Ternopil State Medical University named by I. Horbachevskyj Department of Therapeutic Dentistry

1. TernopilState Medical University named by I. Horbachevskyj Department of Therapeutic Dentistry Topic: Filling materials for permanent and temporary fillings and linings. General requirements. Classification. Modern filling materials (cements, amalgam, composite materials). Composition, properties. Indications for use. Lecturer : Levkiv Mariana .

2. For front group of teeth For molars and premolars 1. Classification of filling materialsDepending to which group the tooth belongs, filling materials are distinguished: According to the material from which restorative materials are produced, they are divided into: Metals : amalgam, alloys, puremetals (gold); Non metals: cements, plastic, composite materials. According to the purpose Filling materials are divided for: Permanent Temporary

3. Light-curing composite filling material

5. Therapeutic linings Calcium hydroxide cements Zinc oxide/eugenol cements

6. Objectives of pulp protection are as follows: . ■ Therapeutic: Stimulate odontoblasts to lay down reparative dentine. Encourage remineralisation of dentine. Act against any remaining bacteria. ■ Protect from temperature. Metal restorative materials, such as amalgam and gold, will transmit changes in temperature from the oral cavity and, in the absence of a suitable layer of dentine in deep cavities, additional protection must be provided. ■ Protect from chemicals. These may come from the oral cavity, bacteria or from the restorative material. ■ Seal the dentinal tubules. This will prevent fluids containing bacteria, molecules and ions entering the dentinal tubules, and as a result prevent pain and possible further caries.

7. Materials for therapeutic linings

8. Methods of pulp protection a – ‘indirect pulp capping’ b - ‘direct pulp capping’

9. Classification of cements Zinc-phosphatecements Zinc-eugenolcements Zinc-sulfatecements Glass-ionomer cements Poly-carboxylate cements

10. Zinc-phosphate cement

11. Mixing rules of phospate cement

12. Silicate cements

13. Mixing rules for silicate cement

14. Silico-phosphate cement

15. Poly-carboxylate cement

17. Glass ionomers

18. Ready to use formulations of glass-ionomer cement

20. Dental amalgam

21. Useage of silver amalgam:а – amalgam is taken out from the capsule; б, в, г – filling of I, II and V classes respectively

22. Amalgam without gamma-2 phase -Sybraloy (Kerr)

23. Amalgamtreggers

24. Instruments for placing amalgam into carious cavity

25. Finishing of amalgam filling

26. Composite materials Macrofilled 0,04 – 0,1 (8 – 12 мcм) Hybride ( has macro- and micro- particles) Microfilled 0,04 – 0,1 – 1 – 5 (1 -5 мcм ) Nanohybride (has nano-particles – 0,0004 мcм)

27. Chemical cured composite

28. Light-curing units

29. Light-curing composite material

32. Conditioning of dentine

33. Dentine conditioning and adhesion. (a) Freshly cut dentine surface. (b) Conditioned dentine. (c) With bonding agent applied.

35. Thankyou for attention