http://forums.studentdoctor.net/showthread.php?p=10378913&posted=1#post10378913
I numbered all the questions, 4953 items in whole, this question had been repeated SIX times in the item bank,
i.e. ITEM # 801, 1543, 2163, 3382, 4027, 4252 !!!
Page106 Q1
ITEM# 801, 1543, 2163, 3382, 4027, 4252
Which of the following cements can chemically bond to enamel?
1. Zinc phosphate cement.
2. Polycarboxylate cement.
3. Ethoxy benzoic acid cement.
4. Glass ionomer cement.
A. (1) (2) (3)
B. (1) and (3)
C. (2) and (4)
D. (4) only
E. All of the above
The Answer is C.
Chemically bond to tooth structure
Zinc polycarboxylate cement was the first system developed with a potential for adhesion to
tooth structure via chelation. The polycarboxylate cements are powder / liquid systems. The liquid
is an aqueous solution of polyacrylic acid and copolymers. The powder is zinc oxide and
magnesium oxide.
Zinc polycarboxylate cements have a compressive strength slightly lower than that of zinc
phosphate while the tensile strength is higher. Its final strength is dependent on the powder/
liquid ratio, with more powder giving greater strength. The strength of the set material is sufficient
for amalgam condensation and its effect on the pulp is mild enough to eliminate the need
for sublining. Thermal conductivity is low and thus the material gives good protection against
thermal stimuli applied to metallic restorations.
An advantage of zinc polycarboxylate cement is that it can bond to tooth structure -> this is
attributed to the ability of the carboxylate groups in the polymer molecule to chelate to calcium
in the tooth. The most commonly noted disadvantages of polycarboxylate cement is its marked
thickness and short working time. Currently marketed brands include Durelon (3M ESPE), Liv
Carbo (GC America), Shofu Polycarboxylate (Shofu), and Tylok Plus (Dentsply/Caulk). The most
recent innovation in these cements has been the development of Durelon Maxicap, an encapsulated
version of Durelon. Because it is mixed and expressed from a capsule, the traditional
difficulties of short working time and excessive thickness are overcome.