Cements Flashcards

1
Q

Eugenol in biochem is a

A

phenolic, and obtundunt (calms things down) and toxic if placed right on dentinal tubules.

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2
Q

bisacryl when aged

A

darkens

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3
Q

between acrylic and bisacryl

A

acrylic is tougher

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4
Q

Uses of cement include:

A
Temporary Luting
Final Luting
Temporary Bonding
Final Bonding
Temporary Filling
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5
Q

Duration of temporary, proviisonal, permanent

A

Temporary (2 – 4 weeks)
Provisional (1 – 6 months)
Permanent (but retrievable)
Permanent (to last)

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6
Q

the ideal permanent cement

A
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
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7
Q

Silicate glass

Al-F-Si

A

plus:
phosphoric acd = silicate cement

or

polyacrlyic acid = glass ionomer cement

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8
Q

zinc oxide

A

plus:
Eugenol = zoe (weak temporary)

phosphoric acid = zinc phosphate (old standard)

polyacrlyic acid = zing polycarboxylate

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9
Q

temporary cement ideals

A
Biocompatible
Strong Enough to Hold for a Few Weeks
Non-Irritating to Pulp
Creates Marginal Seal
Easy Clean-Up
User Friendly
Low Cost
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10
Q

MTA

A

mineral trioxide aggregate is portland cement

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11
Q

ZOE+ Acrylic+ Eugoneol

A

IRM

Intermed resorative material or reinforced ZOE

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12
Q

EBA cement

A

ZOE + Al2O3+eugoneol+ethoxybenozoic acid

permanent cememnt only used where mech rentition is high, fairly insoluble. used for apicoectomy

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13
Q

Permanent cements

A
Zinc Polycarboxylate
Zinc Phosphate
Glass Ionomer
Resin
Resin Modified Glass Ionomer
Polyurethane (Improv) – for Implants
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14
Q

polyurethane improv material is specifically used for

A

implants

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15
Q

film thickness

A
A Measure of Viscosity
More an Issue with Powder/Liquid Formulations
NO Powder Remnants in Mix
~ 25 µm
~ 1” Snap-Off
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16
Q

polycarboxlate

A

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

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17
Q

polyacrylci acid :

A

used to condition dentin

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18
Q

Duralon

A

mixed thicknly so you gotta fight that.

19
Q

zinc phosphate

A
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

20
Q

why mix zinc phopshate on cold glass slab?

