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Luting Agents

agents that bond, seal,


or cement particles or
objects together.
Reference:
Mosbys Dental Dictionary, Zwemer TJ editor, 1998.
Cement Types
Luting cements Bonding cements (adhesive
achieve retention by filling cements)
in gaps Stronger offers greater retention and
superior support for weak restoration
self cured types
as almost exclusively under improved wear resistance/strength in
metal-based restorations exposed margins of inlays or onlays
4 types Very High Adhesion
Zinc phosphate, penetration into the smear layer, if
present, or into dentin tubules.
Polycarboxylate
conventional glass ionomers Bonding to the restoration may be
achieved by the aid of primers to allow
resin-modified glass for chemical adhesion to inorganic filler
ionomers or metal oxides.
Bonding cements may be self-cured,
dualcured,or light-cured.
Composite resin cement
Main development trends in new
cement products

Stronger
Less soluble
More adhesive
More esthetic
Easier to use
Old technology Cements
zinc phosphate, polycarboxylate, and conventional GI

Two advantages
Polycarboxylate cements
Long, well-understood clinical history
Low price.
- Reality categorized as
Disadvantages
long-term
high solubility
low strength,
provisional
hand-mixing powders and liquids (although some are available in unit-
dose capsules),
poor esthetics
Low or no adhesion to tooth structure
Main applications - metal or metal-supported restorations with
mechanically retentive preps
Because of their low strength and low adhesion - contraindicated for
most ceramic-based and all compositebased restorations.
Resin-modified glassionomers
1994 Vitremer Luting (3M ESPE) now Relyx Luting
cements
Significant improvements
including easy cleanup
Improved adhesion to tooth structure to aid in retention
Higher strength (also to aidretention)
very low solubility to virtually eliminate washout from margins
very low rates of postoperative sensitivity while maintaining high
levels of fluoride release.
Reported cases of some RMGI ( except Vitremer ) post
cementation fracture of all-ceramic crowns
Improvements ease of use and reliability ( paste-paste )
3M ESPE RelyX 2 Cement

Product Information
Resin & Luting Cements Market
45%
Market Share (based on applications)

40%

35%

30%

25%

20%

15%

10%

5%

0%
Zn Phosphate Polycarboxylate Traditional GI RMGI Resin
Cement Segment Sales Growth Rates

25%
20% 1 Yr CAGR
3 Yr CAGR
15%
10%
5%
0%
-5%
-10%
-15%
-20%
Cement Segment Quarterly Sales
Resin
RMGI
$8,000,000 GI
Polycarboxylate
Zn Phosphate
Compomer
$6,000,000

$4,000,000

$2,000,000

-
Q1 00

Q2 00

Q3 00

Q4 00

Q1 01

Q2 01

Q3 01

Q4 01

Q1 02

Q2 02

Q3 02

Q4 02

Q1 03

Q2 03
Company Market Shares
45%

40%

3M ESPE
35%
GC
Ivoclar
30% Dentsply
Kerr
25% Parkell
Kurrary
20% Others

15%

10%

5%

0%
Q1 00 Q2 00 Q3 00 Q4 00 Q1 01 Q2 01 Q3 01 Q4 01 Q1 02 Q2 02 Q3 02 Q4 02 Q1 03 Q2 03

Data from SDM, Inc


3 ESPE
The market leader in cements presents its newest, innovative
and reliable member - - RelyX Luting Plus Cement:
Routine-use luting cement
Resin modified paste/paste glass ionomer cement
Improved product performance
Improved physical properties
Convenient dispenser
Precise dosing
Easy mixing
Single and multiple use restorations
3M ESPE RelyX Luting Plus Cement

Resin Modified Glass Ionomer


paste/paste cement

Clicker delivery provides:


Consistent dosing
Easy dispensing
Easy mixing
Product Description
A paste/paste delivered, enhanced resin-modified glass
ionomer cement.

Delivery in the double-barrel Clicker Dispenser with


exact 1:1 dosing assures easy handling and consistent,
reliable cement properties.

The new cement retains the benefits of the existing


RelyX Luting Cement such as easy clean-up and low
incidence of post-operative sensitivity.
Features and Benefits
No mess
Paste/Paste delivery Easy mixing
Consistent properties
Reduced dispensing variability
Powder moisture sensitivity eliminated
No excess powder or liquid

Enhanced RMGI technology No pre-treatment or conditioners


Low incidence of post-operative sensitivity
Low solubility
Strong physical properties
Self-adhesive to dentin and enamel
Sustained fluoride release

Clicker dispenser No separate dispenser required

Reliable, trusted performance


RelyX brand Easy clean-up
Indications For Use

Metal crowns, inlays, and onlays


Including prefabricated metal provisional crowns

Porcelain-fused-to-metal crowns and bridges


Core-strengthened ceramic crowns and
bridges, i.e. Lava, Procera, AllCeram,
and Cercon

