Cementation Simplification: Taking the Mystery Out of Doing Things Correctly

There is more than one option to predictably cement an indirect restoration. Although adhesive cementation is the preferred method, often, due to difficulty is isolation, luting a restoration is preferable to adhesive bonding. This is especially true if the restoration is a high-strength ceramic or metal-supported and the preparation has adequate retention. This article reviews the types of materials available and provides recommended cementation protocols for different restorations.

LEARNING OBJECTIVES:

• Discuss the ideal adhesive cementation protocol for anterior all-ceramic crowns and veneers.

• Review how dentinal adhesive agents have changed to reduce sensitivity and maximize predictability.

• Review how to achieve optimal adhesive for various restorative materials.

• Describe cementation options for posterior teeth, including adhesive bonding and the new bioactive luting cements.

About the Author

David S. Hornbook, DDS, Private Practice, San Diego, California