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Introduction Benefits of finishing and polishing Basic armamentarium Principles - Cutting, Grinding, Bulk reduction process, Contouring Air dispersed Hazards during finishing process What is Abrasive & Erosive wear
Abrasive Instrument Designs Types of Abrasives - Natural abrasives & Manufactured abrasives
Abrasive motion
Finishing of various restorations composite, amalgam, ceramic, GIC, and cast gold REFERENCES CONCLUSION
Introduction
The
Surface blemishes & imperfections are removed Material is shaped to an ideal form Outermost surface of the material is developed to a desired state
There are distinct differences in function of cutting, grinding, finishing and polishing
Cutting
Cutting refers to use of a bladed instrument or the use of any instrument in a bladelike fashion.
Course of action predominantly unidirectional Cutting operation may divide substrate into large separate pieces / produce deep notches or grooves E.g. High speed tungsten carbide burs steel burs
Grinding
It is a process that removes small particle of a substrate through the action of bonded or coated abrasive instruments . Course of action predominantly unidirectional Grinding instrument - contain many randomly arranged abrasive particle . Each particle may contain several sharp points that run along the substrate surface and remove particles of materials . Eg Diamond coated rotary instrument disk & strips .
Instruments used
Diamond, carbide and steel burs Abrasive coated disks or separating disks
Clinician should choose 8 to 12 fluted carbide burs or abrasives with particle size of 100 micrometers or more with sufficient
hardness.
Contouring
Though it can be achieved during bulk reduction, in some cases it requires finer cutting instruments or abrasives to provide better control of contouring and surface details. At the end of the process, desired anatomy and margins should be established. Usually 12 to 16 fluted carbide burs or abrasives ranging in size from 30 to 100 micrometers provide the fine contouring action.
18-30
8-20 um particle size
1 , 2 , 3 methods
Silica based materials if inhaled Silicosis or Grinders disease. (Fibrotic pulmonary disease) (major aerosol hazard)
AEROSOL - CONTROL
3 ways :
1.
Controlled at the source adequate infection control procedures High volume suction Personal protection Safety glasses Disposable face masks Adequate ventilation system To remove any residual particulates from air
2.
3.
WEAR
Wear is a material removal process that can occur whenever surfaces slide against each other. 2 types a) Abrasive wear
b) erosive wear
Three body abrasion when abrasive particles are free to translate and rotate between two surfaces. Eg. Dental Prophylaxis Pastes.
Erosion
Erosive wear is caused by hard particles impacting a substrate surface, carried either by a stream of liquid or air. Eg. Air-driven grit-blasting units - employ hard particle erosion to remove surface material
Bur in high speed handpiece rotates in clockwise direction. Smoother grinding action when handpiece & bur are translated in a direction opposite to rotational direction of the bur. Rougher surface when handpiece & bur are translated in the same direction as rotational direction of the bur. (Bur tends to runaway from the substrate)
These are : Abrasive grits Bonded abrasives Coated abrasive disks and strips Non bonded abrasives
Abrasive Grits
Derived from crushed materials passed through a series of mesh screens to obtain different particle size ranges. Classification according to particle size ranges:
Bonded Abrasives
Consist of abrasive particles incorporated through a binder to form grinding tools such as points, wheels etc. Particles are bonded by four methods:
Fabricated by securing abrasive particles to a flexible backing material with a suitable adhesive material. Supplied as disks and finishing strips.
Polishing pastes are considered non bonded abrasives Primarily for final polishing
Need to be applied to the substrate with a non abrasive device like synthetic foam, rubber felt etc. Abrasive particles are dispersed in a water soluble medium such as glycerin. Most popular aluminium oxide and diamond
Types of Abrasives
NATURAL ABRASIVES:
MANUFACTURED ABRASIVES:
Arkansas stone Chalk Corundum Diamond Emery Garnet Pumice Quartz Sand Tripoli Zirconium silicate Cuttle Kieselguhr
Synthesized material that are usually preferred more predictable physical properties
ARKANSAS STONE:
- Semi translucent, light gray, siliceous sedimentary rock, mined in Arkansas. - Contains micro crystalline quartz - Dense, hard and uniformly textured. - Can be made into various shapes. - Use : to grind tooth enamel & metal alloys
CHALK:
- Mineral form of calcite. - White abrasive - Composed of calcium carbonate. - Use : polish tooth enamel, gold foil, amalgam & plastic materials.
CORUNDUM:
- Mineral form of aluminium oxide
- Usually white - Use : grinding metal alloys. - Most commonly used in instrument known as white stone
NATURAL DIAMOND:
- Transparent colorless mineral - Composed of carbon - Hardest substance. - various forms : Bonded rotary instruments Diamond polishing pastes Flexible metal-backed abrasive strips - Use : on ceramic & resin-based composite materials
Advantage: controllable
consistent size and shape lower cost
- Resin bonded diamonds sharp edge the sharp edge breaks down; exposes new sharp edges, corners. - Metal bonded diamonds regular, more consistent in size. Use cutting points. - Large synthetic diamond particles greenish.
