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Gold. DIRECT FILLING. Why gold???. Pure gold is the noblest of all dental metal Rarely tarnish or corrode in the oral cavity Inactive chemically – is not affected by air, heat, moisture, or most of the solvent.
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Gold DIRECT FILLING
Why gold??? • Pure gold is the noblest of all dental metal • Rarely tarnish or corrode in the oral cavity • Inactive chemically – is not affected by air, heat, moisture, or most of the solvent. • Highly durable, if proper case selection , cavity preparation and careful manipulation is done. • Direct filling gold restorations exhibit excellent marginal integrity and biocompatibility in the oral cavity. • Highest ductility & malleability – can be beaten into a very thin foil of submicron thickness
CLASSIFICATION of DFG 1. According to the microstructure • Hammered sheet (foils) • Electrolytic precipitated • Granulated gold (Encapsulate gold powder)
Hammered sheet (foils) • Foil (no- 3,4,5) • Laminated foil • Preformed – rope, cylinders • Carbonised –corrugated • Cohesive, non cohesive • Platinised • Mat foil
II. Electrolytic precipitated • Mat gold (sintered –strips – crystalline, spongy) • Mat – foil gold • Electralloy – Ca-alloy-strips
III. Granulated gold(Encapsulate gold powder) • Golden or EZ gold • Stop foil gold
2. According to the surface condition • Cohesive (clean) • Non cohesive (containing adsorbed gas )
3. According to the geometric form • Sheets • Ropes • Strips • Pellets • Cylinders
DFG supplied in 3 basic forms • Several forms of DFG are available for restorative purposes. All of them are cohesive and 99.99% pure (except platinized foil & alloyed electrolytic precipitate). • Foil ( fibrous gold) • Electrolytic precipitate ( crystalline gold) • Granulated gold (powdered gold)
Gold Foil (fibrous gold) • Robert Woffendale 1795 • Also called as fibrous gold. • Provided in low thickness 0.6 µm • Very thin gold sheet are placed in between some special layer or Chamois leather, as alternative layer to form a ‘cutch’ & subjected to continuous hammering , until extremely thin foil is obtained • Then cut into small square pieces of 10X10 cm • Treated with ammonia gas (non cohesive form) • Placed alternatively in between the sheet of book & supplied to the dentist
No. 3 foil--- weighs 3 grains ( 0.194 grams) & thickness 0.38 microns • Standard no. 4 gold foil is supplied in 100 x 100 mm ( 4x 4 inch ) sheets that weighs 4 grains ( 0.259 grams) & thickness 0.51 microns. • No – 20 (20 grains), 40(40 grains), 60(60grains), 90(90 grains) foils are also available • Numbering system refers to the weight of the standard sheet
Sub –types of gold foil A. Sheet gold 1. Cohesive 2. Non- cohesive B. Ropes C. Cylinders D. Laminated foil E. Platinized foil F. Carbonized or Corrugated foil G. Mat –foil gold
A. Cohesive & non cohesive gold • Sheet gold foil can be supplied in both cohesive & non-cohesive condition • Cohesive Gold (pure form) :- • Gold attract gases eg. Oxygen, to its surface and any adsorbed gas film prevents cohesion of individual increments of gold, during their compaction. • Manufacturer therefore supplies the gold essentially free of surface contaminants, and thus inherently cohesive. This type of gold is known as cohesive gold.
Non – cohesive gold- • Manufacturer can subject the foil to ammonia gas, which is adsorbed on surface of gold, acts as a protective film. • Minimizes adsorption of other less volatile substance & prevents premature cohesion of sheet that may come into contact • This ammonia treated foil is called as non – cohesive gold. • Before the use volatile film should be removed by a process known as desorption (Because for cold – welding procedure gold should have a clean surface free from impurities.)
B. Gold foil Ropes • 10 cm square piece of No-4 Gold foil is cut into ¼, 1/8, 1/16 small pieces & rolled into ropes mechanically.
C. Gold foil cylinders Produced by rolling cut segments of No.4 foil into desired width 3.2 mm 4.8 mm 6.4 mm etc size & then supplied
D. Laminated gold foil • Prepared in clinics. • By placing few foils one over the other . • Then cut into pieces to facilitate condensation .
E. Platinized gold foil • Objective of adding platinum: • Increases hardness and wear resistance • It is a laminated structure ,can be produced in one of the 2 ways. 1. Two sheets of no. 4 pure gold foil and a layer of pure platinum foil sandwiched between them, can be hammered until the thickness of no. 4 foil is achieved. or 2. Layers of platinum and gold sheet can be bonded together by cladding process ( means bonding of dissimilar metal) during the rolling operation & then hammering to get No.4 sheet forms.
F. Carbonized or corrugated foil • Gold foil is carbonised by heating in an air –tight Co2 containing chamber • Shrivelled or corrugated foil is formed • Dentist can prepare the ropes or cylinders from this
II . Electrolytic precipitate • Another from of DFG is Microcrystalline gold powder formed by electrolytic precipitation
1 . Sub types A. Mat gold B. Mat foil (mat gold plus gold foil) C. Electralloy {Gold – calcium alloy}
A. MAT GOLD (SPONGY ,CRYSTALLINE) • Is obtained from electrolytic precipitation on the cathode gold plate surface • Produced Powder consist of Dendritic crystal (0.1mm in length), is then heated (sintering ) to a temperature below the M.P (1063*c) of gold, Sintering makes the crystal to coalesce & grow together. • Powder is then formed into strips of 3-6 mm width & 15 mm long • Mat gold is sometimes called spongy crystalline gold .
