Saturday, 17 December 2016

Dental materials - Cements (ZnOE)


They are cements of low strength discovered in early 1860s

CLASSIFICATION
  • Type I ZOE: For temporary cementation
  • Type II ZOE: Permanent Cementation
  • Type III ZOE: Temporary filling and thermal base
  • Type IV ZOE: Cavity Liners 
ZOE cement is available as 
  • Powder and liquid System
  • Two – paste system 
SETTING REACTION 
In the First Step Hydrolysis of Zinc Oxide to its hydroxide takes place
Water is essential for the reaction (dehydrated zinc oxide will not react with dehydrated eugenol )
                                                ZnO + H2O →Zn (OH)2
The reaction proceeds as a typical acid – base reaction
                                          Zn (OH)2 + 2HE → ZnE2 +2H2O
                                (Zinc hydroxide)( Eugenol)- (Zinc eugenolate )
The Chelate formed is an amorphous gel that tends to crystallize imparting strength to the set mass
Structure of set cement: 
 The set cement consists of particles of zinc oxide embedded in a matrix of zinc eugenolate.
Setting time is around 4-10min.
FACTORS AFFECTING SETTING TIME
  • Particle size: Smaller zinc oxide particles set faster
  • Powder to liquid ratio: Higher the ratio, faster the set
  • Addition of accelerators, e.g. alcohol, glacial acetic acid and water makes the cement set faster.
  • Cooling the glass slab: Slows the reaction
  • The set can be retarded by addition of glycol and glycerine which act as retarders. 
MANIPULATION
Power – Liquid System
Powder/liquid ratio: 4:1-6:1 wt%
After shaking the bottles gently, measured quantity of powder and liquid are dispensed onto a cool glass slab.
The bulk of the powder is incorporated into the liquid and saturated thoroughly in a circular motion with a stiff bladed stainless steel spatula.
Smaller increments are then added until the mix is complete.
TWO PASTE SYSTEM
Equal lengths of each paste are dispersed and mixed until a uniform colour is observed
MODIFIED ZINC OXIDE EUGENOL CEMENTS
EBA- alumina modified cements
Polymer reinforce ZOE cement
These were introduce to improve the mechanical properties of zinc oxide eugenol cement.
PROPERTIES
Compressive strength – ranges from 3 to 4 MPa up to 50-55 MPa 
Tensile strength – ranges from 0.32 to 5.3MPa 
Modules of elasticity – 0.22 to 5.4GPa 
Thermal properties – their thermal insulating properties are excellent
Solubility and disintegration – The solubility of the set cement is highest among the cements (0.4% - wt) they disintegrate in oral fluids
Adhesion – they do not adhere well to the enamel and dentin.This is one reason why they are not often used for final cementation of crowns and bridges.
Biological properties. 
PH and effect on pulp (pH is 6.6 to 8) they are the least irritating of all cements. Pulpal responses are mild.They have soothing effect on the pulp
USES
For temporary and permanent cementation
For temporary fillings
Cavity lines and basE
Pulp capping agent 
Secondary use – root canal restorations

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