5324_Mini_Insert_I.

qxd:5324_Ivoclar_Insert 3/13/08 4:58 PM Page 1

Metal and metal-based restorations

Glass-ceramic restorations
High-strength ceramic restorations
Indirect composite restorations
5324_Mini_Insert_I.qxd:5324_Ivoclar_Insert 3/13/08 4:59 PM Page 2

CEMENT SELECTION
MAKING THE RIGHT CHOICE
In restorative dentistry, choosing the
optimal cementation technique and
performing it properly are as impor-
tant to the clinical outcome as one’s
selection of the appropriate resin
cement. Successful cementation
ensures predictable retention for the
restoration and marginal adaptation
of the resin material to both the
restoration and the substrate. In
light of the various luting cements
presently available, it is important
for clinicians to understand the indi-
cations for each and to be cognizant
of how they are used to retain and
seal dental restorations. Ivoclar
Vivadent recognizes that primary
determinants for cement selection
are preparation design and the
restorative material itself, which is
chosen from among the following
indirect restoratives:
• Metal and metal-based
restorations
• Glass-ceramic restorations
• High-strength ceramic
restorations
• Indirect composite restorations
To better understand the cement
options, preparation requirements,
and surface conditioning steps asso-
ciated with these restorative alterna-
tives, simply locate the corresponding
page and trace the highlighted
sequence. See how Ivoclar Vivadent’s
complete line of adhesive resin
cements can benefit your practice!

Preparation Tip:

Adhesive preparations, also known as non- Taper greater than 8°

retentive preparations, include tapers in
excess of 8°. In these situations, or in “short
prep” situations (ie, less than 4 mm in height),
adhesive resin cements are recommended to
achieve sufficient retention.
Retentive preparations feature a taper
between 4° and 8°. In these situations
restorations made of high-strength ceramics
Taper between 4° and 8°
(eg, lithium-disilicate) or restorations with a
strengthened core (eg, metal, zirconia) may
be adhesively cemented or conventionally
cemented. While adhesive cementation
always provides the strongest “bond” and
the best marginal seal, the luting forces of a
conventional cement are sufficient for both
retention and support of the restoration.

2
5324_Mini_Insert_I.qxd:5324_Ivoclar_Insert 3/13/08 4:59 PM Page 3

Metal and Metal-Based Restorations

Many clinical situations (eg, cast endodontic posts, patients with parafunctional habits) are
indicated for a restoration with a metal substructure. These restorations feature retentive
preparation designs and can be seated with adhesive or conventional cements according to
the following protocol:

Adhesive Preparation Retentive Preparation

Self-Etch Technique

Multilink® Automix Conventional Cements

Metal-based Ceramics: Ivoclar Vivadent Brand

Fluorapatite IPS d.Sign
Leucite IPS InLine

Multilink Automix Conventional Cements

• High immediate bond strengths • Glass Ionomers
• Self-etch primer reduces • Zinc Phosphate
postoperative sensitivity • Polycarboxylate
• Metal/Zirconia primer for increased • Resin Ionomer
bond strength to metal core
• Automix delivery
• Self-cure cement with light cure option

3
5324_Mini_Insert_I.qxd:5324_Ivoclar_Insert 3/13/08 4:59 PM Page 4

Glass-Ceramic Restorations
(Leucite-Reinforced, Fluorapatite, Feldspathic)
Bonded metal-free restorations fabricated from leucite, fluorapatite, or feldspathic glass-
ceramic materials provide patients with lifelike esthetics and vitality. These restorations
obtain additional support from the adhesive bond to the underlying non-retentive prepara-
tion and benefit from an adhesive cement.

Adhesive Preparation Adhesive Preparation

Veneers Inlays/Onlays and Crowns

Etch & Rinse Technique Etch & Rinse Technique Self-Etch Technique

Variolink II or
Variolink II Multilink Automix
Variolink Veneer

Material Type Ivoclar Vivadent Brand

Leucite-Reinforced IPS Empress Esthetic
Fluorapatite IPS d.Sign
Feldspathic ---

Variolink Veneer Variolink II Multilink Automix

• Microfill chemistry for low wear
and easier clean-up
• Free of self-cure amines for
long-term shade stability
• Available in 7 “value” shades for
faster, easier shade selection
• Microhybrid chemistry for
superior strength
• High radiopacity
• Light-cure or dual-cure option
• Available in 6 shades and
3 viscosities
• High immediate bond strengths
• Self-etch primer reduces post-
operative sensitivity
• Automix delivery
• Self-cure cement with
light-cure option
• Available in 3 shades

4
5324_Mini_Insert_I.qxd:5324_Ivoclar_Insert 3/13/08 4:59 PM Page 5

High-Strength Ceramic Restorations

(Lithium Disilicate, Zirconia, Alumina)
High-strength ceramics have further expanded the clinician’s ability to provide durable,
esthetic restorations. Depending on the ceramic and clinical situation, the restoration may
require adhesive bonding or conventional cementation. Whether these materials are used as
a high-strength core and then overlayed with another ceramic (eg, e.max ZirCAD), or if they
are milled to full contour (eg, e.max CAD LT), the following cement choices are available.

