Op 2 - Cementation of Indirect Restorations Flashcards

1
Q

slide 2

A
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2
Q

What is the gap btwn an indirect fixed restoration and tooth filled with?

A

Luting agent or cement

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3
Q

What 4 things do you check on the final crown?

A

Margins
Contour and contact
Shade
Occlusion

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4
Q

The final step of the restorative treatment

A

Cementation

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5
Q

Improves retention of the restoration to the
tooth, helps restore crown stiffness and improve mechanical and physical properties of the tooth-restoration complex

A

Adhesive cementation

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6
Q

What are the 3 mechanisms of cementation?

A

Non-adhesive luting (mechanical)
Micromechanical bonding
Molecular adhesion

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7
Q

Fills gap and prevents entrance of fluids

A

Luting

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8
Q

Lutum = ?

A

mud

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9
Q

What type of cement?

No molecular adhesion

A

Non-adhesive luting

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10
Q

What type of cement?

Holds the crown by engaging small irregularities on the surfaces of the tooth and restoration

A

Non-adhesive luting

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11
Q

What type of cement?

Shearing or crushing the minute lateral projections of cement is necessary for the crown to be removed

A

Non-adhesive luting

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12
Q

Give an example of non-adhesive luting cement

A

Zinc phosphate cement

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13
Q

What type of cement?

Engages into surface irregularities of both the tooth and restoration

A

Micromechanical bonding

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14
Q

What type of cement?

Higher tensile strength (5x higher) than zinc phosphate (non-adhesive luting cement)

A

Micromechanical bonding

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15
Q

What type of cement?

Effective micromechanical bonding by locking into microirregularities artificially created by phosphoric etch, HF etch, or alumina blasting

A

Micromechanical bonding

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16
Q

Give an example of micromechanical bonding cement

A

Resin cement

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17
Q

What etch is used on enamel/dentin?

A

Phosphoric acid etch

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18
Q

What etch is used on glass ceramic?

A

HF acid etch

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19
Q

What material is alumina blasting used on?

20
Q

What type of cement?

Involves physical forces and chemical bonds btwn the molecules of different substances?

A

Molecular adhesion

21
Q

What type of cement?

Physical = bipolar, van der waals
Chemical = iconic, covalent

A

Molecular adhesion

22
Q

What type of cement?

Generally co-adjuvant to other retention strategies

A

Molecular adhesion

23
Q

What type of cement?

Limitation is hydrolysis of the bonding over time

A

Molecular adhesion

24
Q

Bifunctional molecule that bonds an organic material (like resin cement) and inorganic fillers (like silica from glass ceramic)

25
What cement does silane fall under?
Molecular adhesion
26
Which cement? Bacteriostatic, less soluble than ZnP, releases F-
GI cement
27
Which cement? Bonds to tooth structure
GI cement
28
Which cement? pH is lower than ZnP
GI cement
29
Which cement? High sensitivity to hydration and dehydration
GI cement
30
Which cement? Reasonable tensile strength
GI cement
31
Which cement? 65% more retentive than ZnP
GI cement
32
Which cement? Combines strength and insolubility of CR w/ fluoride release of GIC
Resin-modified GI cement
33
Which cement? Reasonable flexural strength
Resin-modified GI cement
34
Which cement? Sustained fluoride release for up to 30 days
Resin-modified GI cement
35
Which cement? Very low post-op sensitivity
Resin-modified GI cement
36
Which cement? Lower sensitivity to hydration + dehydration
Resin-modified GI cement
37
Which cement? Indicated for: PFM and metal crowns Endo posts
Resin-modified GI cement
38
Which cement? Bis-GMA based and lower filler content, which makes it less viscous
Resin cement
39
Which cement? Overall best mechanical properties
Resin cement
40
Which cement? High tensile strength ensures micromechanical interlocking
Resin cement
41
Which cement? Indicated for: Zirconia crowns LD crowns PFM/full metal crowns when need to improve retention
Resin cement
42
Which cement? Recommended for non-vital teeth when retention is compromised, like short crowns
Resin cement
43
Which cement? Shade selection of this cement is critical for anterior crowns and veneers
Resin cement
44
Which cement? Self-adhesive, dual-cure, and light cured options
Resin cement
45
slide 31