SILICOPHOSPHATE CEMENTS, THEIR PROPERTIES AND MODERN ADVANTAGES

Аннотация

Today the development of prosthetic dentistry in the field of fixed prosthetics is very active. The emergence of new materials and technologies of prosthesis manufacturing has allowed to significantly increase the efficiency of treatment and reduce the risk of complications. The majority of fixed prosthetic constructions are retained on the supporting teeth with the help of fixation materials. The longevity and reliability of the fixed structures depend largely on the properties of these materials. The dental market offers a large number of materials for fixation of fixed prosthetic structures. Their classification includes several groups. Some authors believe that zinc-phosphate, glass ionomer, polycarboxylate and polymer cements are most often used in prosthetic dentistry, while others distinguish zinc-silicophosphate and composite materials. Each group has certain properties, advantages and disadvantages. For all fixed dental prosthesis constructions, the common feature is the presence of a space between the prosthesis and the tooth tissue, where it is necessary to place the material for fixation and which serves to reduce the incongruence of surfaces of the prosthesis and the tooth tissue. The volume of this space is still a matter of great controversy. Some authors consider a gap of 40 microns to be optimal, others allow values of 100 and 200 microns. The data of many scientists concerned studies of noble alloys, for nonnoble alloys the space between the metal and tooth tissues turned out to be several times larger. One thing that remains common is that this space should not increase during retention. In addition to the secure retention of the prosthetic structure, the retention materials must have properties that allow them to maintain a stable marginal fit of the prosthesis over time. With the development of modern technologies, more stringent requirements are imposed on retention materials: absence of pulp irritation, stability in the oral cavity, good compatibility with tooth tissues, metals, plastics, porcelain and other structural materials in terms of physical and chemical parameters, and volume constancy. Fixation materials should have sufficient strength characteristics such as hardness, compression, shear and tensile strength to withstand masticatory pressure. Curing time and working time are important for effective and convenient application. Some authors believe that the most important characteristic of fixation materials is their adhesion to the hard tissues of the tooth: enamel and dentin, which allows to ensure minimal marginal permeability. For teeth with preserved pulp, zinc-polycarboxylate and zinc-phosphate cements have the greatest adhesion to enamel, and glass ionomer cements - to dentin. Moreover, all groups of cements are characterized by greater adhesion to metals than to tooth tissues.

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Аннотация

Today the development of prosthetic dentistry in the field of fixed prosthetics is very active. The emergence of new materials and technologies of prosthesis manufacturing has allowed to significantly increase the efficiency of treatment and reduce the risk of complications. The majority of fixed prosthetic constructions are retained on the supporting teeth with the help of fixation materials. The longevity and reliability of the fixed structures depend largely on the properties of these materials. The dental market offers a large number of materials for fixation of fixed prosthetic structures. Their classification includes several groups. Some authors believe that zinc-phosphate, glass ionomer, polycarboxylate and polymer cements are most often used in prosthetic dentistry, while others distinguish zinc-silicophosphate and composite materials. Each group has certain properties, advantages and disadvantages. For all fixed dental prosthesis constructions, the common feature is the presence of a space between the prosthesis and the tooth tissue, where it is necessary to place the material for fixation and which serves to reduce the incongruence of surfaces of the prosthesis and the tooth tissue. The volume of this space is still a matter of great controversy. Some authors consider a gap of 40 microns to be optimal, others allow values of 100 and 200 microns. The data of many scientists concerned studies of noble alloys, for nonnoble alloys the space between the metal and tooth tissues turned out to be several times larger. One thing that remains common is that this space should not increase during retention. In addition to the secure retention of the prosthetic structure, the retention materials must have properties that allow them to maintain a stable marginal fit of the prosthesis over time. With the development of modern technologies, more stringent requirements are imposed on retention materials: absence of pulp irritation, stability in the oral cavity, good compatibility with tooth tissues, metals, plastics, porcelain and other structural materials in terms of physical and chemical parameters, and volume constancy. Fixation materials should have sufficient strength characteristics such as hardness, compression, shear and tensile strength to withstand masticatory pressure. Curing time and working time are important for effective and convenient application. Some authors believe that the most important characteristic of fixation materials is their adhesion to the hard tissues of the tooth: enamel and dentin, which allows to ensure minimal marginal permeability. For teeth with preserved pulp, zinc-polycarboxylate and zinc-phosphate cements have the greatest adhesion to enamel, and glass ionomer cements - to dentin. Moreover, all groups of cements are characterized by greater adhesion to metals than to tooth tissues.


