Prof. Paulo Cesar's Lecture at Nova Southeastern in Jan 2015
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Transcript of Prof. Paulo Cesar's Lecture at Nova Southeastern in Jan 2015
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University of So Paulo
School of Dentistry
Department of Biomaterials and Oral Biology
Associate Prof. Paulo Francisco Cesar
Dental biomaterials science: building long la
aesthetic restorations
Collaborators:
Prof. Lucas Hian da Silva
Prof. Susana Salazar-Marocho
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Universidade de So Paulo
Faculdade de Odontologia
Departamento de Biomateriais e Biologia Oral
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Universidade de So Paulo
Faculdade de Odontologia
Departamento de Biomateriais e Biologia Oral
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Universidade de So Paulo
Faculdade de Odontologia
Departamento de Biomateriais e Biologia Oral
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Universidade de So Paulo
Faculdade de Odontologia
Departamento de Biomateriais e Biologia Oral
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Universidade de So Paulo
Faculdade de Odontologia
Departamento de Biomateriais e Biologia Oral
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Universidade de So Paulo
Faculdade de Odontologia
Departamento de Biomateriais e Biologia Oral
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Universidade de So Paulo
Faculdade de Odontologia
Departamento de Biomateriais e Biologia Oral
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Universidade de So Paulo
Faculdade de Odontologia
Departamento de Biomateriais e Biologia Oral
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Universidade de So Paulo
Faculdade de Odontologia
Departamento de Biomateriais e Biologia Oral
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Universidade de So Paulo
Faculdade de Odontologia
Departamento de Biomateriais e Biologia Oral
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1.1. What are the options?
1.Ceramics
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1.1. What are the options?
1. Ceramics
Porcelains
Glass-ceramics
Glass-infiltrated composites
Polycrystalline ceramics
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Porcelains
Porcelains
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Porcelains
1 2 3
45 6
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Glass-ceramics (leucite or lithium disilicate)
1 2
3 4 5
Gonzaga, 2007
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Glass-infiltrated composite
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Polycrystalline
Y-TZP
Alumina
1 2 3
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1 2 3
4 5 6
http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663 -
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a) Leque de opes
b) O material de escolha
c) Novas perspectivas
1.2. Material of choice
1.Ceramic
http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663 -
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1.2. Material of choice
1. Ceramics
Veneers
Inlays /Onlays
Crowns
Fixed partial dentures
Abutments
Large infra-structures for implants
http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663 -
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Porcelains or Glass-cer Veneers
D
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Inlay/OnlayPorcelains or Glass-c
1 2 3 4
5 6
Porcelains
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Crowns
Glass-ceramics coping+veneering ceramic or monolithic)
High translucency:
1 2 3 4
5 6
coping+ven
eeringceramic
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Glass-ceramics monolithic)
1 2 3
4 5
D
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Glass-ceramic monolithic)
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Glass-ceramic monolithic)
D
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Fixed partial denturesY-TZP
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Abutments Y-TZP
Dr. Susanne Scherrer (Univ of Geneva)
1 2
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D
3 4
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Large infra-structures over implants
Lohb
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Loh
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Failed from a stress concen
tip of the zirconia framework
Crack moved in a downward
A secondary edge chip on th
zirconia framework was inci
related to the final failure.
Lohbauer et al., 2010
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Dr. Susanne Scherrer (Un
Large infra-structures over implants
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Dr.
1 2
3 4
Large infra-structures over implants
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Secondary caries/marginal discoloration/
wear of cement line/ minor edge chippings
Debonding
Fractures
Veneers/Inlay/Onlay/Crowns
Fixed partial dentures FPDs)
1.2.1. Clinical failures
Dr. Susan
Secondary caries/marginal discoloration/wear of cement line/minor
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Secondary caries/marginal discoloration/wear of cement line/ minor
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Due to the posterior location of the restorations, these time-
dependent degradation processes were not of concern clinically
and were only observed by the examiners.
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Debonding
Evaluation of Tensile Retention of Y-TZP Crowns Cemented on Resin Compo
of the Cement and Y-TZP Surface Conditioning.
