cements and their uses Flashcards
6 types of cements:
zinc phosphate
zinc oxide eugenol
zinc polycarboxylate
glass ionomer
resin-modified glass ionomer
provisional cements
no cement will perform to it’s optimal level clinically without an _______that includes good resistance and retention form
adequate preparation
8 pros of cement
biocompatibility
retention
mechanical properties (withstand occlusal forces, high tensile strength)
marginal seal
low film thickness
ease of use
radiopacity
esthetics
zinc phosphate advantage
thin film thickness and proven reliability
low solubility which resists breakdown in the mouth
low thermo-conductivity (less sens to hot and cold)
zinc phosphate disadvantage
initial low pH can lead to pulpal irritation
no chemical adhesion/bond
no antibacterial properties
poor esthetics (for all porcelain)
long setting time 2.5-8mins
exothermic- chilled glass slabs when mixing, small amounts of powder added to liquid
two types of zinc oxide eugenol cement
type I- less strong and is used for temporary restorations and for temporary cementation (temp-bond)
type 2- is reinforced and is stronger
it is referred to as an intermediate restorative
can last for 6-12 months in the mouth
-used for a tooth that cannot be restored immediately (IRM)
benefits of ZOE (zinc oxide eugenol cement
neutral pH
has sedative or soothing effect on the dental pulp
protective or insulating base or liner is not required
when is insulating base or liner not required
with zoe
not used under composite or acrylic restorations because is incompatible with these materials and retards their setting process
zinc oxide eugenol
mixing time for ZOE
and setting time
30-60 seconds
3-5 min setting time
cement was developed in 1968 to circumvent pulpal problems associated with LOW pH
zine polycarboxylate
first cementing system to obtain adhesive agent that bonded to enamel and dentin
zinc polycarboxylate
shorter working time of 2.5 mins
mixed 3-40 seconds (needs to be mixed quick
zinc polycarboxylate
zinc polycarboxylate can having poor marginal sealings to due to
film thickness
zinc polycarboxylate can bond to most alloys but not to
gold
used now as permanent temp crown
polycarboxylate
known as an acid-base cement
glass ionomer
performance of this is good even if they have not been correctly mixed
glass ionomer
one of the most important advantages of glass ionomer
fluoride release
in glass ionomer, working time can affect_________
longer working time allows:
film thickness
longer working time= allows more flow and will aid in seating the restoration
extremely important in glass ionomers than mixing and placement of the cement is completed within
2-2.5 mins
glass ionomer ____film thickness
very thin
created in early 1990 to overcome high solubility of glass ionomer
resin modified glass ionomer
disadvantage of resin modified glass ionomer
low early strength and moisture sens during setting
how long do resin-modified glass ionomer take for final set
24 hours
most temp/provisional cements have ____ although it can have anegative effect on acrylic resins and composite resin cements
ZOE
eugenol provides ____effects for tmep
antibacterial
when selecting provisional/temp cements
how long
how retentive
what will permanent cement be
working in esthetic zone