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Many materials are available for the fabrication of indirect restorations such as, metal alloys, resin-based composites and ceramics. Resin cements have long been valued as luting agents for indirect restorations because of their high retentive strength, resistance to wear, and low solubility. However, one of the common discouraging factors regarding their chairside use is the need of multiple-steps (etching, drying, priming and luting) for bonding. Thus the current impetus is towards the use of self-adhesive cements that require no etching, priming or bonding agents to bond to the tooth surface. Their increased popularity can be judged by the commercial availability of more than a dozen self-adhesive resin products/brands, in a short span of time. This article reviews the composition, physical and biological properties, adhesion characteristics and clinical performance of self-adhesive (resin) cements.
Clinical Relevance: Self-adhesive resin cements are dual-cured and adhere to tooth structure without the requirement of a separate etching step and application of an adhesive/bonding agent.
Article
The reliable adhesion of an indirect restoration is directly related to the luting agent and the associated luting procedure.1 The intimate contact of a luting agent to the bonding substrate is imperative for an adequate marginal adaptation of the cement on the bonding interfaces, to improve retention and avoid the premature failure of indirect restorations.2 Patient preference for all-ceramic indirect restorations, for aesthetic reasons, has increased the use of resin cements in clinical practice. With the advent of resin cements, it is now possible to bond to both the tooth surface and the fitting surface of a restoration. Conventional materials, like zinc phosphate and zinc polycarboxylate, are called ‘passive’ materials as they achieve the retention of the restoration by mechanical interlocking between rough surfaces and the cement. Comparatively, composite resin cements are considered as ‘active’ materials because of an adhesive interaction with the dentine via micromechanical bonding by the formation of a hybrid layer and bond to dental materials. Currently, resin cements may be classified as: Total-etch, Self-etching, and Self-adhesive cements (Table 1).3
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