Rippe M, Amaral R, Oliveira F, Cesar PF, Scotti R, Valandro L, Bottino M.
Oper Dent. 2015 Jan-Feb;40(1):E1-E10.
Evaluation of tensile retention of Y-TZP crowns after long-term aging: effect o
substrate and crown surface conditioning.
Amaral R, Rippe M, Oliveira BG, Cesar PF, Bottino MA, Valandro LF.
Oper Dent. 2014 Nov-Dec;39(6):619-26.
1
2
1
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1
2
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2
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After 42 months one debonding
occurred in each group;
No effect of resin cement: Panavia 21
versus Multilink.
1.2.1. Clinical Failures
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Zhang et al., 201
Fractures
Inlay/Onlay/Crowns
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Zhan
Inlay/Onlay/Crown
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Defects on the cementation surface
Thompson eDicor crown in a premolar
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Inlay/Onlay/Crowns
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Marginal defects
Procera crowns (alumina coping + veneering porcelain)
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Fractographic Analy
premolars and 11 mo
All fractures initiated
the crowns and usu
area close to the
curvature of the marg
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Zhan
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Inlay/Onlay/Crown
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Cone cracks (NO attrition)
Inlay/Onlay/Crown
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Cone crakcs (NO attrition)
Inlay/Onlay/Crown
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Cone crakcs (NO attrition)
Fard
Inlay/Onlay/Crown
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Cone cracks (NO attrition)
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Zhang
Inlay/Onlay/Crowns
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Partial cone cracks (WITH attrition)
Optical (a) surfa(bottomY-TZP ssphere under noKim et al., 2008 Kim et al., 2010
Inlay/Onlay/Crown
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Partial cone cracks (WITH attrition)
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In vitroIn vivo
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Zhan
h
Inlay/Onlay/Crown
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Chipping Fracture of the porcelain layer (Procera Alumina after 4 years.
Sche
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Sch
Chipping
Inlay/Onlay/Crown
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Porcelain fused to metal fractured after 2 months. Cour
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compression curl
Court
Compression
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Compression
curl
2 blunt contacts
Courtesy
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Courtesy
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In the chipping area a small b
veneering material (size 1 x 0.
The chipping occurred 7 mont
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K
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Chipping/incisal edge Ch
Fracture Mu
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Critical crack initiated at the incisal c
propagated gingivally;
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propagated gingivally;
The estimated stresses were lower t
strength of the veneer materials;
Contact damage, fatigue, and proce
veneer lead to chipping of veneering
lithium disilicate and glass-infiltrated
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Fractography: Y-TZP coping veneered with glass-ceramic.Authors: Rodrigo Souza, Susana Salalar-Marocho and Paulo Cesar
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Age: 22 years;
Gender: female;
No parafunctional habits;
Metal post;
Luting cement: U100 (3M)
Lifetime: 1 year;
Slow cooling;
Y-TZP Coping: Lava (3M); Veneering ceram: Emax Ce
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Origin is here (occlusal).
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Arrest lines indicate direction of crack propagation.
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Roughness of occlusal s
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Multiple damage.
Wear of the
Area without loss of glazelayer (but a bit porous)
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Multiple hack
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Origin
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Conclusion
Origin on occlusal surface;
Relationship with cumulative damage on
Delamination was observed;
Problem with coping design.
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Cour
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Cour
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Cour
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Fracture rates (%) of the venering porcelain applied over Y-TZP in clinica
Study Year %Fracture
Larsson 2013 88.9
Beuer 2010 7
Tinschert 2008
Continued...
