THE DENTAL ADVISOR

www.dentaladvisor.com

PANAVIA SA CEMENT
Two-year Clinical Performance Report

RATINGS:
Excellent + + + + +
Very Good + + + +
+++
Good

LONG-TERM CLINICAL PERFORMANCE

Kuraray America
(800) 879-1676
www.kuraraydental.com

Description
PANAVIA SA CEMENT is a self-adhesive, dual-cured resin cement with
fluoride release. It is based on the PANAVIA and CLEARFIL SE BOND
adhesive technology and has a reported film thickness of approximately
20 microns. It is indicated for cementation of crowns and bridges
made of metal or ceramic, inlays/onlays, and metal and fiber posts. It is
packaged in handmix and automix syringes in Universal (A2) and
White shades.

Consultants Comments

CLEARFIL CERAMIC PRIMER is a single-bottle, silane/acidic adhesive

monomer (MDP)-based coupling agent for use with indirect porcelain,
ceramic, and composite restorations. It may also be used for intraoral
porcelain or composite repairs. CLEARFIL CERAMIC PRIMER
bonds to feldspathic porcelain, zirconia, alumina, lithium disilicate, and
leucite-reinforced ceramics. No hydrofluoric acid etching is necessary for
ceramics before using this product. Instructions recommend a single coat
followed by air-drying. This product combination received a 98%
clinical rating.

Patients Comment

Clinical Evaluation Protocol

"My crown feels great."

A total of 274 restorations were cemented with PANAVIA SA

CEMENT. Restorations included: 145 zirconia-based restorations,
121 lithium disilicate restorations, six leucite-reinforced restorations,
and two ceramic-metal restorations. Restorations were placed on 236
posterior and 38 anterior teeth.
- CLEARFIL CERAMIC PRIMER was applied to the internal surface
of the lithium disilicate and leucite-reinforced restorations.
- Zirconia restorations were not primed.

"My crown looks as good today as the day it

was cemented."

"Very little marginal discoloration was exhibited during

the two years, indicating a strong bond strength"
"Applying the ceramic primer during placement was
easy and it appears to have enhanced the bond of the
cement to the restoration.
In most cases, debonds resulted in all residual cement
on the internal surface of the crown.

"My bridge chipped but the cement was so strong, it

did not come off and the dentist only had to smooth the
rough area."

Results at Placement
Handling of cement and ease
of clean up of excess

Fit of restoration

PANAVIA SA CEMENT received

an excellent rating for ease
of removal of excess after
placement.

All restorations cemented

with PANAVIA SA CEMENT
had excellent marginal fit. The
contacts and occlusion were
ideal before cementation.

Shade match/esthetics
The optimal esthetics of the
restorations was maintained
after cementing the
restorations with PANAVIA SA
CEMENT.

Marginal integrity
The viscosity of the cement
allowed passive cementation
of the restorations resulting
in preservation of the ideal
marginal fit of the restorations.

THE DENTAL ADVISOR 3110 West Liberty, Ann Arbor, Michigan 48103 (800) 347-1330 info@dentaladvisor.com

Initial sensitivity
The majority of the teeth
exhibited no sensitivity
after cementation of the
restorations.

2012 Dental Consultants, Inc.

#DADV09

LONG-TERM CLINICAL PERFORMANCE

PANAVIA SA CEMENT Two-year Clinical Performance Report + + + + +

A total of 257 restorations, cemented with PANAVIA SA CEMENT, were available for evaluation of clinical performance up to
two years after placement. Restorations included: 133 zirconia-based restorations, 116 lithium disilicate restorations, six leucitereinforced restorations, and two ceramic-metal restorations (Figure 1). Restorations observed at recall ranged in age from less than
six months to nearly three years (Figure 2).
Restorations were evaluated on a 1 5 rating scale: 1 = poor, 2 = fair, 3 = good, 4 = very good, 5 = excellent.
FIGURE 1: Types of Restorations Evaluated at Recall.

FIGURE 2: Age of Restorations at Recall.

Zirconia-based Restorations

<0.5 Years

Lithium disilicate
Restorations

0.5-1.5 Years

133

Leucite-Reinforced
Restorations
Ceramic-metal
Restorations

44%

1.5-2.5 Years

116

34%

2.5-3.0 Years

17%

5%
2
6

Clinical Observations
Retention
Retention at two years was excellent (Figure 3). Ten posterior
crowns (3.9%) debonded during service between four months
and 2.5 years and required recementation.
Esthetics
Esthetics at two years was excellent (Figure 3). The shade of
PANAVIA SA CEMENT blended well with the restoration at
placement. No shade shift was noted.
Resistance to Marginal Staining
Resistance to marginal staining at two years was excellent
(Figure 3). Three restorations exhibited marginal staining
at two years. One restoration had to be remade due to poor
marginal fit.

FIGURE 3: Results of PANAVIA SA CEMENT at Two-year Recall

5

4.9

4.9

Lack of Sensitivity
1
Retention
Very few patients reported sensitivity (Figure 3). A small
number of patients experienced mild sensitivity lasting 2-4
weeks. Five restorations caused mild-moderate sensitivity and
two crowns had to be removed as a result of prolonged significant sensitivity.

Esthetics

Resistance
to Marginal
Staining

Lack of
Sensitivity

Resistance
to Fracture/
Chipping

Resistance to Fracture/Chipping
Resistance to chipping and fracture at two years was excellent (Figure 3). Two crowns and one bridge had to be replaced as a result of
fracture. Five crowns exhibited slight chipping that could be polished between one and two years.

Summary
Two hundred fifty-seven restorations, cemented with PANAVIA SA CEMENT, were observed at two years. All restorations received
excellent ratings for esthetics, resistance to marginal staining, lack of sensitivity, resistance to fracture/chipping, and retention.

Editors Note
PANAVIA SA CEMENT was initially branded as CLEARFIL SA CEMENT.
THE DENTAL ADVISOR 3110 West Liberty, Ann Arbor, Michigan 48103 (800) 347-1330 info@dentaladvisor.com

2012 Dental Consultants, Inc.