Adhesive Cementation of Ceramic Restorations: A Comprehensive Review

Abstract

The success and tendency of the indirect restorations were mainly affected by the patient and dental surgeon factors. The patient factors consist of their dietary, functional habits, and oral hygiene, while the surgeon factors consist of their management in tooth preparation, impression, and cementation. Among these factors, cementation is a very crucial step to ensure retention, durability, and marginal seal of indirect restoration. The field of dentistry has largely benefited from the various newer types of ceramic introduced. However, this cementation process can be either adhesive or non-adhesive. Adhesive cementation refers to the use of an agent that promotes the bonding of restorative material to substrate, whereas the non-adhesive cementation involves the use of luting agent for filling the gap between restoration and natural tooth. However, the indication for use of adhesive or non-adhesive cementation depends on various factors, such as resistance form, ceramic composition, available preparation retention, and field control during the cementation process. Hence, it is important for the clinicians and dental surgeons to understand these factors before selecting an appropriate cementation process for ceramic restorations. In this review, we provide an overview of adhesive cementation process for ceramic restorations and make appropriate recommendations for routine dental practice.