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Related Experiment Videos

Selection of luting agents, part 1.

Sajid A Jivraj1, Tae Hyung Kim, Terry E Donovan

  • 1Section of Fixed Prosthodontics and Operative Dentistry, University of Southern California School of Dentistry, Los Angeles 90089-0641, USA.

Journal of the California Dental Association
|May 27, 2006
PubMed
Summary
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Proper manipulation of luting agents is crucial for indirect restoration success, more so than cement type. Choosing the right dental cement ensures durable bonds and good marginal adaptation, preventing premature prosthetic failure.

Area of Science:

  • Dental Materials Science
  • Restorative Dentistry
  • Prosthodontics

Background:

  • Clinical success of indirect restorations depends on preparation design, forces, materials, hygiene, and luting agent selection.
  • Luting agent choice is influenced by clinical situation, restoration type, and cement properties.
  • Improper cement manipulation causes greater property variation than differences between cement types.

Purpose of the Study:

  • To discuss ideal attributes of dental luting agents.
  • To provide clinical recommendations for luting agent selection and use.
  • To highlight the importance of proper cement manipulation for restoration longevity.

Main Methods:

  • Review of conventional and modern luting agents.
  • Comparison of zinc phosphate, polycarboxylate, glass ionomer, resin-modified glass ionomer, and resin cements.

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  • Discussion of factors influencing luting agent selection and performance.

    • Main Results:

    • Loss of retention is a significant cause of prosthetic replacement, occurring early.
    • Conventional cements rely on preparation retention/resistance; adhesive agents bond to tooth structure.
    • Zinc phosphate is the historical gold standard; resin-modified glass ionomers and resin cements are increasingly popular.

    Conclusions:

    • Proper manipulation is paramount for achieving desired physical properties of luting agents.
    • Adhesive luting agents offer enhanced bonding to tooth structure.
    • Clinical recommendations are provided for optimal selection and use of various dental cements.