Adhesive Preparation Retentive Preparation

Crowns Crowns

Etch & Rinse Technique Self-Etch Technique

Variolink II Multilink Automix Conventional Cements

Material Type: Ivoclar Vivadent Brand

Zirconia IPS e.max ZirCAD
Lithium-disilicate IPS e.max CAD LT
Alumina ---

Variolink II (base & catalyst) Multilink Automix Conventional Cements

• Proven long-term clinical success • High immediate bond strengths • Glass Ionomers
• Microhybrid chemistry for • Self-etch primer reduces post- • Zinc Phosphate
superior strength operative sensitivity • Polycarboxylate
• Dual-cure cement • Metal/Zirconia primer for • Resin Ionomer
• High radiopacity increased bond strength
• Available 6 shades and • Self-cure cement with
3 viscosities light-cure option

5
5324_Mini_Insert_I.qxd:5324_Ivoclar_Insert 3/13/08 4:59 PM Page 6

Indirect Composite Restorations

(Reinforced Composite)
Similar to a glass-ceramic restoration, an indirect composite restoration is strengthened by
the adhesive cement used for its retention. Cement selection is, thus, largely determined
by the extent of the adhesive preparation. When the preparation is confined to enamel, the
etch & rinse technique is optimal; the self-etch approach is indicated for dentin bonding as
in the case with composite posts.

Adhesive Preparation

Etch & Rinse Technique Self-Etch Technique

Variolink II Multilink Automix

Variolink II (base & catalyst) Multilink Automix

• Proven long-term clinical success • High immediate bond strengths to
• Microhybrid chemistry for dentin & enamel
superior strength • Self-etch primer reduces
• High radiopacity postoperative sensitivity
• Dual-cure cement • Automix delivery
• Available in 6 shades and • Self-curing cement with light-cure option
3 viscosities • Available in 3 shades

6
5324_Mini_Insert_I.qxd:5324_Ivoclar_Insert 3/13/08 4:59 PM Page 7

COMBINATIONS BY INDICATION
In order to further assist you with
cement selection, the following
detailed chart highlights the indi-
cations of all Ivoclar Vivadent
cements. Simply review the col-
umn describing the desired
restorative material on the left, or
the Ivoclar Vivadent brand of
restorative on the right, and then
select a compatible cement from
the chart. The Ivoclar Vivadent
family of adhesive resin cements
supports the long-term success of
all your cementation requirements.

Restorative Variolink® Multilink® Ivoclar Vivadent

Material Veneer Variolink® II Automix Restorative Brand
Metal/Metal-Based
Inlays/Onlays - - √ IPS d.Sign,
Crowns/Bridges - - √ IPS InLine
Endodontic Posts - - √
Maryland Bridges - - √
Glass-Ceramics (Leucite-Reinforced, Fluorapatite, Feldspathic)
Inlays/Onlays √ √ √ IPS Empress,
Veneers √ √ - IPS e.max
Crowns - √ √
3-Unit Bridges - √ √
High-Strength Ceramic (Zirconia, Alumina, Lithium-disilicate)
Crowns/Bridges - - √ IPS e.max ZirCAD,
IPS e.max CAD LT
Indirect Composites
Inlays/Onlays - √ √ -
Crowns - √ √ -

√ Preferred cementation
- Not recommended

7
5324_Mini_Insert_I.qxd:5324_Ivoclar_Insert 3/13/08 4:59 PM Page 8

Put yourself in your

Patient’s Shoes...
Wouldn’t you want the strongest cement?
Metal-Free Zirconia Metal
Restorations2 Restorations2 Restorations1
32 32 32
28 28 28
24 24 24
20 20 20
16 16 16
MPa MPa MPa
12 12 12
8 8 8
4 4 4
0 0 0
RelyX™ Multilink® RelyX™ Multilink® RelyX™ Multilink®
Panavia® F Panavia® F Panavia® F
UniCEM Automix UniCEM Automix UniCEM Automix

Easy Fast Universal

Automix delivery Dual-cure initiators pro- For use with a broad range ®
makes placement
easy and accurate
vide fast, easy clean-up
with dual-cure security
of restorative materials:
• Metal
Multilink
• Metal-free Automix
UNIVERSAL ADHESIVE CEMENT
• Indirect composite
1
10 minute bond strength results; Source data available upon request. • Oxide ceramics (Zirconia, Alumina)
2
Immediate bond strength results (light cure); Source data available upon request.

100% CUSTOMER SATISFACTION

GUARANTEED! www.ivoclarvivadent.us
Call us toll free at 1-800-533-6825 in the U.S., 1-800-263-8182 in Canada.
© 2008 Ivoclar Vivadent, Inc. Multilink is a registered trademark of Ivoclar Vivadent, Inc. RelyX UniCEM
and Panavia F are not trademarks of Ivoclar Vivadent, Inc.

6133364 REV.0 3/2008