Op 2 - Cementation of Indirect Restorations Flashcards
slide 2
What is the gap btwn an indirect fixed restoration and tooth filled with?
Luting agent or cement
What 4 things do you check on the final crown?
Margins
Contour and contact
Shade
Occlusion
The final step of the restorative treatment
Cementation
Improves retention of the restoration to the
tooth, helps restore crown stiffness and improve mechanical and physical properties of the tooth-restoration complex
Adhesive cementation
What are the 3 mechanisms of cementation?
Non-adhesive luting (mechanical)
Micromechanical bonding
Molecular adhesion
Fills gap and prevents entrance of fluids
Luting
Lutum = ?
mud
What type of cement?
No molecular adhesion
Non-adhesive luting
What type of cement?
Holds the crown by engaging small irregularities on the surfaces of the tooth and restoration
Non-adhesive luting
What type of cement?
Shearing or crushing the minute lateral projections of cement is necessary for the crown to be removed
Non-adhesive luting
Give an example of non-adhesive luting cement
Zinc phosphate cement
What type of cement?
Engages into surface irregularities of both the tooth and restoration
Micromechanical bonding
What type of cement?
Higher tensile strength (5x higher) than zinc phosphate (non-adhesive luting cement)
Micromechanical bonding
What type of cement?
Effective micromechanical bonding by locking into microirregularities artificially created by phosphoric etch, HF etch, or alumina blasting
Micromechanical bonding
Give an example of micromechanical bonding cement
Resin cement
What etch is used on enamel/dentin?
Phosphoric acid etch
What etch is used on glass ceramic?
HF acid etch
What material is alumina blasting used on?
Zirconia
What type of cement?
Involves physical forces and chemical bonds btwn the molecules of different substances?
Molecular adhesion
What type of cement?
Physical = bipolar, van der waals
Chemical = iconic, covalent
Molecular adhesion
What type of cement?
Generally co-adjuvant to other retention strategies
Molecular adhesion
What type of cement?
Limitation is hydrolysis of the bonding over time
Molecular adhesion
Bifunctional molecule that bonds an organic material (like resin cement) and inorganic fillers (like silica from glass ceramic)
Silane