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ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 4

SILICOPHOSPHATE CEMENTS, THEIR PROPERTIES AND MODERN

ADVANTAGES

Kurbanova Nodira Voxidovna

Faculty of Medicine, International University of Asia, Uzbekistan.

https://doi.org/10.5281/zenodo.15185612

Abstract.

Today the development of prosthetic dentistry in the field of fixed prosthetics is

very active. The emergence of new materials and technologies of prosthesis manufacturing has

allowed to significantly increase the efficiency of treatment and reduce the risk of complications.

The majority of fixed prosthetic constructions are retained on the supporting teeth with

the help of fixation materials. The longevity and reliability of the fixed structures depend largely

on the properties of these materials. The dental market offers a large number of materials for

fixation of fixed prosthetic structures. Their classification includes several groups. Some authors

believe that zinc-phosphate, glass ionomer, polycarboxylate and polymer cements are most often

used in prosthetic dentistry, while others distinguish zinc-silicophosphate and composite

materials. Each group has certain properties, advantages and disadvantages. For all fixed

dental prosthesis constructions, the common feature is the presence of a space between the

prosthesis and the tooth tissue, where it is necessary to place the material for fixation and which

serves to reduce the incongruence of surfaces of the prosthesis and the tooth tissue. The volume

of this space is still a matter of great controversy. Some authors consider a gap of 40 microns to

be optimal, others allow values of 100 and 200 microns. The data of many scientists concerned

studies of noble alloys, for nonnoble alloys the space between the metal and tooth tissues turned

out to be several times larger. One thing that remains common is that this space should not

increase during retention. In addition to the secure retention of the prosthetic structure, the

retention materials must have properties that allow them to maintain a stable marginal fit of the

prosthesis over time. With the development of modern technologies, more stringent requirements

are imposed on retention materials: absence of pulp irritation, stability in the oral cavity, good

compatibility with tooth tissues, metals, plastics, porcelain and other structural materials in

terms of physical and chemical parameters, and volume constancy. Fixation materials should

have sufficient strength characteristics such as hardness, compression, shear and tensile

strength to withstand masticatory pressure. Curing time and working time are important for

effective and convenient application. Some authors believe that the most important characteristic

of fixation materials is their adhesion to the hard tissues of the tooth: enamel and dentin, which

allows to ensure minimal marginal permeability.


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ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 4

For teeth with preserved pulp, zinc-polycarboxylate and zinc-phosphate cements have the

greatest adhesion to enamel, and glass ionomer cements - to dentin. Moreover, all groups of

cements are characterized by greater adhesion to metals than to tooth tissues.

Keywords:

zinc-phosphate, glass ionomer, polycarboxylate, orthopedic constructions,

zinc-silicophosphate, glass ionomer materials.

СИЛИКОФОСФАТНЫЕ ЦЕМЕНТЫ, ИХ СВОЙСТВА И СОВРЕМЕННЫЕ

ПРЕИМУЩЕСТВА

Аннотация.

В настоящее время развитие ортопедической стоматологии в

области несъемного протезирования происходит весьма активно. Появление новых

материалов и технологий изготовления протезов позволило значительно повысить

эффективность лечения и снизить риск осложнений. Большинство несъемных протезных

конструкций удерживаются на опорных зубах с помощью фиксирующих материалов.

