Zinc oxide phosphate cement (Harvard)
Indications
- definitive, non-adhesive cementing of restorations
- Underfills, build-up fillings, temporary fillings
Composition¹
- Powder: approx. 80% zinc oxide, 10% magnesium oxide & additives for firmness & oral stability
- Liquid: phosphoric acid, water, ion additives (e.g. zinc, reduce reaction speed)
- The surface of the alkaline powder is dissolved through the acidity of the liquid
- The reaction is exothermic (heat is generated)
Advantages and disadvantages
Advantages
- good mechanical properties
- offers good insolation against chemical, thermal, bacterial influences (underfilling)
- easy to process & affordable
- easy removal of excess cement because there is no chemical connection to the tooth
- quite thin, which enables a good fit of the restoration
Disadvantage
- when setting, pH drops to 3.5 (MILLER 1997) ², which can lead to an acid shock for pulp, which is why pulp protection is recommended; pH is only neutral again after 48 hours
- Dentures stick to the abutment tooth only through physical wedging effect, which is why a preparation is smoothed but not polished³ (AYAD et al. 1997)
- relatively soluble in the oral environment
Processing
- Powder & liquid are mixed in portions and with light pressure in the appropriate ratio
- Setting time up to 8 min
- Reseal powder & liquid immediately as liquid pulls water & powder can accumulate with CO2, which makes the cement porous
- longer setting time by mixing on a cooled glass plate (Voß and MEINERS 1989).
-
shorter processing and setting time
- high ambient temperature
- quick powder addition
- Powder-rich mixtures give the best results, since the oral resistance increases with the amount of powder.
References
- Breustedt A: Lehrmaterialien für das Selbststudium auf dem Gebiet der stomatologischen Werkstoffkunde, Humbold-Universität Berlin, 1964.
- Miller M: Befestigungszemente - Indikation und Alternativen. Phillip Journal 14 (1997) 385-386
- Ayad MF, Rosenstiel SF, Salama M: Influence of tooth surface roughness and type of cement on retention of complete cast crowns. J Prosthet Dent 77 (1997) 116-121.
- Voß R, Meiners H: Fortschritte der Zahnärztlichen Prothetik und Werkstoffkunde, Band 4, Hanserverlag, 1989, 394- 408.
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