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Aterials Cience: Our Dignity Is Not What We Do, But What We Understand
Aterials Cience: Our Dignity Is Not What We Do, But What We Understand
Aterials Cience: Our Dignity Is Not What We Do, But What We Understand
M ATERIALS S CIENCE
Our dignity is not what we do, but what we understand.
George Santayana
The ideal tooth-colored restorative (ie, direct direct tooth-colored restoratives undergo transfor-
restorative) would have the capacity to mation: acid–base reactions, polymerization reac-
tions, and precipitation reactions.1–3
• adhere to enamel and dentin,
• maintain a smooth surface, Acid–base reactions
• maintain desired color, Many dental materials undergo an acid–base reac-
• resist water (insolubility), tion when they set. The resulting material is chem-
• resist wear, ically referred to as a salt. Examples of this reaction
in everyday life are commonplace (eg, concrete).
• resist fracture,
The first tooth-colored restoratives to undergo this
• resemble tooth structure in stiffness, type of setting were the silicate cements. All
• react to temperature change like other tooth acid–base reactions are similar. Acid molecules (a
structures, configuration of atoms) have a shortage of elec-
• resist leakage, trons, and base molecules have an excess of elec-
• maintain marginal integrity, trons. When acids and bases react, they transfer
• not irritate pulpal tissues, electrons between them, creating a more stable
compound. This exchange of electrons results in
• inhibit caries, heat generation during the setting reaction. Since
• place easily, and the ions required to initiate a setting reaction exist
• repair easily. only in water, all acid–base materials contain water.
Once an acid–base reaction is complete, however,
No available restorative can meet all of these
the resulting salt typically does not include water.
requirements; however, by matching the charac-
teristics of various materials to the needs of a spe- There are two types of acid–base reactions:
cific tooth, it is possible to approach this ideal for those involving inorganic components and those
each restoration undertaken. involving organic components. Examples of an
inorganic acid–base reaction are zinc phosphate
Clinicians who understand the chemical nature
cement and silicate cement. Examples of an
and physical properties of a material are more
organic acid–base reaction are glass-ionomer
likely than those who do not to make good deci-
cement and polycarboxylate cement. Acid–base
sions concerning its use and application. This book
reactions that contain inorganic components are
begins with a review of basic concepts in material
generally stable outside the mouth in the absence
and restorative science to provide a foundation for
of moisture, whereas those containing organic
improved understanding of dental materials.
components are generally not stable. For example,
zinc phosphate cement is stable in a dry environ-
CHEMISTRY OF TOOTH-COLORED
ment whereas glass-ionomer cement is not.
RESTORATIVES
A direct restorative transforms in the mouth from Polymerization reactions
a fluid or putty-like material into a tooth-like solid. The most common type of setting reaction for direct
There are three common mechanisms by which tooth-colored restoratives involves the formation of
2 Tooth-Colored Restoratives
resin polymers. A polymer is a molecule or group of tage of a dimethacrylate is that it allows for cross-
molecules made up of repeating single units that are linking, as illustrated in Figure 1–2. Most resins
covalently bonded. The individual units of a poly- used in dentistry have a conversion of about 40 to
mer are referred to as monomers. “Poly” means 60% when polymerized in the mouth and over
many, and “mono” means one. Hence, polymethyl 60% to nearly 100% when cured in a laboratory.
methacrylate is a polymer made up of multiple
Polymerization shrinkage patterns
methacrylate monomers. Polymers form from one
All polymerizing resins shrink during curing. Com-
or more types of monomer. The process of convert-
posite resin shrinkage is about 2 to 5% by volume,
ing monomers into a polymer is called polymeriza-
depending on the filler loading (filler particles do
tion. If two or more different monomers are poly-
not shrink) and the percentage of conversion. The
merized, the resulting material is a copolymer
less the filler loading and the higher the rate of con-
(Figure 1–1). Combining different monomers cre-
version, the greater the shrinkage. In the laboratory,
ates materials with unique properties that reflect the
or when cured outside the mouth, chemically cured
characteristics of the individual monomers.
materials shrink toward their center, because the
All monomers have at least one carbon–carbon initiators are mixed throughout the material (Fig-
double bond (C=C) that becomes a single ure 1–3). Light-cured materials, on the other hand,
carbon–carbon bond when they join to form a shrink toward the source of initiation, which is the
polymer. Monomers with two or more carbon– curing light (Figure 1–4).
