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. 2015:2015:148954.
doi: 10.1155/2015/148954. Epub 2015 Oct 18.

Cementation of Glass-Ceramic Posterior Restorations: A Systematic Review

Carline R G van den Breemer  1 , Marco M M Gresnigt  1 , Marco S Cune  2
Affiliations

Cementation of Glass-Ceramic Posterior Restorations: A Systematic Review

Carline R G van den Breemer et al. Biomed Res Int. 2015.

Abstract

Aim: The aim of this comprehensive review is to systematically organize the current knowledge regarding the cementation of glass-ceramic materials and restorations, with an additional focus on the benefits of Immediate Dentin Sealing (IDS).

Materials and methods: An extensive literature search concerning the cementation of single-unit glass-ceramic posterior restorations was conducted in the databases of MEDLINE (Pubmed), CENTRAL (Cochrane Central Register of Controlled Trials), and EMBASE. To be considered for inclusion, in vitro and in vivo studies should compare different cementation regimes involving a "glass-ceramic/cement/human tooth" complex.

Results and conclusions: 88 studies were included in total. The in vitro data were organized according to the following topics: (micro)shear and (micro)tensile bond strength, fracture strength, and marginal gap and integrity. For in vivo studies survival and quality of survival were considered. In vitro studies showed that adhesive systems (3-step, etch-and-rinse) result in the best (micro)shear bond strength values compared to self-adhesive and self-etch systems when luting glass-ceramic substrates to human dentin. The highest fracture strength is obtained with adhesive cements in particular. No marked clinical preference for one specific procedure could be demonstrated on the basis of the reviewed literature. The possible merits of IDS are most convincingly illustrated by the favorable microtensile bond strengths. No clinical studies regarding IDS were found.

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Figures

Figure 1
Figure 1
Algorithm of study selection procedure.
Figure 2
Figure 2
Choices in commonly used resin composite cements.
See this image and copyright information in PMC

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