Making it Stick: Selecting the Perfect Dental Cement

Cements play a critical role in successful restorations. Here are some factors to consider before purchasing dental cements.
 
Type of Restoration: Select a cement that is suitable for each type of restoration, such as crowns, bridges, inlays, or onlays. 
 
Retention Strength: High-strength cements may be needed for crowns and bridges in load-bearing areas, while lower-strength cements may be suitable for less stress-prone regions.
 
Esthetics: For anterior restorations, choose a cement that provides a natural appearance and allows for shade matching.
 
Solubility, Stability, Film Thickness: Ensure that the selected cement has low solubility and is stable over time. Pay attention to film thickness, which can impact the fit of the restoration.
 
Biocompatibility: Biocompatible cements can minimize the risk of adverse reactions or tissue irritation.
 
Setting Time/Radiopacity: Consider setting time, and ensure that the cement is radiopaque to detect gaps/discrepancies in x-ray images. 
 
Handling Characteristics/Clean-Up: Evaluate viscosity, and handling characteristics of the cement, along with cement removal and clean-up after placement.
 
By considering these factors, dentists can select appropriate cements for each clinical situation, promoting the longevity and success of restorations.