carbon double bonds can transform to cross-linked
In clinical use, shrinkage patterns are much
polymers (Figure 1–2, A). Cross-linking usually
more complex. Active bonding agents placed on a
results in improved physical properties in dental
tooth usually start the initiation process when the
materials. Most dental restorative polymers contain
composite contacts them. Some researchers also
cross-linked copolymer components for durability
believe a tooth’s inherent heat causes curing to
(Figure 1–2, B).
occur along the tooth interface sooner than it does
An initiation system starts the transformation of along cooler portions of composite away from
monomers into polymers and copolymers. The ini- tooth structure. Thus, composites generally start to
tiation reaction creates a molecule with a free radi- shrink toward cured bonding agents, since the
cal (an unpaired electron). This unpaired electron polymerization process has already started there.
makes the radical highly reactive. When a free rad- When a composite is placed against a light-cured
ical collides with a monomer’s double bond, it pairs bonding agent and then light-cured, the compos-
with one of the electrons of the double bond, leav- ite is initiated from two sides. However, the rate of
ing the other member of the pair free. Thus, the polymerization is not equal on the two sides in that
monomer itself becomes a free radical that can react the composite facing the light polymerizes more
with another monomer. Ideally, this process con- quickly and has larger effect on the direction of
tinues until all of the monomers become polymer- composite shrinkage (see Figure 1–4).
ized. The degree to which monomers convert into a
polymer is referred to as the degree of conversion. Precipitation reactions
The most common polymers used in the dental field Precipitation reactions involve the loss of a solvent.
contain methacrylates. Methacrylates with two In this case, the liquid materials commonly contain
double bonds are called dimethacrylates. The advan- resins diluted in an organic solvent. When exposed
Figure 1–1. A, A linear polymer is made up of multiple units of one type of monomer. B, A copolymer includes more than one
type of monomer.
Materials Science 3
Figure 1–2. A, Cross-linking of polymer. Monomers with two carbon–carbon double bonds make cross-linking possible. B, Poly-
mers with cross-linked components have better durability.
to air, the solvent evaporates and concentrates the the oral fluids. Precipitation reactions result in the
resin into a solid. Examples of these reactions are least durable restoratives and are recommended
wall paint, fingernail polish, dental varnish, etc. The only for temporary treatment of tooth structure.
setting reaction is referred to as drying. Presently,
few dental restoratives set through a precipitation PHYSICAL PROPERTIES AND
reaction. Precipitation is used, however, in setting DESTRUCTIVE FORCES
bonding agents, cavity varnishes, and some surface
coatings. With bonding agents, the solvent Knowledge of the physical properties of restorative
enhances the agent’s penetration of the tooth. Evap- materials can help predict their susceptibility to
oration of the solvent concentrates the monomer breakage under occlusal function.
prior to polymerization and improves durability. Compressive strength
Most materials that set by drying contain a Compressive strength is a measure of the amount
large molecule (resin) that is suspended in a volatile of force a material can support in a single impact
solvent (thinner). During drying, the loss of the before breaking (Figure 1–6). This physical prop-
solvent brings the component of greater molecular erty is one of the easiest to measure and is often
weight out of the solution and turns it into a solid cited in advertisements for dental materials. Com-
(Figure 1–5). Precipitation materials used in the pressive strength is such a commonly used physi-
mouth must be insoluble in water (at least the cal property that it has acquired a greater
resulting resin) to avoid reversal of this process in respectability in the profession than is appropriate
Figure 1–3. Autocured resin, polymerization shrinkage pattern. The left sphere represents the volume of an autocured material
prior to polymerization. The right sphere represents the volume and shrinkage pattern of the material after polymerization.
4 Tooth-Colored Restoratives
Figure 1–4. The left sphere represents the volume of light-cured composite prior to polymerization. The right sphere represents
the volume and shrinkage pattern of the material after polymerization when not attached to any surface. Note how the material
moves toward the light of the curing tip at the right.
Figure 1–5. Precipitation reaction. A volume of solvent Figure 1–6. Compressive strength. The amount of force a
evaporates and leaves a solid behind. material can support in a single impact.
Materials Science 5
Figure 1–8. The diametrical tensile strength test is used to Figure 1–9. Shear strength. The maximum shear stress a
calculate tensile strength. material can absorb in one impact.
