- 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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