With esthetic multilayered, high-strength zirconia, teeth can be restored in both the anterior and posterior. One hurdle to the successful use of these materials is proper adhesion. Traditional luting cements aren’t really the answer because of the complicated cleaning steps, technique issues, and challenges with maintaining proper isolation.
A solution to the problem of proper adhesion is the use of resin-modified glass ionomer cements (RMGIC), which offer some advantages over resin cements: they like moisture, they work well on subgingival margins, they are not technique sensitive, and they offer chemical adhesion to zirconia.
The cementation of a zirconia crown using RMGIC is relatively simple, but one critical step is the application of ceramic primer to the restoration intaglio before try-in. The ceramic primer allows for the chemical adhesion of RMGI to the ceramic; without the primer only mechanical retention is achieved. One of the best types of ceramic primer to use is one that incorporates MDP (1-Methacryloyloxydecyl Dihydrogen Phosphate) in its chemistry.
GC America Inc., offers GC Ceramic Primer II, which uses MDP to create excellent long-term bonds to resin, zirconia, and other ceramics, allowing for a true chemical bond between zirconia, RMGI, and tooth structure even in a slightly moist environment.
Many glass ionomer and RMGI materials are dispensed in a capsule to keep the powder and liquid separate and maintain material stability. The capsule is activated and triturated to achieve a homogeneous mix of material. This is an excellent delivery method; however, some dentists no longer have a need for or even own a triturator. GC America recognized this issue and solved it with GC FujiCEM 2. This RMGIC, which offers high elastic crosslinking monomers that impart increased strength, high fluoride release, low film thickness, and excellent marginal integrity, is delivered in a paste-to-paste system that includes a new improved cartridge and mixing tip design. The Slide and Lock System offers speed, efficiency, and ease of use—all with no mess.
By combining the right materials (GC FujiCEM 2 and GC Ceramic Primer II) with simple technique, convenient delivery, and easy clean up, GC America offers an innovative solution to a common challenge.
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