6 Tooth-Colored Restoratives
Fatigue
Stress and strain are related in that the elastic
modulus is the ratio of stress over strain. Elastic Fatigue occurs in all rigid materials undergoing con-
modulus is expressed in the same units as stress. tinual stress and strain. Fatigue occurs in a tooth
Most dental composites have an elastic modulus when a functional cusp can no longer support
between 5 and 15 GPa (gigapascals). The elastic occlusal forces. It is also a common cause of con-
modulus indicates the amount of stress that needs ventional restoration failure. Over time, fatigue
to be applied to achieve a certain strain, or, if the results in cohesive microcracks and external chip-
strain is known, what level of stress is in effect. ping in a restoration. It occurs in direct placement
composites under heavy function. The intraoral
Stress degradation of restorative materials is a complex
Stress is defined as force per unit area, expressed in process that has not been mimicked to any great
newtons per square millimeter (N/mm2) or pounds extent by simple laboratory tests. Each group of
materials—metals, polymers, and cements—seems ing conditions can cause these symptoms: (1) cyclic
to fail by mechanisms specific to that group, mak- loading and (2) steady loading. Both are more severe
ing generalization difficult. The phenomenon is in the presence of a chemically active agent. The
called fatigue because, under certain loading condi- progressive loss of strength that accompanies cyclic
tions, a component appears to tire, losing strength loading is attributable to the gradual spread of
over a period of time in service. Two types of load- cracks. Cyclic loading is illustrated in Figure 1–13.
Figure 1–13. The progressive and cumulative damage that occurs during cyclic loading. The restoration eventually fails.
8 Tooth-Colored Restoratives
Figure 1–15. The stress–strain curves of a material show the amount of flexure it produces under a given stress. At a critical
stress, the material fractures, because its maximum amount of deformation (elastic limit) has been exceeded.
Materials Science 9
Figure 1–16. Fracture toughness is related to the area under the stress–strain curve. Note that metals are far superior to porce-
lains and resins.
10 Tooth-Colored Restoratives
Figure 1–18. Wear and abrasion. The progressive loss of Figure 1–19. Erosion. The loss of substance from a material
material from its surface as a result of relative motion. by chemical means.
Materials Science 11
Water sorption
Water sorption is a critical physical property for
direct restoratives because increased absorption of
water increases the volume of a restorative (Figure
Figure 1–20. Roughness or smoothness is measured in grit 1–22). This property has great clinical significance
and microns. Many materials can be polished to a high lus- when polymers are used for buildups since,
ter, referred to as applied polish or smoothness. After a through water sorption, a polymer can enlarge in
period, each material reverts to an inherent polish based on the lapse time between impression-taking and
the size of its heterogeneous components. cementation appointments. More important, water
is a softener of plastics and increases the deteriora-
tion of the resin matrix. In addition, water sorption
Cutting instruments are commonly measured in usually decreases color stability since water-soluble
grit whereas polishing instruments are frequently stains can penetrate the restoration.
measured in microns.
As a general rule for dental uses, a roughness of Fluoride release
less than 300 grit is coarse, 300 to 600 grit is inter- Fluoride release is an important feature of a dental
mediate, and 600 to 1200 grit is smooth enough for restorative. Fluoride release should not be confused
a final finish equal to or better than enamel. with fluoride content. Many materials contain
fluoride but do not release it. The minimum
Coefficient of thermal expansion amount of fluoride release necessary to effectively
The coefficient of thermal expansion refers to the inhibit recurrent decay is unknown, but it is prob-
amount of expansion and contraction a material ably over 20 ppm per day.
Figure 1–21. Coefficient of thermal expansion. The amount of expansion and contraction a material demonstrates in relation to
temperature.
12 Tooth-Colored Restoratives
Figure 1–23. Peel versus tensile. With tensile force, the direction of force is always 90 degrees to the bonded interface. This
distributes the stress over the entire adhesive surface. With peel force, the force is placed on one small area, which results in a
more rapid failure of a portion of the bond. Once the bond is broken, the force moves along the surface and breaks another
small portion of the bond, and so on, until the entire system fails.
Materials Science 13
tensile force with adhesives), especially in the pres- these materials have positive or negative charges
ence of cyclic loading (Figure 1–23). Peel strength and are referred to as ions. A positive ion is short
failure can be greatly reduced or eliminated by the one or more electrons, and a negative ion has one
use of resistance form in a restoration, which pre- or more extra electrons. Bonds are formed when
vents stress on the interface. Clinically, peel strength atoms combine to reduce these charges.
has a much more significant effect than tensile
strength. Primary bonds
Primary bonds are chemical in nature and are
Peel energy: Boeing test formed through the attraction of positive and neg-
Peel energy, otherwise known as the energy of ative ions. There are three types of primary bonds:
adherence, the wedge test, or the Boeing test
(because of its use in testing aircraft structures) is 1. Ionic bonds occur when atoms transfer electrons
the force required to sustain a peel motion (Figure (eg, sodium chloride, Na+Cl–). Materials that
1–24). This physical property is often used to result from acid–base reactions are called salts
measure the failure rate of air foils in aircraft (Figure 1–26).
designs. Although not commonly used in den- 2. Covalent bonds occur when two atoms share elec-
tistry, this physical property could provide mean- trons (eg, polymers). These bonds often form
ingful information about an adhesive interface, between the carbon and hydrogen atoms found in
because it contributes to cyclic fatigue. most organic materials (Figure 1–27).
