Applied Dental Materials

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Applied Dental Materials Chapter 21 Dental Amalgam 21.1 Introduction compositional limit specifi ed in the earlier version of the ISO Standard represented an attempt to An amalgam consists of a mixture of two or more control properties such as corrosion and setting metals, one of which is mercury. Dental amalgam expansion in the absence of any real understand- consists, essentially, of mercury combined with a ing of the structure of amalgam. Materials having powdered silver–tin alloy. Mercury is a liquid at a composition which is in line with the pre-1986 room temperature and is able to form a ‘work- standard are referred to as ‘conventional’ amalgam able’ mass when mixed with the alloy. This behav- alloys. The change in the compositional limits iour renders the material suitable for use in specifi ed in the current standard (post-1986) dentistry. refl ects a marked improvement in the understand- The reaction between mercury and alloy which ing of structure–property relationships for the follows mixing is termed an amalgamation reac- materials. tion. It results in the formation of a hard restor- The quantities of silver and tin specifi ed ensure ative material of silvery-grey appearance. The a preponderance of the silver/tin intermetallic colour generally limits its use to those cavities compound Ag Sn. This compound, known as the where appearance is not of primary concern (see 3 γ (gamma) phase of the silver–tin system, is formed Fig. 21.1). over only a small composition range and is par- Dental amalgam has been used for many years ticularly advantageous since it readily undergoes with a large measure of success. For many years an amalgamation reaction with mercury. Most it was the most widely used of all fi lling materials. conventional alloys contain around 5% copper, For various reasons, including the development of which has a signifi cant strengthening effect on the viable alternatives based upon resins and ceramics set amalgam. and perceptions of a dubious and frequently ques- The role of zinc is as a scavenger during the tioned level of safety, its popularity has declined. production of the alloy. The alloy is formed by melting all the constituent metals together. At the elevated temperatures required for this purpose 21.2 Composition there is a tendency for oxidation to occur. Oxida- Mercury used in dental amalgam is purifi ed by tion of tin, copper or silver would seriously affect distillation. This ensures the elimination of impu- the properties of the alloy and amalgam. Zinc rities which would adversely affect the setting reacts rapidly and preferentially with the available characteristics and physical properties of the set oxygen, forming a slag of zinc oxide which is amalgam. easily removed. Many alloys contain no zinc. The composition of the alloy powder is con- They are described as zinc-free alloys and oxida- trolled by the ISO Standard for dental amalgam tion during melting is prevented by carrying out alloy (ISO 1559). The compositional limits the procedure in an inert atmosphere. allowed by the standard are given in Table 21.1. The majority of alloy powders contain no It can be seen that the major components of the mercury. Those products containing up to 3% alloy are silver, tin and copper. Small quantities mercury are called pre-amalgamated alloys. They of zinc, mercury and other metals such as indium are said to react more rapidly when mixed with or palladium may be present in some alloys. The mercury. 181 182 Chapter 21 (a) (b) Fig. 21.1 This shows an occlusal amalgam filling which has been contoured and polished. Table 21.1 Compositional limits of dental amalgam alloys specified in ISO 1559. Weight (%) Limits prior to 1986 Metal (‘conventional’ alloys) Current limits Silver 65 (min) 40 (min) Tin 29 (max) 32 (max) Fig. 21.2 Dental amalgam alloys. (a) Lathe-cut alloy Copper 6 (max) 30 (max) particles (×100). (b) Spherical alloy particles (×500). Zinc 2 (max) 2 (max) Mercury 3 (max) 3 (max) The shape and size of the alloy powder particles separation to occur and for a cored grain structure vary from one product to another. Two methods to be formed. The heat treatment involves heating are commonly used to produce the particles. to about 420ºC for several hours. The resulting Firstly, fi lings of alloy may be cut from a pre- alloy contains relatively large grains of γ phase homogenized ingot of alloy. These lathe-cut alloy material. The second heat treatment is carried out powders are irregular in shape (Fig. 21.2a) and after lathe-cutting. This is a lower temperature are graded according to size, being described as treatment typically involving heating the alloy fi ne-grain or coarse-grain. Secondly, particles may powder to approximately 100ºC