Dental cements (Ch 14) Flashcards
1
Q
when are dental cements used in dentistry
A
- cavity varnish: closes tubules and decreases microleakage, used under amalgam only
- liners: placed in a thin layer, stimulates reparative dentin, for very small pulp exposure, eg calcium hydroxide = ducal
- bases: placed in a thick layer, protects against chemical, thermal, physical irritation
2
Q
what is luting
A
- refers to the cementing of 2 components together
- ex. inlays, crown and bridge, veneers, orthodontic brackets and bands
3
Q
what are luting agents for
A
- temporary crown and bridge
- permanent crown and bridge
- attach orthodontic bands and brackets to enamel
4
Q
what are surgical dressings
A
- provides protection and support for surgical sites, provide patient comfort and control bleeding
5
Q
what are type 1 luting agents
A
- act as an adhesive to hold together the casting to the tooth structure
- luting agents are designed to be either permanent or temporary
6
Q
what is permanent luting cement
A
- for the long-term cementation of gold and ceramic restorations such as inlays/onlays, crowns, bridges, veneers, orthodontic fixed appliances
7
Q
what is temporary luting cement
A
- temporary cements are used if the restoration would have to be removed due to sensitivity or other symptoms, and for the temporary cementation of provisional coverage
8
Q
review properties of dental cements in the ppt
A
- slides 11 and 12
9
Q
what are 6 commonly used cements
A
- zinc-oxide eugenol
- zinc phosphate
- zinc polycarboxylate
- glass ionomer
- hybrid ionomer
- composite resin
10
Q
what are some advantages to zinc oxide eugenol
A
- wide variety of uses: for temp cementation, for temp and immediate rest, low strength bases, root canal sealants, perio dressings
- sedative to the pulp
- easily manipulates
11
Q
what are some disadvantages to zinc oxide eugenol
A
- low strength
- high solubility
12
Q
what are the 2 types of zinc oxide eugenol
A
- type I: lacks strength and long‑term durability and is used for temporary cementation of provisional coverage
- type II: has reinforcing agents added for the permanent cementation of cast restorations or appliances
13
Q
what is zinc phosphate
A
- acid-base reaction
- made of zinc oxide
- power/liquid system
- exothermic reaction (chemical reaction) occurs. mixing of powder & liquid is done in increments to control heat
14
Q
what are the two different types of zinc phosphate
A
- 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 necessary for accurate seating of castings
- medium grain: recommended for use as an insulating base for deep cavity preparations
15
Q
what are some advantages of zinc phosphate
A
- long clinical history
- low film thickness
- inexpensive
- high rigidity