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Transcript of Amalgam
Dental AmalgamDental Amalgam
Col Kraig S VandewalleUSAF Dental Evaluation amp Consultation Service
Official Disclaimer
bull The opinions expressed in this presentation are
those of the author and do not necessarily
reflect the official position of the US Air Force or
the Department of Defense (DOD)
bull Devices or materials appearing in this
presentation are used as examples of currently
available productstechnologies and do not
imply an endorsement by the author andor the
USAFDOD
Overview
bull History
bull Basic composition
bull Basic setting reactions
bull Classifications
bull Manufacturing
bull Variables in amalgam
performanceClick here for briefing on dental amalgam (PDF)
History
bull 1833
ndash Crawcour brothers introduceamalgam to US
bull powdered silver coins mixed with mercuryndash expanded on setting
bull 1895
ndash GV Black develops formula for modern amalgam alloy
bull 67 silver 27 tin 5 copper 1 zincndash overcame expansion problems
History
bull 1960rsquos
ndash conventional low-copper lathe-cut alloys
bull smaller particles
ndash first generation high-copper alloys
bull Dispersalloy (Caulk)
ndash admixture of spherical Ag-Cu
eutectic particles with
conventional lathe-cut
ndash eliminated gamma-2 phase
Mahler J Dent Res 1997
Historybull 1970rsquos
ndash first single composition sphericalbull Tytin (Kerr)
bull ternary system (silvertincopper)
bull 1980rsquos
ndash alloys similar to Dispersalloy and Tytin
bull 1990rsquos
ndash mercury-free alloys
Mahler J Dent Res 1997
Amalgam
bull An alloy of mercury with another metal
Why Amalgam
bull Inexpensive
bull Ease of use
bull Proven track record
ndash gt100 years
bull Familiarity
bull Resin-free
ndash less allergies than composite
Click here for Talking Paper on Amalgam Safety (PDF)
Constituents in Amalgam
bull Basic
ndash Silver
ndash Tin
ndash Copper
ndash Mercury
bull Other
ndash Zinc
ndash Indium
ndash Palladium
Basic Constituents
bull Silver (Ag)
ndash increases strength
ndash increases expansion
bull Tin (Sn)
ndash decreases expansion
ndash decreased strength
ndash increases setting time
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Official Disclaimer
bull The opinions expressed in this presentation are
those of the author and do not necessarily
reflect the official position of the US Air Force or
the Department of Defense (DOD)
bull Devices or materials appearing in this
presentation are used as examples of currently
available productstechnologies and do not
imply an endorsement by the author andor the
USAFDOD
Overview
bull History
bull Basic composition
bull Basic setting reactions
bull Classifications
bull Manufacturing
bull Variables in amalgam
performanceClick here for briefing on dental amalgam (PDF)
History
bull 1833
ndash Crawcour brothers introduceamalgam to US
bull powdered silver coins mixed with mercuryndash expanded on setting
bull 1895
ndash GV Black develops formula for modern amalgam alloy
bull 67 silver 27 tin 5 copper 1 zincndash overcame expansion problems
History
bull 1960rsquos
ndash conventional low-copper lathe-cut alloys
bull smaller particles
ndash first generation high-copper alloys
bull Dispersalloy (Caulk)
ndash admixture of spherical Ag-Cu
eutectic particles with
conventional lathe-cut
ndash eliminated gamma-2 phase
Mahler J Dent Res 1997
Historybull 1970rsquos
ndash first single composition sphericalbull Tytin (Kerr)
bull ternary system (silvertincopper)
bull 1980rsquos
ndash alloys similar to Dispersalloy and Tytin
bull 1990rsquos
ndash mercury-free alloys
Mahler J Dent Res 1997
Amalgam
bull An alloy of mercury with another metal
Why Amalgam
bull Inexpensive
bull Ease of use
bull Proven track record
ndash gt100 years
bull Familiarity
bull Resin-free
ndash less allergies than composite
Click here for Talking Paper on Amalgam Safety (PDF)
Constituents in Amalgam
bull Basic
ndash Silver
ndash Tin
ndash Copper
ndash Mercury
bull Other
ndash Zinc
ndash Indium
ndash Palladium
Basic Constituents
bull Silver (Ag)
ndash increases strength
ndash increases expansion
bull Tin (Sn)
ndash decreases expansion
ndash decreased strength
ndash increases setting time
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Overview
bull History
bull Basic composition
bull Basic setting reactions
bull Classifications
