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Resin Bonding of a Lithium-Disilicate Crown Using a Ligated Rubber Dam: A 2-Year Case Report
Mario F Romero1, Jacqueline Delash2, Roger M Arce3
1Associate Professor, Department of Restorative Sciences, Director, Advanced Education in General Dentistry Residency, Dental College of Georgia, Augusta University, Augusta, Georgia.
Summary
Achieving durable ceramic restorations requires excellent adhesion, which depends on proper isolation. This case report details an efficient rubber dam technique for indirect bonding, enhancing operator effectiveness.
Area of Science:
- Restorative Dentistry
- Dental Materials Science
Background:
- Durable glass-ceramic restorations rely on strong adhesion to enamel and dentin.
- Effective isolation of the operating field is critical for successful bonding.
- Rubber dam isolation is the gold standard for preventing contamination but is often avoided due to time constraints.
Observation:
- A case report presents an indirect bonding technique for a ceramic restoration on a maxillary first molar.
- The technique integrates rubber dam isolation with a floss ligature.
- This method aims to improve operator efficiency and effectiveness.
Findings:
- The described technique optimizes the use of rubber dam isolation for indirect bonding.
- Combining rubber dam with a floss ligature enhances procedural efficiency.
- This approach addresses the common barrier of time associated with rubber dam use.
Implications:
- This technique offers a practical solution for dentists seeking to improve isolation efficiency in ceramic restorations.
- Enhanced adhesion and operator efficiency can lead to better clinical outcomes.
- The findings support the integration of effective isolation methods in routine restorative procedures.

