Different types of

composite cements and

bonding procedures
By
Dr Aung Kyaw Sein (City Dental group)
 Viscosity of cements

Low, Medium, High and ultra high viscous

Resin.
 Classify according to
bonding agent used
Total Etch System :-use Phosphoric acid with
two bottle primer and bonding or one bottle
bonding agent.

Self Eatch primer System:-Two bottle selfetch

primer and bond or One bottle : all in one bond.

Self Adhesive System

 Types of resin cements

1. Self cured resin cement ( C&B

Metabond ,Comspan,Super bond ).

2. Light cured resin cement for veneer.(NX3

Kerr, Clear I Kuraray, Relly X Veneer 3 M ,etc)

3. Dual cured resin cement.

4. Self adhesive resin cement (dual cured type)

5. Resin modified glass ionomer cement.

 Bonding Agents

For self cure resin :- chemical polymerization

usually used catalyst peroxide or amine.

For light cure resin:- Photo initiator( quinone

group).
 Bonding agents

1st generation bonding agent is invented in

1955 by Buonocore(Bis - GMA with etchant)

2nd Generation bonding agents 1970.They only

improve coupling agents .Smear layer of
dentine was still not removed.Only enamel was
etched.

3rd generation late 1970 .Primer was

introduced .Both enamel and dentine were
etched and rinsed completely .Collagen
collapsed and weak bond occurred.
4th Generation 1980s and 1990s :- Smear layer
was complete removed and moist dentine
concept was introduced.Three steps :
Etch ,prime and bond.Hydrophilic primer
infilitrate the expose collagen to form hybrid
layer and hydrophobic monomer bond hybrid
layer and composite coment.This systems are
very effective if used correctly.Although newer
system are introduced this system still the
standards.
Fifth generation 1990s :-Primer and bond
placed in one bottle to reduce clinical
steps.Bond layer is susceptible to water
absorption and degradation lead to bond failure
because of combine layer of hydrophilic and
hydrophobic monomer unlike in 4th generation
whereas hydrophilic layer is covered by
hydrophobic adhesive layer.Notice that not all
fifth generation adhesive are compatible with
dual and self cured cements because of low PH
or too acidic monomer.Acidity deactivate the
tertiary amine in chemical cured composite .
Sixth Generation late 1990s and 2000s:-Also
called self etch primers.Acid containing primer
applied first followed by adhesive layer or equal
amount of self etch primer and adhesive are
freshly mixed just before application.Two bottle
System.Less sensitive to hydration state of
collagen and increase in bonding strength to
dentine but decrease in bonding to enamel.PH
in the self etch primer is not enough for
enamel.Selective etch to enamel is
recommended . Dentine should not be etched it
can lead to over etched and postoperative
hypersensitivity.
Seventh Generation in early 2005:- also called
one-bottle self-etch system or All-in-one
bond.All agents have to incorporate into single
bottle and keeping them in stable condition is
challenging because the system contain water
and may prone to hydrolysis and
breakdown.Becareful of date and storage
condition.Also susceptible to water absorption
and breakdown and bond failure like in 5t
generation.Acidicty in this system is also very
high and not compatible with initiator systems.
Eighth Generation in 2010:- agent containing
nono filler particles.Nano filler increase vicosity
and increase the penetration depth into dentinal
tubules increase hybrid layer
thickness.Universal bonding agents evolve
adding primer restoration ( DMP for Zr and
Metal, Saline for porcelain .).Self cure bonding
agent .
Dual Cure activator(DCA) mixed with adhesive
bond to become self chemical cure.
 Depending on etching
procedures
Etch and rinse or total etch

Self etch (Selective etch)

Resin modified GIC

 Choice of bonding agent
and resin comments
Long and retentive crown

Short ,tapper crown ,inlay, only ,table

top ,Veneer

Only light cured cement in Veneer of anytype .

Porcelain or lithium disilicate need saline primer

after Hydrofluoric acid etch.

Zr and metal need MDP containing primer after

sand blast with Aluminum oxide.
Thank You

Thank You

Dr Aung Kya