bull Manufacturing
bull Variables in amalgam
performanceClick here for briefing on dental amalgam (PDF)
History
bull 1833
ndash Crawcour brothers introduceamalgam to US
bull powdered silver coins mixed with mercuryndash expanded on setting
bull 1895
ndash GV Black develops formula for modern amalgam alloy
bull 67 silver 27 tin 5 copper 1 zincndash overcame expansion problems
History
bull 1960rsquos
ndash conventional low-copper lathe-cut alloys
bull smaller particles
ndash first generation high-copper alloys
bull Dispersalloy (Caulk)
ndash admixture of spherical Ag-Cu
eutectic particles with
conventional lathe-cut
ndash eliminated gamma-2 phase
Mahler J Dent Res 1997
Historybull 1970rsquos
ndash first single composition sphericalbull Tytin (Kerr)
bull ternary system (silvertincopper)
bull 1980rsquos
ndash alloys similar to Dispersalloy and Tytin
bull 1990rsquos
ndash mercury-free alloys
Mahler J Dent Res 1997
Amalgam
bull An alloy of mercury with another metal
Why Amalgam
bull Inexpensive
bull Ease of use
bull Proven track record
ndash gt100 years
bull Familiarity
bull Resin-free
ndash less allergies than composite
Click here for Talking Paper on Amalgam Safety (PDF)
Constituents in Amalgam
bull Basic
ndash Silver
ndash Tin
ndash Copper
ndash Mercury
bull Other
ndash Zinc
ndash Indium
ndash Palladium
Basic Constituents
bull Silver (Ag)
ndash increases strength
ndash increases expansion
bull Tin (Sn)
ndash decreases expansion
ndash decreased strength
ndash increases setting time
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
History
bull 1833
ndash Crawcour brothers introduceamalgam to US
bull powdered silver coins mixed with mercuryndash expanded on setting
bull 1895
ndash GV Black develops formula for modern amalgam alloy
bull 67 silver 27 tin 5 copper 1 zincndash overcame expansion problems
History
bull 1960rsquos
ndash conventional low-copper lathe-cut alloys
bull smaller particles
ndash first generation high-copper alloys
bull Dispersalloy (Caulk)
ndash admixture of spherical Ag-Cu
eutectic particles with
conventional lathe-cut
ndash eliminated gamma-2 phase
Mahler J Dent Res 1997
Historybull 1970rsquos
ndash first single composition sphericalbull Tytin (Kerr)
bull ternary system (silvertincopper)
bull 1980rsquos
ndash alloys similar to Dispersalloy and Tytin
bull 1990rsquos
ndash mercury-free alloys
Mahler J Dent Res 1997
Amalgam
bull An alloy of mercury with another metal
Why Amalgam
bull Inexpensive
bull Ease of use
bull Proven track record
ndash gt100 years
bull Familiarity
bull Resin-free
ndash less allergies than composite
Click here for Talking Paper on Amalgam Safety (PDF)
Constituents in Amalgam
bull Basic
ndash Silver
ndash Tin
ndash Copper
ndash Mercury
bull Other
ndash Zinc
ndash Indium
ndash Palladium
Basic Constituents
bull Silver (Ag)
ndash increases strength
ndash increases expansion
bull Tin (Sn)
ndash decreases expansion
ndash decreased strength
ndash increases setting time
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
History
bull 1960rsquos
ndash conventional low-copper lathe-cut alloys
bull smaller particles
ndash first generation high-copper alloys
bull Dispersalloy (Caulk)
ndash admixture of spherical Ag-Cu
eutectic particles with
conventional lathe-cut
ndash eliminated gamma-2 phase
Mahler J Dent Res 1997
Historybull 1970rsquos
ndash first single composition sphericalbull Tytin (Kerr)
bull ternary system (silvertincopper)
bull 1980rsquos
ndash alloys similar to Dispersalloy and Tytin
bull 1990rsquos
ndash mercury-free alloys
Mahler J Dent Res 1997
Amalgam
bull An alloy of mercury with another metal
Why Amalgam
bull Inexpensive
bull Ease of use
bull Proven track record
ndash gt100 years
bull Familiarity
bull Resin-free
ndash less allergies than composite
Click here for Talking Paper on Amalgam Safety (PDF)
Constituents in Amalgam
bull Basic
ndash Silver
ndash Tin
ndash Copper
ndash Mercury
bull Other
ndash Zinc
ndash Indium
ndash Palladium
Basic Constituents
bull Silver (Ag)
ndash increases strength
ndash increases expansion
bull Tin (Sn)
ndash decreases expansion
ndash decreased strength
ndash increases setting time
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Historybull 1970rsquos
ndash first single composition sphericalbull Tytin (Kerr)
bull ternary system (silvertincopper)
bull 1980rsquos
ndash alloys similar to Dispersalloy and Tytin