Contact angle 3. Metallic bonds occur when many atoms share
available electrons. These primary bonds are
Contact angle is the measure of how well a fluid wets
responsible for the strength, elasticity, and frac-
a solid. A smaller contact angle indicates that a liq-
ture toughness of the crystalline solids called
uid has good ability to penetrate the micromechan-
metals (Figure 1–28).
ical porosities of a surface. The angle between an
adhesive and a bondable substance is of enormous Secondary bonds
significance in determining micromechanical reten-
Secondary bonds involve complex physical inter-
tion and the potential for chemical adhesion. The
actions between various kinds of molecules. Com-
measurement of contact angle and a demonstration
mon secondary bonds are van der Waals forces and
of its applied effects are shown in Figure 1–25.
dipole forces. These forces hold liquids and non-
rigid solids (plastics) together and include attrac-
COHESIVE FORCES
tions between polar molecules (fluctuating
The bonding forces that hold materials together dipoles), hydrogen bonds (permanent dipoles),
are called cohesive forces. Generally, the atoms in and other secondary molecular attractions. The
Figure 1–24. Peel energy. The energy of adherence (also called the wedge test and Boeing test) is the peel energy required to
sustain a peel reaction over time.
14 Tooth-Colored Restoratives
Figure 1–25. Effect of wetting on surface adhesion. A, The relation between the contact angle and the wetting of a substance.
B, Improved adhesive penetration on a porous dentin surface as the contact angle of the adhesive decreases.
most common example of this bonding is water. ditions that exactly match or well approximate those
Secondary bonds are responsible for viscosity and under which they are to perform. Unfortunately, in
resistance to deformation (Figure 1–29). dentistry, this type of testing is seldom done. Few of
today’s newer materials have undergone long-term
WHY MEASURE PHYSICAL clinical testing prior to marketing. This makes the
PROPERTIES? dental practitioner who purchases a new material,
Physical properties are measures of a material. These
properties have great significance in dental research
because they provide the information needed to
assess the characteristics of and improvements in
materials under development. The physical proper-
ties of a tooth set the standard for materials attached
to a tooth. Theory suggests that if a restorative can
be made to hold properties similar to those of nat-
ural tooth structure, it should perform as well as an
original tooth. In the field of civil engineering, cer- Figure 1–26. Tight packing of molecules in acid–base reac-
tainly, new designs are built and tested under con- tions that form ionic bonds.
Materials Science 15
Figure 1–27. The carbon–carbon bonding links formed in Figure 1–29. Strong attraction between molecules of nega-
polymer reactions create covalent bonds. tive and positive charge creates the secondary bonds that hold
together liquids including water.
and the patients who have the material placed in a single tooth in an individual. These variables are
their mouths, the actual test site. enormous, but useful trends do exist.
To the dentist, success is measured not by phys-
ical properties but by clinical performance. A UNITS AND CONVERSIONS
material that displays some good physical proper- Below is a partial listing of the units of measure
ties during development is not necessarily a ma- used to determine the physical properties, state,
terial that will perform well in the mouth. The temperature, and size of dental systems. Each
individual properties that scientists measure usu- description includes a small amount of history on
ally are not the cause of restoration failure in the the unit and its most common conversions.4
mouth. Thus, the only real assurance a dentist has
of a material’s safety and reliability is the test of Weight units
time. Generally, if a dental material has been on the Weight units are the gravitational forces applied by
market unchanged for over 5 years, it has proven an object irrespective of the area of the object.
itself reasonably safe and reliable. In the absence of
manufacturer-funded clinical testing, therefore, 5- Grain. A unit of weight based on the weight of a
year clinical reports from the field are a good way grain of wheat taken as an average of the weight of
of assessing which materials are proving their value. grains from the middle of the ear and equal to
0.0648 grams.
