Cements

On this page 17 sections
ALL CEMENTS
| Feature | Zn phosphate | Zn polycarboxylate | ZOE | CaOH₂ | Resin |
|---|---|---|---|---|---|
| Main acid/reactant | H₃PO₄ | Polyacrylic acid | Eugenol | Salicylate system | Dimethacrylates |
| Chemical adhesion to tooth | ❌ | ✅ | ❌ | ❌ | ✅ with adhesive systems |
| Pulpal effect | Irritating initially | Relatively kind | Sedative | Therapeutic | Technique-dependent |
| Strength | High | Moderate | Low | Very low | High |
| Main role | Luting/base | Luting/base | Temporary/sedative | Pulp capping/liner | Adhesive luting |
| Fluoride release | No | No | No | No | Usually no inherent fluoride |
| Composite compatible? | ✅ | ✅ | ❌ if eugenol-containing | ✅ | ✅ |
| True adhesion | ❌ | ✅ | ❌ | ❌ | ✅ |
| Main special feature | High strength | Adhesion to tooth | Sedative | Reparative dentin | Strong adhesion/esthetic |
Base vs liner
| Feature | Base | Liner |
|---|---|---|
| Thickness | >0.75 mm | 0.25 mm |
| Main purpose | Thermal/mechanical protection | Pulpal protection |
| Can bear condensation pressure? | Yes | Generally no |
| Examples | Zn phosphate, ZOE, GIC | Ca(OH)₂ |
Zinc Phosphate
Composition
Powder
| Ingredient | Percentage | Role / Function |
| Zinc Oxide | 90.0% | Main active ingredient |
| Magnesium Oxide | 8.2% | Reduces temperature during calcination process |
| Silicon Dioxide | 1.4% | Inactive filler; aids in calcination process during manufacturing |
| Bismuth Trioxide | 0.1% | Imparts smoothness to freshly mixed cement |
Liquid
| Ingredient | Percentage | Role / Function |
| Phosphoric Acid | 38.2% | Free acid that reacts with powder particles |
| Aluminum Phosphate & Zinc Phosphate | 16.2% | Act as buffers to stabilize pH and reduce reactivity, establishing a smooth, non-granular mass |
| Water | 36.0% | Controls ionization of acid and influences acid-base reaction rate |
Factors
| Change | Effect |
|---|---|
| Small increments of powder | ↑ working + setting time |
| Slow powder incorporation | ↓ heat concentration |
| ↓ powder incorporation rate | Retards set |
| Small amount of powder initially | Prevents rapid viscosity increase |
| Loss of water from liquid | Prolongs setting |
| Additional water | Accelerates reaction |
ZINC POLYCARBOXYLATE
POWDER
| Component | Role |
|---|---|
| Zinc oxide | Main reactive component |
| Magnesium oxide | Modifier |
| Stannic oxide | May substitute MgO |
| Bismuth oxide | May be added |
| Aluminum oxide | May be added |
| Stannous fluoride | Modifies setting time |
LIQUID
| Component | Amount / fact | Role |
|---|---|---|
| Polyacrylic acid | 32–42 wt% | Main reactive acid |
| Acrylic acid + itaconic/tartaric acid copolymer | — | Stabilizes liquid, prevents gelation |
ZOE
POWDER
| Component | Amount | Function |
|---|---|---|
| ZnO | 69.0% | Primary reactive agent |
| White rosin / abietic acid | 29.3% | ↓ brittleness; ↑ working time |
| Zinc stearate | 1.0% | Plasticizer |
| Zinc acetate | 0.7% | Accelerator; improves strength |
LIQUID
| Component | Amount | Function |
|---|---|---|
| Eugenol | 85% | Reactive agent |
| Olive oil | 15% | Plasticizer |
| Acetic acid | — | Accelerator |
SETTING FACTORS
| Factor | Effect |
|---|---|
| Water | ↑ setting rate |
| Zinc acetate dihydrate | ↑ setting rate |
| Acetic acid | Stronger catalyst than water |
| Higher temperature | ↑ setting |
| Higher P/L ratio | ↑ setting |
CALCIUM HYDROXIDE
Base paste
| Component | Amount / role |
|---|---|
| Glycol salicylate | 40% — primary reactive agent |
| Titanium oxide | Filler/pigment |
| Calcium sulfate | Filler |
| Calcium tungstate | Radiopaque component |
| Tribasic calcium phosphate | Filler |
| Other fillers/pigments/radiopacifiers | Modification |
Catalyst paste
| Component | Amount | Function |
|---|---|---|
| Calcium hydroxide | 50% | Primary reactive agent |
| Zinc oxide | 10% | Primary reactive agent |
| Zinc stearate | 0.5% | Accelerator |
| Ethyl toluene sulphonamide | 39.5% | Oil compound/carrier |