EC Dental Science

Literature Review Volume 22 Issue 5 - 2023

Is Self-Adhesive Resin Cement a Good Alternative to Conventional and Resin Cements? A Literature Review

Mohamed Hany Ahmed Abd El Ghany1*, Bander Hassan Mohammed Al Faifi2, Latifah Mohammed Al Frihidi2, Hadi Fahad Al Qahtani2, Salim Ali Al Garni3, Faisal Awad Aziz Al Amri2, Haif Mohammed Farhan Al Qahtani2, Mohammed Mousa Al Faifi4, Abdullah Musfer Ali Al Knad2, Abdulaziz Mohammed Saud Al Mulayfi2and Fayza Rashed Al Bluwe2

1Cairo University, Egypt
2Ministry of Health, Saudi Arabia
3Najran University, Saudi Arabia
4King Khalid University, Saudi Arabia

*Corresponding Author: Mohamed Hany Ahmed Abd El Ghany, Cairo University, Egypt.
Received: April 11, 2023; Published: April 26, 2023



Introduction: The clinical success of an indirect restorative procedure depends in part on the cementation technique used to create a link between the restoration and the tooth.

To overcome someone of the shortcomings of both conventional and resin cements, as well as to bring the favorable characteristics of different cements classes into a single product. Self-adhesive cements do not require any pretreatment of the tooth surface. Once the cement is mixed, it's application procedure is extremely simple.

Aim of the Work: To summarize research conducted on Self-adhesive cements and provide information on their properties, based on the results of original scientific full-length papers from peer-reviewed journals listed in PubMed.

Materials and Methods: The search was conducting using the term" Self-adhesive cement OR (trade names of currently available products)".

Conclusion: The majority of available literature data is based on studies that investigated one of the Self-adhesive cements that are currently available to clinicians. According to the in vitro results, Self-adhesive cement adhesion to dentine and various restorative materials is satisfactory and comparable to other multistep resin cements, while adhesion to enamel appears to be weak link in their bonding properties. Long-term clinical performance of these materials needs to be assessed prior to making a general recommendation for their use.

