Dental luting cement

Bond Strength
Strength
Flow (viscosity)
Wetting
Film thickness (<25 microns)
Solubility
Working,Setting time
Esthetic

*Complication

Dental luting Cement

Zinc phosphate
Polycarboxylate
Glass ionomer
RMGI cement
Resin cement

Zinc phosphate
Over 100 yrs of clinical experience
Routine application
Post-op sensitivities
Low hardness
High solubility
pH
No bond with tooth

Polycarboxylate
Molecular bonding to tooth substance
Cost
Low F release
Low post-op sensitivities
Low hardness
solubility

(2MPa)

Glass ionomer
Molecular bonding to tooth substance (3-5MPa)
F release (High caries risk)
Cost-Eff.
Minimal dimentional change
Occa. post-op sensitivities
Sensitive to water
Limited application (ceramics)

RMGI
Molecular bonding to tooth substance (>10MPa)
F release
Low solubility
Fewer post-op sensitivities
Application ? (ceramics,composite)

Resin cement
High adhesive quality
Retention

(18-20MPa)

High hardness
Low solubility
All metal, ceramic,composite(indirect)
Occa. Post-op sensitivities

Adhesive quality
Non-adhesive (zinc phosphate)
Micromechanical bonding (resin cement)
Molecular adhesion (polycarboxylate,GI,RMGI)

Dental Cement
Zinc phosphate
Polycarboxylate
Glass ionomer
RMGI cement
Resin cement

Conventional

Adhesive

Advantage conventional cement

Easy handling
Moisture tolerance
No pre-Tx steps
Routine for metal base

Advantage resin cement

Excellent mechanical properties
High bond strength with pre-Tx step
High aesthetics/translucency
Suitable for Ceramic, Porcelain, Composite,Metal

Resin cement
Matrix
Primer
Filler
Coupling agent

Resin cement
Matrix - Dimethacrylate
Primer- Dicrylate
Filler - Quartz, silica
Coupling agent- Silane dimethacrylate

Resin cement
Total etch
Self-etch

Rely X ARC Variolink II ,Calibra ,C&B

Panavia F

Self-Adhesive

Rely X Unicem

Adhesion
Dentin/enamel (micromachanical bond)
Porcelain (hydrofluoric acid,Ammoniumfluoride acid)+ silane
Metal (sandblasting)(metal bonding

adhesive)
Fiber post

Adhesion
Dentin/enamel (micromachanical bond)
Porcelain (hydrofluoric acid,Ammoniumfluoride acid)+ silane
Metal (sandblasting)(metal bonding

adhesive)
Fiber post

Adhesion
Dentin/enamel (micromachanical bond)
Porcelain (hydrofluoric acid,Ammoniumfluoride acid)+ silane
Metal (sandblasting)(metal bonding

adhesive)
Fiber post

Adhesion
Dentin/enamel (micromachanical bond)
Porcelain (hydrofluoric acid,Ammoniumfluoride acid)+ silane
Metal (sandblasting)(metal bonding

adhesive)
Fiber post

Why are fiber post?

1. Clinical success rate: Less root fracture than with metal posts: Dentine-like
flexural strenght avoids the wedge effect of stiff and hard metal posts.

fiber post

metal
root
fracture!

no local peak forces,

no root fracture

2. Esthetics: the new post is translucent and does not shine through ceramic
or composite restorations
3. Easy and conservative removal with drills if endodontic re-treatment is
required
further advantages: no corrosion, easy cutting of over-length, light-translucent...

Resin cement
Bond strength > Zinc phosphate 10 times
Retention
Reinforced ceramic - base Crown
Adhesive system (micromachanical bond-tooth)
(chemical bond-porcelain,metal)

Low solubility
leakage

Pre-treatment procedure

Pre-treatment procedure

Pre-treatment procedure

Polymerization
Light-cured/Dual cure
Self cure/auto cure
Dual cure

(2 vials - Base,Catalyst)

Adhesion
Dentin/enamel (micromachanical bond)
Porcelain (hydrofluoric acid,Ammoniumfluoride acid)+ silane
Metal (sandblasting)(metal bonding

adhesive)
Fiber post

Adhesive cement bonding

to tooth ,alloy structure

Clinical Tips
Anesthetic
Isolate

(pack cord)

Light cure 2-3 sec

Include 3-5 shades,silane
Remove solvent-can inhibit setting of resin cement
Excess bonding poor fit,low strength
Temp NE

Shade
Opaque veneer + Tetracycline
Clear (translucent)
Vita shade