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Cermet ionomer cements are sintered metal/glass powders, which can be made to react with poly(acids). These new cements are significantly more resistant to abrasion than regular glass ionomer cements and are widely accepted as core build-up materials and lining cements. They can strengthen teeth and provide the clinician with an opportunity to treat early dental caries.
Fifty two molars sealed with either composite or Cermet cement were compared. The composite sealant was applied after enamel etching using a rubber dam. Before sealing with Cermet cement the enamel was only cleaned with pumice powder and sodium hypochlorie and the material was applied without enamel etching. After an average follow-up of 1.6 years composite sealants proved to be significantly more reliable. Cermet cement sealings showed defects more frequently.
A method of treating an apical root fracture with accompanying resorption at the junction of the fracture fragments using glass-cermet cement is described. Endodontically, the material had previously been used for repair of lateral resorptive root defects and retrograde root fillings. Complete bone regeneration was observed three years post-operatively following treatment of the root fracture in the conventional manner. The various advantages of glass-cermet cement as a root filling material used in the technique described are discussed.
In post-core applications, addition to the cast designs restorations that are performed on fabrication posts with restorative materials are being used. To improve the physical properties of glass-ionomer cements that are popular today, glass-cermet cements have been introduced and those materials have been proposed to be an alternative restorative material in post-core applications. In this study, the compressive resistance of Ketac-Silver as a core material was investigated comparatively with amalgam and composite resins.
Finishing and polishing an amalgam restoration, is considered as an important and necessary step of the restorative procedure. Various polishing techniques have been recommended to success a smooth amalgam surface. The aim of this study was to investigate the influence of three different polishing treatments on the marginal integrity and surface smoothness of restorations made of three commercially available amalgams and a glass-cermet cement. The materials used were the amalgams, Amalcap (Vivadent), Dispersalloy (Johnson and Johnson), Duralloy (Degussa) and the glass-cermet Katac-Silver (ESPE). The occlusal surfaces of the restorations were polished by the methods: I) round bur, No4-rubber cup-zinc oxide paste in a small brush, II) round bur No 4-bur-brown, green and super green (Shofu) polishing cups and points successively and III) amalgam polishing bur of 12-blades-smooth amalgam polishing bur. Photographs from unpolished and polished surfaces of the restorations, were taken with scanning electron microscope, to evaluate the polishing techniques. An improvement of marginal integrity and surface smoothness of all amalgam restorations was observed after the specimens had been polished with the three techniques. Method II, included Shofu polishers, proved the best results in comparison to the methods I and III. Polishing of glass-cermet cement was impossible with the examined techniques.
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Direct-access preparation of a carious proximal surface is perhaps the most conservative approach to restoration. Physical properties and handling characteristics of silver amalgam and of resin composite and lack of fluoride ion release make these materials unsuitable for direct buccal- or lingual-access proximal restoration. Insufficient strengths and radiolucency of self-hardening glass-ionomer cements preclude their use for Class II restorations. However, glass-ionomer silver-cermet cement and some resin-modified glass-ionomer materials are proving useful for non-stress-bearing Class II restorations and may have applications in preventive dentistry. This article describes lateral-access Class II restoration with modified glass-ionomer cements. Emphasis is placed on careful handling of materials, maintenance of an ideal operative field, and conservation of tooth structure.
106 Ketac-Silver fillings in deciduous molars were reevaluated after 1 to 3.3 years, i.e. 25 month on the average. About 90% of 50 occlusal fillings and about 84% of 56 multisurface restorations were unchanged. Without claiming statistical evidence for their conclusiveness, we consider these results as an indication that cermet cements are a useful alternative to amalgam fillings in deciduous teeth, particularly since the life of these fillings is limited to the time until the milk tooth is physiologically lost.
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The "sandwich" technique involves combination of composite resins to etched glassionomer cements, is used today in restorative dentistry. The purpose of this study is to evaluate the bond strength between several composite resins and glass ionomer or cerment cements. Cylindrical specimens of the cements Ketac-Silver, Ionobond and GC-Lining Ce-ment were inserted in a mold and their flat free surfaces were etched for 30". Cylindrical plastic tubes were set upon each one of these surfaces and filled with the Composite resins Durafill, Brilliant Lux, Estilux posterior, Estilux posterior CVS and Herculite XR. Half of the specimens transferred in tap water for 24 hours and the others after thermocycling in the first month, kept for 4 months. Shear bond strengths were determined in Monsanto Testing Machine and some fractured surfaces were examined under SEM. The results of this investigation indicate that this technique produces bond strengths between composite resins and glassioners and the combination type of resin and type of cement, affects the values of the strength. Glass cermeet--small particle resin provides the most effective strength and glass ionomer--microfill resins the least. Storage time and thermocycling don't significantly effect the bond strength. SEM examination showed that all fracture failures were obtained in the cement while the opposite resin surfaces were covered with particles of the cements.
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The aim of this clinical study was to compare the efficacy of GCC with amalgam as a filling material in primary molars. Two hundred fifteen restorations were placed in the first and second primary molars of seventy-four patients, ranging in age from four to ten years. The overall failure rate of amalgam is lower than that of GCC, but not significantly different. In older children, amalgam has greater advantages. An advantage of GCC is the short time required to fill the cavity. This might be an important factor in young and/or difficult children. In these cases amalgam cannot be placed under optimal conditions and, therefore, the results are less satisfactory. GCC is a viable alternative filling material.
This study investigated changes in the marginal adaptation and surface morphology of Ketac-Silver and Chelon-Silver glass-current cements over time. Dispersalloy amalgam was used as a control. Contralateral pairs of carious primary molars were restored with the test materials and amalgam. Clinical evaluations were scheduled at 12, 18, and 24 months after placement. Gold-plated replicas of the restorations were observed with scanning electron microscopy. Fractures and cracks in the surface of the Dispersalloy and Chelon-Silver increased the surface roughness; however, the damage was superficial and self-limiting in the Dispersalloy restorations, while in Chelon-Silver the fractures caused the material to break down in layers. A substantial quantity of pores, usually smaller than 50 microns in diameter, were observed throughout the surface of the Chelon-Silver restorations. The pores in the surface of Ketac-Silver were fewer and smaller. The incidence of cavomarginal breakdown increased with time. Chelon-Silver restorations had a higher rate of cavomarginal breakdown than did Ketac-Silver and Dispersalloy restorations up to 18 months. However, there was no statistically significant difference in the marginal adaptation of the three groups at 24 months.
The glass ionomer cement has exhibited significant adhesion to hard tooth structures, and good cariostatic properties. The sintering of the silver alloy powder and glass ionomer cement "cermet cement" has provided additional improvement in the physical properties of the restorative material. These were flexural resistance, wear resistance, increased radio-opacity, hardness and porosity. The improvement in the physical properties of the cermet glass cements has provided an extension in their clinical use as core build up, lining for inlays, amalgam and composite restoratives, fissure filling, restoration of primary teeth, class II tunnel preparation, treatment of root caries and repair of defective metal margins in crown and inlays.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.