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•In   the Name of Allah Who is the most Merciful and the
                           most
                        •Beneficial
MIXING TECHNIQUES OF FIVE DENTAL
           PRODUCTS

               • By
                  Najib Ahmad Dawar
                  Roll #: 66
               Khyber College Of Dentistry
                  Peshawar (Pakistan)
• The Process by which two or more
  components are mixed together in order
  to get a homogeneous mix. e.g.
• Mixing of powder & liquid components,
• Mixing of two pastes &
• The mixing of paste & liquid
  components.


             Wor king Time
• The time available for mixing and
  manipulating a material.
Mixing Techniques Of Five Dental
Products Which I Covered In
Presentation
  1     Gypsum

  2     Glass Ionomer Cement

  3      Alginate

  4      Zinc Phosphate Cement

  5      Zinc Polycarboxylate Cement
1-Gypsum mixinG:


• Mixed by two pr ocess:
   • Manual Pr ocess ( Hand Mix)
   • Mechanical Pr ocess
Requirements:
Robber Bowl, Spatula, Water &
 Powder.
Pr ocedure::
 • Take a measured quantity of
   water in the r ubber bowl
 • Add powder to the Bowl.
• Settle it for 30 sec with out spatulation.
• This technique minimize the chances of
  Air interruption.
• Then spatulation starts and wipe the
  powder with the inside of the bowl with a
  spatula to insure wetting of the powder
  and minimizes the Air entrapped.
• Spatulation continues until all the powder
  is uniformly wetted and mix..
• Mixing time is 1min at 2rev/sec.
• Two setting Times:
• Initial setting time
• Final setting time
• Mechanical mixing
  is done under
  vacuum mixer.
• It gives stronger
  and denser Mix.


• No chances for Air
  to entrap in the Mix.
Precautions:
•   The mixing equipment must be clean.
•   Flexible plastic bowl should be used.
•   Wide bladed spatula should be used.
•   No air should be trapped in the Mix.
•   The material should be used as soon
    as possible after mixing since its
    viscosity increases and will reach a
    stage where the material is
    unworkable.
2-GLAss iOnOmER
          CEmEnT mixinG
Requir ements:
Powder & Liquid, Glass slab or Non absorbable
  Treated paper pad & plastic or ceramic
  spatula.
• Consists of Powder & liquid
• If the liquid is the viscous carboxylic acid then
  P/L ratio of 1.3:1 to 1.35:1 is used,
• If the liquid is water then W/P ratio 3.3:1 to
  3.4:1 is used.
• The P/L ratio also depends on application of
  the cements…
   • lining consistency
   • luting consistency
• For lining consistency the P/L ratio is 3:1
• And
• For luting consistency the P/L ratio is 1.5:1
• Powder should be divided into two equal
  parts….
• Half of the powder will be carried and
  mixed with liquid with a stiff spatula so that
  powder is covered with liquid..
• After this the 2nd half is added and keep on
  mixing. Until get the desired consistency.
• mixinG TimE:
• 30-60sec.
• WORKinG TimE:
• 2 minutes
• Immediately carry to the prepared cavity
  b/c the working time after mixing is only
  2min.
Encapsulated products are usually mixed for 10sec in
mechanical mixer and dispensed directly onto the
tooth restoration.
Precautions:
• There should be no evaporation of water.
• A good mix should have a glassy surface, this
  indicates the presence of poly acids which
  ensures bonding with the tooth, but a mix with
  a dull surface is discarded as it indicates
  prolong mixing which reduces the adhesion.
• If the liquid contains polyacids, it should not
  be placed in a refrigerator as it becomes very
  viscous.
• The glass slab should not be below the dew
  point, as moisture may condense on the slab
  and changes the acid water balance.
• Never use stainless steel spatula as it is
  composed of metals which may react with
  Glass Ionomer cement .Always use plastic or
  ceramic spatula…
3-ALGinATE mixinG
• Requirements: A clean flexible plastic Bowl,Wide
 bladed spatula and a Plastic tube containing
 water



