Cementation Techniques Flashcards

1
Q

What are some unknowns with Zirconia

A

Longevity is unknown
Low temperature degradation - because it’s metastable, there is concern about transforming over time and creating flaws that lead to fractures
Stress corrosion

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2
Q

How does a stress corrosion occur?

A
Under function a load is applied
Stress occurs at the underside of the crown
Existing cracks are strained
Water enters and reacts
Crack extends over time
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3
Q

Stress corrosion

A

Mechanism by which the strength of ceramics is reduced in a moist environment
Caused by the reaction of water at the area the track tip resulting in an increase in crack size

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4
Q

With weaker ceramics (Porcelain, Empress, eMAX) what should you do to improve strength?

A

They should be bonded with resin cement to improve strength

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5
Q

T/F - Stronger ceramics (Inceram, ProCera, LAVA), are difficult to bond

A

True - they’re difficult to bond, but strong enough to use conventional cements

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6
Q

What are the types of cements?

A

Water based cements

Resin based Cements

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7
Q

What are different types of water based cements?

A

Zinc phosphate
Polycarbozylate
Glass Ionomers
Resin ionomers

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8
Q

What are different types of resin based cements?

A

Composites
Compomers
Numerous products based on composite resin formulations with less fillers

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9
Q

What does a cement do?

A

Fills the gap between the tooth and the crown

Some connection between the tooth and crown (mechanical and chemical)

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10
Q

What is the ideal film thickness of a cement?

A

Low thickness

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11
Q

What is the key working time of a cement?

A

Long

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12
Q

What is the key setting time of a cement?

A

Short

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13
Q

What is the ideal compressive strength of a cement?

A

High

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14
Q

What tooth structure should a cement be similar to?

A

Dentin

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15
Q

What is the ideal pulp irritation of cement?

A

Low - none

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16
Q

What is the ideal solubility of cements?

A

Very low - none

17
Q

What is the ideal microleakage of cements?

A

Very low - none

18
Q

What is the ideal retention of cements?

A

High

19
Q

What types of cements should be used with metal or metal-ceramic crowns?

A

Water based cement

zinc phosphate, resin modified GI

20
Q

What types of cements should be used with ACCs?

A

It depends
Silica based ACC (weaker) = resin cements
Zirconia based ACC (stronger) = water based or resin based

21
Q

What is the connection of ceramic strength and opacity?

A

More opaque = stronger

22
Q

What is the correlation of ceramic strength and cement strength?

A

Weaker ceramics need a stronger cement

Can use a weaker cement with a stronger ceramic

23
Q

How do you etch dentin?

A

Dentin is etched with 35% phosphoric acid, or self etch adhesive/cement
Etch is rinsed and excess water removed

24
Q

Why is the etch step being removed from many resin systems?

A

Because it can result in post-op sensitivity

25
Q

Self-etching adhesives

A

Will etch dentin during adhesive application

This minimizes chances of sensitivity, but may form a weaker “bond”

26
Q

T/F - Zirconia based ceramics are etched normally?

A

False

27
Q

T/F - Resin cement chemically attaches to both the adhesive and the silane

A

True

28
Q

Conventional Cement

A

Weak mechanical lock

Chelation (ionic bond)

29
Q

Phosphate Ester Based Cement

A

Mechanical bond is minimal

Stronger ionic bond than carboxylic acid