Clinical management of dental cements

Abstract

Introduction: There is a current demand in restorative dentistry to accurately know the appropriate indication and use for each of the dental cements that are available on the market to carry out a correct clinical management of these materials.Objective: To present current information about the factors to consider in the clinical management of dental cements, including the use of conventional cements vs resin cements, cementation in the esthetic zone, post-cementation excess and cementation in implantology.Methodology: A search of articles published in the last 5 years was carried out, using the electronic databases PubMed, Google Scholar and Scopus. Keywords used for the search include “dental cements”, “cement systems”, “luting cement”, “adhesive cement”. Results: Resin cements usually have better physical and aesthetic properties than conventional cements, however, we can find similar results in the last-mentioned cements. The choice of a dental cement becomes relevant when luting in the aesthetic area since it can help us improve and maintain the color of our metal-free restoration. Post-cementation residues will encourage an inflammatory response from the periodontal or peri-implant tissues. Currently, the extraoral cementation procedure is preferred in implant dentistry, but if not possible to perform, it is preferable to place the prosthetic components as coronally as possible, avoiding leaving cement residues. Conclusion: Aesthetic standards are complemented using resin cements where the clinician must discern between which one to use (dual curing or light-curing) depending on the area or type of prosthesis to be luted. However, conventional cements remain a viable option for provisional or definitive cementation of other various types of restorations.