Dentaltown May 2019 - 95
Blending zirconia with surrounding
dentition is a continuing challenge, in spite
of today's diverse strategies to overcome it.
Point 6: No single cementation
protocol is superior
BruxZir 2009 used sandblasting followed
by resin-modified glass ionomer (RMGI)
cementation. Nine years later, this has
resulted in 5% retention loss in the TRAC
Research study. In spite of this excellent
record, today zirconia cementation has
become increasingly complex.
Fig. 11, p. 96, shows cementation regimens designated by companies selling 15
of the 17 zirconia products in the study.
The numbers indicate that since 2009,
chemical cleaning has gained preference
over sandblasting; use of no primer has
slight preference; and resin cement bonding
is now preferred over RMGI cementation.
(However, a company's directions for resin
cementation could be caused by reluctance
FREE FACTS, circle 26 on card
Fig. 9a: Clinical appearance of a zirconia
crown immediately after seating when all
of the glaze is intact.
Fig. 9b: Clinical appearance of the same
crown after the glaze is no longer present.
Note the dull, bright white surface in the
absence of the glaze.
to recommend a competitor's cement.)
The important point is that no regimen
of the 15 specified has shown retention
problems with more than 100 dentists seating
more than 1,000 molar crowns in our study.
This leads to the following conclusions:
* You can cement any way you prefer.
dentaltown.com \\ MAY 2019
95
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Dentaltown May 2019
Table of Contents for the Digital Edition of Dentaltown May 2019
Dentaltown May 2019 - Intro
Dentaltown May 2019 - Cover1
Dentaltown May 2019 - Cover2
Dentaltown May 2019 - 1
Dentaltown May 2019 - 2
Dentaltown May 2019 - 3
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Dentaltown May 2019 - Cover3
Dentaltown May 2019 - Cover4
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