Selective adhesive luting: A novel technique for improving adhesion achieved by universal resin cements

Author:

Breschi Lorenzo1ORCID,Josic Uros1,Maravic Tatjana1,Mancuso Edoardo1,Del Bianco Federico1,Baldissara Paolo1,Mazzoni Annalisa1,Mazzitelli Claudia1

Affiliation:

1. Department for Biomedical and Neuromotor Sciences University of Bologna Bologna Italy

Abstract

AbstractObjectiveWe aimed to introduce the concept of “Selective adhesive luting—SAL” which is explained through clinical steps and supported by preliminary laboratory evidence.Clinical ConsiderationsCementation with rubber dam is difficult to perform in case of short abutment teeth and/or subgingival crown margins. By means of universal resin cements/universal adhesive systems, which can be employed in self‐adhesive as well as adhesive luting procedures, this paper presents a novel technique allowing clinicians to perform reliable cementation where rubber dam isolation is difficult. The SAL technique entails the application of a universal adhesive system only on easily accessible abutment surfaces, enabling simultaneous adhesive and self‐adhesive luting in different portions of the abutment. The SAL clinical workflow is explained through prosthodontic rehabilitation of maxillary right central incisor affected by microdontia and restored with a lithium‐disilicate crown. Furthermore, our laboratory microshear bond strength study supports the rationale behind SAL application demonstrating higher bond strength even when the adhesive resin is placed only on one portion of the cementation substrate.Clinical SignificanceThis article advocates the application of SAL technique in clinical situations where effective adhesive luting is uncertain, since it can improve the adhesion between the tooth and universal resin cements.

Publisher

Wiley

Subject

General Dentistry

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