DOI: 10.4103/jioh.jioh_22_26 ISSN: 0976-7428

Resin Cementation Protocols for Indirect Partial Coverage Ceramic Restorations: A Narrative Review

Shaima M. Shafiq, Paras Mull Gehlot, Ashwini Tumkur Shivkumar

Abstract

Objective:

This study aims to summarize the various cementation protocols for partial coverage ceramic restorations using various resin cements available in the current market, emphasizing their indication, bonding mechanisms, and clinical outcomes.

Methods:

A narrative literature review was conducted using medical subject headings-based search strategies and free-text keywords across databases, including PubMed and Scopus. The search focused on studies evaluating resin cements used for bonding partial coverage tooth-colored restorations (PCRs). Inclusion criteria comprised in vitro studies, in vivo studies, randomized controlled trials, and relevant review articles published in English between 2010 and 2026 that assessed bonding performance, cementation protocols, or clinical outcomes. Following study selection, relevant data were systematically extracted and qualitatively synthesized to provide a structured narrative overview of cementation protocols, bonding mechanisms, and clinical outcomes.

Results:

The included studies categorized resin cements into three main groups: total-etch, self-etch, and self-adhesive systems, each demonstrating distinct bonding mechanisms and clinical protocols. The effectiveness of each cement type was influenced by factors such as restorative material (e.g., glass ceramics vs. zirconia), surface treatment, and tooth substrate characteristics.

Conclusion:

The success of PCRs mostly relies on proper cementation protocols and selection of resin cements that are further influenced by the choice of restorative material and the substrate. Mastering the adhesive protocols is crucial for obtaining optimal retention, esthetics, and longevity of restorations.

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