Although commonly measured physical prop-
erties are a poor predictor of clinical success, these Carat. A unit of weight based on the weight of
properties are useful in comparing materials to four grains. In the United States before 1913, one
one another. Success in clinical dentistry is based carat was equal to 205.3 milligrams (mg). After
on a chain of events, from the material and its 1913, the international standard for the carat was
placement to the host response. Physical properties adopted, which was then standardized at 200 mg.
allow a dentist to measure a single link in this com- This unit is mainly used to measure the weight of
plex chain. The measures of physical properties are precious stones and pearls.
useful only if they measure characteristics that are Pound (lb). A unit of weight equal to 12 troy
significant to the success of a single restoration in ounces (historically 1 pound = 5760 grains =
0.3732 kilograms). Presently, English-speaking
people use the avoirdupois pound, which is now
the most commonly used: 1 pound equals 7000
grains or 0.4536 kilograms.
Ounce (oz). A unit of weight that represents 1/16
of the present-day pound (technically referred to as
the avoirdupois pound).
Figure 1–28. The compacting and sharing of electron Gram (g). A unit of weight based on the weight of
charges that form in metals. 1 cubic centimeter (cm3) of water at its maximum
16 Tooth-Colored Restoratives
density. This unit is the standard for the metric sys- Stress units
tem of weights. Stress is the unit force applied per unit area. Stress
Conversions units are commonly used to measure bond strengths
One kilogram (kg) equals 1000 grams; 1 milligram associated with dental materials. Currently, the pre-
(mg) equals one thousandth of a gram; 1 nanogram ferred unit in dental science is the megapascal.
(ng) equals one billionth of a gram. Megapascal (MPa). A force scale named after
French scientist Blaise Pascal in 1662. It is a meas-
Force units ure of force over area. The megapascal is equal to
Newton (N). A force scale named after British 1 meganewton (MN) per meter per meter (m2),
mathematician Sir Issac Newton in 1727. It is the which is equivalent to 1 N/mm2.
unit of force required to give a free mass of 1 kilo-
gram an acceleration of 1 meter per second per Conversions
second (second2). On a larger scale, 1 meganew- One MPa equals 10.196 kg/cm2; 1 psi equals
ton (MN) is 1 million (106) newtons. On a smaller 0.07032 kg/cm2; 1 kg/cm2 equals 14.22 psi; 1 MPa
scale, 1 newton equals 1 million (106) dynes. equals 145 psi; 1 psi equals 0.00689 MPa;
1 kg/cm2 equals 0.098077 MPa.
The normal biting force generated on the first
molars in a human mouth ranges from 400 to 800 Thermometric units
newtons, or 90 to 200 pounds (mean, 550 N or
Fahrenheit (F). A thermometric scale named
125 lb).
after German physicist Gabriel D. Fahrenheit in
Dyne. The unit of force required to give a free 1736. In this thermometric scale, the boiling
mass of 1 gram an acceleration of 1 centimeter per point of water is 212°F, whereas the freezing
second per second (second2). point of water is 32°F, under standard atmos-
Conversions pheric pressure. The zero point of the Fahrenheit
One newton equals 0.225 pounds and 1 pound scale approximates the temperature produced by
equals 4.44 newtons; 1 newton equals 1 million mixing equal quantities by weight of snow and
dynes. common salt.
Centigrade or Celsius (°C). A thermometric scale
Length units on which the interval between two standard points,
Foot (ft). A unit of length based on the length of the freezing and the boiling point of water, is
a British king’s foot. One foot is equal to 0.3048 divided into 100 degrees, 0° representing the freez-
meters, or 3.28 feet = 1 meter. ing point and 100° the boiling point.
Inch (in). A unit of length equal to 1/12 of a foot. Conversions
One inch is equal to 2.54 centimeters. x°C equals x°F – 32 × 5/9.
Meter (m). A unit of length equal to the distance
Kelvin (°K). A thermometric scale named after
between two lines on a platinum-iridium bar kept
British physicist William Lord Kelvin in 1907. In
at the International Bureau of Weights and Mea-
this thermometric scale, centigrade degrees are
sures near Paris. One meter is equal to 39.37 inches
related to absolute zero (defined as 0°K). 1° Kelvin
and is equal to 1,650,763.73 wavelengths of the
is the equivalent of –276.16°C.
orange-red light of the excited krypton of mass
number 86. Use of this constant allows this unit of The Kelvin thermometric scale is used in pho-
length to be reproduced anywhere. tography to measure the temperature of light sources
used to illuminate objects. Color-corrected lighting,
Conversions
which is equivalent to average daylight, is 5400°K.
One centimeter (cm) equals 1/100 of a meter; one
millimeter (mm) equals 1/1000 of a meter; one Conversions
micrometer (µm) equals one millionth of a meter; x°K equals x°C + 276.16 and x°C equals x°F – 32
one nanometer (nm) equals one billionth of a meter. × 5/9.
Materials Science 17