Долговечность и надежность стационарных конструкций во многом зависят от

свойств этих материалов. Стоматологический рынок предлагает большое количество

материалов для фиксации несъемных протезных конструкций. Их классификация

включает несколько групп. Некоторые авторы считают, что в ортопедической

стоматологии чаще всего применяются цинк-фосфатные, стеклоиономерные,

поликарбоксилатные и полимерные цементы, другие выделяют цинк-силикофосфатные и

композитные материалы. Каждая группа имеет определенные свойства, преимущества

и недостатки. Для всех конструкций несъемных зубных протезов общим является

наличие пространства между протезом и тканями зуба, куда необходимо поместить

материал для фиксации и которое служит для уменьшения неконгруэнтности

поверхностей протеза и тканей зуба. Объем этого пространства до сих пор остается

предметом больших споров. Некоторые авторы считают оптимальным зазор в 40 мкм,

другие допускают значения в 100 и 200 мкм. Данные многих ученых касались исследований

благородных сплавов, для неблагородных сплавов пространство между металлом и

тканями зуба оказалось в несколько раз больше. Общим остается то, что это

пространство не должно увеличиваться во время задержки. Помимо надежной фиксации

протезной конструкции, ретенционные материалы должны обладать свойствами,

позволяющими им сохранять стабильное краевое прилегание протеза с течением

времени. С развитием современных технологий к ретенционным материалам

предъявляются все более жесткие требования: отсутствие раздражения пульпы,

стабильность в полости рта, хорошая совместимость с тканями зуба, металлами,

пластмассами, фарфором и другими конструкционными материалами по физико-

химическим показателям, постоянство объема.


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Материалы для фиксации должны обладать достаточными прочностными

характеристиками, такими как твердость, прочность на сжатие, сдвиг и растяжение,

чтобы выдерживать жевательное давление. Время отверждения и рабочее время

важны для эффективного и удобного нанесения. Некоторые авторы считают, что

важнейшей характеристикой фиксирующих материалов является их адгезия к твердым

тканям зуба: эмали и дентину, что позволяет обеспечить минимальную краевую

проницаемость. Для зубов с сохраненной пульпой наибольшей адгезией к эмали обладают

цинк-поликарбоксилатные

и

цинк-фосфатные

цементы,

а

к

дентину

стеклоиономерные цементы. При этом все группы цементов характеризуются большей

адгезией к металлам, чем к тканям зуба.

Ключевые

слова:

цинк-фосфат,

стеклоиономер,

поликарбоксилат,

ортопедические конструкции, цинк-силикофосфат, стеклоиономерные материалы.

An important parameter for luting materials is their stability in the oral cavity. All

cements that are cured by acid-alkaline interaction are susceptible to some degree of dissolution

in the oral fluid. This process depends on a variety of factors: cement composition, mixing

quality, maturation period and final crystallization and polymerization, thermal expansion

coefficient, thermal deformation ability, maintenance of volume constancy and strength

characteristics. An important factor influencing cement solubility is the acid-base state of oral

fluid. Its shift to the acidic side, which occurs in places of bacterial accumulation and dental

plaque formation, increases the solubility of cements, since zinc-phosphate, zinc polycarboxylate

and glass ionomer materials are not resistant to acids. Fixation of orthopedic constructions with

metal framework is mostly performed on glass ionomer, zinc-phosphate or zinc-polycarboxylate

cements. The most frequent complications of fixed prosthetic constructions include failure of

fixation and the development of caries of supporting teeth and its complications, which in turn is

due to loss of material at the denture-tooth interface [84]. Zinc-phosphate cements have been

used in prosthetic dentistry for more than 110 years. This period of time has allowed, unlike

other types of materials, to accumulate rich practical experience, to see all the positive and

negative sides. With the development of modern technologies, the emergence of new fixation

materials and increased requirements to them, the use of zinc-phosphate cements has decreased.

Zinc-phosphate cements are produced in the form of powder, consisting mainly of zinc

oxide and added to it magnesium oxide and other metals, and liquid, which is an aqueous

solution of phosphoric acid, partially neutralized by aluminum and zinc. When mixing the

material, an amorphous substance of zinc and aluminum phosphates with unreacted powder

particles located in it is formed.