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Koenig et al., 2007
Larsson 2013 88.9
Rinke 2013 28.8
Zembic 2012 0
Ortorp 2012 3Vigolo 2012 7.7
Lops 2013 10.8
Burke 2013 24.2
Sailer 2007 15
Schmitter 2012 26.7
Schmitt 2012 28Molin 2008 0
Sagirkaya 2012 0.9
Pelaez 2012 10
Salido 2012 29.1
Rinke 2013 5
Sailer 2009 33
Edelhoff 2008 9Beuer 2009
Schmitt 2010 5
Papaspyridakos 2012 31
Raigrodski 2006 2
Pospiech 2003 2
Esquivel-Upshaw 2013 16
Tsumita 2010 14Cehreli 2009
Ohlmann 2012 2
Bornemann 2003 3
Ohlmann 2008 1
Larsson 2006 5
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grade 1 = small chip that does not demand any action, except polishing.
grade 2 = moderate chip that can be repaired.
grade 3 = large chip that leads to replacement of the prosthesis.
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Heintz
Technologies to overcome the problem of c
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Pressing the veneering ceramic over Y-TZP
CAD-on system
Rapid layer technique
Pressing the veneering ceramic over Y-TZP
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http://sayakaattitude.blogspot.com/2011/07/ema
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A
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A
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A
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Sintered
Sintered
+Fibers
Hot-pressed
Ho
Flexural strength(MPa)
51.3 4.9c 65.2 4.4b 67.1 7.9b 76
A
Sintered Sintered + Fibers
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Hot-Pressed Hot-Pressed + Fibers
A
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CAD-on system
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Source: w
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http://www.v
1 2
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3 4
http://www.vita-zahnfa
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1.2.1. Clinical failures
Fractures
FPDs
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Zhang et al., 20
FPDs
Zhang et al., 2014
Fractures
FPDs
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Borba et al., 2015, a
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FRACTURE ORIGIN AT THE INTERFACE(ALUMINA + VM7)
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Borb
Dent Mater. 2008 Aug;24(8):1077-82
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Primary fractures in clinically fa
FPDs initiated from the veneer su
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Interfacial delamination in glascore bilayer dental ceramic stru
the secondary fracture initiation
stresses in Y-TZP-based fixed par
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Proper treatment planning is needed to ensure an adequate con
height of 4 mm or more on allceramic prostheses made with a
disilicatebased core ceramic.
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1.3. The future
1. Ceramics
http://www.google.com/url?sa=i&rct=j&q=future%20holds&source=images&cd=&cad=rja&docid=e6UDqxli78iPpM&tbnid=MRsH7jgHtrO5QM:&ved=0CAUQjRw&url=http://smpsboston.wordpress.com/2011/06/07/what-the-future-holds-for-the-industry/&ei=TG4SUo3uBtPh4AOp14CYDw&psig=AFQjCNFPXRACyd2DHkB_bQT2hdLbhk4VlQ&ust=1377025954849791http://www.google.com/url?sa=i&rct=j&q=future%20holds&source=images&cd=&cad=rja&docid=e6UDqxli78iPpM&tbnid=MRsH7jgHtrO5QM:&ved=0CAUQjRw&url=http://smpsboston.wordpress.com/2011/06/07/what-the-future-holds-for-the-industry/&ei=TG4SUo3uBtPh4AOp14CYDw&psig=AFQjCNFPXRACyd2DHkB_bQT2hdLbhk4VlQ&ust=1377025954849791 -
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Monolithic zirconia
Lithium silicate with zirconia particles
Interpenetrating ceramic-resin composite network
Monolithic zirconia (Lava Plus, 3M)
http://www.google.com/url?sa=i&rct=j&q=future%20holds&source=images&cd=&cad=rja&docid=e6UDqxli78iPpM&tbnid=MRsH7jgHtrO5QM:&ved=0CAUQjRw&url=http://smpsboston.wordpress.com/2011/06/07/what-the-future-holds-for-the-industry/&ei=TG4SUo3uBtPh4AOp14CYDw&psig=AFQjCNFPXRACyd2DHkB_bQT2hdLbhk4VlQ&ust=1377025954849791http://www.google.com/url?sa=i&rct=j&q=future%20holds&source=images&cd=&cad=rja&docid=e6UDqxli78iPpM&tbnid=MRsH7jgHtrO5QM:&ved=0CAUQjRw&url=http://smpsboston.wordpress.com/2011/06/07/what-the-future-holds-for-the-industry/&ei=TG4SUo3uBtPh4AOp14CYDw&psig=AFQjCNFPXRACyd2DHkB_bQT2hdLbhk4VlQ&ust=1377025954849791 -
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Edmara Berga
Advisor: Altair
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Edmara Berga
Advisor: Altair
O
N
T
R
O
L
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G
D
Edmara Berga
Advisor: Altair
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Edmara Berga
Advisor: Altair
Lithium silicate with zirconia particles (Suprinity, Vita)
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Nathlia Carvalho, Master Thesis, 2014
Advisor: Renata Melo (UNESP/Brazil)
Interpenetrating ceramic-resin composite network (Enamic, Vita)
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Nathlia Carvalho, Master Thesis, 2014
Advisor: Renata Melo (UNESP/Brazil)
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Denry
Monolithic Y-TZ Lithium silicate (Suprinity)