• Alginate are supplied as powder which are mixed
  with water
• A plastic measuring cylinder is used for the
  correct volume of water
• An alginate powder is also supplied in small
  sachets.
• Each sachet are sufficient for one impression.
• After proportioning the water and powder
  are mixed together in a plastic mixing bowl
  using a wide bladed spatula
• Rapid spatulation is required to give
  thorough mixing and an alginate sol of
  creamy consistency is formed.
• Then pour a water in the measuring cylinder
  up to point 1 leaving 1 part in the cylinder…
• Mixing is started with a stirring motion to
  wet all the powder.
• Once the powder has been moistened then
  rapid spatulation with the side should be
  done…
• Spatulation with sides will help to:
     • Remove most of the air bubbles…
     • Dissolve alginate from the surface and
       complete their dissolution.
• After the material gain creamy consistency
  …stop spatulation…
• Mechanical devices are also available for
  spatulation alginate. their main advantage
  are…
     • Speed
     • Convenience
     • Elimination of human variables.
• Pr ecautions::
• Rapid spatulation is required
• Spatulation with the sides is done
• Correct volume of water and powder is
  required.
• The water powder ratio specified by the
  manufacturer should be used.
4-ZinC phOsphATE
         CEmEnT mixinG
Mixing Requirements:
Large Narrow Bladed Stainless
 steel
spatula, Cooled Thick Glass slab,
mixinG::
• Its Mixing is an exothermic process.
• Incorporate the proper amount of powder
  into the liquid slowly on a glass slab to
  attain desired consistency…
        • For Cavity Lining P/L is 3.5:1
        • For luting a more thinner
• We divide the powder into increments
   Smaller, larger and then smaller for
  proper dissipation of heat.
• 1st incorporate a small increment of
  powder into liquid minimum heat is
  evolved.
• Then larger increment of powder is
  added to further saturate the mix.
• Finally a smaller increment of powder
  is added to achieve the desired
  consistency of cement.
• The mix procedure begins with a Small
  one, then larger one and ends with a
  small one to compensate heat and to
  achieve slow neutralization.
• The reaction is neutralization type.
• Always use thick glass slab to slow
  down the process of temperature
  change
• For increasing the working time we use
  cold glass slab or frozen glass slab.
• Mixing Time:
• 60-90 sec are enough for mixing.
• Working Time
              luting -2.5 minutes
              lining – 2 minutes
• Mix over a large area to dissipate
  the generated heat as this heat
  will accelerate the setting time.
• The cap from the liquid bottle
  should be removed enough to
  dispense sufficient liquid for one
  mix. ,and then replaced
  immediately
• If the liquid is placed open for a
  long time the water will be
  either lost or gained depending
  upon the humidity. which will
  alter the setting characteristics
  and physical properties.
5-ZinC pOLy
    CARbOxyLATE CEmEnT
          mixinG
Requirements:
Mixing Requirements:
Large Narrow Bladed Stainless
steel
spatula, Cooled Thick Glass
slab,
Mixing::
• Available as powder and liquid or
  precapsulated form.
• Powder is shaken gently
• Powder is dispensed on paper pad or
  glass slab
• A bulk of powder i.e. 90% Of the powder
  is added to the Liquid immediately so
  that the liquid particles do not
  evaporate.
• P/L ratio is 1.1,1.5:1 or 2:1and it can be
  increased according to the demand.
• The remainder of the powder is mixed in
  order to achieve the desired
  consistency.
• It should be spread over a small area.
• It should be used immediately after
  mixing b/c working time is only 3min at
  22 centigrade.
• Working time can be increased by using a
  cool glass slab.
• Normally it ranges b/w 2.5-6 mins but can
  be increased up to 10-15 mins by using
  chilled glass slab.
Mixing techniques of five dental products

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Mixing techniques of five dental products

