EVALUATION DETAILS

evaluatorsA dual-cured, self-etching and self-adhesive all-in-one permanent resin cement

How often is the word “exquisite” used to describe a dental material? That’s exactly how Dr. Frank Glushefski recently expressed his approval of TotalC-Ram, a permanent resin cement from Itena Clinical Products. After experimenting with TotalC-Ram for this DPS evaluation, Dr. Glushefski found that his chair time was reduced, increasing his overall practice efficiency and productivity. In fact, when asked to suggest improvements to the material, Dr. Glushefski replied, “Change nothing. Why reinvent the wheel? This product [is] a winner!”

For cementation of crowns, bridges, posts, inlays, and onlays, Total C-Ram is dual-cured (light- or self-curing) and self-adhesive to enamel, dentine, metal, ceramic, porcelain, zirconium, and composites. According to iTena, one of the biggest advantages of Total C-Ram permanent dental cement is that it’s sold at a price point significantly lower than similar resin cements from other manufacturers. Our panel of evaluators, all general dentists, were excited to try it to see if it met their expectations.

 

Dispensing, Working and Curing Time

quoteThis self-etching, self-adhesive permanent dental cement conveniently allows a dentist to etch, prime, bond, and cement with a single material. It’s easy to dispense in an automix syringe (8g) and comes with fine, extra-fine, and ultra-fine intraoral tips. When describing TotalC-Ram, “easy to use” was by far the most popular observation from DPS evaluators. In fact, 6 dentists said ease of use was their favorite feature. Dr. Lisa Curry praised the “simple dispensing system,” and Dr. Andrew Lazaris, who didn’t like the dispenser of his previous resin cement, called this material easy to dispense with minimal waste. With a short learning curve, Dr. Leibowitz said, “It was easy to implement into our workflow.”

TotalC-Ram has a working time of 1.5 to 3.5 minutes and a setting time of 2.5 to 4.5 minutes. The material can be light- or self-cured with a halogen, plasma arc, or LED curing light. Calling it a very good product, Dr. Abraham Jaskiel noted, “It gives a nice amount of working time.” Dr. Glushefski said the material allowed for a more appropriate working time when cementing multiple units, which decreased chair time and ultimately increased his efficiency. Dr. Clara Lee was impressed that it did not take long to set, and another dentist said the setting time was his favorite feature.

TotalC-Ram has a working time of 1.5 to 3.5 minutes and a setting time of 2.5 to 4.5 minutes. The material can be light- or self-cured with a halogen, plasma arc, or LED curing light. Calling it a very good product, Dr. Abraham Jaskiel noted, “It gives a nice amount of working time.” Dr. Glushefski said the material allowed for a more appropriate working time when cementing multiple units, which decreased chair time and ultimately increased his efficiency. Dr. Clara Lee was impressed that it did not take long to set, and another dentist said the setting time was his favorite feature.

 

Ease of Cleanup

With Total C-Ram permanent dental cement, any excess cement is easily removed while in its gel state, and the ease of cleanup was a favorite quality of many evaluators. Dr. Lawrence Leibowitz said the cleanup is easy, and Dr. Kane Fulton agreed, commenting that this product was “very easy to use and to clean up excess.” When asked about potential improvements, Dr. Jaskiel said, “When initially curing, it takes more than the time it says in the instructions to tack cure to clean [excess] cement.” Saying that her previous resin cement was difficult to clean up, Dr. Curry found that TotalC-Ram was easier to clean and had a lower film thickness. She was impressed that the material did not over-harden after 2 seconds when trying to tack cure for initial cleanup.

 

Final Esthetics and Bond Strength

Available in 2 shades—translucent and opaque—TotalC-Ram has long-term shade stability with no postoperative sensitivity, according to the manufacturer. Dr. Fulton said the translucent shade worked perfectly in a case with an all-ceramic crown where he did not want the shade altered. Dr. Leibowitz would like to see a little more opacity during pre-cure, while Dr. Glushefski said the material has “exquisite final esthetics.”

TotalC-Ram has bonding strength of 20MPa to enamel, 15MPa to dentine, and >12MPa to zirconia along with a compressive strength of 170 MPa and flexural strength of 170 MPa. Although the evaluators could not test the long-term bond strength, Dr. Catharine Willis discovered that it cemented veneers well and held better than her previous resin cement.

While looking for a good resin cement for post cementation, Dr. Leibowitz determined that TotalC-Ram appeared strong, and he especially liked it for cementing posts. He added, “I had a case with limited retention, and the strength of the material was very helpful.” Dr. Jaskiel concluded that only time will tell about bond strength.

 

Overall Satisfaction

Calling TotalC-Ram a very good product, a Utah dentist said he would definitely recommend the cement to colleagues “because it works well!” In fact, 92% of the evaluators said they would suggest that their peers try TotalC-Ram. Based on all of the positive feedback, it’s safe to conclude that iTena’s TotalC-Ram exceeded the evaluators’ expectations, and they deemed it a Recommended Product. Dr. Glushefski summed up his final thoughts by proclaiming, “Adequate working time coupled with easy cleanup and exquisite final esthetics make this product a winner.”

takeaways

Evaluation Snapshot

TOTAL C-RAM
Itena North America
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