ADHESIVE DENTISTRY

Indications Replace carious and fractured tooth structure. Fill erosion or abrasion defects in cervical areas. Correct unaesthetic shapes, positions, dimensions, or shades. Bond silver amalgam restorations. Cement crowns.
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Applications in Dentristry pp y

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Indications-continued
Bond orthodontic brackets. Treat dentinal hypersensitivity. Repair fractured porcelain, amalgam, and resin restorations. i t ti Pit and fissure sealants. Core build up foundations.

Sealants

2. Apply sealant

1. Etch enamel 3. Light cure

Courtesy of 3M Dental Products

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Glass-ionomers COMPOSITION
Most commonly referred to as glass ionomer cements (GIC's). These are materials which consist of an aqueous polyacrylate and a fluoroaluminosilicate glass glass. These set by an acid-base reaction in the presence of water. These cements appear to adhere to tooth structure by formation of ionic bonds as a result of chelation of the carboxyl groups in the acid with the calcium and/or phosphate ions in the apatite of enamel and dentin.
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POWDER = CALCIUM FLUOROALUMINOSILICATE GLASS

Silicon 13.3% Aluminum 13.3% 13 3% Calcium 17.3% Sodium 1.6% Phosphorus 2.5% Fluoride 22.7% 22 7% Oxygen 28.0%

LIQUID = POLYACRYLIC ACID OR

COPOLYMER OF ACRYLIC ACID WATER
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Composites

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Most Common Dental Resin

bisphenol A glycol dimethacrylate

triethylene glycol dimethacrylate

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LINKMAX
Fractured incisors
50 Yellow & 50 Pink Self-Etching Primer Self-Etching Primer Micro-Tips EP-B EP-A

Packaging
Mixing Pad

LINKMAX A3 Cartridge

Ceramic Primer

LINKMAX Clear Cartridge

http://www.seattledentist.com/chippedteeth.htm
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Metal Primer II Package

Dispensing Dish

Mixing Spatula

Micro-Tip Handle

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Paste Pak Dispenser

Produces Ideal Consistency Every Time. Dispenses The Exact Mixing Ratio No Matter How Little Or How Much Material Dispensed. g Metering Slide Enables The User To Control The Volume Of Material Dispensed To Reduce Waste.
More

Dual Cure: Light Cure & Self Cure

Temporary Light-Cured Linkmax Removes Easily With Hand Instrument One Minute After Seating. No Radical Clean-Up Procedure Should Be Required. Light-Cure Each Surface Of Restoration 20 Seconds. g When Used Under Metal Or When Cement is Difficult To Expose To Light, Linkmax Self-Cures In 6 Minutes From Placement Of Prosthesis.

Less

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BONDING MICRO-FILLED HYBRID RESIN

BONDING MICRO-FILLED HYBRID RESIN

Composite Primer LINKMAX Self-Etching Primer
MFR Hybrid Resin Inlay Composite Primer

Apply thin layer to prosthesis with microtip.

Light-cure for 20 seconds Using a VLC Curing Light.

Shake the Self-Etching Primer bottles, then dispense one drop each into dispensing dish and mix for 5 seconds. Apply to tooth surface. LINKMAX
NOTE:When bonding MFR hybrid resin (with main ingredients of organic fillers) from another manufacturer, apply CERAMIC PRIMER to the prosthesis instead of COMPOSITE PRIMER.

Self-Etching Primer

Dispense LINKMAX and 5/20/2010 mix for 10 seconds.

Apply LINKMAX to primed porcelain surface.

Hold for 1 minute. Lightcure for 1-2 seconds; then remove excess.

Light-cure each surface for 17 20 seconds.

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BONDING PORCELAIN

BONDING PORCELAIN

Apply etchant, after 30 seconds, rinse with water and dry. Dispense one drop each Ceramic Primer into dispensing dish and mix for 5 seconds. Apply to bonding A l t b di surface and d f d dry. Shake the Self-Etching Primer bottles, then dispense one drop each into dispensing di h and mix f 5 seconds. di i dish d i for d Apply to tooth surface.

Etchant Ceramic Primer LINKMAX Self-Etching Primer

Etchant Ceramic Primer LINKMAX Self-Etching Primer

Porcelain Inlay Etchant

Ceramic Primer

LINKMAX

Ceramic Primer

LINKMAX Self-Etching Primer Porcelain Veneer Etchant Self-Etching Primer

Dispense LINKMAX and mix for 10 seconds.

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Apply LINKMAX to primed porcelain surface.

Hold for 1 minute. Lightcure for 1-2 seconds; then remove excess.

Light-cure each surface for 20 seconds.

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BONDING METAL PROSTHESIS TO TOOTH STRUCTURE

Metal Primer II LINKMAX

Metal Crown

SelfEtching Primer

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The future
Adhesive dentistry
Improving the properties of adhesive materials. e.g. wear resistance, strength

Biocompatible materials
Antibacterial, bioactive, Antibacterial bioactive drug delivery

Increasing use of implants

Shorter healing periods Poorer quality bone Less bone

Growing natural teeth

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