Keywords: Self-Adhesive Cements; Review

  1. Foudda Hamsy., et al. “Self adhesive Cements and all ceramic crowns: A review”. IAJD2 (2021).
  2. Adriana P Man So and Ricardo M Carvalho. “Dental cements for luting and Bonding Restorations- Self Adhesive Resin Cements”. Dental Clinics of North America Journal 61 (2017): 821-834.
  3. Addison O., et al. “Quantifying the strength of a resin-coated dental ceramic”. Journal of Dental Research6 (2008): 542-547.
  4. Peumans M., et al. “Two-years clinical evaluation of a self-adhesive luting agent for ceramic in-lays”. The Journal of Adhesive Dentistry2 (2010): 151-161.
  5. Suh BL., et al. “Factors contributing to the in compatibility between simplified- step adhesives and chemically- cured composites. Part III. Effect of acidic resin monomers”. The Journal of Adhesive Dentistry4 (2003): 267-282.
  6. Cheag C., et al. “In-compatibility of self –etch adhesives with chemical/dual- cured composites: two-steps Vs one-step systems”. Operative Dentistry6 (2003): 747-755.
  7. Sanares AM., et al. “Adverse surface interaction between one-bottle light – curred adhesives and chemical- cured composites”. Dental Materials6 (2001): 542-556.
  8. Manso AP., et al. “Cements and adhesives for all-Ceramic restorations”. Cline Dental North America2 (2011): 311-332.
  9. Diaz Arnold AM., et al. “Current status of luting agent for fixed prosthodontics”. The Journal of Prosthetic Dentistry2 (1999): 135-141.
  10. Pegoraro TA., et al. “Cements for use in esthetic dentistry”. Dental Clinics of North America2 (2007): 453-471.
  11. Kramer N., et al. “Polyclinic for Restorative Dentistry and Periodontology, Friedrich-Alexander University, Erlangen, Nuremberg, Germany (2020).
  12. Noack MJ., et al. “A new method to lute tooth coloured inlays with highly filled composite resins”. Journal of Dental Research457 (1991): 1528.
  13. Noack MJ. “The radiopacity of tooth colored inlay materials and luting composites”. Journal of Dental Research 72 (1993): 78.
  14. Ferracane JL., et al. “Self-adhesive resin cements: Chemistry, properties and clinical considerations”. Journal of Oral Rehabilitation4 (2011): 295-314.
  15. Modruga FC., et al. “Calcium hydroxide, PH-neutralization and formulation of model self-adhesive resin cements”. Dental Materials4 (2013): 413-418.
  16. Gerth HU., et al. “Chemical analysis and bonding reaction of Relyx Unicem and Bifix Composites: a comparative study”. Dental Materials10 (2006): 934-941.
  17. Marghalani HY. “Sorption and solubility characteristics of self-adhesive resin cements”. Dental Materials10 (2012): 187-198.
  18. Radovic I., et al. “Self – adhesive resin Cements: A literature review”. The Journal of Adhesive Dentistry4 (2008): 251-258.
  19. Roedel L., et al. “Self- adhesive resin cements: PH-neutralization, hydrophilicity, and hydroscopic expension stress”. Clinical Oral Investigations 21 (2016): 1735-1741.
  20. Vrochari AD., et al. “Water sorption and solubility of four self-etching, self-adhesive resin luting agents”. The Journal of Adhesive Dentistry1 (2010): 39-43.
  21. Le-Prince JG., et al. “Progress in dimethacrylate-based dental composite technology and curing efficency”. Dental Materials2 (2013): 139-156.
  22. Meng X., et al. “Influence of ceramic thickness on mechanical properties and polymer structure of dual- cured resin luting agents”. Dental Materials5 (2008): 594-599.
  23. Jang Y., et al. “Effect of insufficient light exposure on polymerization kinetics of conventional and self-adhesive dual- cure resin cements”. Operative Dentistry 42 (2016): 1-9.
  24. Baena E., et al. “Influence of post-cure time on the micro-hardness of self-adhesive resign cements inside the root canal”. Operative Dentistry5 (2012): 548-556.
  25. Pegararo TA., et al. “Effects of temperature and aging on working/Setting time of dual- cured resin cements”. Operative Dentistry6 (2015): 222-229.
  26. Piwowarczyk A and Lauer HC. “Mechanical properties of luting cements after water storage”. Operative Dentistry5 (2003): 535-542.