for about 1 hour. be produced by atomization. Here, molten alloy This treatment is referred to as alloy ageing; it is is sprayed into a column fi lled with inert gas. The thought to remove residual stresses introduced droplets of alloy solidify as they fall down the during cutting and ensures that the alloy remains column. Particles produced in this way are either stable during future storage. spherical or spheroidal in nature (Fig. 21.2b). For spherical alloys the method of manufacture Lathe-cut alloys are normally subjected to two dictates that each small sphere is like an individual heat treating procedures. The fi rst of these is a ingot. Thus homogenization is normally carried homogenization heat treatment (see Section 6.5) out for the reasons outlined above. normally carried out on the alloy ingot before Many alloy powders are formulated by mixing lathe-cutting and designed to produce homoge- particles of varying size or even shape in order to neous grains in which the Ag3Sn intermetallic increase the packing effi ciency of the alloy and compound predominates. During the formation of reduce the amount of mercury required to produce the ingot of alloy there is a tendency for phase a workable mix. Dental Amalgam 183 After the discovery in the 1960s that some of the properties of ‘conventional’ amalgam materi- als could be improved by the inclusion of great quantities of copper (in place of silver) a new class of materials was developed and became available for use by the dentist. The ISO Standard fi nally recognized this change in composition when the 1986 version of ISO 1559 was published. As shown in Table 21.1, these newer alloy powders have the same basic ingredients as the conven- tional products but they contain much greater concentrations of copper, typically 10–30% compared with less than 6% in the conventional materials. These newer alloys are referred to as Fig. 21.3 Dispersion-modified alloy powder. Lathe-cut copper-enriched alloys. In addition to the increased particles of conventional alloy and spherical particles of copper levels some alloys also contain small quan- silver-copper eutectic alloy (×500). tities of other metals such as palladium. Higher copper levels in alloy powders may be produced by the manufacturer in one of several ways. Lathe- cores of alloy particles remain embedded in a cut, spherical or spheroidal powders can be pro- matrix of reaction products. duced in which the manufacturer alters the ratio In simplifi ed terms, the reaction for conven- of metals at the melting stage. Hence the resulting tional amalgam alloys may be given by the follow- alloy particles are similar in shape and size to ing unbalanced equation: conventional alloys but simply contain a higher Ag Sn + Hg → Ag Hg + Sn Hg + Ag Sn copper content. These are single-composition, 3 2 3 x 3 or γ + Hg → γ + γ + γ copper-enriched alloys. An alternative approach is 1 2 to blend particles of conventional alloy with those The primary reaction products are a silver– of, for example, a silver–copper alloy in order to mercury phase (the γ1 phase) and a tin–mercury achieve a higher overall copper content. Such phase (the γ2 phase). The γ2 phase has a rather blends are called dispersion-modifi ed, copper- imprecise structure and the value of x in the enriched alloys and one widely used product con- formula SnxHg may vary from seven to eight. The tains two parts by weight of a lathe-cut alloy of equation emphasizes the fact that considerable conventional composition (less than 6% copper) quantities of unreacted alloy (γ phase) remain and one part by weight of spherical silver–copper unconsumed. eutectic particles (Fig. 21.3). The latter particles For copper-enriched alloys the reaction may be contain 72 parts silver and 28 parts copper and represented by: the overall copper content in the blended alloy Ag Sn + Cu + Hg → Ag Hg + Cu Sn + Ag Sn is 12%. 3 2 3 6 5 3 or γ + Cu + Hg → γ1 + Cu6Sn5 + γ The essential difference between this and the 21.3 Setting reactions reaction for conventional alloys is the replacement The reaction which takes place when alloy powder of the tin–mercury, γ2 phase in the reaction product and mercury are mixed is complex. Mercury dif- with a copper–tin phase. The copper–tin phase fuses into the alloy particles; very small particles may exist in the form of Cu6 Sn5 (η phase) or Cu3 may become totally dissolved in mercury. The Sn (ε phase) depending on the precise formulation alloy structure of the surface layers is broken of the alloy. In either case, the elimination of the down and the constituent metals undergo amalga- γ2 phase has a profound effect on the properties mation with mercury. The reaction products crys- of the set material. tallize to give new phases in the set amalgam.
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