A

Mix on Cold Glass Slab to Slow Exothermic Reaction

Mix Incrementally to Control Set and Allow for an Adequate Amount of Powder

21
Q

luting vs cementing

A

seal, join or coat (just fills the space), vs adhere

22
Q

Fuji 1

A

Fuji I – Glass Ionomer Luting & Lining

23
Q

Fuji 2

A

Fuji II – Glass Ionomer Build-Up

24
Q

Fuji plus

A

Fuji Plus – Glass Ionomer Luting

25
FujiCEM
FujiCEM – RMGI Luting
26
FujiCEM2
FujiCEM 2 – RMGI Luting
27
Fuji 9
Fuji 9 – Glass Ionomer Filling
28
Glass ionomer and luting 2 luting agents that form bond with tooth : glass ionomer and polycarboxylate via weak (chelation bond)
Sustained Fluoride Release Less Soluble than Zinc Phosphate Much More Soluble than Resins Weak Dentin Bond (3 – 7 MPa) Tooth Sensitivity! (Low molecular weight acid penetrates dentinal tubules.) Keep tooth moist, even wet, prior to cementation DO NOT over-dry!
29
Resin cements
composition: Diacrylate Resin Silica or Glass Filler Acidic Adhesive (Self-Adhesive Only)
30
Diacrylate Resin?
Di = Acrylate = Acrylic Acid Bisphenol A-glycidyl methacrylate (BIS-GMA) Urethane dimethacrylate (UDMA)
31
Resin cements
types: adhesive self adhesive esthtetic also self cure or light cure
32
adhesive resin
like c&b metabond, forms adhesive by nature. its a glue by nature. ``` Usually Chemical Cure Limited Shades Bonds to Many Surfaces Strongest of Bonds Good Under Metal or Other Opaque Material ``` C&B Metabond (Parkell) Panavia (Kuraray) C&B Cement (Bisco)
33
adhesive rein cements
are bonded to tooth structure, chemical bond. self curin self adhesive 4 meta
34
when is adhesive resins good?
Posts Over-Tapered, Short &/or Otherwise Unretentive Crowns Very Technique Sensitive Sn Plate Au 10 Minute Full Set Remove Excess Cement During “Rubbery” Phase Prevent Blood &/or Saliva Contamination During Set
35
2. Self-Adhesive:
* Phosphoric Acid (note: zinc phopshate has phosphric acid as does silicate glass" “Grafted” into Resin Neutralized as Resin Sets No Need for Etching, Conditioning or Priming Surfaces to be Bonded Good, Intermediate Bond Strength Not Recommended for Veneers or Feldspathic Porcelain Bonding Convenient and Easy to Use Most Bond Better to Dentin than Enamel ``` RelyX Unicem (3M ESPE) Maxcem Elite (Kerr) BisCem (Bisco) SpeedCEM (Ivoclar Vivadent (all-cem) ```
36
Self adhesive cements good for:
``` Au Crowns/Inlays/Onlays PFM Crowns High-Strength Ceramic Crowns [alumina (Procera™), zirconia] Posts (cast metal, ceramic, fiber-reinforced resin) Fixed Partial Dentures ```
37
3. Esthetic cement
Use with Separate Bonding Agent Tooth Enamel is Etched with Phosphoric Acid in Preparation for Bonding Can be Light-Cure or Dual-Cure Use Light-Activation Whenever Possible — Dual-Cured Cements Typically have Increased Flexural Strength and Bond Strength when Activated with a Light Wide Variety of Shades, Including Try-in Pastes Translucent Shades may be Sensitive to Ambient Light Very Strong Bond, Especially to Enamel
38
esthetic cements
``` calibra (dentply caulk) relyx arc (3m espe) variolink 2(ivoclar vivadent) ```
39
bonding veneers we need to do what?
Verify Fit of Veneer If Contaminated with Water, Rinse and Air Dry If Contaminated with Saliva &/or Blood, Re-Etch Intaglio Surface with Phosphoric Acid for 30 Seconds Thoroughly Rinse with Water Air Dry Apply Silane to Intaglio Surface of Veneer Air Dry
40
bonding veneers withh microprime when exposed dentin there or sensitvity present
Phosphoric Acid Etch Enamel for 15 Seconds Thorough Rinse Air Dry (DO NOT Desiccate!) Apply 2 Coats of GLUMA or Microprime (Wait 60 Seconds) Air Dry (DO NOT Desiccate!) Mix and Apply Photobond (DO NOT Light-Cure Yet!) Air Thin Apply Base Shade Only to Veneer (NO Catalyst) Place Veneer Remove Excess, Including Flossing Interporximally Tack Cure Remove Excess Cured Resin Final Cure
41
self adhesive resin cements
Bond to tooth structure and other materials with low (5-8 MPa) to medium (8-15 MPa) bond strengths. Although not necessary, can be used with separate bonding agents to moderately improve bond strength to tooth structure. When light-activated, flexural strength and elastic modulus are generally higher than when only self-cured. Are associated with less post-cementation sensitivity than traditional crown and bridge cements. Typically exhibit a low incidence of marginal staining.
42
RMGI why not use in inlay or post?
not to be used in inlay or post, due to its EXPANSION
43
temp cements
Eugenol Based Non-eugenol Based Resin Based Other
44
zone
non eugenol based possibly used if we are using acrylci (avoid softening them) but because its non eugenol not as long as soothing for traumatic post op dental pain.