Veneer Cements
How to Choose a Cement for Porcelain
Laminate Veneers
Carlos A. Munoz-Viveros, DDS, MSD
INTRODUCTION
The advent of etching enamel has given rise to the use of porcelain veneers as a relatively
the early 1980s, a number of techniques and product advances have been developed
to assist clinicians in the restoration of the anterior dentition. Because most of these
restorations but they also typically are very thin (.3 to .7 mm), the selection of the cement
is critical to success.
1-5
1 2 3 4 5
It is preferable to use Dual-cured resin The higher the It is not recommended Light-only polymerized
only light-activated resin cements contain amine translucency of the to refrigerate resin resin cements can be
cements. Light-only co-initiators, whose resin cement, the more veneer cements; used with virtually
polymerized cements byproducts in the natural the appearance, however, if they have any etch-and-rinse
allow for longer working catalyst may, over time, whereas opaque been refrigerated, make adhesive, provided that
time, do not need to cause a yellowing cement will mask the sure that the cement is the manufacturers
be mixed, have shorter effect to the veneer. tooth and make it at room temperature directions for both
finishing time, increased more monochromatic. or warmer, as cold the cement and the
color stability, and Opaque cements are temperatures might adhesive are followed.
longer shelf life. more commonly used affect its pseudoplastic
to block the darkness behavior, especially the
of severely discolored opaque shades.3
teeth.1,2
6 7 8 9 10 11 12
The greater Acid- Make sure that The bond The placement The less water If a veneer
the amount etching with the porcelain between the of a silane present in debonds, it is
of cement hydrofluoric veneer is resin cement coupling the laminate important to
spacer (greater acid is possible etched with and the etched agent is key to veneer, the evaluate the
than 100 only with silica- hydrofluoric enamel is provide a strong better the silane interface of the
micrometers), based ceramics. acid for the mechanical in chemical bond coupling agent veneer. If the
the greater Alumina and manufacturers nature. The between the will work. resin composite
the increase zirconia do not recommended bond between cement and the If possible, remains on the
in internal fall within this etching time. Do the etched veneer. Care immerse the veneer, there
stresses and classification. not over-etch ceramic veneer should be taken veneers in is most likely a
the probability the veneer as and the resin to follow the acetone for problem with
of veneer this may cause cement is manufacturers five minutes the placement
fracture.4-5 any preexisting mechanical/ recommended prior to placing technique or
micro-cracks chemical in application the ceramic the bonding
to increase, nature and time.6 primer. Also substrate.
decreasing the requires special make sure the
flexural strength preparation. silane is fresh as
of the veneer.6 the shelf life is
usually short.
12
7-8
10
13 14 15
Clean the tooth with an oil-free, fluoride- Veneers bonded to a higher amount of It is preferable to mask the discolored
free pumice paste. This will ensure dentin substrate (A) have a significantly tooth with a layer of dentin modifier
removal of the pellicle and any other higher likelihood of debonding than than to mask the color with an opaque
contaminints. veneers bonded to enamel (B). Try to cement. Conversely, the chroma of the
keep as much enamel present as possible. preparation can be modified by adding
small amounts of stains to the veneer.
13
15
14A
14B
16
18
17 19
16 17 18 19 20
Complete isolation When using try-in If the laminate veneer Some clinicians prefer By following the
is recommended to pastes, be aware that is thicker than .8 mm, to use a highly filled preceding tips,
avoid contamination differences have been it is recommended that flowable resin or a clinicians can provide
of the cement and found between try-in the polymerization conventional resin patients with one
adhesive with saliva or pastes and the cured time be doubled, as a composite to cement of the best-fitting,
blood during bonding. resin of the same thicker veneer might the veneer. However, longest-lasting, esthetic
shade. Make sure not allow the cement proper steps must ceramic restorations
that the try-in paste to reach its maximum be taken to prevent available.
is completely water- hardness.9 veneer fracture,
soluble and not an such as warming
actual resin cement the composite in hot
with no initiators, as water or some type
the cleanup of the of electric warmer
preparation might be to improve the flow
difficult.7,8 characteristics of the
resin. This method
allows for a much
more controlled
seating and cleanup is
simplified.3
Suggested Reading
Hamlett K. The art of veneer cementation. Alpha Dr. Munoz-Viveros is a professor in the
Omegan. 2009 Dec;102(4):128-32. Department of Restorative Dentistry at the
State University of New York at Buffalo.
Disclosure: The author receives a grant from
Ivoclar Vivadent unrelated to the content of
this article.