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Applications in Dentristry
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ADHESIVE DENTISTRY
Indications
 Replace carious and fractured tooth
structure.
 Fill erosion or abrasion defects in cervical
areas.
 Correct unaesthetic shapes, positions,
dimensions, or shades.
 Bond silver amalgam restorations.
 Cement crowns.
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Indications-continued
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Bond orthodontic brackets.
Treat dentinal hypersensitivity.
Repair fractured porcelain, amalgam, and
resin restorations.
Pit and fissure sealants.
Core build up foundations.
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Sealants
2. Apply sealant
1. Etch enamel
3. Light cure
Courtesy of 3M Dental
Products
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Glass-ionomers
• Most commonly referred to as glass ionomer cements
(GIC's).
• These are materials which consist of an aqueous
polyacrylate and a fluoroaluminosilicate glass.
• These set by an acid-base reaction in the presence of
water.
• These cements appear to adhere to tooth structure by
formation of ionic bonds as a result of chelation of the
carboxyl groups in the acid with the calcium and/or
phosphate ions in the apatite of enamel and dentin.
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COMPOSITION
POWDER = CALCIUM
FLUOROALUMINOSILICATE GLASS
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Silicon
13.3%
Aluminum
13.3%
Calcium
17.3%
Sodium 1.6%
Phosphorus 2.5%
Fluoride
22.7%
Oxygen
28.0%
LIQUID = POLYACRYLIC ACID OR
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COPOLYMER OF ACRYLIC ACID
WATER
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Composites
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Most Common Dental Resin
bisphenol A glycol dimethacrylate
triethylene glycol dimethacrylate
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Fractured incisors
http://www.seattledentist.com/chippedteeth.htm
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50 Yellow & 50 Pink
Self-Etching Primer Self-Etching Primer
Micro-Tips
EP-B
EP-A
LINKMAX
Packaging
Mixing Pad
LINKMAX A3
Cartridge
Ceramic Primer
LINKMAX Clear
Cartridge
Dispensing Dish
Metal Primer II
Package
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Mixing Spatula
Micro-Tip Handle
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Paste Pak Dispenser
• Produces Ideal Consistency Every Time.
• Dispenses The Exact Mixing Ratio No Matter How Little Or
How Much Material Dispensed.
• Metering Slide Enables The User To Control The Volume Of
Material Dispensed To Reduce Waste.
More
Less
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Dual Cure: Light Cure & Self Cure
• Temporary Light-Cured Linkmax Removes Easily With Hand
Instrument One Minute After Seating.
• No Radical Clean-Up Procedure Should Be Required.
• Light-Cure Each Surface Of Restoration 20 Seconds.
• When Used Under Metal Or When Cement is Difficult To Expose
To Light, Linkmax Self-Cures In 6 Minutes From Placement Of
Prosthesis.
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BONDING MICRO-FILLED HYBRID RESIN
Apply thin layer to
prosthesis with microtip.
Light-cure for 20 seconds
Using a VLC Curing Light.
Dispense LINKMAX and
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mix
for 10 seconds.
Apply LINKMAX to primed
porcelain surface.
Shake the Self-Etching Primer bottles, then dispense one
drop each into dispensing dish and mix for 5 seconds.
Apply to tooth surface.
Hold for 1 minute. Lightcure for 1-2 seconds; then
remove excess.
Light-cure each surface for
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20 seconds.
BONDING MICRO-FILLED HYBRID RESIN
Composite Primer
LINKMAX
Self-Etching Primer
MFR Hybrid
Resin Inlay
Composite Primer
LINKMAX
NOTE:When bonding MFR hybrid resin
(with main ingredients of organic fillers)
from another manufacturer, apply
CERAMIC PRIMER to the prosthesis
instead of COMPOSITE PRIMER.
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Self-Etching
Primer
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BONDING PORCELAIN
Apply etchant, after 30 seconds, rinse
with water and dry.
Dispense LINKMAX and
mix for 10 seconds.
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Dispense one drop each Ceramic Primer
into dispensing dish and mix for 5 seconds.
Apply to bonding surface and dry.
Apply LINKMAX to primed
porcelain surface.
Shake the Self-Etching Primer bottles,
then dispense one drop each into
dispensing dish and mix for 5 seconds.
Apply to tooth surface.
Hold for 1 minute. Lightcure for 1-2 seconds; then
remove excess.
Light-cure each surface
for 20 seconds.
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BONDING PORCELAIN
•
••
•
Etchant
Etchant
Ceramic Primer
LINKMAX
Self-Etching Primer
Ceramic Primer
LINKMAX
Self-Etching Primer
Porcelain Inlay
Ceramic Primer
Etchant
LINKMAX
Ceramic Primer
LINKMAX
Self-Etching
Primer
Porcelain
Veneer
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Self-Etching
Primer
Etchant
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BONDING METAL PROSTHESIS TO TOOTH STRUCTURE
Metal
Primer II
Metal
Crown
LINKMAX
SelfEtching
Primer
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The future
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Adhesive dentistry
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Biocompatible materials
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Antibacterial, bioactive, drug delivery
Increasing use of implants
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Improving the properties of adhesive materials. e.g. wear
resistance, strength
Shorter healing periods
Poorer quality bone
Less bone
Growing natural teeth
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