Conservative Dentistry – Part I · MU Plovdiv

20. Dental amalgam – definition, types of amalgam, physico-mechanical and medico-biological properties of amalgam restorations.

Inside: 7 sections · 1 labelled picture · 1 table · 17 flashcards · 7 min

Topic 20 of 53 in the MU Plovdiv syllabus for Conservative Dentistry – Part I (Dental Medicine, Year 3). The free AceMed note covers it in 7 sections, about 914 words (7 min of reading), with 17 flashcards.

In this note

  1. Introduction
  2. Composition and types of alloy
  3. Setting reaction and phases
  4. Properties
  5. Clinical handling
  6. Indications, mercury hygiene and EU rules
  7. Key points

Introduction

Dental amalgam is mercury alloyed with a silver–tin–copper powder, condensed into the cavity while plastic and setting in the mouth. Its phase chemistry explains why modern high-copper alloys last longer, and its handling decides whether a restoration fails early.

Composition and types of alloy

Alloy powder is mixed with liquid mercury (Hg), today in pre-dosed capsules at a mercury: alloy ratio of about 1:1; the set filling contains about 40–50% Hg. Above about 55% Hg, strength falls and creep rises.

  • Silver (Ag, 40–70%): strength, less creep and corrosion; with tin forms Ag₃Sn.
  • Tin (Sn): reacts readily with mercury and slows setting, but forms the weak tin–mercury phase.
  • Copper (Cu): strength and hardness; in high-copper alloys (usually 12–30%) it binds tin and prevents γ₂.
  • Zinc (Zn, 0–2%): deoxidiser in alloy manufacture. Moisture (saliva, blood) in a zinc-containing mix causes delayed expansion (Zn + H₂O → ZnO + H₂), starting after 3–5 days and may exceed 4%: pain, protrusion, fracture.

Particles are lathe-cut (irregular filings) or spherical; spherical ones need less mercury.

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