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Mineral trioxide aggregate (MTA) is an alkaline, cementitious dental repair material. MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, and treating internal root resorption. It can be used for root-end filling material and as pulp capping material.
Zinc phosphate was the very first dental cement to appear on the dental marketplace and is seen as the “standard” for other dental cements to be compared to. The many uses of this cement include permanent cementation of crowns, orthodontic appliances, intraoral splints, inlays, post systems, and fixed partial dentures.
A glass ionomer cement (GIC) is a dental restorative material used in dentistry as a filling material and luting cement, [1] including for orthodontic bracket attachment. [2] Glass-ionomer cements are based on the reaction of silicate glass-powder (calciumaluminofluorosilicate glass [ 3 ] ) and polyacrylic acid , an ionomer .
Indirect dental composites can be used for: Filling cavities in teeth, as fillings, inlays and/or onlays; Filling gaps (diastemas) between teeth using a shell-like veneer or; Reshaping of teeth; Full or partial crowns on single teeth; Bridges spanning 2-3 teeth; A stronger, tougher and more durable product is expected in principle.
This image taken from the Dental Cosmos shows a box of bottles containing dental cement which was used to lute dental crowns, bridges and inlays. It was produced by the L.D. Caulk Company in the early 1900s. A luting agent is a dental cement connecting the underlying tooth structure to a fixed prosthesis.
For tooth preparation, firstly start with occlusal reduction which depending on the restorative material being used can range from 0.5mm-2mm. The best instrument to use for this is a high-speed diamond fissure bur and the reduction should follow the inclination of the cusps and grooves as this will allow the preservation of more tooth tissue.