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Cementation and
Bonding
Dr .Mohammad eissa Ahmadi
resident of Periodontology department
stomatology hospital
Cementation and Bonding
Five preparatory procedures need to be performed
on any type of cemented restoration after it has
been fabricated in the laboratory:
(1) preliminary finishing
(2) try-in and adjustment
(3) Precementation polishing
(4) cementation
(5) Post cementation finishing.
Table 21-1 Knoop hardness
number (KHN) of dental
substances and materials
Abrasives and Polishing
Materials
involves the abrasion of a surface by an abrasive agent that is harder than
the surface to be abraded, or polished. When a dental hygienist is truly
polishing, the paste or slurry containing an abrasive agent will
microscopically alter the tooth or restorative surface.
A cleaning agent is not abrasive and will not alter the surface
characterization of enamel or esthetic restorative materials. The surface
being cleaned is not altered or abraded as it would be in polishing.
• Silicon carbide
• Aluminum oxide
• Ripoli
• Rouge. Composed of iron oxide (Fe2 O3 )
• Sand(Sand is a form of quartz and may be seen in various
colors. Sand particles are rounded or angular in shape. They
are typically bonded to paper disks for grinding metals and
plastics.)
• Cuttle. (As we know it today, cuttle is a fine grade of quartz.
These particles are also bonded to paper disks and are beige in
color. They are available in coarse, medium, and fine grits. In
the past, it was manufactured from the inside shell of a
Mediterranean marine mollusk. A “cuttle bone” mounted in a
parakeet’s cage is made of the same material)
Diamond
• Diamond burs are actually very small diamond chips that are bonded to a shaft. Diamonds are very
hard materials and make very good abrasives. Depending on the size of the chips, diamond burs
can be used in many dental procedures.
Aluminum oxide
• is a common abrasive used in dentistry, and it has essentially replaced emery for several uses. This
abrasive,, is widely used in the form of disks and strips. It is also impregnated into rubber wheels
and points. It is the abrasive used in the popular “white stones” to adjust enamel or to finish metal
alloys and ceramic materials
Emery. This hard
(Emery is sometimes also called “corundum.” We are familiar
with this abrasive because of “emery boards,” which are used to
file our fingernails. Emery is a natural form of aluminum oxide,
and it looks like grayish-black sand. It is commonly found on
arbor bands that attach to a dental lathe for grinding custom trays
and acrylic appliances.)
Tin oxide
• An extremely fine abrasive, tin oxide is supplied as a white powder and is
used as a final polishing agent for teeth and metallic restorations. It is used
as a paste or slurry in the same manner as Silex. Both Silex and tin oxide
are illustrated in pic
Preliminary Finishing of Gold
Restorations
Armamentarium
• High-speed handpiece
• Straight handpiece
• Separating disk on mandrel
• Cratex disk on mandrel
• 5 /8-inch blue wheel on mandrel
• Blue mounted knife-edge disk
• No. 0 bud finishing bur (Pfingst)
• No. 330 friction-grip bur
• Articulating paper
• Green stone (Dura-Green, Shofu)
Cratex disk on mandrel
Separating disk on mandrel
5 /8-inch blue wheel on mandrel
Blue mounted knife-edge disk
No. 0 bud finishing bur (Pfingst)
No. 330 friction-
grip bur
Green stone (Dura-Green, Shofu)
Technique
Cont.
Try-in and Adjustment of Gold
Restorations
Armamentarium
• 2 × 2–inch gauze
squares
• Mallet
• No. 15 straight chisel
• Backhaus towel forceps
• Miller forceps
• Cotton pliers
• Cotton pellets
• Dental floss
• Plastic bite wafer
• Articulating paper
• Silver plastic shim
stock (13-µm thick)
(Artu's)
• Straight handpiece
• 5 /8-inch blue wheel on
mandrel
• Green stones
• No. 2 round bur
• Spratley knife
• Contra-angle handpiece
• Tapered white polishing
stone
• Petrolatum
• 3 /8-inch cuttle disk
Technique
Cont.
