 Ideal cement requirement

 Types of cement

 Cementation procedures

 Selection of cement

 Post cementation instructions

 CEMENTATION

 Ideal Luting Agent Should be:

 Adhere to both tooth structure and restoration.

 Provide a good seal.

 Non-irritating, non-toxic .

 Long working time.

 Have adequate mechanical properties.

 CEMENTATION

 Ideal Luting Agent Should be:

 Have low viscosity & no solubility.

 Suitable setting time.

 Fluoride release .

 Excess cement is easily to be removed after setting.

 CEMENTATION

Cement

Temporary permanent

Reinforced ZnO Eugenol

ZnO Eugenol
Zinc phosphate
Eugenol free ZnO. Zinc Polycarboxylate.
Glass Ionomer.
Resin modified G.I.
Adhesive resin cement
• Short-term (days ~ 3 weeks)
Normal predicted activity

• Intermediate (1 ~ 2 months)
Perio-treatment/other involvement

• Long-term (3 months ~ year +)

Rehabilitation, Orthodontics, other
CHD 2005
PROPERTIES:
Should be equal to expectations from permanent cements’
BUT maintain the ability to be removed easily,

Not interfering with subsequent procedures

Resin-based Eugenol Non-Eugenol
Rely-X ARC TempBond TempBond NE
Variolink II Freegenol
CHD 2005
 Too see performance of the crown.
 Too see if there is impinging on gingiva (clinically by
blanching)
 Too see if the patient accepts the esthetic.
 Too see the oral hygiene of the patient (follow oral
hygiene instructions).
 Decrease post operative pain.
 Reduce the incidence of pulpal involvement.
 Bridge can be further removed for adjustment &
modification.
 Decrease post cementation symptoms of
hypersensitivity.
Zinc oxide Eugenol;
- Unmodified type used for provisional cementation.
- Biocompatible, have palliative and sedative effect.

Reinforced Zinc oxide eugenol;

- Reinforced (EBA) or aluminum oxide & PMA
- Used as definitive cement
 Zinc phosphate cement;
➢ Composition:
➢ ZnO powder and phosphoric acid

➢ Micromechanical interlocking
➢ Film thickness: 25 micron
➢ Working time(can be used with long bridge)
could be increased by incremental mixing and
cooled slabs
 Advantages:
 High compressive strength
 Long working time

 Low film thickness

 Disadvantages:
 Low tensile strength

 No chemical bonding
 CEMENTATION

Polycarboxylate Cements;

 Composition:

 The powder is zinc oxide ,tin or magnesium

oxide, aluminum oxide or other reinforcing filler
 Liquid is (high MW) polyacrylic acid
 Film thickness: if correctly mixed, it will be
25micron or less
 CEMENTATION

• Advantages:
➢ Bonds to enamel and dentine
➢ No adverse effect on the pulp
• Disadvantages:
➢ Low tensile strength
➢ high viscosity after mixing due to evaporation of
liquid
➢ Decreased working time(2.5min)
➢ very rapid setting
 CEMENTATION

 Glass ionomer cement;

 Composition:
 Powder alumino-fluorosilicate glass
 Liquid polyacrylic acids

 Advantages:
 Chemical adhesion to enamel and dentin

 Exhibits good biocompatibility

 It releases fluoride

 Translucent
 CEMENTATION

 Disadvantages:

 Long term sensitivity can result if tooth is over

dried

 Sensitive to moisture contamination during setting

 Residual cement is more difficult to remove

 CEMENTATION

 Resin modified glass ionomer cement ;

◼ Advantages:
➢ Good compressive and tensile strength
➢ Resistant to water dissolution
➢ Fluoride release
 CEMENTATION

 Adhesive Resin cement

 Composition:
 Matrix ; Dimethacrylate
 Primer; Dicrylate
 Filler ; Quartz, silica
 Coupling agent ; Silane dimethacrylate
 CEMENTATION

 Available in a wide range

formulation(Chemical, photo- and dual-cure)

 Adhesion to enamel & dentine

 Polymerization shrinkage remains a problem

 CEMENTATION

 Advantages:

 high strength

 low oral solubility

 high micromechanical bonding enamel, dentin,

alloys and ceramic surfaces
 CEMENTATION

 Disadvantages:

 Sensitive technique,

 Higher film thickness,

 Possible leakage and pulp sensitivity,

 Difficulty in removal
 Dental Cement

 Zinc phosphate
 Polycarboxylate
 Glass ionomer Conventional
 RMGI cement

 Resin cement
Adhesive
 Casting preparation:
• Type of FP: Precious (non) metal?
[Sand blast inner surface with ±100µ]
• Type of FP: Ceramic crown or veneer?
[Hydrofluoric acid treated & silanated]

• Need color adaptation of a veneer or ceramic

crown? [Only resin-based cements used]
CHD 2005
 General cementation procedures

 Mouth preparation:
 Clean & dry (use pumice +water)
 Cotton rolls & saliva ejector isolation
 General cementation procedures

 Cement application:
 Thin layer of cement is mix applied to fitting
surface of the casting
 For post(use lentulo spiral into post space)

 Seating the restoration

 Removal excess cement

Cannot use only one type for everything . . .

• Type of FP to be cemented
• Tooth position and function
• Preparation and morphology
• Long span bridge
 Selection of Cement
 High caries index
 Deep preparations
 All ceramic
 Core structures (amalgam, comp, GI, metal,
ceramic)
 Posts
 Resin bonded bridges
 Post-Cementation Instructions

 The patient is asked to be carefully biting during first

24 hour.

 Sudden impact forces should be avoided in the

restored area, e.g. biting on a nut or metallic object.

 Post-Cementation Instructions

 Maintenance:
 Oral hygiene measures.
 De-sensitizing tooth paste or mouth wash can be
used if there is sensitivity.
 Regular recall visits for review
 Post-cementation appointment (within a week to
10 days
 Periodic recall (six months)
Thank you