trace metals can give color to the glass. Cobalt imparts a blue color, while gold
imparts red
and copper a green color. (These metals are added as oxides, and they generally have fluxing
qualities, but they are not alkaline metals, and are added in such small amounts that they are not
considered fluxes for purposes of calculating glass formulas.)
-
The addition of zirconium and titanium
oxides add opacity to the glass. These oxides form a crystalline structure
within the otherwise translucent glass, and this diffuses light as it penetrates, creating a milky
or pure white appearance depending on the amount of zirconium or titanium
oxides used.
Melting temperature vs. Solidus
When a glass
melts, it becomes a liquid with the consistency of syrup on a cold
day. Glass does not have a specific melting temperature, and when it
cools, it remains a "supercooled" liquid (think of a hard candy, like a lollipop),
however contrary to mythology, it does not continue to flow at normal
temperatures. While any given glass does not have a definite
melting temperature, it does have a definite solidus temperature.
The solidus is the lowest temperature at which a non crystalline material
shows any characteristics of melting, including a tendency to flow.
Next page==>Alumino-fluoro-silicate
glass cements
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Dentists and allied dental professionals
often seek CE courses from ADA CERP recognized providers to
fulfill their CE requirements for re-licensure. Most state
and provincial licensing boards will accept CE credits issued by
ADA CERP recognized providers. In the spring of 2003, the
FDI World Dental Federation became the first internationally
based CE provider to be granted ADA CERP recognition.
Please contact your state board directly for their specific
rules and regulations. Most states approve supervised self-study
courses that are ADA CERP accredited.
Those interested in receiving 6 continuing
education credits for this course may take the 20 question test
at a cost of $54 and receive their certificate immediately by
clicking
here, or you may view the
dental materials course syllabus to see discounts on the entire
package by clicking
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