Standards for Dental Materials for First Year Bds

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    Dr mumtaz ul islam

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    Evaluation of the safety and effectiveness of dental

    materials

    A uniform method for manipulation of dental materials

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    Paracelsus (1493-1540) a Swiss physician and

    alchemist, formulated a revolutionary principle that

    have remained an integral part of the current field of

    toxicology. He stated that "all substances are poisons,

    there is none which is not a poison The right dose

    differentiates a poison from a remedy.

    Source: Gallo and Doull, 1991.

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    Relative term

    No material is absolutely safe each and every dental

    material have some disadvantages

    Safety means benefits are more than other effects

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    Dentists and patients are more protected as well as

    more exposed to infections

    Safety will be assured by strictly adherence with the

    safety standards

    Safety ,durability and efficacy of dental materials can

    be enjoyed by following standards and vice versa

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    Advancement in the knowledge of dental materials and

    their manipulation began in 1919. during that year the

    U.S. Army requested the National Bureau of Standards

    (now known as the National Institute of Standards and

    Technology [NIST]) to set up specifications)

    For dental amalgam which will be used for federal

    services

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    This research was done under the leadership of Wilmer

    Souder, and an excellent report on this study was

    published in 1920

    The contents of the Souder report was received

    enthusiastically by the dental profession

    Similar testing data were then requested for other

    dental materials

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    There were no funds with the government

    A fellowship was created and supported by the

    Weinstein Research Laboratories

    Sponsors have to pay the expenditure Dr sauder was the supervisor of the committee

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    Several research associates investigated the properties

    of dental wrought gold materials, casting gold alloys,

    and accessory casting materials

    This phase of the work resulted in the publication of an

    extensive and valuable research report In 1928

    Researchers such as Wilmer Soudr, George C

    Paflenbargel and William T Sweeney will undoubtedly

    be remembered historically as the pioneers

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    Until 1965, one of the primary objectives of the

    facility at NlST was to formulate standards or

    specifications for dental materials

    In 1928, the Dental Research fellowship at the National

    Bureau of Standards was assumed by the American

    Dental Association (ADA)

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    The research carried out by the ADA research

    associates in conjunction with the staff members of

    NIST has been of inestimable value to the dental

    profession, and it has earned for this group an

    international reputation

    Now researches were made for ADA

    Until 1965, the primary objectives of the NlST was to

    formulate standards or specifications for dentalmaterials

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    ADA Council on Dental Materials and Devices (now

    known as the Council on Scientific Affairs) was

    established in 1966

    On acceptance of a material by ADA manufacturers

    were allowed to use ADA mark on their products

    The ADA, accredited by the American National

    Standards Institute (ANSI)

    The ADA Standards Committee for Dental products(SCDP) develops specifications for all dental materials

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    The Council on Scientific Affairs (CSA) is alsoresponsible for the evaluation of drugs, tooth cleaning

    and tooth whitening agents therapeutic agents used in

    dentistry, dental equipment, and dental x-ray film

    When a specification has been approved by the ADA

    SCDP and the ADA CSA, it is submitted to the

    American National Standards Institute

    On acceptance by that body it becomes an AmericanNational Standard

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    Specifications are periodically revised to reflectchanges in product formulations new knowledge about

    the behavior of materials in the oral cavity for example

    the ANSI/ADA Specification No. 1 for dental amalgam

    which was revised in January 2003

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    U.S. Food and Drug Administration (FDA) theregulatory authority to protect the public from

    hazardous or ineffective medical and dental devices on

    May 28, 1976

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    Class 1

    Generals measures application during manufacturing

    low risk materials

    Class 2 General measures if not supposed to be adequate

    Class 3

    Thorough control of safety and effectiveness prior to

    marketing is mandatory

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    Federation Dentaire Internationale (FDI)

    International Organization for Standardization (ISO)

    The IS0 is an international, nongovernmental

    organization whose objective is the development ofinternational standards. This body is composed of

    national standards organizations from more than 80

    countries

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    Manufacturers, dental vendors, users, consumer groups,testing laboratories, governments, the dental

    profession, and research organizations provide input

    information and requirements for the development

    of standards. International standardization is market

    driven and is based on voluntary involvement of all

    interests in the marketplace

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    The work at he National lnstitute of Standards andtechnology in Gaithersburg Maryland has stimulated

    comparable programs in other countries

    The Australian Dental Standards Laboratory was

    established in 1936 (until 1973 this facility was known

    as the Commonwealth Bureau of Dental Standards)

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    Other countries that have comparable organizations fordeveloping standards and certifying products are

    Canada Japan France Czech Republic Germany

    Hungary Israel India Poland and South Africa

    NlOM (Nordisk Institutt for Odontologisk Material

    provning)

    The governments of Denmark Finland Iceland Norway

    and Sweden were the founders of NIOM It becomes operational in 1973

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    Europe, the Comite Europeen de Normalisation (CEN)

    The CE marking on product labels denotes the

    European mark of conformity

    All medical devices marketed in the European Unioncountries must have the CE mark of conformity

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    Some countries may enforce their own standards

    Other countries or the international community have

    not developed mutually acceptable requirements For

    example Sweden restricts the use of nickel in cast

    dental alloys because of biocompatibility concerns

    whereas no such restriction applies to those alloys in

    the United States, Iceland, Liechtenstein and Norway

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