bull 1990rsquos
ndash mercury-free alloys
Mahler J Dent Res 1997
Amalgam
bull An alloy of mercury with another metal
Why Amalgam
bull Inexpensive
bull Ease of use
bull Proven track record
ndash gt100 years
bull Familiarity
bull Resin-free
ndash less allergies than composite
Click here for Talking Paper on Amalgam Safety (PDF)
Constituents in Amalgam
bull Basic
ndash Silver
ndash Tin
ndash Copper
ndash Mercury
bull Other
ndash Zinc
ndash Indium
ndash Palladium
Basic Constituents
bull Silver (Ag)
ndash increases strength
ndash increases expansion
bull Tin (Sn)
ndash decreases expansion
ndash decreased strength
ndash increases setting time
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Amalgam
bull An alloy of mercury with another metal
Why Amalgam
bull Inexpensive
bull Ease of use
bull Proven track record
ndash gt100 years
bull Familiarity
bull Resin-free
ndash less allergies than composite
Click here for Talking Paper on Amalgam Safety (PDF)
Constituents in Amalgam
bull Basic
ndash Silver
ndash Tin
ndash Copper
ndash Mercury
bull Other
ndash Zinc
ndash Indium
ndash Palladium
Basic Constituents
bull Silver (Ag)
ndash increases strength
ndash increases expansion
bull Tin (Sn)
ndash decreases expansion
ndash decreased strength
ndash increases setting time
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Why Amalgam
bull Inexpensive
bull Ease of use
bull Proven track record
ndash gt100 years
bull Familiarity
bull Resin-free
ndash less allergies than composite
Click here for Talking Paper on Amalgam Safety (PDF)
Constituents in Amalgam
bull Basic
ndash Silver
ndash Tin
ndash Copper
ndash Mercury
bull Other
ndash Zinc
ndash Indium
ndash Palladium
Basic Constituents
bull Silver (Ag)
ndash increases strength
ndash increases expansion
bull Tin (Sn)
ndash decreases expansion
ndash decreased strength
ndash increases setting time
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Constituents in Amalgam
bull Basic
ndash Silver
ndash Tin
ndash Copper
ndash Mercury
bull Other
ndash Zinc
ndash Indium
ndash Palladium
Basic Constituents
bull Silver (Ag)
ndash increases strength
ndash increases expansion
bull Tin (Sn)
ndash decreases expansion
ndash decreased strength
ndash increases setting time
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Basic Constituents
bull Silver (Ag)
ndash increases strength
ndash increases expansion
bull Tin (Sn)
ndash decreases expansion
ndash decreased strength
ndash increases setting time
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Basic Constituents
bull Copper (Cu)
ndash ties up tin
bull reducing gamma-2 formation
ndash increases strength
ndash reduces tarnish and corrosion
ndash reduces creep
bull reduces marginal deterioration
Philliprsquos Science of Dental Materials 2003
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Basic Constituents
bull Mercury (Hg)
ndash activates reaction
ndash only pure metal that is liquid at room temperature
ndash spherical alloysbull require less mercury
ndash smaller surface area easier to wet
raquo 40 to 45 Hg
ndash admixed alloysbull require more mercury
ndash lathe-cut particles more difficult to wet
raquo 45 to 50 Hg
Click here for ADA Mercury
Hygiene Recommendations
Philliprsquos Science of Dental Materials 2003
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Other Constituents
bull Zinc (Zn)
ndash used in manufacturingbull decreases oxidation of other elements
ndash sacrificial anode
ndash provides better clinical performancebull less marginal breakdown
ndash Osborne JW Am J Dent 1992
ndash causes delayed expansion with low Cu alloysbull if contaminated with moisture during condensation
ndash Phillips RW JADA 1954
Philliprsquos Science of Dental Materials 2003
H2O + Zn ZnO + H2
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Other Constituents
bull Indium (In)
ndash decreases surface tensionbull reduces amount of mercury necessary
bull reduces emitted mercury vapor
ndash reduces creep and marginal breakdown
ndash increases strength
ndash must be used in admixed alloys
ndash examplebull Indisperse (Indisperse Distributing Company)
ndash 5 indium
Powell J Dent Res 1989
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Other Constituents
bull Palladium (Pd)
ndash reduced corrosion
ndash greater luster
ndash example
bull Valiant PhD (Ivoclar Vivadent)
ndash 05 palladium
