Cements Flashcards
Eugenol in biochem is a
phenolic, and obtundunt (calms things down) and toxic if placed right on dentinal tubules.
bisacryl when aged
darkens
between acrylic and bisacryl
acrylic is tougher
Uses of cement include:
Temporary Luting Final Luting Temporary Bonding Final Bonding Temporary Filling
Duration of temporary, proviisonal, permanent
Temporary (2 – 4 weeks)
Provisional (1 – 6 months)
Permanent (but retrievable)
Permanent (to last)
the ideal permanent cement
Biocompatible High Elastic Modulus High Compressive Strength Insoluble in Oral Environment No Micro-leakage (Effective Seal) Low Film Thickness Stable Color Radiopaque Cariostatic Non-Irritating to Pulp (No Sensitivity) Easy Clean-Up User Friendly (Not Technique Sensitive) Low Cost
Silicate glass
Al-F-Si
plus:
phosphoric acd = silicate cement
or
polyacrlyic acid = glass ionomer cement
zinc oxide
plus:
Eugenol = zoe (weak temporary)
phosphoric acid = zinc phosphate (old standard)
polyacrlyic acid = zing polycarboxylate
temporary cement ideals
Biocompatible Strong Enough to Hold for a Few Weeks Non-Irritating to Pulp Creates Marginal Seal Easy Clean-Up User Friendly Low Cost
MTA
mineral trioxide aggregate is portland cement
ZOE+ Acrylic+ Eugoneol
IRM
Intermed resorative material or reinforced ZOE
EBA cement
ZOE + Al2O3+eugoneol+ethoxybenozoic acid
permanent cememnt only used where mech rentition is high, fairly insoluble. used for apicoectomy
Permanent cements
Zinc Polycarboxylate Zinc Phosphate Glass Ionomer Resin Resin Modified Glass Ionomer Polyurethane (Improv) – for Implants
polyurethane improv material is specifically used for
implants
film thickness
A Measure of Viscosity More an Issue with Powder/Liquid Formulations NO Powder Remnants in Mix ~ 25 µm ~ 1” Snap-Off
polycarboxlate
Duralon
Kind to Pulp
Quite Soluble
Good Intermediate Strength, Inexpensive Cement
Easy to Mix
Not Technique Sensitive
Acidic (but Large acidic polymer molecules cannot penetrate dentinal tubules. so thats good)
Weak Chelation Bonds to Calcium Ions of Enamel & Dentin
Not Recommended for “Permanent” Use Anymore – Many Other Better Cements…
Good to Have in Your Arsenal
Almost Unlimited Shelf Life
Low Cost
Ease of Use
polyacrylci acid :
used to condition dentin
Duralon
mixed thicknly so you gotta fight that.
zinc phosphate
Long History of Successful Use Has Been the Standard to Compare to… Inexpensive Excellent Compressive Strength Very Difficult & Time Consuming to Mix Very Technique Sensitive Early Acidity can be Irritating to Pulp Moderately Soluble when Mixed Properly High Solubility when Mixed Poorly Not Widely Used Anymore – Many Other Better Cements…
*good for gold onlay/inlay
why mix zinc phopshate on cold glass slab?
Mix on Cold Glass Slab to Slow Exothermic Reaction
Mix Incrementally to Control Set and Allow for an Adequate Amount of Powder
luting vs cementing
seal, join or coat (just fills the space), vs adhere
Fuji 1
Fuji I – Glass Ionomer Luting & Lining
Fuji 2
Fuji II – Glass Ionomer Build-Up
Fuji plus
Fuji Plus – Glass Ionomer Luting