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| Resin Cements (e.g. 3M™ RelyX™ ARC Adhesive Resin Cement) |
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| Advantages |
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High mechanical strength |
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High fracture toughness |
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Low wear |
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Insoluble (will not erode) in the oral environment |
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Offers retention for difficult preparations (i.e. the prepared tooth is short or extremely tapered) |
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Esthetic shades are available for bonding all-ceramic restorations |
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| Disadvantages |
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Requires placement of a dentin/enamel adhesive |
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Moisture control is critical to ensure high bond strengths |
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Removal of excess cement may be difficult with some brands |
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Removal of a crown bonded with resin cement is extremely difficult |
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| Resin Modified Glass Ionomer Cement (e.g. 3M™ RelyX™ Luting Cement formerly known as Vitremer Luting Cement) |
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| Advantages |
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Easy to use - Easy to clean-up |
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Initial high and sustained flouride release |
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Chemical adhesion to tooth |
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Not soluble in oral environment |
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Moderate mechanical strength |
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High fracture toughness |
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Very low levels of postoperative sensitivity when used according to manufacturer’s instructions. |
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| Disadvantages |
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Desiccation of the prepared tooth prior to cementation may cause postoperative sensitivity. |
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| Zinc Phosphate Cement (Fleck’s® Cement from Mizzy) |
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| Advantages |
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History of success |
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Adjustable working time |
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High impact resistance |
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High rigidity |
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Inexpensive |
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| Disadvantages |
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Post-op sensitivity |
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Long set time |
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Mixing is technique sensitive |
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Mixing is time consuming |
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Poor adhesion |
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High solubility |
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Low mechanical strength |
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Low fracture toughness |
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| Polycarboxylate Cement (e.g. Durelon®, ESPE America) |
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| Advantages |
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Lack of post-op sensitivity |
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Long history of success |
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Tolerant of mild contamination |
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Chemical adhesion to tooth |
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Appearance change at end of working time |
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Inexpensive |
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| Disadvantages |
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Clean up timing is critical |
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High solubility |
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Low mechanical strength |
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Low fracture toughness |
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| Conventional Setting Glass Ionomer Cements (e.g. Ketac-Cem®, ESPE, Fuji I®, GC America) |
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| Advantages |
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Chemical adhesion to tooth |
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Fluoride release |
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Easy to mix |
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Moderate mechanical strength |
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| Disadvantages |
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History of post-op sensitivity |
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Low fracture toughness |
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Moderate solubility in oral environment |
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Moisture sensitive during setting |
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