EMERY:
- Grayish
- black - Fine grain form - Used form of coated abrasive disks. - Use : Finishing metal alloys or plastic materials
GARNET:
- Includes
number of different minerals that possess similar physical properties & crystalline forms - Usually dark red. - Extremely hard - Use : Grinding metal alloys and plastic materials
PUMICE:
- Light - Gray - Highly siliceous material - 2 form:-Grit -Rubber bonded abrasives - Use :- polishing tooth enamel - gold foil - dental amalgam
QUARTZ:
Most commonly used is very hard colourless and transparent. Use : - finish metal alloys, - grind dental enamel.
SAND: - Mixture of small mineral particles - Predominantly composed of silica. - Rounded to angular shape - Use : Grinding metal alloys & plastic materials
TRIPOLI: - Derived from a lightweight siliceous sedimentary rock. - grey and red coloured are the most commonly used - Use: Polishing metal alloys and some acrylic resins.
ZIRCONIUM SILICATE: - Supplied as an off white material - Use: - To make coated abrasive disks & strips - As component of dental prophylaxis pastes.
KIESELGUHR: - Composed of siliceous remains of minute aquatic plants known as diatoms. - Use : Mild abrasive - Significant risk of respiratory silicosis
SILICON CARBIDE: - First of synthetic abrasives - Two types; green and blue - They are extremely hard and brittle ROUGE: - Iron oxide is a fine, red abrasive component of rouge. - Use : Polish high noble metal alloys TIN OXIDE: - Extremely fine abrasive - Use : polishing agent for polishing teeth and metallic restorations ALUMINIUM OXIDE: - Second synthetic abrasive developed - Use : To make bonded abrasives, coated abrasives and air propelled grit abrasives. - Sintered aluminium dioxide is used to make white stone (popular for adjusting dental enamel and finishing metal alloys & ceramic materials)
ABRASIVE MOTION
Classified as
Note :Reciprocating hand pieces provide benefit of accessing interproximal and subgingival areas to remove overhangs, to finish subgingival margins without creating ditches and to create embrasures
Composites
Armamentarium :
Fibro optic lighting and magnification (for visibility) Fine grit conventional diamonds (for gross reduction) Round tungsten carbide burs (finishing) Flame shaped fluted tungsten burs (finishing) Impregnated rubber wheels or points (finishing) Slurry of fine aluminium oxide (polishing)
Final Finishing
Amalgam
In the past a delay of 24 hrs had been suggested before finishing and polishing the newly inserted amalgam Armamentarium :
Rhein trimmers (Discrepancies in gingival area ) Bard parker knife number-12 (Bulky overhangs ) Narrow water resistant strip (19)(Cervical areas ) extra fine water proof disk (Buccal and lingual proximal margins ) small carrot shaped stone (20) (Occlusal margins ) plug finishing burs (21) (further adjustment ) Rubber cup (finish accessible proximal surfaces as well as occlusal contours) Abrasive impregnated silicon rubber points and cups tin oxide slurry (complete the finishing and polishing procedures) soft cut brush (complete the finishing and polishing procedures)
Finishing and polishing cannot be started until a future visit when the amalgam will have set hard. Any sizeable reduction may be undertaken with a carborundum point.
Ceramics
Adequate cooling is important in vivo when finishing and polishing ceramic restoration Using an air water spray and maintaining intermittent contact between restoration and rotary instruments are critical during operation
Techniques
Contour with flexible diamond disc, diamond burs, heatless or polymer stones or greenstones
Finish with white stones or abrasives impregnated rubber disc, cups and points Apply over glaze or natural glaze on ceramic if necessary
Diagramatic representation of water balance in glass ionomer. Type ii and I restorative aesthetic restorations remain succeptible to water uptake for at least one day after placement.All the types are fast settig gic and so are resisting to water uptake within 5 to 6 mins from the beginning of mix.
Problem of water loss continues for a longer period for both fast and slow set types and precautions should be taken to prevent dehydration.
The best surface attainable is that produced when the cement is allowed to set against the matrix.
Where access can be gained, carving the cement external to the cavity margins with sharp knives or scalers after initial set is the best process of finishing.
Whenever possible, margins should be smoothed with hand instruments. Finishing with rotary instruments and final polishing can be undertaken at a subsequent visit. Glass ionomer should never be finished under dry conditions; a petroleum lubricant may be used to prevent desiccation.
Polish with flour of pumice. Do not use coarse pumice as it will destroy the finish achieved with the fine cuttle disc. Use dry tin oxide powder over casting for final polish. Blow off excess tin oxide while utilizing a ribbed cup (webbed cup will throw powder away from tooth) at low speed to avoid heating the tooth.
References
Phillips Science of Dental Materials. Atlas of operative Dentistry Atlas of G. J. Mount Allen D. Wilson Charbenau David Korson Ratnadeep Patil J.R. Grundy
CONCLUSION
Fluted carbide finishing bur appear to be the optimal rotary contouring device
FINISHING DIAMOND preferred for GROSS FINISHING
COATED DISK & STRIPS provides access for interproximal & incisal area
THANK YOU
&
HAVE A NICE DAY.