Evaluation of a restoration should be carried
out in the following sequence:
1.Proximal contacts
2. Margins (completeness of seating)
3. Occlusion
4. Contours
5. Esthetics
Marginal adaptation (completeness of
seating)
Gold margin finishing
Occlusal adjustment
Contours
Esthetics
Precementation Polishing of Gold
Restorations
Armamentarium
• Straight handpiece
• 5 /8-inch blue wheel on mandrel
• Mounted knife-edge blue disk
• No. 0 bud finishing bur
• Mounted Robinson brushes (soft)
• Gold rouge
• 1-inch masking tape
• Airborne particle–abrasion instrument
Technique
Postcementation Finishing of Gold
Restorations
Preliminary Finishing of Base
Metal Restorations
Armamentarium
• High-speed handpiece
• Straight handpiece
• 1.5-inch cutoff disk on mandrel
• No. 8 coral stone on mandrel
• No. 330 bur
• No. 1 round bur
• Aluminum oxide tapered stone
• Aluminum oxide inverted cone
• Blue rubber wheels and mounted points
Try-in, Adjustment, and Polishing of Base
Metal Restorations
Armamentarium
• Straight handpiece
• Blue disk on mandrel
• White disk on mandrel
• No. 1 round bur
• Felt wheels
• Felt cones
• Polishing compound (Nobilium)
• Fine-grit polishing compound
• Mounted Robinson brushes (soft)
• Tripoli
• Palladius polishing paste (Vident)
• 1-inch masking tape
• Air abrader
Technique
Cements
Bonding mechanisms
• Non adhesive luting
• Micromechanical bonding
• Molecular adhesion
Cement selection
• Resin luting cements
• Zinc phosphate cement
• Polycarboxylate cement
• Zinc oxide–eugenol cement
• Glass-ionomer cement
• Hybrid ionomer cements
Summary
Cementation
• Cementation with resin-modified glass-ionomer
cement
• Cementation with resin cement
• Cementation with zinc phosphate cement
• Cementation with polycarboxylate cement
Special Considerations
• Gold inlays
• Custom cast dowel cores
Armamentarium
High-speed handpiece
Straight handpiece
Separating disk
Cavidry
Lentulo spira
Zinc phosphate cement
 Mixing slab and spatula
Technique
All-ceramic restorations
Armamentarium
• Busch Silent Stone on straight handpiece
mandrel
• Fine diamond stones
• Carborundum stones
• Porcelain finishing kit
Technique
Metal-ceramic crowns
Fixed partial dentures

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Cementation and Bonding s6 l1.pptx

  • 1. Cementation and Bonding Dr .Mohammad eissa Ahmadi resident of Periodontology department stomatology hospital
  • 2. Cementation and Bonding Five preparatory procedures need to be performed on any type of cemented restoration after it has been fabricated in the laboratory: (1) preliminary finishing (2) try-in and adjustment (3) Precementation polishing (4) cementation (5) Post cementation finishing.
  • 3. Table 21-1 Knoop hardness number (KHN) of dental substances and materials
  • 4. Abrasives and Polishing Materials involves the abrasion of a surface by an abrasive agent that is harder than the surface to be abraded, or polished. When a dental hygienist is truly polishing, the paste or slurry containing an abrasive agent will microscopically alter the tooth or restorative surface. A cleaning agent is not abrasive and will not alter the surface characterization of enamel or esthetic restorative materials. The surface being cleaned is not altered or abraded as it would be in polishing.
  • 5. • Silicon carbide • Aluminum oxide • Ripoli • Rouge. Composed of iron oxide (Fe2 O3 )
  • 6. • Sand(Sand is a form of quartz and may be seen in various colors. Sand particles are rounded or angular in shape. They are typically bonded to paper disks for grinding metals and plastics.) • Cuttle. (As we know it today, cuttle is a fine grade of quartz. These particles are also bonded to paper disks and are beige in color. They are available in coarse, medium, and fine grits. In the past, it was manufactured from the inside shell of a Mediterranean marine mollusk. A “cuttle bone” mounted in a parakeet’s cage is made of the same material)
  • 7. Diamond • Diamond burs are actually very small diamond chips that are bonded to a shaft. Diamonds are very hard materials and make very good abrasives. Depending on the size of the chips, diamond burs can be used in many dental procedures.
  • 8. Aluminum oxide • is a common abrasive used in dentistry, and it has essentially replaced emery for several uses. This abrasive,, is widely used in the form of disks and strips. It is also impregnated into rubber wheels and points. It is the abrasive used in the popular “white stones” to adjust enamel or to finish metal alloys and ceramic materials
  • 9. Emery. This hard (Emery is sometimes also called “corundum.” We are familiar with this abrasive because of “emery boards,” which are used to file our fingernails. Emery is a natural form of aluminum oxide, and it looks like grayish-black sand. It is commonly found on arbor bands that attach to a dental lathe for grinding custom trays and acrylic appliances.)