  27. Sa Skaluskaite E., et al. “Flexural strength, elastic modulus, and PH profile of self-etch resin luting cements”. Journal of Prosthodontics4 (2008): 262-268.
  28. Furichi T., et al. “Mechanical properties and sliding-impact wear resistance of self- adhesive resin cements”. Operative Dentistry3 (2016): 83-92.
  29. Santos MJ., et al. “Effect of dentin- cleaning techniques on the shear bond strength of self adhesive resign luting cement to dentin”. Operative Dentistry5 (2011): 512-520.
  30. Stona P., et al. “Effect of polyacrylic acid on the interface and bond strength of self-adhesive resign cements to dentin”. The Journal of Adhesive Dentistry3 (2013): 221-227.
  31. Benetti P., et al. “Bonding efficiency of new self-etching, self-adhesive dual- curing resin cements to dental enamel”. The Journal of Adhesive Dentistry3 (2011): 231-234.
  32. De Munck J., et al. “Bonding of an auto-adhesive luting material to enamel and dentin”. Dental Materials10 (2004): 963-971.
  33. Hikito K., et al. “Bonding effectiveness of adhesive Luting agents to enamel and dentin”. Dental Materials1 (2007): 71-80.
  34. Baader K., et al. “Self- adhesive luting of partial ceramic crowns: selective enamel etching leads to higher survival after 6.5 years in vivo”. The Journal of Adhesive Dentistry1 (2016): 69-79.
  35. Povan S., et al. “The effect of dentin pretreatment on the microtensile bond strength of self adhesive resin cements”. The Journal of Prosthetic Dentistry4 (2010): 258-264.
  36. Al-Assof K., et al. “Interfacial characteristics of adhesive luting resins and composites with dentin”. Dental Materials7 (2007): 829-839.
  37. Gordan VV. “Effect of conditioning times on resin modified glass-ionomer bonding”. Journal of the American Dental Association1 (2000): 13-16.
  38. Tanumiharja M and Burrow MF Tyas. “Micro- tensile bond strengths of glass ionomer (Polyalkenoate) cements to dentin using four conditioners”. Journal of Dentistry5 (2000): 361-366.
  39. Sarac D., et al. “The effect of dentin- cleaning agents on resin cement bond strength to dentin”. Journal of the American Dental Association6 (2008): 75-78.
  40. Mazzitelli C., et al. “Dentin treatment effects on the bonding performance of self-adhesive resin cements”. European Journal of Oral Sciences1 (2010): 80-86.
  41. Rasimick BJ Wan J., et al. “A review of failure modes in teeth restored with adhesively luted endontic dowels”. Journal of Prosthodontics8 (2010): 639-646.
  42. Naumann M., et al. “10-year survival evaluation for glass- fiber-supported postendontic restoration: a prospective observational clinical study”. The Journal of Endodontics4 (2012): 432-435.
  43. Sarkis-Onofre R., et al. “The role of resin cement on bond strength of glass-fiber posts luted into root canals: a systemic review and meta-analysis of vitro studies”. Operative Dentistry1 (2014): 31-44.
  44. Bitter K Aschendorffl., et al. “Do Chlorhexidine and ethanol improve bond strength and durability of adhesion of fiber posts inside the root canal?” Clinical Oral Investigations3 (2014): 927-934.
  45. Frassetto A., et al. “Kinetics of polymerization and contraction stress development in self-adhessive resin cements”. Dental Materials9 (2012): 1032-1039.
  46. Gracis S., et al. “A new classification system for all- Ceramic and ceramic- like restorative materials”. The International Journal of Prosthodontics3 (2015): 227-235.
  47. Pagniano RP., et al. “The effect of a layer of resin luting agent on the biaxial flexure strength of two all-ceramic systems”. The Journal of Prosthetic Dentistry5 (2005): 459-466.
  48. Pattanik S and Wadkar AP. “Effect of etchant variability on shear bond strength of all ceramic restorations: An in vitro study”. The Journal of Indian Prosthodontic Society1 (2011): 55-62.
  49. Meng X., et al. “Effect of siloxane quality and PH of silane coupling agents and contact angle of resin bonding agent on bond durability of resin cements to machinable ceramic”. The Journal of Adhesive Dentistry1 (2011): 71-78.