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The advantages of zinc-phosphate cements include ease of use, easy mixing, sufficient

strength properties (e.g. compressive strength is 80 to 100MPa), good flowability, cohesion.

Another advantage of zinc-phosphate is its low cost in comparison with all other fixing

materials.

The disadvantages of zinc-phosphate cements include poor adhesive properties. Zinc-

phosphate cements are known to have only cohesion, i.e. the rougher the surface, the higher the

bonding force. When kneaded, the cement mass is sufficiently tacky, but during final

crystallization, true adhesion to tooth tissues, metals and other structural materials is not

observed. According to various studies, zinc-phosphate cements take the last place among

cements cured by acid-base interaction in terms of adhesion to tooth tissues, and in terms of

adhesion to metals they occupy an intermediate position between glass ionomer and zinc-

polycarboxylate cements.

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Jamshidovich, A. S. (2024). THE AEVIT DRUG EFFECT. ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ, 38(4), 124-132.

Jamshidovich, A. S. (2024). THE IMPORTANCE OF ALCHEBA DRUG IN POST-STROKE APHASIA. ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ, 38(4), 132-138.

Jamshidovich, A. S. (2024). THE ROLE OF HYALURON CHONDRO DRUG IN OSTEOARTHROSIS. ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ, 38(4), 139-145.

Jamshidovich, A. S. (2024). EFFECT OF SIMETHICONE DROP IN FLATULENCE. Лучшие интеллектуальные исследования, 14(1), 95-101.

Jamshidovich, A. S. (2024). BENEFITS OF BETADINE SOLUTION. Лучшие интеллектуальные исследования, 14(1), 116-122.

Jamshidovich, A. S. (2024). EFFECT INHALED GLUCOCORTICOIDS IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND BRONCHIAL ASTHMA. TADQIQOTLAR, 31(1), 171-180.

Jamshidovich, A. S. (2024). USE OF VIGANTOL IN RICKETS. Лучшие интеллектуальные исследования, 14(1), 102-108.

Jamshidovich, A. S. (2024). THE VITAPROST DRUG RESULTS. Лучшие интеллектуальные исследования, 14(1), 109-115.

Jamshidovich, A. S. (2024). THE ROLE OF BISEPTOL DRUG IN URINARY TRACT DISEASE. Лучшие интеллектуальные исследования, 14(1), 89-94.

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Jamshidovich, A. S., & Komilovich, E. B. (2024). IMMUNOMODULATORY FUNCTION OF DIBAZOL DRUG. ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ, 38(5), 83-87.

Jamshidovich, A. S., & Komilovich, E. B. (2024). ADVANTAGES OF THE DRUG HEPTRAL. ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ, 38(5), 98-101.

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Jamshidovich, A. S. (2024). USE OF DUSPATALIN (MEBEVERINE HYDROCHLORIDE) IN GASTROINTESTINAL DISEASES. ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ, 38(5), 93-97.

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Jamshidovich, A. S., & Komilovich, E. B. (2024). THE IMPORTANCE OF THE DRUG ALLOCHOL FOR CHRONIC CHOLECYSTITIS. Ta'lim innovatsiyasi va integratsiyasi, 14(2), 133-137.

Jamshidovich, A. S., & Komilovich, E. B. (2024). ВАЖНЫЕ СВОЙСТВА ПРЕПАРАТА ДЕ-НОЛ (субцитрат висмута). Ta'lim innovatsiyasi va integratsiyasi, 14(2), 143-147.

Jamshidovich, A. S., & Komilovich, E. B. (2024). SPECIAL FEATURES OF BUDECTON DRUG. Ta'lim innovatsiyasi va integratsiyasi, 14(2), 138-142.

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Jamshidovich, A. S. (2024). THE IMPORTANCE OF THE DRUG DOPROKIN. Лучшие интеллектуальные исследования, 15(2), 109-114.

Jamshidovich, A. S. (2024). THE EFFECT OF DOSTINEX ON THE BODY. Лучшие интеллектуальные исследования, 15(2), 115-120.

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