Mahler J Dent Res 1990
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Basic Compositionbull A silver-mercury matrix containing filler
particles of silver-tin
bull Filler (bricks)ndash Ag3Sn called gamma
bull can be in various shapes
ndash irregular (lathe-cut) sphericalor a combination
bull Matrixndash Ag2Hg3 called gamma 1
bull cement
ndash Sn8Hg called gamma 2 bull voids
Philliprsquos Science of Dental Materials 2003
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Basic Setting Reactions
bull Conventional low-copper alloys
bull Admixed high-copper alloys
bull Single composition high-copper alloys
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
bull Dissolution and precipitation
bull Hg dissolves Ag and Snfrom alloy
bull Intermetallic compoundsformed
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
(Hg)
Ag
AgAg
Sn
Sn
Sn
Conventional Low-Copper Alloys
Hg Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Conventional Low-Copper Alloys
bull Gamma ( ) = Ag3Sn
ndash unreacted alloy
ndash strongest phase and
corrodes the least
ndash forms 30 of volume
of set amalgam
Ag-Sn
Alloy
Ag-Sn
Alloy
Ag-Sn Alloy
Mercury
Ag
AgAg
Sn
Sn
Sn
Hg
Hg
Hg
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Conventional Low-Copper Alloys
bull Gamma 1 ( 1) = Ag2Hg3
ndash matrix for unreacted alloy
and 2nd strongest phase
ndash 10 micron grains
binding gamma ( )
ndash 60 of volume
1
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Conventional Low-Copper Alloys
bull Gamma 2 ( 2) = Sn8Hg
ndash weakest and softest phase
ndash corrodes fast voids form
ndash corrosion yields Hg which
reacts with more gamma ( )
ndash 10 of volume
ndash volume decreases with time
due to corrosion
AgAg33Sn + HgSn + Hg AgAg33Sn + AgSn + Ag22HgHg33 + Sn+ Sn88HgHg
Philliprsquos Science of Dental Materials 2003
1 2
2
Ag-Sn Alloy
Ag-Sn
Alloy
Ag-Sn
Alloy
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Admixed High-Copper Alloys
bull Ag enters Hg from Ag-Cu spherical eutectic particlesndash eutectic
bull an alloy in which the elements are completely soluble in liquid solution but separate into distinct areas upon solidification
bull Both Ag and Sn enter Hg from Ag3Sn particles
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Ag-Sn
Alloy
Ag-Sn
AlloyMercury
Ag
AgAg
SnSn
Ag-Cu Alloy
AgHgHg
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Admixed High-Copper Alloys
bull Sn diffuses to surface of
Ag-Cu particles
ndash reacts with Cu to form
(eta) Cu6Sn5 ( )
bull around unconsumed
Ag-Cu particles
Ag-Sn
Alloy
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Admixed High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3)
surrounds ( ) eta phase
(Cu6Sn5) and gamma ( )
alloy particles (Ag3Sn)Ag-Sn
Alloy
1
Ag-Cu Alloy
Ag-Sn
Alloy
Philliprsquos Science of Dental Materials 2003
AgAg33Sn + AgSn + Ag--Cu + HgCu + Hg AgAg33Sn + AgSn + Ag--Cu + AgCu + Ag22HgHg33 + Cu+ Cu66SnSn55
1
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Single Composition
High-Copper Alloys
bull Gamma sphere ( ) (Ag3Sn)
with epsilon coating ( )(Cu3Sn)
bull Ag and Sn dissolve in Hg
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
Mercury (Hg)
Ag
Sn
Ag
Sn
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Single Composition
High-Copper Alloys
bull Gamma 1 ( 1) (Ag2Hg3) crystalsgrow binding together partially-
dissolved gamma ( ) alloyparticles (Ag3Sn)
bull Epsilon ( ) (Cu3Sn) develops crystals on surface of gamma particle (Ag3Sn)
in the form of eta ( ) (Cu6Sn5)
ndash reduces creep
ndash prevents gamma-2 formation
Ag-Sn Alloy
Ag-Sn Alloy
Ag-Sn Alloy
1
AgAg33Sn + CuSn + Cu33Sn + HgSn + Hg AgAg33Sn + CuSn + Cu33Sn + AgSn + Ag22HgHg33 + Cu+ Cu66SnSn55
Philliprsquos Science of Dental Materials 2003
1
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Classifications
bull Based on copper content
bull Based on particle shape
bull Based on method of adding
copper
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Copper Content
bull Low-copper alloys
ndash 4 to 6 Cu
bull High-copper alloys
ndash thought that 6 Cu was maximum amount
bull due to fear of excessive corrosion and expansion
ndash Now contain 9 to 30 Cu
bull at expense of Ag
Philliprsquos Science of Dental Materials 2003
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Particle Shape
bull Lathe cut
ndash low Cu
bull New True
Dentalloy
ndash high Cu
bull ANA 2000