  50. Tian T., et al. “Aspects of bonding between resin luting cements and glass ceramic materials”. Dental Materials7 (2014): 147-162.
  51. Ozcan M and Bernasconi M. “Adhesion to zirconia used for dental restorations: a systematic review and meta- analysis”. The Journal of Adhesive Dentistry1 (2015): 7-26.
  52. Yi YA., et al. “The effect of sandblasting and different primers on shear bond strength between Yttria-tetragonal zirconia poly-crystal ceramic and a self-adhesive resin cement”. Operative Dentistry1 (2015): 63-71.
  53. Inokoshi M., et al. “Meta- analysis of bonding effectiveness to zirconia ceramics”. Journal of Dental Research4 (2014): 329-334.
  54. Kern M., et al. “Surface conditioning influences zirconia ceramic bonding”. Journal of Dental Research9 (2009): 817-822.
  55. Peumans M., et al. “Bonding effectiveness of luting composites to different CAD/ CAM material”. The Journal of Adhesive Dentistry4 (20164): 289-302.
  56. Weiser F and Behr M. “Self-adhesive resin cements: a clinical review”. Journal of Prosthodontics2 (2015): 100-108.
  57. Peumans M., et al. “Four- year clinical evaluation of self-adhesive luting agent for ceramic in-lays”. Clinical Oral Investigations3 (2013): 739-750.
  58. Macondes M., et al. “Clinical evaluation of indirect composite resin restorations cemented with different resin cements”. The Journal of Adhesive Dentistry1 (2016): 59-67.
  59. Behr M Rostentritt M., et al. “Self-adhesive resin cement versus zinc phosphate luting material: a prospective clinical trial begun 2003”. Dental Materials5 (2009): 601-604.
  60. Piwowarczyk A., et al. “Metal- Ceramic crowns cemented with two luting agents: Short-term results of a prospective clinical study”. Clinical Oral Investigations3 (2019): 917-922.
  61. Toschner M., et al. “Leucite- reinforced glass ceramic inlays luted with self- adhesive resin cement: a 2- year in vivo study”. Dental Materials5 (2012): 535-540.
  62. Holand W., et al. “Future perspectives of biomaterials for dental restoration”. Journal of the European Ceramic Society 29 (2009): 1291-1297.
  63. Rosenstiel SF and Crispin BJ. “Dental luting agents. A review of the current literature”. The Journal of Prosthetic Dentistry 80 (1998): 280-231.
  64. Abo-Hamar Jung H., et al. “Band strength of a new universal self- adhesive resin luting cement to dentin and enamel”. Clinical Oral Investigations 9 (2005): 161-167.
  65. Ozcan M. “Effect of surface conditioning methods on the bond strength of luting cement to ceramics”. Dental Materials 19 (2003): 725-731.
  66. Atsu S., et al. “Effect of zirconium- oxide ceramic surface treatments on the bond strength to adhesive resin”. Journal of Prosthetic Dentistry 95 (2006): 430-436.
  67. Mak YF., et al. “Microtensile bond testing of resin cements to dentin and an indirect resin composite”. Dental Materials 18 (2002): 609-621.
  68. Stewart G and Hodges J. “Shear bond strength of resin cements to both ceramic and dentin”. Journal of Prosthetic Dentistry 88 (2002): 277-284.
  69. Nakamura T., et al. “Mechanical properties of new self-adhesive resin- based cement”. Journal of Prosthodontic Research 54 (2010): 59-64.
  70. Pegoraro T and Carvalho R. “Cements for use in esthetic dentistry”. Dental Clinics of North America 51 (2007): 453-471.
  71. Radovic I., et al. “Self adhesive resin cements: A literature review”. The Journal of Adhesive Dentistry 10 (2008): 251-258.
  72. Viotti RG., et al. “Micro tensile bond strength of new self-adhesive luting agents and conventional multistep systems”. The Journal of Prosthetic Dentistry 102 (2009): 306-312.
  73. De Suza Costa CA., et al. “Biocompatibility of resin based dental materials applied as liners in deep cavities prepared in human teeth”. Journal of Biomedical Materials Research – Part B: Applied Biomaterials 87 (2007): 175-184.
  74. Han L., et al. “Evaluation of physical properties and surface degradation of self- adhesive resin cement”. Dent Master 26 (2007): 906-904.
  75. White SN., et al. “Microleakage of new crown and fixed partial denture luting agents”. Journal of Prosthetic Dentistry 67 (1992): 156-161.
