Ch 5 - Direct Polymeric Restorative Materials

__________________ are materials that are made of large, long molecules formed by chemically reacting molecular building blocks called monomers

polymers

The chemical reaction that links the monomers together to produce a polymer (macromolecule) is called __________________

polymerization

Polyethylene materials have long, linear chains that are easily recycled because they can be remelted and reprocessed. These materials are called _____________ _______________

thermoplastic polymers

______________ ___________ can be heated and molded or shaped after the polymerization reaction, similar to wax.

thermoplastic polymers

polymers with a cross-linked rather than a linear structure tend not to melt. Rather, they decompose. These materials are called _______________

thermoset polymers

Acrylic resins were first used in dentistry for _______________

denture bases

Why are acrylic resins not used as a dental restorative material today?

they are very susceptible to decay

Name the three steps in addition polymerization

1. Initiation
2. Propagation
3. Termination

the growth or lengthening of the chain is called _______________

propagation

when two free radicals at the ends of two growing chains react and form a carbon-carbon bond - no free radicals are left to continue growth of the chain - this is called _______________

termination

heat activated acrylic resins typically use _______________ as the initiator. __________ is the activator

Benzoyl Peroxide (BPO)
Heat

heat activated acrylic resins come from the manufacturer as a _______________ system

powder/liquid

most complete and partial dentures use heat-activated acrylic resins for the _______________

denture base

chemically activated acrylic resins and composite materials commonly use _______________ as the initiator. _______________ are used as the activator

BPO
a variety of chemicals

chemically activated materials are typically a _______________ that are mixed together to start the polymerization process

powder and liquid

chemically activated acrylic resins are used to make ______

temporary crowns
custom impression trays
orthodontic retainers
etc

light activated dental materials use __________ activators and ______ initiator chemicals

...

one problem with polymers is their high coefficient of thermal expansion. These coefficients can be ___to___times greater than that of tooth structure.

2 to 10

Which component of restorative resins acts as a "coating" and serves to transfer stress from a weak component to a stronger one?

silane coupling agent

What advantage do microfilled composities have compared to macrofilled composites?
A. low coefficient of thermal expansion
B. Smooth and lustrous polished surface
C. Greater overall strength
D. Higher percentage of filler

B. Smooth and lustrous polished surface

Which of the following characteristics best describes chemical-cure composite restorative materials?
(a) Unlimited working time
(b) Supplied as single paste materials
(c) May incorporate air bubbles during mixing
(d) Contains less matrix and more filler p

(c) May incorporate air bubbles during mixing

A specific amount of composite (thickness) that is cured by a light source is termed:
(a) Depth of cure
(b) Incremental addition
(c) Depth of addition
(d) Incremental polymerization

(a) Depth of cure

The size of the filler particles in a dental composite determines the:
(a) Polymerization reaction
(b) Technique for incremental additions
(c) Etching time before the primer and adhesive are placed
(d) Surface smoothness of the resulting restoration

(d) Surface smoothness of the resulting restoration

The _________ composite restorative materials are those with a lower viscosity (decreased filler) to aid in placement.
(a) Preventive resin
(b) Hybrid
(c) Flowable
(d) Condensable

(c) Flowable

Hybrid composites are recommended for:
(a) Surface luster
(b) Areas needing strength
(c) Low-stress areas
(d) Class V restorations

(b) Areas needing strength

A combination of a pit and fissure sealant and a composite restoration is termed:
(a) Flowable composite
(b) Condensable composite
(c) Compomer
(d) Preventive resin restoration

(d) Preventive resin restoration

Abrasion resistance for hybrid composite restorative material is said to be:
(a) Poor
(b) Fair
(c) Good
(d) Very good

(d) Very good

Thermal expansion for microfill composite restorative material is considered to be:
(a) Poor
(b) Fair
(c) Good
(d) Very good.