  • 1. •In the Name of Allah Who is the most Merciful and the most •Beneficial
  • 2. MIXING TECHNIQUES OF FIVE DENTAL PRODUCTS • By Najib Ahmad Dawar Roll #: 66 Khyber College Of Dentistry Peshawar (Pakistan)
  • 3. • The Process by which two or more components are mixed together in order to get a homogeneous mix. e.g. • Mixing of powder & liquid components, • Mixing of two pastes & • The mixing of paste & liquid components. Wor king Time • The time available for mixing and manipulating a material.
  • 4. Mixing Techniques Of Five Dental Products Which I Covered In Presentation 1 Gypsum 2 Glass Ionomer Cement 3 Alginate 4 Zinc Phosphate Cement 5 Zinc Polycarboxylate Cement
  • 5. 1-Gypsum mixinG: • Mixed by two pr ocess: • Manual Pr ocess ( Hand Mix) • Mechanical Pr ocess
  • 6. Requirements: Robber Bowl, Spatula, Water & Powder. Pr ocedure:: • Take a measured quantity of water in the r ubber bowl • Add powder to the Bowl.
  • 7. • Settle it for 30 sec with out spatulation. • This technique minimize the chances of Air interruption. • Then spatulation starts and wipe the powder with the inside of the bowl with a spatula to insure wetting of the powder and minimizes the Air entrapped. • Spatulation continues until all the powder is uniformly wetted and mix.. • Mixing time is 1min at 2rev/sec. • Two setting Times: • Initial setting time • Final setting time
  • 8.
  • 9. • Mechanical mixing is done under vacuum mixer. • It gives stronger and denser Mix. • No chances for Air to entrap in the Mix.
  • 10. Precautions: • The mixing equipment must be clean. • Flexible plastic bowl should be used. • Wide bladed spatula should be used. • No air should be trapped in the Mix. • The material should be used as soon as possible after mixing since its viscosity increases and will reach a stage where the material is unworkable.
  • 11. 2-GLAss iOnOmER CEmEnT mixinG Requir ements: Powder & Liquid, Glass slab or Non absorbable Treated paper pad & plastic or ceramic spatula. • Consists of Powder & liquid • If the liquid is the viscous carboxylic acid then P/L ratio of 1.3:1 to 1.35:1 is used, • If the liquid is water then W/P ratio 3.3:1 to 3.4:1 is used. • The P/L ratio also depends on application of the cements… • lining consistency • luting consistency
  • 12. • For lining consistency the P/L ratio is 3:1 • And • For luting consistency the P/L ratio is 1.5:1 • Powder should be divided into two equal parts…. • Half of the powder will be carried and mixed with liquid with a stiff spatula so that powder is covered with liquid.. • After this the 2nd half is added and keep on mixing. Until get the desired consistency. • mixinG TimE: • 30-60sec. • WORKinG TimE: • 2 minutes • Immediately carry to the prepared cavity b/c the working time after mixing is only 2min.
  • 13. Encapsulated products are usually mixed for 10sec in mechanical mixer and dispensed directly onto the tooth restoration.
  • 14. Precautions: • There should be no evaporation of water. • A good mix should have a glassy surface, this indicates the presence of poly acids which ensures bonding with the tooth, but a mix with a dull surface is discarded as it indicates prolong mixing which reduces the adhesion. • If the liquid contains polyacids, it should not be placed in a refrigerator as it becomes very viscous. • The glass slab should not be below the dew point, as moisture may condense on the slab and changes the acid water balance. • Never use stainless steel spatula as it is composed of metals which may react with Glass Ionomer cement .Always use plastic or ceramic spatula…
  • 15. 3-ALGinATE mixinG • Requirements: A clean flexible plastic Bowl,Wide bladed spatula and a Plastic tube containing water • Alginate are supplied as powder which are mixed with water • A plastic measuring cylinder is used for the correct volume of water • An alginate powder is also supplied in small sachets. • Each sachet are sufficient for one impression.
  • 16. • After proportioning the water and powder are mixed together in a plastic mixing bowl using a wide bladed spatula • Rapid spatulation is required to give thorough mixing and an alginate sol of creamy consistency is formed. • Then pour a water in the measuring cylinder up to point 1 leaving 1 part in the cylinder… • Mixing is started with a stirring motion to wet all the powder. • Once the powder has been moistened then rapid spatulation with the side should be done…
  • 17. • Spatulation with sides will help to: • Remove most of the air bubbles… • Dissolve alginate from the surface and complete their dissolution. • After the material gain creamy consistency …stop spatulation… • Mechanical devices are also available for spatulation alginate. their main advantage are… • Speed • Convenience • Elimination of human variables.
  • 18. • Pr ecautions:: • Rapid spatulation is required • Spatulation with the sides is done • Correct volume of water and powder is required. • The water powder ratio specified by the manufacturer should be used.
  • 19. 4-ZinC phOsphATE CEmEnT mixinG Mixing Requirements: Large Narrow Bladed Stainless steel spatula, Cooled Thick Glass slab, mixinG:: • Its Mixing is an exothermic process. • Incorporate the proper amount of powder into the liquid slowly on a glass slab to attain desired consistency… • For Cavity Lining P/L is 3.5:1 • For luting a more thinner
  • 20. • We divide the powder into increments Smaller, larger and then smaller for proper dissipation of heat. • 1st incorporate a small increment of powder into liquid minimum heat is evolved. • Then larger increment of powder is added to further saturate the mix. • Finally a smaller increment of powder is added to achieve the desired consistency of cement.
  • 21. • The mix procedure begins with a Small one, then larger one and ends with a small one to compensate heat and to achieve slow neutralization. • The reaction is neutralization type. • Always use thick glass slab to slow down the process of temperature change • For increasing the working time we use cold glass slab or frozen glass slab. • Mixing Time: • 60-90 sec are enough for mixing. • Working Time luting -2.5 minutes lining – 2 minutes
  • 22. • Mix over a large area to dissipate the generated heat as this heat will accelerate the setting time. • The cap from the liquid bottle should be removed enough to dispense sufficient liquid for one mix. ,and then replaced immediately
  • 23. • If the liquid is placed open for a long time the water will be either lost or gained depending upon the humidity. which will alter the setting characteristics and physical properties.
  • 24. 5-ZinC pOLy CARbOxyLATE CEmEnT mixinG Requirements: Mixing Requirements: Large Narrow Bladed Stainless steel spatula, Cooled Thick Glass slab,
  • 25. Mixing:: • Available as powder and liquid or precapsulated form. • Powder is shaken gently • Powder is dispensed on paper pad or glass slab • A bulk of powder i.e. 90% Of the powder is added to the Liquid immediately so that the liquid particles do not evaporate. • P/L ratio is 1.1,1.5:1 or 2:1and it can be increased according to the demand. • The remainder of the powder is mixed in order to achieve the desired consistency. • It should be spread over a small area.
  • 26. • It should be used immediately after mixing b/c working time is only 3min at 22 centigrade. • Working time can be increased by using a cool glass slab. • Normally it ranges b/w 2.5-6 mins but can be increased up to 10-15 mins by using chilled glass slab.