bull Admixture
ndash high Cu
bull Dispersalloy Valiant
PhD
bull Spherical
ndash low Cu
bull Cavex SF
ndash high Cu
bull Tytin Valiant
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Method of Adding Copper
bull Single Composition Lathe-Cut (SCL)
bull Single Composition Spherical (SCS)
bull Admixture Lathe-cut + Spherical Eutectic (ALE)
bull Admixture Lathe-cut + Single Composition
Spherical (ALSCS)
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Single Composition Lathe-Cut
(SCL)
bull More Hg needed than spherical alloys
bull High condensation force needed due to
lathe cut
bull 20 Cu
bull Example
ndash ANA 2000 (Nordiska Dental)
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Single Composition Spherical
(SCS)bull Spherical particles wet easier with Hg
ndash less Hg needed (42)
bull Less condensation force larger condenser
bull Gamma particles as 20 micron spheres
ndash with epsilon layer on surface
bull Examples
ndash Tytin (Kerr)
ndash Valiant (Ivoclar Vivadent)
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Admixture
Lathe-cut + Spherical Eutectic
(ALE)bull Composition
ndash 23 conventional lathe cut (3 Cu)
ndash 13 high Cu spherical eutectic (28 Cu)
ndash overall 12 Cu 1 Zn
bull Initial reaction produces gamma 2
ndash no gamma 2 within two years
bull Example
ndash Dispersalloy (Caulk)
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Admixture
Lathe-cut + Single Composition
Spherical (ALSCS)bull High Cu in both lathe-cut and spherical
components
ndash 19 Cu
bull Epsilon layer forms on both components
bull 05 palladium added
ndash reinforce grain boundaries on gamma 1
bull Example
ndash Valiant PhD (Ivoclar Vivadent)
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Manufacturing Process
bull Lathe-cut alloys
ndash Ag amp Sn melted together
ndash alloy cooled
bull phases solidify
ndash heat treat
bull 400 ordmC for 8 hours
ndash grind then mill to 25 - 50 microns
ndash heat treat to release stresses of grinding
Philliprsquos Science of Dental Materials 2003
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Manufacturing Process
bull Spherical alloys
ndash melt alloy
ndash atomize
bull spheres form as particles cool
ndash sizes range from 5 - 40 microns
bull variety improves condensability
Philliprsquos Science of Dental Materials 2003
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Material-Related Variables
bull Dimensional change
bull Strength
bull Corrosion
bull Creep
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Dimensional Change
bull Most high-copper amalgams undergo a
net contraction
bull Contraction leaves marginal gap
ndash initial leakage
bull post-operative sensitivity
ndash reduced with corrosion over time
Philliprsquos Science of Dental Materials 2003
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Dimensional Change
bull Net contraction
ndash type of alloybull spherical alloys have more
contractionndash less mercury
ndash condensation techniquebull greater condensation = higher contraction
ndash trituration timebull overtrituration causes higher contraction
Philliprsquos Science of Dental Materials 2003
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Strength
bull Develops slowly
ndash 1 hr 40 to 60 of maximum
ndash 24 hrs 90 of maximum
bull Spherical alloys strengthen faster
ndash require less mercury
bull Higher compressive vs tensile strength
bull Weak in thin sections
ndash unsupported edges fracture
Philliprsquos Science of Dental Materials 2003
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Corrosion
bull Reduces strength
bull Seals margins
ndash low copper bull 6 months
ndash SnO2 SnCl
ndash gamma-2 phase
ndash high copperbull 6 - 24 months
ndash SnO2 SnCl CuCl
ndash eta-phase (Cu6Sn5)
Sutow J Dent Res 1991
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Creep
bull Slow deformation of amalgam placed under a constant load
ndash load less than that necessary to produce fracture
bull Gamma 2 dramatically affects creep rate
ndash slow strain rates produces plastic deformationbull allows gamma-1 grains to slide
bull Correlates with marginal breakdown
Philliprsquos Science of Dental Materials 2003
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Creep
bull High-copper amalgams have creep resistance
ndash prevention of gamma-2 phasebull requires gt12 Cu total
