Dental Cements Flashcards
§Dental cements are a classification of dental materials that are continually used in dentistry. The American Dental Association and the International Standards Organization (ISO) have teamed up to classify dental cements according to their properties and their intended uses in dentistry.
§Dental cements are a classification of dental materials that are continually used in dentistry. The American Dental Association and the International Standards Organization (ISO) have teamed up to classify dental cements according to their properties and their intended uses in dentistry.
Classification of Cements
§Type I:_____ agents that include ___ and ___ cements.
§Type II:____pplications.
§Type III: ___ or ___ applications.
§Type I: Luting agents that include permanent and temporary cements.
§Type II: Restorative applications.
§Type III: Liner or base applications.
Luting Agent
§A material that acts as an ____ to hold together the casting to the tooth structure. Luting agents are designed to be either ___ or ___
§A material that acts as an adhesive to hold together the casting to the tooth structure. Luting agents are designed to be either permanent or temporary.
Permanent Cement
§For the __ __ cementation of cast restorations such as inlays, crowns, bridges, laminate veneers, and orthodontic fixed appliances.
§For the long‑term cementation of cast restorations such as inlays, crowns, bridges, laminate veneers, and orthodontic fixed appliances.
Temporary Cement
§Temporary cements are used when the restoration will have to be ____
Most commonly, temporary cement is selected for the placement of ___ ___.
Today we will mostly be doing ceramic restorations
2Types of temporary cements
1 has eugenol
1 has no eunenol:
All __ ___ that require adhesive dentistry, use non eugenol cement
_____:Can Use eugenol cement
§Temporary cements are used when the restoration will have to be removed. Most commonly, temporary cement is selected for the placement of provisional coverage.
Today we will mostly be doing ceramic restorations
2Types of temporary cements
1 has eugenol
1 has no eunenol:
All ceramic restorations that require adhesive dentistry, use non eugenol cement
PFM:Can Use eugenol cement
Variables Affecting Cements
§____ time
•Make sure to follow the manufacture’s directions for the mixing time, working time, and delivery time.
§____
•If the clinical area is warm or humid, premature exposure of the cement to these environments can create a ____ of water from the ___ or an ___ of moisture to the powder.
§Mixing time
•Make sure to follow the manufacture’s directions for the mixing time, working time, and delivery time.
§Humidity
•If the clinical area is warm or humid, premature exposure of the cement to these environments can create a loss of water from the liquid or an addition of moisture to the powder.
Variables Affecting Cements−cont’d
§___ to __ ___
•Incorporating too much or too little powder will alter the consistency.
§___
•Some types of cements put off an ___ reaction.
§Powder to liquid ratio
•Incorporating too much or too little powder will alter the consistency.
§Temperature
•Some types of cements put off an exothermic reaction.
Mixing Dental Cements
§Before mixing, read and carefully follow the manufacturer’s directions for the brand being mixed.
§Determine the use and then measure the powder and liquid according to the manufacturer’s instructions.
§Place the powder toward __ __ of the glass slab or paper pad and the liquid toward the ___ end (the space between allows room for ___).
§Before mixing, read and carefully follow the manufacturer’s directions for the brand being mixed.
§Determine the use and then measure the powder and liquid according to the manufacturer’s instructions.
§Place the powder toward one end of the glass slab or paper pad and the liquid toward the opposite end (the space between allows room for mixing).
Mixing Dental Cements−cont’d
§Divide the powder into___
§When increment sizes vary, the ____ increments are used first.
§Incorporate each ___increment into the liquid and then ___ thoroughly.
Some cements are based on powder and liquid
Sometimes you have to deliver crowns that are powder and liquid
They are cheaper then cements that are already in capsules
Mixing Dental Cements−cont’d
§Divide the powder into increments.
§When increment sizes vary, the smaller increments are used first.
§Incorporate each powder increment into the liquid and then mix thoroughly.
Some cements are based on powder and liquid
Sometimes you have to deliver crowns that are powder and liquid
They are cheaper then cements that are already in capsules
Types of Cements
§__ __ ___
§__ __
§____
§_____
§__ ___ ___
§___ and ___ ___
§Zinc-oxide eugenol
§Zinc phosphate
§Polycarboxylate
§Glass ionomer
§Hybrid Ionomer Cement
§Composites and Adhesive resin
Zinc Oxide Eugenol
§Have been used extensively since ___
___ effect on exposed ___
§Multiple application in Dentistry:
____ Restorations
___t tissue ___ in Oral Surgery and Periodontics
___ ____ ___
§Do not use ZOE when bonding of a __ ___ is anticipated.
Used for non resin cemented restorations
Used ___an___ crowns
Do not use for __ ___permanent restorations
Zinc Oxide Eugenol
§Have been used extensively since 1890’s.
§Sedative effect on exposed dentin.
§Multiple application in Dentistry:
- Provisional Restorations
- Soft tissue packs in Oral Surgery and Periodontics
- Root canal Sealers
§Do not use ZOE when bonding of a permanent restoration is anticipated.
Used for non resin cemented restorations
Used PFM and gold crowns
Do not use for all ceramic permanent restorations
§Chemical Makeup
- Liquid: ___ with __ __ as a ___
- Powder: ___ ___, white ___, zinc ___, and zinc ___
Fynal: Type 2 class 1 cement
Also used for permanent cementation
Probably wont use this
§Chemical Makeup
- Liquid: Eugenol with olive oil as a plasticizer.