  76. Diaz Arnold Ana M and Haseltan Debra R. “Current status of luting agents for fixed prosthodontics”. The Journal of Prosthetic Dentistry 81 (1999): 135-141.
  77. Pavan S., et al. “The effect of dentin pretreatment on the microtensile bond strength of self-adhesive resin cements”. The Journal of Prosthetic Dentistry 104 (2010): 258-264.
  78. Gemalmaz D. “Clinical evaluation of all ceramic crowns”. Journal of Prosthetic Dentistry 87 (2002): 189-196.
  79. Mota CS., et al. “Microleakage in ceramic in lays luted with different resin cements”. The Journal of Adhesive Dentistry 5 (2003): 63-70.
  80. De Munck J., et al. “Bonding of an auto-adhesive luting material to enamel and dentin”. Dental Materials 20 (2004): 963-971.
  81. Knobloch Lisa A., et al. “Bond strengths of one and two-step self-etch adhesive systems”. The Journal of Prosthetic Dentistry 97 (2007): 216-222.
  82. Wassell RW and Steele G. “Crowns and other extra-coronal restorations. Try-in and cementation of crowns”. Brit D Journal 1 (2002): 17-28.
  83. Reich SM., et al. “Effect of surface treatment on the shear bond strength of three resin cements to a mechanical feldspatic ceramic”. Journal of Biomedical Materials Research – Part B: Applied Biomaterials 74 (2005): 740-746.
  84. Hikita K., et al. “Bonding effectiveness of adhesive luting agents to enamel and dentin”. Dental Materials 23 (2007): 71-80.
  85. Yoshida Y., et al. “Comparative study on adhesive performance of functional monomers”. Journal of Dental Research 83 (2004): 454-458.
  86. Van Meerbeek B., et al. “Adhesion to enamel and dentin: current status and future challenges”. Operative Dentistry 28 (2003): 215-235.
  87. Behr M., et al. “Marginal adaptation in dentin of a self-adhesive universal resing cement compared with well-tried systems”. Dental Materials 20 (2004): 191-197.
  88. Goracci C., et al. “Microtensile bond strength and interfacial properties of self-etching and self-adhesive resin cements used to lute composite onlays under different seating forces”. The Journal of Adhesive Dentistry 8 (2006): 327-336.
  89. Piwowarczyk A Lauer H-C and Sorensen J. “In vitro shear bond strength of cementing agents to fixed prostnodontic restorative materials”. The Journal of Prosthetic Dentistry 92 (2004): 265-273.
  90. Palacios RP., et al. “Retention of zurconium oxide ceramic crowns with three types of cement”. The Journal of Prosthetic Dentistry 96 (2006): 104-114.
  91. Attar N Tam L and MC Comb D. “Mechanical, and physical properties of contemporary dental luting agents”. The Journal of Prosthetic Dentistry 89 (2003): 127-134.
  92. Gerth H., et al. “Chemical analysis and londing reaction of Rely XTM Unicem and Bifix composites-a comparative study”. Dental Materials 22 (2006): 934-941.
  93. Technical data sheet: Expertise RelyXTM Unicem (3M ESPE), S.G (2002).
  94. Pameijer CH. “Long term clinical evaluation of three luting materials”. Swedish Dental Journal 18 (1994): 59-67.
  95. Bergenholtz G. “Evidence for bacterial causation of adverse pulpal responses in resin-based dental restorations”. Critical Reviews in Oral Biology and Medicine 11 (2000): 467-480.
  96. Piwpwarczyk AL., et al. “Microleakage of various cementing agents for full cast crowns”. Dental Materials 21 (2005): 445-453.
  97. Bouillaget S., et al. “Future Directions in loading resins to the dentine-pulp complex”. Journal of Oral Rehabilitation 31 (2004): 386-392.
  98. Heng- Liang L., et al. “Numerical investigation of macro- and micro-mechanics of a ceramic veneer bonded with various cement thicknesses using the typical and submodeling finite element approaches”. Journal of Dentistry 37 (2009): 141-148.
  99. Buonocore MG., et al. “Penetration of resin dental materials into enamel surfaces with reference to bonding”. Archives of Oral Biology 13 (1968): 16-70.

Mohamed Hany Ahmed Abd El Ghany., et al. "Is Self-Adhesive Resin Cement a Good Alternative to Conventional and Resin Cements? A Literature Review". EC Dental Science 22.5 (2023): 110-128.