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[Attaching single- and multi-unit fixed dental prostheses].

C M Kreulen¹, J G C Wolke, C de Baat

¹Vakgroep Orale Functieleer Universitair Medisch Centrum St Radboud, Nijmegen. c.kreulen@dent.umcn.nl

Nederlands Tijdschrift Voor Tandheelkunde

|December 18, 2013

Summary

Dental prostheses are cemented using water-soluble or adhesive cements. Proper preparation and cement removal ensure successful prosthesis retention and longevity.

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Area of Science:

Restorative Dentistry
Biomaterials Science

Context:

Fixed dental prostheses require secure attachment to abutment teeth.
Various cementing agents and techniques are available for prosthesis fixation.

Purpose:

To outline the methods and materials for cementing single- or multi-unit fixed dental prostheses.
To detail the phases involved in the dental prosthesis cementation procedure.

Summary:

Prostheses can be attached via mechanical retention with gap-sealing cements (zinc phosphate, polycarboxylate, glass-ionomer) or via adhesion using composite cements.
Adequate tooth preparation enhances composite cement adhesion; self-adhesive options are available.
Surface treatments (sandblasting, silanizing, tin coating, primers) improve composite adhesion to prostheses.
Cementation involves three phases: cleansing, preparation/mixing/placement, and excess cement removal.

Impact:

Provides a comprehensive overview of dental cementation techniques for fixed prostheses.
Highlights the importance of material selection and procedural steps for successful clinical outcomes.