- Powder: Zinc oxide, white rosin, zinc stearate, and zinc acetate.
Fynal: Type 2 class 1 cement
Also used for permanent cementation
Probably wont use this
Types of Zinc-Oxide Eugenol Cements
§Type I
•Lacks ___ and___ term durability and is used for ___ cementation of provisional coverage (___ ZOE’S).
§Type II
•Has ___ agents added and is used for th ____ t cementation of cast restorations or appliances (___ ZOE’S, compositional changes___r, or ___is added to the powder and ____) to the liquid).
§Type I
•Lacks strength and long‑term durability and is used for temporary cementation of provisional coverage (Unmodified ZOE’S).
§Type II
•Has reinforcing agents added and is used for the permanent cementation of cast restorations or appliances (Modified ZOE’S, compositional changes polymer, or Alumina is added to the powder and ethoxybenzoic acid (EBA) to the liquid).
Dispensing of Zinc-Oxide Eugenol
§Liquid/Powder
- Mixed on an ___‑resistant___ pad.
- Mixing time ranges from ___ to ___seconds.
- Setting time in the mouth ranges from __ to ___minutes.
- The more powder incorporated, the ____ the cement.
§Paste
- Supplied as a ___‑paste system as ____ cement.
- Pastes are dispensed in ___ lengths on a paper pad and mixed.
§Liquid/Powder
- Mixed on an oil‑resistant paper pad.
- Mixing time ranges from 30 to 60 seconds.
- Setting time in the mouth ranges from 3 to 5 minutes.
- The more powder incorporated, the stronger the cement.
§Paste
- Supplied as a two‑paste system as temporary cement.
- Pastes are dispensed in equal lengths on a paper pad and mixed.
Zinc Phosphate
§Chemical Makeup
- Liquid:____ acid, ___ phosphate, and ___
- Powder: Zinc oxide, magnesium oxide, silicon dioxide, bismuth trioxide and silica.
Probably wont use this either
Used mostly for perm restorations; for gold, base metal crowns, and for cast post and cores
Zinc Phosphate
§Chemical Makeup
- Liquid: Phosphoric acid, aluminum phosphate, and water.
- Powder: Zinc oxide, magnesium oxide, silicon dioxide, bismuth trioxide and silica.
Probably wont use this either
Used mostly for perm restorations; for gold, base metal crowns, and for cast post and cores
Types of Zinc Phosphate
§Type I (___ grain)
•Used for the ____ cementation of cast restorations such as __ __ ___ and ___s. This material creates the very __ ___ layer that is necessary for accurate___ of ____.
§Type II (___ grain)
•Recommended for use as an ___ ___ for ___ __ ___
§Type I (fine grain)
•Used for the permanent cementation of cast restorations such as crowns, inlays, onlays, and bridges. This material creates the very thin film layer that is necessary for accurate seating of castings.
§Type II (medium grain)
•Recommended for use as an insulating base for deep cavity preparations.
Dispensing of Zinc Phosphate
§Powder/liquid
- Powder is divided into ____ that vary in size.
- It is critical that th ____be added to the___ in very ___ increments.
- Cement must be ___slowly over a ___ area of a __, __ , ___ glass slab to dissipate the ___.
- ****Temperature of cool dry slab of ___ ℃, moisture ____ ___ ___ point ___ the mix.*****
§Powder/liquid
- Powder is divided into increments that vary in size.
- It is critical that the powder be added to the liquid in very small increments.
- Cement must be spatulated slowly over a wide area of a cool, dry, thick glass slab to dissipate the heat.
- ****Temperature of cool dry slab of 18-24 ℃, moisture condensation below dew point contaminates the mix.*****
Dispensing of Zinc Phosphate
§Powder/liquid on Frozen Slab method
- Glass slab is ___ in a refrigerator at ___℃ or a freezer at ___ ℃.
- Amount of powder incorporated is ___% ___
Frozen Slab will increase the ___ of the cement
Cooler slab…___ time it will give you to actually use cement in patients mouth
Dispensing of Zinc Phosphate
§Powder/liquid on Frozen Slab method
- Glass slab is cooled in a refrigerator at 6℃ or a freezer at -10 ℃.
- Amount of powder incorporated is 50-75% more.
Frozen Slab will increase the time of the cement
Cooler slab…more time it will give you to actually use cement in patients mouth
Consistensy and Film Thickness
§Three arbitrary consistencies:
___ ___- Film thickness of 25µm, cement will__ __p from the slab on the spatula 2-3 cm as the spatula is lifted.
___ ___ -___ like consistency
__ ___ consistency- slightly____r consistency than ___ seating.
Read manufacturers instructions to know how to get the consistency you want.
Consistensy and Film Thickness
§Three arbitrary consistencies:
- Inlay seating - Film thickness of 25µm, cement will string up from the slab on the spatula 2-3 cm as the spatula is lifted.
- Cement base - puttylike consistency
- Band-seating consistency- slightly heavier consistency than inlay seating.
Read manufacturers instructions to know how to get the consistency you want.