- Restoration can
be permanently inserted with a zinc phosphate, glass-ionomer or polycarboxylate
cement.
- Tooth should present
as smooth a surface finish as possible. Smooth dentin surfaces are more
easily cleaned of debris which can inhibit chemical bonding.
- Avoid contaminating
surface of dentin with wax, oil, varnish or any protein material which
can inhibit chemical bonding.
- Clean tooth surfaces.
Tooth surface should not be dehydrated when cement is applied. Excessive
drying concentrates protein debris and prevents efficient wetting of
tooth surface.
- Never use varnishes
to protect tooth if polyacrylic acid cements are used (prevents chemical
bonding to tooth structure).
- Margins of cement
should be protected with varnish after initial set (5 to 6 minutes).
Under no circumstance should saliva come into direct contact with unset
cement.
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