Luting Agents 2022 A

Luting agents and
cementation procedures
Chapter 30
Page 774
Created by Dr.Nasser Kabak

•ZOE,CaOH,Resin
Interim •Problematic
cementation

Provisional cementation up to 6-month
clean abutments after removal
Picture from kabak Dent

Definitive cementation

Choice of luting agent
• Appropriate working time
• Adhesion to tooth and crown
• Good seal
• Nontoxic to the pulp

• Low viscosity and solubility
• Good working and setting characteristics
• Ease of excess removal

• Compressible into thin layer
• Strength

Panacea???

The restorative tripod
Type of
restoration
Tooth substance
Type of Cement (Dentine vs.
Enamel)

Restoration
Type:
1. Retentive prep. (Conventional )
2. Non retentive preparation:
minimal prep bridges,veneers, inlays, onlays.
Material:
1. Metal:4meta,sulfate metacrylate
2. Etchable ceramic, Emax: silane
3. Non etchable ,Zirconia MDP-phosphate metacrylate
Monobond Plus has them all

Tooth structure
1.Vital
2.Non vital
4. foundation
5. Supra or sub gingival.

Type of cement
1.Conventional
2.Resin:
• Self adhesive
• Adhesive

Maximum vs. appropriate strength
the fuse box principle

Cementation
Definitive •conventional
cementation •Adhesive

Adhesive cementation

Conventional cements
• Preparations taller
than 4 mm and a
taper of 8 degrees or
fewer.
• They are more
moisture tolerant
than the other resin
cements, so they are
recommend when
good isolation is not
possible.

conventional cements
Metal Salt &

Acid
Oxide water


Dental cements
• Zinc phosphate
• Zinc polycarboxylate
• Glass ionomer
• ZOE with benzoic acid (EBA)
• Resin modified glass ionomer
• Compomers (Dyract cem)
• Resin luting agents

Temporary Permanent
cements cements
Water based Resin based
Resin modified
ZnPO4 Polycarboxylate Glass ionomer Compomer Resin cements
glass ionomer
Etch &rinse Self Etching
5/2/2022 Dr.Nasser Kabak Created by Dr.Nasser Kabak

Zinc phosphate cement
Advantages Disadvantages
• Strength • Toxic on pulp

• Film thickness 25 m • solubility
• Excess easily removed

Film thickness

Zinc polycarboxylate
advantages disadvantages
• Biocompatibility • Difficult to mix,viscous
• Adhesion “pseudoplastic”
• Slightly stronger than zinc • Short working time
phosphate • Residual difficult to remove
• Provides less retntion

Glass ionomer cements

Glass ionomer
• Adhesion • Susceptible to moisture
• Biocompatibility contamination
• Anticariogenic effect • Fluoride release not
fluoride release controlled
• Mechanically superior • Pulplal sensitivity

Glass ionomer continuum

Resin modified glass ionomer
• Less sensitivity • Needs conditioning
• Sustained fluoride release • Weaker than resin cements
• Less moisture sensitivity
• Stronger than conventional
cements
• Best seller in USA

Compomers
• Very strong,like resin • No fluoride release

cement • Conditioning needed

Resin cement
Advantages Disadvantages
• micromechanical adhesion • Less biocompatible
• Chemical adhesion (4Meta) • Increased film thickness
• Very strong • Technique sensitive
• Polymerization shrinkage
• No history

Nanostructurally Integrating
Bioceramics (NIB)

Bioactive cements, Cermir,
Calibra- bio, Theracem.

RMGI cements are the
strongest conventional
cements

Film thickness

Film thickness

Retention of cements

Compressive strength

Radiopacity

Microleakage

Preparation for cementation
steam clean & air born abrasion
• Tooth preparation
• Crown preparation

Traditional cementation

Inlays ,onlays ,veneers and full

ceramic crowns


Resin cements
Self etch adhesive Adhesive resins (Etch and Rinse)
• Low ph , increases after • Strong 25 Mpa
polymerization • Stable
• Less retention 17 Mpa • Needs more steps
• Less sensitivity • Resin is hydrophobic.
• Hydrophilic • Phpsphate monomeres
• Simplified procedure (MDP) for zirconia and
• Organo phosphate Silane for silica-based
ceramics.

MDP inside kuraray Panavia then
others

Universal adhesives

Universal adhesives should
o Work in self etch, selective etch and

etch & rinse techniques
o Be in two bottles?? For dual cure or
self cure or contact cure
o Contain different types of functional
monomers for enamel dentine , glass
ceramic and zirconia
Bonding strategies

Clinical case

Zirconia primer on the intaglio surface

After etching ( intraenamel
preparation)

Universal bond application on the
tooth

Dual cure resin cement

Oxiguard application and curing

Original canine guidance respected

Preparation for zirconia cantilever

30 mm²

Another case of cantilever zirconia
bridge

Building the saddle and temporization

Emax should be
– Following the try-in, thoroughly rinse the restoration with water spray and dry with
water- and oil-free air.
– Apply Monobond Etch & Prime on the adhesive surface using a micro brush and
agitate it into the surface for 20 seconds. Allow to react for another 40 seconds.
– Then thoroughly rinse off Monobond Etch & Prime with water and dry the
restoration with a strong jet of water- and oil-free air for approximately 10 seconds.
Seat the conditioned restoration using a luting composite (e.g., Variolink®Esthetic or

Multilink®Automix)

2022

Veneer bonding,
after 10 years, after all those years!

Veneers after 11 years of service


Luting Agents 2022 A

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Luting agents and

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Picture from kabak Dent

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Picture from kabak Dent

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Metal Salt &

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Water based Resin based

Etch &rinse Self Etching

5/2/2022 Dr.Nasser Kabak Created by Dr.Nasser Kabak

• Strength • Toxic on pulp

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

• Very strong,like resin • No fluoride release

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Picture from kabak Dent

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Inlays ,onlays ,veneers and full

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak

o Work in self etch, selective etch and

Created by Dr.Nasser Kabak

Picture from kabak Dent

Created by Dr.Nasser Kabak

Picture from kabak Dent

Picture from kabak Dent

Created by Dr.Nasser Kabak

Created by Dr.Nasser Kabak