Table 1.
Step-by-step techniques when cementing an RBB with Panavia
1 | Allow 15 minutes for the product to reach room temperature after storage in the refrigerator |
2 | Ensure all components of the cement system are available in sufficient quantities to complete the process |
3 | Appy soft tissue retraction and moisture control methods. Clean and dry the abutment tooth surfaces (Fig. 10) |
4 | Place interdental separating strips between the abutment and adjacent teeth, if necessary |
5 | Apply phosphoric acid gel to the enamel surfaces |
6 | Wash the teeth thoroughly to remove the gel and cleanse the enamel surface completely |
7 | Change the cotton wool rolls, place a cotton gauze over the tongue and ask the patient to breathe through their nose |
8 | Move the overhead operating light away to prevent premature setting of the cement |
9 | Mix the two components of the ED Primer, dry the abutment teeth thoroughly and apply the primer to the tooth surfaces immediately, to avoid opportunities for moisture contamination. Leave for 60 seconds then dry gently. No ED Primer is applied to the bridge structure |
10 | Mix the two components of Panavia cement and apply a thin layer to the internal surface of the bridge |
11 | Seat the bridge, ensuring the abutment tooth is positioned as it was when the bridge was tried in. Maintain firm pressure for 60 seconds with gloved fingers to ensure the bridge and tooth surfaces are stable as the initial setting occurs. Some of the unset, excess cement will be removed on the glove. Most remaining cement can be carefully removed with a small brush |
12 | Apply Oxyguard II to the bridge margins for three minutes to ensure the cement setting continues. Wash away the Oxyguard and remove any slight excess at the margins with a probe (Fig. 9) |
13 | Remove the locating incisal hook, if used |
14 | Check the static and dynamic occlusal contacts and make any subtle adjustment to the bridge or opposing teeth as required. |