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INNOSC Theranostics and Pharmacological Sciences 2023 Vol. 6 (No. 1) pp: 28-34

INNOSC Theranostics and Pharmacological Sciences

Journal homepage: https://accscience.com/journal/ITPS

REVIEW ARTICLE
Adhesive Cementation of Ceramic Restorations: A Comprehensive

Review

Isha Sinha*

District Nutrition Consultant, State Resource Centre, Nalanda Medical College, Patna, Bihar, India
*Corresponding Author: Isha Sinha, Email: simplyisha9@gmail.com
Received: September 16, 2022; Accepted: March 29, 2023; Published: April 11, 2023 DOI: 10.36922/itps.197
Copyright: Author(s). This is an open-access article distributed under the terms of the Attribution Non-Commercial 4.0 International
4.0 (CC BY-NC 4.0), which permits all non-commercial use, distribution, and reproduction in any medium, provided the original
work is properly cited.

Abstract:

The success and tendency of the indirect restorations were mainly affected by the patient and dental surgeon factors. The patient
factors consist of their dietary, functional habits, and oral hygiene, while the surgeon factors consist of their management in tooth
preparation, impression, and cementation. Among these factors, cementation is a very crucial step to ensure retention, durability,
and marginal seal of indirect restoration. The field of dentistry has largely benefited from the various newer types of ceramic
introduced. However, this cementation process can be either adhesive or non-adhesive. Adhesive cementation refers to the use of
an agent that promotes the bonding of restorative material to substrate, whereas the non-adhesive cementation involves the use of
luting agent for filling the gap between restoration and natural tooth. However, the indication for use of adhesive or non-adhesive
cementation depends on various factors, such as resistance form, ceramic composition, available preparation retention, and field
control during the cementation process. Hence, it is important for the clinicians and dental surgeons to understand these factors
before selecting an appropriate cementation process for ceramic restorations. In this review, we provide an overview of adhesive
cementation process for ceramic restorations and make appropriate recommendations for routine dental practice.

Keywords: Adhesive dentistry, Ceramic restorations, Cementation, Dental cements

1. Introduction physical strength, and conservative preparation
requirements [2,3]. However, the success of ceramic
Dental restorations aim to restore lost tooth restorations depends on several factors, including
structure caused by factors such as decay or esthetic fracture resistance, marginal fit, marginal accuracy,
corrections. Indirect restorations, among various
types of restorations, offer a more sustainable form choice of cement, and cement thickness [4]. The
and function, particularly when large decay is choice of cement, in particular, plays a significant
present. The success of these restorations depends role in the retention and marginal seal of indirect
on two factors: patient-related factors such as their ceramic restorations as they do not have secondary
dietary, functional habits, and oral hygiene, and retentive features [4,5].
clinician-related factors such as tooth preparation, The cementation process can be either adhesive
impression, and cementation [1]. or non-adhesive [4,5]. Adhesive systems have
Contemporary ceramics have become popular significantly improved the longevity of indirect
among patients and clinicians for indirect restorations due to their added benefit of chemical
restorations due to their optical properties, and micromechanical bonding [6]. Correctly,

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