2.1. What are the options?
2. Surface treatments
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Acid etching
Silanes
Sandblasting with aluminaparticles
Sandblasting with aluminaparticlescovered with silica (Tribo-ch Ceramic primers
Acid etching Hidrofluoric acid HF)
Micromechanical bonding between ceramic and adhesive/resin cemen
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1 2
Silane
Bi-functional molecule(bondsto silicaand resin composites)
It isused in association with HForTribo-chemical treatment
Brands: Monobond-s (IvoclarVivadent), Prosil (FGM),Silane (Ultradent).
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Sandblasting with alumina particles
Parameters:
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Particle size:50to 150m
Pressure:2.8bar
Time:10s
Distance:10mm
Que
Bond strength between resin cement and Y-TZP
Sandblasting with alumina particles
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Am
Creation of critical flawsv sus compressive layer Y-TZP)
Sandblasting with alumina particles
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Zha
3M ESPE
Compression layer
Sandblasting with alumina particles covered wit
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Impacton thesurfaceat high v
Formationof silica layer.
Chemical bondsbetween silica
3M ESPE
Brands:
Rocatec Plus (particlesof 110m)
Sandblasting with alumina particles covered wit
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Cojet orRocatec Soft (particlesof 30m)
Bond strength between resin cement and Y-TZP
Sandblasting with alumina particles covered wit
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0
5
10
15
20
25
30
controle envelhecido controle envelhecido
Jateamento Silicatizao
Bondstrength(MPa)
Aged
Sandblasting Alumina+ silica
Control ControlAged
Primers for ceramic materials
Phosphate-based monomers(MDP,VBATDT)
Chemical bondsbetween metallicoxides (e.g.,ZrO2) and resin cement.
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Brands:
Metal/ZirconiaPrimer (Ivoclar Vivadent),Porcelain Primer (Bisco),
Clearfil Ceramic Primer (Kuraray).
Bond strength between resin cement and Y-TZP after therm
Primers for ceramic materials
6
Koizumi et al., 2012
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0
1
2
3
4
5
6
Sem TC Com TC
MZ Primer + Multilink
Bondstrength(MPa
)
Control Aged
Best results were seen when primers are associated to other surfac
Y-TZP-after Cojet
Primers for ceramic materials
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Tanaka et al., 2008
35
51
35
48
SILANO SILANO+MDP SILANO SILANO+MDP
CONTROLE ENVELHECIDO
Bon
dstrength
(MPa
)
Control Aged
Silane SilaneSilane + MDP Silane+ MDP
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Porcelains and Glass-ceramics
HF + S
Ceramic group Time
HF concentration: 8 to 10%
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Glass-ceramics
(lithium disilicate)20 to 30 s
Porcelains 1 to 2 min
Glass-ceramics
(leucite)1 min
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2.3. The future
2. Surface treaments
http://www.google.com/url?sa=i&rct=j&q=future%20holds&source=images&cd=&cad=rja&docid=e6UDqxli78iPpM&tbnid=MRsH7jgHtrO5QM:&ved=0CAUQjRw&url=http://smpsboston.wordpress.com/2011/06/07/what-the-future-holds-for-the-industry/&ei=TG4SUo3uBtPh4AOp14CYDw&psig=AFQjCNFPXRACyd2DHkB_bQT2hdLbhk4VlQ&ust=1377025954849791http://www.google.com/url?sa=i&rct=j&q=future%20holds&source=images&cd=&cad=rja&docid=e6UDqxli78iPpM&tbnid=MRsH7jgHtrO5QM:&ved=0CAUQjRw&url=http://smpsboston.wordpress.com/2011/06/07/what-the-future-holds-for-the-industry/&ei=TG4SUo3uBtPh4AOp14CYDw&psig=AFQjCNFPXRACyd2DHkB_bQT2hdLbhk4VlQ&ust=1377025954849791 -
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Glaze layer on the internal surface of Y-TZP crowns
Internal glaze layer
Application of glaze layer on theinternal surfaceof Y-TZP crowns.
