Adhesive cementation [USEMAP] lroubal@med.muni.cz 2 ADHESIVE cementation ØFixed dentures can be fixed sing adhesive cementation. Ø ØAdhesive dentures: veneers, inlays, onlays, partial crowns, adhesive bridges, conventional crowns and bridges can be also cemented using adhesive cementation. n Material: Resin, ceramics, metal [USEMAP] lroubal@med.muni.cz 3 Adhesion nAbility of two materials to be connected (glue) Ø Adhesive Ø ØAdherend n lroubal@med.muni.cz 4 Adhesion Ø Ø ØMechanic Ø ØSpecific n lroubal@med.muni.cz 5 Adhesion Ø Ø ØMechanic nIs based on the nroughness nof the surface lroubal@med.muni.cz 6 Adhesion Ø ØSpecific n Fysical n Chemical n lroubal@med.muni.cz 7 Adhesion Ø ØSpecific n Fysical – intermolecular forces n Van der Waals n H- bridges n Elektrostatic n lroubal@med.muni.cz 8 Adhesion Ø ØSpecific n Chemical binding n covalent n ion n metal lroubal@med.muni.cz 9 Adhesive treatment in dentistry ØSandblasting ØAcid etching ØElektrolytic treatment ØLaser ØPlasma coating ØSilanization Ø lroubal@med.muni.cz 10 Adhesive treatment of surfaces in dentistry Ø ØCreates irregularities of the surface (roughness) ØIncreases surface energy ØIncreases wettability ØCombination lroubal@med.muni.cz 11 enaperi lroubal@med.muni.cz 12 dentinbezsmearlayer1 lroubal@med.muni.cz 13 adhesedentin lroubal@med.muni.cz 14 DETAILZAS lroubal@med.muni.cz 15 dentintubkom dentintub2 lroubal@med.muni.cz 16 Adhesion - importance nMaking fillings n nCementation n nOther (making dentures) n lroubal@med.muni.cz 17 Composite cements ØComposite materials Ø ØLower viscosity Ø ØSelfcuring, dual curing. In special cases also light curing only. n Bonding to hard dental tissues (enamel and dentin) nMiromechanically n n - Acid etching -Selfetching adhesive systems -Selfetsching (selfasdhesive cements) lroubal@med.muni.cz 18 lroubal@med.muni.cz 19 P1010032 lroubal@med.muni.cz 20 P1010033 lroubal@med.muni.cz 21 abb45210 lroubal@med.muni.cz 22 n panavia lroubal@med.muni.cz 23 Bild1 lroubal@med.muni.cz 24 reelyxunicem telyxnelentuulee lroubal@med.muni.cz 25 n multillinksprrinnnt lroubal@med.muni.cz 26 n Maxcem-Procedure02-Prod Maxcem-Procedure04-Prod Maxcem-Procedure05-Prod maxcem1 maxcem2 lroubal@med.muni.cz 27 n maxcem1 maxcem2 Preparation of surfaces before adhesive cementation n nEnamel nDentin nCeramic materials nComposite materials nMetal alloys n lenka.roubalikova@tiscali.cz 28 Retentive pattern nPeriprismatic n(Interprismatic) n nIntraprismatic n n nAprizmatic lenka.roubalikova@tiscali.cz 29 enaperi enaintra ena lenka.roubalikova@tiscali.cz 30 enaperi adheSe5lei dlaha6 TE SE Retentive surface of dentin nSmear layer is removed (modified) nOpen dentin tubules nDecalcified collagen network n n n lenka.roubalikova@tiscali.cz 31 DETAILZAS dentinbezsmearlayer1 smearlayer2 lenka.roubalikova@tiscali.cz 32 dentintubkom dentintub2 Fig1a lenka.roubalikova@tiscali.cz 33 adhesedentin dentinbezsmearlayer1 dlaha6 Ceramic materials n nSilicate ceramics - etchable n nFeldspatic nLeucit nAlumina nLithiumdisilicate nNon silicate ceramics - nnon etchable n nVysoce denzní alumina nZirkonosxde nHighly dense zirkonia ( yttrium stabilized) nPressed or layered nCAD/CAM ceramics lenka.roubalikova@tiscali.cz 34 Less than 15% silicate matrix is not silicate ceramics Ceramic materials nSilicate ceramics nCrystals in glass matrix n n n n n n n nEtching HF nOxide ceramics nHighly dense material n n n n n n n nSandblasting Al2O3 lenka.roubalikova@tiscali.cz 35 DSC09883 leptání keramiky1.jpg lenka.roubalikova@tiscali.cz 36 Etching leptáníkreamiky.jpg leptání keramiky1.jpg leptání keramiky 2.jpg Composite and metal surfaces n nSandblasting n lenka.roubalikova@tiscali.cz 37 onlay maryland1 lenka.roubalikova@tiscali.cz 38 Chemical adhesive treatment: ceramics, composite silanmetakrylát.jpg Silanmetacrylate Chemical adhesive treatment: metal zirconia n lenka.roubalikova@tiscali.cz 39 fosfátmetakrylát.jpg Phosphatmethakrylate Chemical adhesive treatment: ceramics, composite Chemical adhesive treatment: golden alloys sulfidmetakrylát.jpg lenka.roubalikova@tiscali.cz 40 Sulfidmethacrylate Au----Au----- Au----Au------Au Comprehension nSandblasting plus silane nMetal nMetalceramic (metal) nZirconia nComposite nEtching plus silan nSilicate ceramics lenka.roubalikova@tiscali.cz 41 When adhesive cementation n nArea of retention - size n n n nGeometry of preparation lenka.roubalikova@tiscali.cz 42 Angle of convergency Conventional cementation Adhesive cementation 6-15° 15-24° Amount of hard dental tissue – how is the prepared tooth high lenka.roubalikova@tiscali.cz 44 5 mm 3mm Konvenčně Adhezivně Non metallic adhesive dentures nInlays, onlays n nInlay bridges n nFRC posts lroubal@med.muni.cz 45 [USEMAP] vzhledkavity preparzasady sílamateriálu [USEMAP] prepar1 prepar2 kavita dlatko [USEMAP] n DSC_0155 DSC_0158 [USEMAP] n DSC_0490 DSC_0494 [USEMAP] + n onlay [USEMAP] 51 One tooth replacement n lenka.roubalikova@tiscali.cz inlaymustekfronta inlayonlay onlaykorunka [USEMAP] 52 One tooth replacement – adhesive bridge n lenka.roubalikova@tiscali.cz inlaymustekmodel inlaymustekmodel1 inlaymustekmodel2 inlaymustekmodel3 inlaymustekmodel4 inlaymustekmodel5 Bridgemod - def…chema bocni Bridgemod - mul…chema bocni [USEMAP] 53 Adhesive bridges n lenka.roubalikova@tiscali.cz Verseny4 029 oriznutymaryland maryland v ustech marylandskymustek maryland1 [USEMAP] 54 3A 3B 3C lenka.roubalikova@tiscali.cz 3D [USEMAP] 55 vizentova1 vizentova2 vizentova4 [USEMAP] lroubal@med.muni.cz 56 [USEMAP] lroubal@med.muni.cz 57 [USEMAP] 58 FRC Filler - fibers lenka.roubalikova@tiscali.cz [USEMAP] 59 lenka.roubalikova@tiscali.cz cosmopost _MG_2380 destr2 ilustracni Prepregy Vytvrzené dílce [USEMAP] 60 FRC x PFC composites nSurface friction between nmatrix and filler – nreinforcement nAnisotropy n nSurface fricton is minima nIsotropy n Always combination lenka.roubalikova@tiscali.cz [USEMAP] Products n n n lenka.roubalikova@tiscali.cz sortimenrndentaúregu P1010063 sortimentfastsplint tendersilikonnosič tendernosic fastsplinksnurka fastsplintplotenka1 blistr _MG_2421 otevblistru fastsplintplotenka2 [USEMAP] n IMG_1555 IMG_1648 [USEMAP] One tooth replacement Ø nLocation of FRC n nPreparation n nAdhesion n nPlacement of the arteficial tooth n nPFC composite on the top lenka.roubalikova@tiscali.cz Umely zub - nasazeni zubu kopie [USEMAP] n Umely zub 1 kopie Umely zub 2 - cisteni kopie Umely zub 4 kopie Umely zub - 5 nanaseni adheziva kopie Umely zub - silikon kopie Umely zub - frezovani kopie Umely zub - nasazeni zubu kopie Umely zub -ozarovani nasazeneho kopie Umely zub - lesteni kopie lenka.roubalikova@tiscali.cz [USEMAP] lenka.roubalikova@tiscali.cz nahr1 nahr2 nahr3 [USEMAP] n nahr4 nahr5 nahr7 lenka.roubalikova@tiscali.cz [USEMAP] nahr8 nahr9 nahr10 lenka.roubalikova@tiscali.cz [USEMAP] ceramcO1 ceramx09 lenka.roubalikova@tiscali.cz [USEMAP] ceramxO5 ceramx05 ceramx06 lenka.roubalikova@tiscali.cz [USEMAP] ceramx08 ceramx10 ceramx12 [USEMAP] ceramx13 ceramx15 ceramx17 lenka.roubalikova@tiscali.cz [USEMAP] ceramx19 ceramx20 benz7 benzova1 lenka.roubalikova@tiscali.cz [USEMAP] FRC posts – postendo treatment n lenka.roubalikova@tiscali.cz Post2 Post1 poprep [USEMAP] 74 bilecepy transúarentni cepy White Light lenka.roubalikova@tiscali.cz [USEMAP] n vych1 silikmatrice1 cep palkovalepptani lenka.roubalikova@tiscali.cz [USEMAP] n palkkovadruhyy bonding cepnamatrici konec vych1 lenka.roubalikova@tiscali.cz [USEMAP] Individually made FRC posts n Fig03a zastrizeni preparace tvarovani vytvrzeni jednosmpost kombinace lenka.roubalikova@tiscali.cz [USEMAP] fig17sur ZubMultilink2_Seq Poděkování: Prof. MUDr. Jiřímu Vaňkovi, CSc. Ing Zbyňkovi Šedivému Ing Aleši Matouškovi MUDr. Ladislavu Gregorovi. Práce vychází z projektu MŠMT1M0528 lenka.roubalikova@tiscali.cz [USEMAP] Repair od dentures n 15 16 18 20 21 lenka.roubalikova@tiscali.cz 22 26 Zdroj obrázku: Manuál Fast Splint, BCM, Francie [USEMAP] Repair od dentures n FAZETA SN12 Kuidun asetus SN15 resiinin levitys everStickin päälle SN17 Valmis lat lenka.roubalikova@tiscali.cz [USEMAP] Reinforcement Zdroj: Manuál Fast Splint, BCM, Francie lenka.roubalikova@tiscali.cz [USEMAP] Products n n n lenka.roubalikova@tiscali.cz sortimenrndentaúregu P1010063 sortimentfastsplint tendersilikonnosič tendernosic fastsplinksnurka blistr _MG_2421 otevblistru fastsplintplotenka2 [USEMAP] transúarentni cepy