American Journal of Materials Science and Engineering, 2014, Vol. 2, No. 3, 28-35
Available online at http://pubs.sciepub.com/ajmse/2/3/1
© Science and Education Publishing
DOI:10.12691/ajmse-2-3-1
A Review of Conventional and Contemporary Luting
Agents Used in Dentistry
Sita Ramaraju DV
1
, Rama Krishna Alla
2,*
, Venkata Ramaraju Alluri
3
, Raju MAKV
4
1
Department of Conservative Dentistry & Endodontics, Vishnu Dental College, Bhimavaram, West Godavari, Andhra Pradesh, India
2
Department of Dental Materials, Vishnu Dental College, Bhimavaram, West Godavari, Andhra Pradesh, India
3
Department of Prosthodontics, Vishnu Dental College, Bhimavaram, West Godavari, Andhra Pradesh, India
4
Department of Orthodontics, Vishnu Dental College, Bhimavaram, West Godavari, Andhra Pradesh, India
*Corresponding author: ramakrishna.a@vdc.edu.in
Received August 01, 2014; Revised August 12, 2014; Accepted August 15, 2014
Abstract The selection of an appropriate luting agent influences the long-term clinical success of fixed
prosthodontic restorations. There are varieties of luting agents available from conventional water-based to
contemporary adhesive resin cements. However, no single luting agent is capable of meeting all the stringent
requirements. Introduction of adhesive resin systems has completely changed the face of fixed prosthodontic
practice leading to an increased use of bonded all-ceramic crowns and resin-retained fixed partial dentures. This
review aims at presenting an overview of current cements and discusses physical properties, biocompatibility and
other properties that make particular cement the preferred choice depending on the clinical indication.
Keywords: dental luting agents, cements, biocompatibility, film thickness, adhesion
Cite This Article: Sita Ramaraju DV, Rama Krishna Alla, Venkata Ramaraju Alluri, and Raju MAKV, “A
Review of Conventional and Contemporary Luting Agents Used in Dentistry.” American Journal of Materials
Science and Engineering, vol. 2, no. 3 (2014): 28-35. doi: 10.12691/ajmse-2-3-1.
1. Introduction
Dental cements are used as luting agents and restorative
materials in the oral cavity. The most obvious use of
dental cements is for permanently retaining metallic and
non-metallic inlays, crowns, and bridges to tooth structure.
Cements used in this manner are called Luting agents
because they lute, or adhere, one surface to another. Other
uses of dental cements include bonding of orthodontic
appliances to the teeth and cementing pins and posts to
retain restorations. The Use of restorative cements have
restricted only to low stress bearing areas since they have
low strength compared to resin-based composites and
amalgam. Dental cements can also be used as protecting
materials after the cavity preparation to protect the pulp
against further trauma, like thermal and chemical-
insulating bases under metallic restorations and others like
composites restorations and pulp-capping agent and cavity
liners. Some fluoride-containing cements can be used as
fissure sealants, root canal sealants, and core build-up for
restoration of broken-down teeth [1-9]. This article
reviews numerous luting cements, their composition,
chemistry, properties with their advantages and
disadvantages from the literature available in PUBMED
and other sources from the past 40 years.
2. Development of Dental Cements
Zinc phosphate cement is considered as the oldest
luting agent, which was invented by Peirce in 1878 and it
has the longest track record as a luting agent to secure cast
restoration for more than 130 years. It serves as a standard
by which newer systems can be compared [1,2].
In the beginning of the 20
th
century (1903) Silicate
cements were developed. These were the earliest of the
direct tooth colored filling materials. The silicate cements
may be considered as precursors of more modern products
such as composite resin and glass Ionomer cements. The
durability of a silicate restoration depends critically on the
care taken in handling the material and on the oral hygiene
of the patient [2].
In 1968, however, a new kind of cement was produced
by D.C. Smith using zinc oxide as powder and
polycarboxylic acid as liquid component. The result is the
so- called polyacrylate cement. It was the first cement
system developed with a potential for adhesion to tooth
structure. It is primarily used for cementation of indirect
restorations and thermal insulating base [2,10].
Wilson and Kent developed Glass Ionomer Cements in
1969. Glass ionomer cements were developed in an
attempt to capitalize on the favourable properties of both
silicate and polycarboxylate cements. So, glass ionomer is
the generic name of a group of materials that use silicate
glass powder and an aqueous solution of polyacrylic acid.
This material acquires its name from its formulation of
glass powder and an ionomeric acid that contains
carboxylic (COOH) groups which help in chemical
bonding with the natural tooth and to certain alloys as well.
Glass ionomer cements are also referred to as