Makesthesurfacesusceptibleto HF
http://www.google.com/url?sa=i&rct=j&q=future%20holds&source=images&cd=&cad=rja&docid=e6UDqxli78iPpM&tbnid=MRsH7jgHtrO5QM:&ved=0CAUQjRw&url=http://smpsboston.wordpress.com/2011/06/07/what-the-future-holds-for-the-industry/&ei=TG4SUo3uBtPh4AOp14CYDw&psig=AFQjCNFPXRACyd2DHkB_bQT2hdLbhk4VlQ&ust=1377025954849791http://www.google.com/url?sa=i&rct=j&q=future%20holds&source=images&cd=&cad=rja&docid=e6UDqxli78iPpM&tbnid=MRsH7jgHtrO5QM:&ved=0CAUQjRw&url=http://smpsboston.wordpress.com/2011/06/07/what-the-future-holds-for-the-industry/&ei=TG4SUo3uBtPh4AOp14CYDw&psig=AFQjCNFPXRACyd2DHkB_bQT2hdLbhk4VlQ&ust=1377025954849791 -
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Vanderlei et al.,
glazespray glazepowder/liquid H
Internal glaze layer
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Glaze
Vanderlei et al., 2013
3.1. What are the options?
3. Cements
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Resin modified GICs
Resin cements:
Conventional
Conventional + self-etching primer
Self-adhesives
Zinc phosphate Conventional glass-ionomer cements (GIC)
Resin modified GICs
Fluoride release and control of setting time
Brands: RelyX Luting 2 ou Plus Automix (3M ESPE)
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Resin cements
Conventional +
Self etching primer
onventional
Self-adhes
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Photo-activated
Dual Dual Dual
Chemically
activated
Chemically
activated
Resin Cements
Conventional +
Self etching primer
onventional
Self-adhes
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acid + primer + bond
cement cement
Self-etching primer
cement
Conventional resin cement
Photo-cured
Less quantity of amines (chemical activators) = better color stability
Brands: RelyXVeneer (3M ESPE) e VariolinkVeneer (Ivoclar)
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Conventional resin cement
Dual
Stable bond strength to dental tissues: interaction with the best adhesive s
Brands: RelyXARC (3M ESPE), Variolink II (Ivoclar) and EnForce (Dentsply)
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Resin Cements
Conventional +
Self etching primer
onventional
Self-adhes
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acid + primer + bond
cement cement
Self-etching primer
cement
Conventional resin cement+ Self-etching primer
Dual
Brands: PanaviaF 2.0 (Kuraray) e Multilink (Ivoclar)
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MDP:
10-methacryloxydecyl dihydrogen
MDP
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Resin
composite
Resin Cements
Conventional +
Self etching primer
onventional
Self-adhes
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acid + primer + bond
cement cement
Self-etching primer
cement
Self-adhesive cements
Dual
One step, less technique sensitive.
