Dental Cements

What are the anchor teeth for a bridge or partial denture?

abutments

What is an agent that causes a chemical reaction?

accelerator

What is a caustic agent use in disinfectants and plastics?

phenol

What is an artificial tooth on a bridge or partial denture?

pontic

What is a tooth filling, bridge, or partial denture?

restoration

What is a negative reaction from a tooth from hot cold?

thermal shock

What types of procedures is glass ionomer used for?

permanent cementation, pit and fissure sealants, liner and dentin bonding agent, for core buildups

What are the two forms of glass ionomer and what do they consist of?

powder- silicate glass containing calcium, aluminum, flouride
liquid- water and polyacrylic acid

What are the properties of glass ionomer?

mechanically and chemically bonds to tooth structure, releases fluoride, complete setting reaction (24 hrs)

How long is the mixing time for glass ionomer?

mix for 1 minute

What was the first cement to chemically bond to tooth structure?

polycarboxylate

What is polycarboxlate cement used for?

permanant cementation, insulating base

What are the two forms of polycarboxylate and what do they consist of?

powder- zinc oxide with small amount of magnesium oxide
liquid- polyacrylic acid and water

How long does is take to polycarboxylate to set?

3-5 minutes

How long do you mix polycarboxylate for?

30-60 seconds

What is the working time for polycarboxylate?

3 minutes

What are the advantages of polycarboxylate?

good thermal insulator, placed under any restorative material, strong, non- irritating to the pulp

What are the disadvantages of polycarboxylate?

difficult to clean, no soothing qualities, high solubility, for temporary restoration, can only be used for 2 months

What are the uses for polycarboxylate?

permanent cementatation, thin mix for orthodonic bridges, a base under permanent restoration, permanent filling

What should be the texture of the mix be for temporary fillings with polycarboxylate?

thick mix

Who can place polycarboxylate as a base?

RDA

What is one of the oldest type of cement?

ZInc Phosphate

What are the uses for zinc phosphate?

permanant cement, insulating base

What are the forms of zinc phosphate? What are the made of?

powder- zinc oxide, magnesium oxide
liquid- phosphoric acid in water

What are the properties of zinc phosphate?

viscosity is affected by mixing time and temo, bonds to tooth by interlocking

What is the mixing time of zinc phosphate?

2 minutes

What is the setting time of zinc phosphate?

5-9 minutes

What do you mix on a cool glass slab?

zinc phosphate

How should zinc phosphate be mixed

slowly and in increments of 10-15 seconds

What should zinc phosphate cement resemble once its mixed?

creamy material

What should zinc phosphate base resemble once its mixed?

thick putty

What are the two types of zinc oxide eugenol cement?

type 1- temporary use
type 2- strongest for permanent cementation

Which cements are soothing to the pulp?

polycarboxylate, zinc oxide eugenol

What are the uses for zinc phosphate eugenol?

permanent and temporary cementation

What is the composition for ZOE type 1?

powder - zinc oxide, resin, zinc acetate, accelerator
liquid- eugenol with clove oil

What is the composition for ZOE type 2?

powder- zinc oxide, alumina, polymers
liquid- combination of eugenol and ethoxybenzic acid

What is available to patients that are sensitive to zinc oxide eugenol?

a non- eugenol form

What is non- eugenol cement available in?

two paste systems, capsules, and syringes

What are the properties of non-eugenol zinc oxide?

very soluble, sedative effect does not require base or liner, not compatible with with composite or acrylic material

What should eugenol not be exposed to?

rubber

What is the mix time for ZOE?

30-60 seconds

What is the mix time for a ZOE two paste system?

10- 15 seconds

What is the setting time for ZOE?

3-5 minutes

What is an ion?

a metal temp crown

What is a provisional?

a temp restoration

How much time does it take to make a permanent crown or bridge to be made by a lab?

2-3 weeks

What are the uses/ purposes for temporary coverage?

protects the prep from thermal changes, prevents changes in occlusion, prevents drifting, protects from fracturing, esthetics

What teeth are stainless steel crown used on?

deciduous teeth and permanent teeth

What is a type of crown that is not durable and only lasts for a few weeks?

aluminum shell

What is the primary use for aluminum shell crowns and what teeth are they used on?

crown preps, posterior teeth only

What is a type of crown that must use a filler?

polycarbonate crown

What is the primary use for a polycarbonate crown and what teeth is it used on?

crown preps, anterior or posterior

What is the most common type of crown and what is it fabricated with?

custom acrylic, fabricated with stint

What are the primary uses of custom acrylic crowns and what teeth are they used on?

crown/ bridge preps, used on posterior or anterior teeth

What are the 9 steps to a basic procedure for temp coverage?

select smallest size w/ contact points
estimate correct height and trim gingival rim
use bell contouring pliers to adjust sides of crown
try crown on tooth
check contact with floss
check marginal integrity
check occlusion with articulating paper
cement wi

What is the criteria for a finished crown?

correct occlusion, marginal integrity, contact points, have anatomy, be comfortable

What can high occlusion result in?

hypersensitivity, trauma to the opposing teeth

What can low occlusion result in?

shifting of teeth

What can short margins result in?

exposed dentin and sensitivity

What can high margins result in?

irritate gums, inflammation, and bleeding

What can no contact points result in?

proper space between teeth

What is the cementation procedure?

cement selection, fill provisional space 3/4 full, remove excess with explorer, check contact areas with floss, rinse, reschedule patient 2-4 weeks later

What can a DA fabricate?

a model

What can an RDA do in regards to fabricating temporaries?

temporary intraorally, cement temporary and remove supragingival cement

What can an RDAEF do in regards to fabricating temporaries?

remove sublingual cement