  • 10.
  • 11. Tin oxide • An extremely fine abrasive, tin oxide is supplied as a white powder and is used as a final polishing agent for teeth and metallic restorations. It is used as a paste or slurry in the same manner as Silex. Both Silex and tin oxide are illustrated in pic
  • 12. Preliminary Finishing of Gold Restorations
  • 13. Armamentarium • High-speed handpiece • Straight handpiece • Separating disk on mandrel • Cratex disk on mandrel • 5 /8-inch blue wheel on mandrel • Blue mounted knife-edge disk • No. 0 bud finishing bur (Pfingst) • No. 330 friction-grip bur • Articulating paper • Green stone (Dura-Green, Shofu)
  • 14. Cratex disk on mandrel Separating disk on mandrel
  • 15. 5 /8-inch blue wheel on mandrel Blue mounted knife-edge disk No. 0 bud finishing bur (Pfingst) No. 330 friction- grip bur
  • 16.
  • 19. Cont.
  • 20. Try-in and Adjustment of Gold Restorations
  • 21. Armamentarium • 2 × 2–inch gauze squares • Mallet • No. 15 straight chisel • Backhaus towel forceps • Miller forceps • Cotton pliers • Cotton pellets • Dental floss • Plastic bite wafer • Articulating paper • Silver plastic shim stock (13-µm thick) (Artu's) • Straight handpiece • 5 /8-inch blue wheel on mandrel • Green stones • No. 2 round bur • Spratley knife • Contra-angle handpiece • Tapered white polishing stone • Petrolatum • 3 /8-inch cuttle disk
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 28. Cont.
  • 29.
  • 30.
  • 31. Evaluation of a restoration should be carried out in the following sequence: 1.Proximal contacts 2. Margins (completeness of seating) 3. Occlusion 4. Contours 5. Esthetics
  • 32.
  • 34.
  • 36.
  • 39.
  • 40.
  • 41.
  • 42.
  • 44. Precementation Polishing of Gold Restorations
  • 45. Armamentarium • Straight handpiece • 5 /8-inch blue wheel on mandrel • Mounted knife-edge blue disk • No. 0 bud finishing bur • Mounted Robinson brushes (soft) • Gold rouge • 1-inch masking tape • Airborne particle–abrasion instrument
  • 46.
  • 47.
  • 49. Postcementation Finishing of Gold Restorations
  • 50. Preliminary Finishing of Base Metal Restorations
  • 51. Armamentarium • High-speed handpiece • Straight handpiece • 1.5-inch cutoff disk on mandrel • No. 8 coral stone on mandrel • No. 330 bur • No. 1 round bur • Aluminum oxide tapered stone • Aluminum oxide inverted cone • Blue rubber wheels and mounted points
  • 52. Try-in, Adjustment, and Polishing of Base Metal Restorations
  • 53. Armamentarium • Straight handpiece • Blue disk on mandrel • White disk on mandrel • No. 1 round bur • Felt wheels • Felt cones • Polishing compound (Nobilium) • Fine-grit polishing compound • Mounted Robinson brushes (soft) • Tripoli • Palladius polishing paste (Vident) • 1-inch masking tape • Air abrader
  • 56. Bonding mechanisms • Non adhesive luting • Micromechanical bonding • Molecular adhesion
  • 57. Cement selection • Resin luting cements • Zinc phosphate cement • Polycarboxylate cement • Zinc oxide–eugenol cement • Glass-ionomer cement • Hybrid ionomer cements
  • 59. Cementation • Cementation with resin-modified glass-ionomer cement • Cementation with resin cement • Cementation with zinc phosphate cement • Cementation with polycarboxylate cement
  • 60. Special Considerations • Gold inlays • Custom cast dowel cores
  • 61. Armamentarium High-speed handpiece Straight handpiece Separating disk Cavidry Lentulo spira Zinc phosphate cement  Mixing slab and spatula
  • 64. Armamentarium • Busch Silent Stone on straight handpiece mandrel • Fine diamond stones • Carborundum stones • Porcelain finishing kit