Brands: U200 (3M ESPE), SmartCem 2 (Dentsply) and Panavia SA (Kuraray)
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De Muncket al., 2004
Unicem 3M ESPE)
U200 3M ESP
3.2. Material of choice
3. Cements
A di h b
http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663 -
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According to the substrate:
Metal cores
Resin composites (fiber posts)
Tooth substrate
3.2. O material de escolha
3. Cimentos
http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663http://www.google.com/url?sa=i&rct=j&q=choosing&source=images&cd=&cad=rja&docid=Vr6FWwSy_nkoLM&tbnid=ZIABKMj1sbgd5M:&ved=0CAUQjRw&url=http://www.realizzazione-sito-internet.biz/index/software-ecommerce-cms/grafica-personalizzata.html&ei=HHISUp6mCNLh4APIjoHoDg&psig=AFQjCNE8d9-bgBA_4wkJwl2fhHjvs4o8uw&ust=1377026969294663 -
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Resin composites Metal Tooth
Glass-ceramic crowns
Polycrystalline crowns
Thin Veneers, Inlays, Onlaysof porcelain or g
Thick Crowns, Inlays e Onlaysof porcelain or
Polycrystalline crowns
Metal cores
Conventional resin ce
Self-etching primer M
Self-adhesive
Glass-ceramic crown
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Conventional resin cement+
Self-etching primer (MDP)
Chemical bond to metallic oxides of the post
Good hybrid layer on remaining dentin tissue
Self-adhesive
Easy to use
Less technique sensitive
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Substrate resin composite or tooth
Thin Veneers, Inlays, Onlaysof
porcelain or glass-ceramic
Conventional re
activated only.
11
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0
1
2
3
Rely X ARC Variolink II Rely X Veneer Variolink Veneer Filtek Flow
DUAL S FOTO FLOW
Colorchange(DeltaE,
Lab)
Color change as a function of the cement
Archegasetal.,2011
Photo-cured only.
Thick Crowns, Inlays e Onlays of
porcelain or glass-ceramic
Conentional resin ceme
Self-adhesive small area
Substrate resin composite or tooth
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Luhrs et al., 2010
Polycrystalline crowns
Synergic effect of Coje
Substrate resin composite or tooth
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Conventional resin cement +
Self-etchng primer MDP)
*Additional acid etching of enamel with
phosphoric acid is necessary
Y-TZ
Silane
Synergic effect of Cojet + silane + MDP
1 Cojet
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Y-TZ
Y-T
1.Cojet
2.Silaneapplication
3.Ceramicprimer
3.3. The future
3. Cements
http://www.google.com/url?sa=i&rct=j&q=future%20holds&source=images&cd=&cad=rja&docid=e6UDqxli78iPpM&tbnid=MRsH7jgHtrO5QM:&ved=0CAUQjRw&url=http://smpsboston.wordpress.com/2011/06/07/what-the-future-holds-for-the-industry/&ei=TG4SUo3uBtPh4AOp14CYDw&psig=AFQjCNFPXRACyd2DHkB_bQT2hdLbhk4VlQ&ust=1377025954849791http://www.google.com/url?sa=i&rct=j&q=future%20holds&source=images&cd=&cad=rja&docid=e6UDqxli78iPpM&tbnid=MRsH7jgHtrO5QM:&ved=0CAUQjRw&url=http://smpsboston.wordpress.com/2011/06/07/what-the-future-holds-for-the-industry/&ei=TG4SUo3uBtPh4AOp14CYDw&psig=AFQjCNFPXRACyd2DHkB_bQT2hdLbhk4VlQ&ust=1377025954849791 -
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Universal adhesives
3
Universal adhesives
Dual resin cement+ Universal adhesive
Indicated for all materials
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Cojet Scotchbond Universal
RelyX Ult1
23
acid/primer/adhesive + silane + MDP)
500
600
700
800
Lava Zirconia Crown Retention to Human Tooth
Detachment Load (N) after Thermocycling and Fatigue
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3M 2011. All Rights Reserved.
0
100
200
300
400
Multilink Automix Panavia F2.0 RelyX Ultimate
Burgess et al, Retention of zirconia crowns bonded with adhesive resin cements, AADR 2012, Abstract
App:QR Code Reader
App Store
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