Endodontic pins and posts

Orthodontic appliances
RelyX Luting Plus Cement

Technique For Use


Technique For Use
Tooth Preparation:
Remove provisional restoration and all temporary cement.
Clean tooth with oil-free pumice, rinse and lightly dry leaving tooth surface moist.
DO NOT OVERDRY THE TOOTH

Dispensing and Mixing:


Remove cap and dispense desired amount of cement onto mixing pad. 1-2
clicks of material are sufficient for a single tooth restoration.
Note: To avoid water evaporation and drying out of the cement pastes,
dispense and mix cement immediately prior to use.
Replace cap securely onto Clicker dispenser until an audible click is heard.
Mix cement with spatula for 20 seconds.
Technique For Use
Load Cement Into Restoration:
Working time of mixed cement is 2.5 minutes.
Apply thin layer of cement to the inside surface
of the restoration.

Placement of Restoration:
Seat restoration with light pressure.

Excess cement can be removed after 2


minutes in the mouth with an appropriate
instrument (e.g. explorer, scaler).

Set time is 5 minutes after placement in the


mouth.

Finish restoration and adjust occlusion.


RelyX Luting Plus Cement

Chemistry and Development


Chemical Composition
Paste A Paste B
Water BisGMA

HEMA HEMA

Fluoroaluminosilicate (FAS) Water


Glass
Potassium persulfate-
Proprietary reducing agents oxidizing agent

TiO2 Methacrylate polyacid


(Vitrebond copolymer)

Zirconia silica non-reactive


* A paste is slightly thicker than B paste. filler
Upon initiation of mixing, the paste may feel
thicker, but becomes thinner during mixing.
RelyX Luting Plus Cement

Physical Property Review


Strength Properties
200
Compressive Strength (MPa)

180
160
140
120 Compressive Strength
100
80
60
40
20
0
RelyX Luting Plus RelyX Luting FujiCEM Fuji 1

40

35
Flexural Strength (MPa)

30

25

Flexural Strength 20

15

10

0
RelyX Luting Plus RelyX Luting FujiCEM Fuji 1
Diametral Tensile Strength

30
Diametral Tensile Strength

25
20
(MPa)

15
10
5
0
RelyX Luting RelyX Luting FujiCEM Fuji 1
Plus
Film Thickness

25
Film Thickness (microns)

20

15

10

0
RelyX Luting Plus RelyX Luting FujiCEM Fuji 1
Physical Properties
Radiopacity

2.5

2
Radiopacity (mm Al)

1.5

0.5

0
RelyX Luting Plus RelyX Luting FujiCEM Fuji 1
Adhesion to Tooth Structure
15

13
Shear Bond Strength (MPa)

11
Enamel
9

-1
RelyX Luting Plus RelyX Luting FujiCEM Fuji 1

10
9
Shear Bond Strength (MPa)

8
7
6
5
Dentin 4
3
2
1
0
RelyX Luting Plus RelyX Luting FujiCEM Fuji 1
Adhesion to Restorative Materials
20
Shear Bond Strength (MPa)

15

10

0
Metal (RexIII) Procera Lava

RelyX Luting Plus RelyX Luting FujiCEM Fuji Plus Fuji 1


Adhesion to Core Build-Up Materials
10
Shear Bond Strength (MPa)

0
Amalgam Glass Ionomer Composite

RelyX Luting Plus RelyX Luting FujiCEM Fuji Plus Fuji 1


Fluoride Release

10000
Cumulative F-Release (m gF/g)

8000

6000

4000

2000

0
0 60 120 180
days
1RL Plus 2. RLC
3. Fuji Cem-Yellow 4. Ketac Cem
5. Fuji Plus
3M ESPE RelyX Cements
Unicem Luting Plus
For dentists who prefer: For dentists who prefer:
An easy to use cement for An easy to use routine
virtually all indications cement for metal, porcelain-
fused-to-metal, and core-
An esthetic, easy to use
strengthened restorations
cement for bonded
restorations
High levels of sustained
A strong, easy to use, self- fluoride release
adhesive cement for
virtually all indications An easy to use cement in
convenient paste/paste
An easy to use cement for delivery
virtually all indications in
convenient capsule delivery
Packaging Options
Trial Kit Refill Kit
Contents Contents
1 Clicker dispenser 2 Clicker dispensers
~40 applications ~80 applications
1 instructions for use 1 instructions for use
1 technique guide
Order code Order code
3525TK 3525
3M ESPE Cement Products
Temporary Cement
RelyX Temp E
RelyX Temp NE
Polycarboxylate Cements
Durelon
Conventional Glass Ionomer Cement
Ketac Cem
Resin Modified Glass Ionomer Cement
RelyX Luting Cement
RelyX Luting Plus Cement
Composite Resin Cements
RelyX ARC
RelyX Veneer Cement
RelyX Unicem Self Adhesive Universal
Resin Cement