ndash single composition sphericalbull eta (Cu6Sn5) embedded in gamma-1 grains
ndash interlock
ndash admixturebull eta (Cu6Sn5) around Ag-Cu particles
ndash improves bonding to gamma 1
Click here for table of creep values
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Dentist-Controlled Variables
bull Manipulation
ndash trituration
ndash condensation
ndash burnishing
ndash polishing
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Triturationbull Mixing time
ndash refer to manufacturerrecommendations
bull Click here for details
bull Overtriturationndash ldquohotrdquo mix
bull sticks to capsule
ndash decreases working setting time
ndash slight increase in setting contraction
bull Undertriturationndash grainy crumbly mix
Philliprsquos Science of Dental Materials 2003
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Condensation
bull Forces
ndash lathe-cut alloysbull small condensers
bull high force
ndash spherical alloysbull large condensers
bull less sensitive to amount of force
bull vertical lateral with vibratory motion
ndash admixture alloysbull intermediate handling between lathe-cut and spherical
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Burnishing
bull Pre-carve
ndash removes excess mercury
ndash improves margin adaptation
bull Post-carve
ndash improves smoothness
bull Combined
ndash less leakage
Ben-Amar Dent Mater 1987
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Early Finishing
bull After initial set
ndash prophy cup with pumice
ndash provides initial smoothness to restorations
ndash recommended for spherical amalgams
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Polishing
bull Increased smoothness
bull Decreased plaque retention
bull Decreased corrosion
bull Clinically effective
ndash no improvement in marginal integrity
bull Mayhew Oper Dent 1986
bull Collins J Dent 1992
ndash Click here for abstract
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Alloy Selection
bull Handling characteristics
bull Mechanical and physical
properties
bull Clinical performance
Click here for more details
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Handling Characteristics
bull Spherical
ndash advantagesbull easier to condense
ndash around pins
bull hardens rapidly
bull smoother polish
ndash disadvantagesbull difficult to achieve tight contacts
bull higher tendency for overhangs
Philliprsquos Science of Dental Materials 2003
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Handling Characteristics
bull Admixed
ndash advantages
bull easy to achieve tight contacts
bull good polish
ndash disadvantages
bull hardens slowly
ndash lower early strength
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Amalgam Properties
Compressive
Strength (MPa)
Creep Tensile Strength
(24 hrs) (MPa)
Amalgam Type 1 hr 7 days
Low Copper1 145 343 20 60
Admixture2 137 431 04 48
Single
Composition3
262 510 013 64
Philliprsquos Science of Dental Materials 2003
1Fine Cut Caulk 2 Dispersalloy Caulk 3Tytin Kerr
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Survey of Practice TypesCivilian General Dentists
68
32
Amalgam
Users
Amalgam
Free
Haj-Ali Gen Dent 2005
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Frequency of Posterior Materialsby Practice Type
39
51
3 7
Amalgam Direct Composite Indirect Composite Other
3
77
8
12
Amalgam Users
Amalgam Free
Haj-Ali Gen Dent 2005
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Profile of Amalgam UsersCivilian Practitioners
78
22
Do you use amalgam in
your practice
Yes
No
DPR 2005
88
12
Do you place fewer amalgams
than 5 years ago
Yes
No
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
0
2
4
6
8
Amalgam Direct
Comp
Comp
Inlays
Ceramic
Inlays
CADCAM
Inlays
Gold
Inlays amp
Onlays
GI
Longitudinal Cross-Sectional
Hickel J Adhes Dent 2001
Annual Failure
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
0
5
10
15
Amalga
m
Direct
Com
p
Compo
mer
Comp
Inlays
Ceram
ic In
lays
CADCAM
Cast G
old G
I
Tunn
elART
Annual Failure
Manhart Oper Dent 2004
Click here for abstract
Standard Deviation
Longitudinal and Cross-Sectional Data
Review of Clinical Studies(Failure Rates in Posterior Permanent Teeth)
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil
Acknowledgements
bull Dr David Charlton
bull Dr Charles Hermesch
bull Col Salvador Flores
QuestionsComments
Col Kraig Vandewalle
ndash DSN 792-7670
ndash ksvandewallenidbrmednavymil