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