FIXED PROSTHODONTICS

DR. ERWAN SUGIATNO DR HARYO M.DIPOYONO

PUSAT PENGAJIAN SAINS PERGIGIAN UNIVERSITI SAINS MALAYSIA

CEMENTATION
There are several types of cement available for the permanent retention of indirect restorations These include zinc phospate, zinc silicophospate, polycarboxylate (zinc polyacrylate), glass ionomer, and composite resin cements. Cement based on zinc oxide and eugenol are not indicated for permanent cementation

Cementation With Zinc Phospate Cement

The quadrant containing the tooth being restored is isolated with cotton rolls and suction device Use the spatula to divide the powder into small increments approximately 3 mm on a side. Move one increment across the slab and incorporated it into the liquid, mixing it for 20 seconds across a wide area Continue to add small increment of powder, mixing each for 10 to 20 seconds using a circular motion and covering a wide area of the slab.

Mandibular isolation with a Svedopter and cotton rolls.

Small increments of powder are introduced into the liquid. Cement is mixed with a circular motion over a wide area.

 Check the consistency by slowly lifting the spatula. When the consistency is right, it will string out about 10 mm between the spatula and slab before it runs back onto the slab. Quickly load the clean, dry restoration with cement. Brush or wipe cement on the inner surfaces of the restoration.

Cement that is ready to use will string out from a lifted spatula.

The inner walls of the crown are coated with a thin layer of cement, using the small end of an instrument (A) or a brush (B).

 Seat the restoration on the tooth and, if it posterior tooth with uniform occlusion, have the patient apply force to the occlusal surface of the restoration by closing on a plastic wafer or orangewood. Anterior crowns are better to apply force with a finger padded by a cotton roll. After the restoration is completely seated, keep the field dry untill the cement has hardened.

While the cement hardens, the patient maintains pressure by bitting on a resilient plastic wafer (A) or a wooden stick (B).

Kegagalan gtc
Kegagalan penyemenan Karies servikal Poket periodontal Konektor patah Facing pecah Pulpitis Perubahan warna

Kegagalan penyemenan
Waktu pengadukan Kedaluwarsa Rasio bubuk dan cairan Terlalu sedikit

Karies servikal
Karies pada gigi pegangan Batas crown terbuka crown terlalu besar

Poket periodontal
Iritasi batas crown Over loading Iritasi sisa makanan

Konektor patah
Over loading Desain gtc Kualitas bahan bruxism

Facing patah
Kualitas bahan Ketebalan preparasi Trauma

Pulpitis

Preparasi terlalu dekat pulpa Karies awal Iritasi semen

Perubahan warna
Kualitas bahan Jenis makanan Jenis minuman Ketebalan bahan kebocoran