(a) Poor

Which composite material has the largest percentage of filler by weight?
(a) Microfill
(b) Hybrid
(c) Macrofill
(d) Flowable

(b) Hybrid

Composite materials that polymerize using light activation are:
(a) Initiated by mixing
(b) Not as popular as chemically activated resins
(c) Supplied as a single paste
(d) Lack the "set on demand" characteristic

(c) Supplied as a single paste

A restorative material that initially releases some fluoride-like glass ionomers but bonds and sets like composites is called:
(a) Flowable composites
(b) Condensable composite
(c) Compomer
(d) Preventive resin restoration

(c) Compomer

Which of the following best describes microfill composite materials?
(a) Abrasion resistance is poor; filler size is 10-25 microns
(b) Abrasion resistance is poor; strength is high
(c) Polishability is poor; strength is high
(d) Polishability is very good

(d) Polishability is very good; strength is low

__________ are materials that are made of large, long molecules formed by chemically reacting molecular building blocks called monomers.

polymers

the chemical reaction that links monomers together to produce a polymer is called ______________

polymerization

___________________ polymers can be heated and molded or shaped after the polymerization reaction, similar to wax.

thermoplastic

polymers with a cross-linked rather than a linear structure tend not to melt. rather, they decompose - these materials are called ____________ polymers

thermoset

Most dental resins are cross-linked and are therefore _________________

thermoset

acrylic resins were first used in dentistry for _______________

denture bases

dental acrylic resin is the same polymer used in _____________, a tough plastic that serves as a glass substitute in windows

plexiglass

Acrylic resins were once used for anterior restorations but were very susceptible to __________

recurrent decay

Acrylic resins and composite materials, such as restorative materials, cements, sealants, and adhesives, all set by _________________

addition polymerization

__________ are molecules with a reactive group that participates in the polymerization reaction. This reactive group is called the ____________ group

monomers
functional

The chemical (polymerization) rxn of acrylic resins is called ____________ or addition polymerization.

free radical

3 steps of addition polymerization

1. Initiation
2. Propagation
3. Termination

name the two steps that happen in the initiation step of addition polymerization

1. formation of free radicals
2. reaction of free radical and monomer

____________ involves adding the second, third, fourth, and later monomers to the growing chain until that chain in hundreds or even thousands of monomers long

propagation

the step of addition polymerization which is responsible for the growth or lengthening of the chain is called ____________

propagation

________ happens when two free radicals at the ends of two growing chains react and form a C-C bond.

termination

________________ activated and __________ activated acrylic resins typically use benzoyl peroxide (BPO) as the initiator.

Heat activated
Chemically activated

heat activated acrylic resins come from the manufacturer as a ____________ system

powder/liquid

most complete and partial dentures use __________ activated acrylic resins for the denture base

heat

chemically activated materials are typically a _________ and a ______ that are mixed together to start the polymerization process.

powder and liquid

____________ activated acrylic resins are used to make temporary crowns, custom impression trays, ortho retainers, and may other dental devices

chemically

light activated materials are supplied as ___________

a single paste

several dental materials have both chemical and light-activated capabilities, these materials are called __________ materials

dual cure

addition polymerization is an exo or endo thermic rxn?

exothermic

Polymeric materials have (HIGH/LOW) coefficients of thermal expansion compared to tooth structure

high

Who developed the first dental composite?

Dr. Raphael Bowen

______________ are molecules that react with the polymer matrix at one end and with the ceramic filler at the other end

silane coupling agents

dental composites use _________ coated with silane coupling agents

ceramic filler particles

Dr. Bowen developed a polymer for dental composites called an _________

oligomer

Dr. Bowens oligomer is called _______

bis-GMA

Dental composites are composed of two phases: _________ and __________

matrix and filler

the ___________ of a dental composite is a polymer, typically bis-GMA or a similar monomer.

matrix

the __________ is the phase that polymerizes to form a solid mass and bonds to tooth structure.

matrix

shortcomings of composite matrix

- weakest
- least wear-resistant
- absorbs water
- can stain and discolor

what is used as a filler in dental composites?

engineered glass

the _____________ enables adhesive materials to bond ceramic restorations to tooth structure

silane coupling agent

what is the purpose of silane coupling agents?

adds strength to the filler

two polymerization systems are used to convert the matrix-filler paste to a solid composite material:

1. chemically activated materials
2. light activated materials

the first type of dental composite to be developed in the 1960s is now called a ____________

macrofilled composite

the (LARGE/SMALL) size of the filler particles in MACROfilled composites results in a restoration that feels rough to the dental explorer and can appear rough to the eye.

large

typically, (MACRO/MICRO) filled composite will turn slightly gray when rubbed with an instrument

MACROfilled

the problem with MICROfilled composites is the ___________

low % of filler

the high resin content in MICROfilled composites results in an (INCREASED/DECREASED) coefficient of thermal expansion and (HIGHER/LOWER) strength

increased
lower

glass ionomer materials release _________ over time.

fluoride