B. Mat – foil gold • Electrolytic precipitate gold powder is sandwiched, between sheets of No.3 gold foil, sintered & cut into pieces • More preferred for building up the internal bulk of the restoration ( because compaction can be done more easily in a shorter time) • But after condensation more voids remains between the particles.
C.Electralloy {Gold – calcium alloy} • Mat gold is alloyed with 0.1% calcium. • Calcium alloy electrolytic precipitate powder is obtained . • This is sandwiched between gold foil & sintered, formed into thin strips • Calcium increases the strength. • This Electralloy has higher hardness
III Granular (powdered gold ) • 1st used in early 1960’s • Gold powder is in agglomerated form , prepared by chemical precipitation or atomization from the molten gold • EZ gold • Stop foil gold
A. EZ gold • Chemically precipitated & atomized gold powder are first mixed with a soft wax to form pellets or cylinders of 1-2 mm size & are wrapped with no.3 gold foil • Before insertion into the cavity wax is burnt away & removed
B. Stop foil gold • Prepared by keeping chemically precipitated gold powder, in between gold foil & then sintering, then cut into strips & pieces for use
Removal of Surface Impurities(desorption) • Prior to the insertion of DFG, dentist heats the material to remove protective coating (ammonia gas) or wax introduced by the manufacturer or contaminants on the surface (moisture or gases -O2,N2,H2) acquired during storage & packing • Process of removing gases (or other), impurities from the surface of gold is called - Annealing, heat treatment, degassing or desorption
Objectives of desorption heat treatment • Improves the hardness and strength of compacted gold • Also helps for better welding • Drives away impurities from the surface, thus making the surface ready for cohesive • To keep this surface devoid of any other impurities, until complete cohesion occurs during buildingup of the restoration
Heating time vary depending on the types & size of DFG • For Powdered gold – 15-20 sec • For Gold foil pellets & electrolytic gold pellet - 1-2 sec • Chamois finger tips should be worn by the dentist to protect the gold from contamination. • Temperature- 600-13000F • Under heating should be avoided because it does not adequately remove the impurities • Overheating should be avoided because excessive sintering causes the material to become more stiffer, less ductile and difficult to condense
Methods of desorption Gold can be heated in two ways • Flame annealing /Alcohol flame method - heating piece by piece • Hot plate annealing -heating bulk in a tray • For gold foil & mat gold – either method is acceptable • But for powdered gold – flame annealing is acceptable
1.Flame Heating ( heating piece by piece) • For flame annealing, handle the pieces with stainless steel wire point (because of less contamination). • In this individual pellets are held over an alcohol flame (ethanol or methanol) and heating is done piece by piece • Pellet catches fire and burns until volatile substance is eliminated and exhibits a dull red glow , and then it is removed and carried to the cavity for condensation • Insufficient heating of the pellet causes it to be “powdery”
Advantages of flame desorption • Ability to select a piece of appropriate size. • Desorption of only those pieces used • Less exposure to contamination. • Less danger of over sintering • Control of time and temperature
In this method, numerous Pellets are being heated simultaneously on a mica tray over a gas flame or electric hot furnaces for 10 min at 454*c . • Hot plate annealing needs more pre-heating and also utilizes lower temp than flame annealing . • Over-heating – causes brittleness and stiffness • Under- heating – causes gold pellet noncohesive and does not stick
DISADVANTAGES • Use of excessive amounts of pellets should be avoided, because it requires prolong heating • Pellets may stick together, if the tray is moved. • Air currents may affect the uniformity of heating • Difficulty of selection of particular type • Over sintering • Greater exposure to contamination. • Less control over the time and temp • Slightly delayed compacted, results in adsorption of gases
Precautions • Temp – 350-700*c , DFG should become just red hot • Source – Pure alcohol, reduced zone (pale blue region) of the flame used • Time – of heating should be properly controlled (15-60 sec ) • Only required amount should be taken in the tray ,
COMPACTION OF DFG • Condensation is the procedure used to condense and fill the harden gold inside the prepared cavity by cold welding method • Totally dry cavity is mandatory through out the compaction process to ensure complete cohesion • Incremental technique can be maintained for compaction • Cavity first designed with required undercuts and retention points ( as DFG cannot chemically bond) • In case of deep cavity, pulp protecting insulating base should be used
COMPACTION OF DFG • 2 main process • Cold - Welding • Wedging
Cold - Welding: • Process of joining metals by metallic bonding by applying pressure between the two parts to be joined • Here metal –joining process does not occurs by heating or fusing
Wedging • Wedging refers to the pressurized adaptation of the gold form within the space between the tooth structure walls or corners that have been slightly deformed elastically.
Instrument used • Hand condenser & mallet. • Pneumatic vibratory condensers. • Electrically driven condensers.
Condenser • Condenser can be straight, curved, angled, round, square, or rectangular • Surface of the tip is smooth or serrated • Tip can be flat or convex faced • Size of the tip is about 1-3 mm • Too thin tip may pierce and damage the restoration • Too larger tip cannot be effective in producing sufficient pressure