DMG PermaCem 2.0 Smartmix Transparent

PermaCem2.0 provides an exceptional self-adhesive bond to Zirconium! This universal, dual-cure composite luting cement can be used for the permanent cementation of crowns, bridges, inlays, onlays, and root posts without the need for separate enamel and dentin bonding. By incorporating a recently developed adhesive monomer formula, PermaCem 2.0 offers an exceptional bond across all substrates. Plus, as a single-step cement, it provides the added benefit of not requiring an etching step, which saves time and reduces post-op sensitivity. It also features a lower water sorption rate for greater reliability and improved esthetics. It is exceptionally flowable under pressure and excess can be quickly removed for fast and easy clean-up. PermaCem 2.0 is available in shades A2 (Universal), A3 (Opaque) and Transparent.

COMPOSITION :-

• Barium glass in a Bis-GMA-based matrix of dental resins, pigments, additives and catalysts
• Filler content: 69 % by weight = 51 by vol. % (0.02 – 3.0 μm)

INDICATIONS :-

• Permanent cementation of inlays, onlays, crowns, bridges and root posts composed of metal and metal alloys (precious and non-precious metals), metal ceramics and composites, all-ceramics such as zirconium oxide, aluminum oxide and all forms of silicate ceramics (e.g. lithium disilicate, feldspar), as well as fiber-reinforced composites (root posts)
• Permanent cementation of crowns and bridges on implant abutments comprised of titanium or zirconia

 CONTRAINDICATIONS :-

Do not use the material: If the preparation does not offer sufficient retention (e.g. as in the case of veneers).

In cases of allergies to any of the ingredients or in cases of contact allergies.

For direct capping of the pulp tissue.

INTERACTION :-

Products containing eugenol, for example temporary cements or temporary root canal filling materials, may impair curing of the composite luting cement.

Do not use products containing eugenol and other substances that inhibit polymerization together with the material.

If possible, use eugenol-free cements (e.g. TempoCem NE). Make sure that any residual cement is completely removed from the preparation or core following removal of the temporary restoration. From the beginning of pretreatment until permanent cementation, ensure that neither the restoration nor the tooth surfaces become contaminated.

ADVANTAGES :-

Superior Compressive Strength.

Reliability at 249 Mpa.

Dependable, long-term adhesion.

Outstanding Radiopacity.

Easy identifi cation of marginal gap quality and clinical diagnosis.

Reliable monitoring, even of post-endodontic restorations.

Excellent Shade Stability.

Convenient to Work with.

Practical working times for a convenient course of treatment.

Reduction in operational steps.

Quick application with multiple-step operations/restorations.

Avoidance of cementation errors.

Special Easy Clean-up Formula for.

An ideal combination of stability and fl owability for a thin and continuous cement coating.

Time-saving application.

Exceptional fl owability under pressure.

The fastest and easiest excess removal of all other self-adhesive cements.

Minimal Water Sorption for.

Improved esthetics.

Greater reliability.

Good control of expansion forces.

Features :-

• One of the strongest self-adhesive bond to Zirconium Available.
• Prevents adhesion failures, ending unneeded follow up visits.
• Mechanical and chemical adhesion.
• Outstanding bond across all substrates.
• Bonds to all substrates.
• Single adhesive that simplifies day-to-day operations.
• No etching step needed.
• Saves time compared to standard bonding procedures.
• Lower water sorption rate.
• Easier to work with.
• Drip resistant and easy cleanup.
• Shorter appointment, better satisfied patient.

TECHNICAL DATA:

Removal of excess (without light curing) :0:30–1:00 min

Pre-light curing time to make removal of excess more feasible (optional) :1–2 s

Max. intraoral curing time (including mixing time) :7:00 min

Light curing time (optional) : min. 20 s

INSTRUCTIONS TO USE :-

• Ambient light may lead to premature curing of the composite luting cement.
• You must therefore protect PermaCem 2.0 from ambient light after expressing it from the Smartmix syringe. Ensure that excess cement in hard-to-reach areas (proximal, marginal gingival areas) is removed promptly.
• The PermaCem 2.0 curing process can be accelerated. In order to do so, cure PermaCem 2.0 using a suitable curing light.
• Light-curing units should have an output of 450 nm and should be checked regularly.
• The light intensity should be a minimum of 400 mW/cm². Place the light as close as possible to the material.

• 1 X 9g Smartmix Syringe
• 15 x Smartmix Tips Standard
• 5 x  Smartmix Tips – Endo M

For luting indirect restorations such as crowns, bridges, inlays and onlays

1. Prepare the clean and dry restoration as follows: Etchable silicate ceramic: etch the restoration with 5 % hydrofluoric acid in accordance with the instructions from the manufacturer of the etching gel and rinse thoroughly using a water spray. Subsequently dry with air that is free of oil and water, and prepare the surface using a silanizing agent (e.g. Vitique Silane) in accordance with the manufacturer’s instructions. Oxide ceramics, metals and metal alloys: pretreat in accordance with the manufacturer’s instructions. Unless otherwise stated, sandblast the inside of the restoration with aluminum oxide, clean with alcohol, and dry with oil- and water-free air. Other materials: pretreat in accordance with the manufacturer’s instructions.

2. If required, rinse the cavity or preparation thoroughly using a water spray to remove any residual temporary cement, and then dry. In doing so, ensure that the dentine retains a little residual moisture and does not become overly dry

3. Apply PermaCem 2.0 inside the pretreated restoration

4. Insert the restoration within 1:00 minute after mixing has begun and attach it to the prepared tooth using slight pressure

5. Remove excess cement within 0:30 to 1:00 minute of inserting the restoration with the aid of a microbrush, brush, foam pellet or scaler. Remove interdental excess carefully using dental floss. It is alternatively possible to remove excess cement by briefly curing it using light (1–2 seconds) and then removing it with a scaler

6. Instruct the patient to adopt habitual occlusion

7. Allow the material to chemically cure fully for 7:00 min from the start of mixing

8. In the case of translucent restorations, additionally cure the material using a suitable curing light for at least 20 seconds.

Cementation of root posts

1. Endodontically prepare the root canal, clean it, and dry it using a paper point. Ensure that the dentine retains a little residual moisture and does not become overly dry. 2. Prepare the clean and dry root post as follows:

Fiber-reinforced root post (e.g. LuxaPost): Clean the root post with ethanol, dry with air that is free of oil and water, and apply silane (e.g. Vitique Silane) where appropriate in accordance with the manufacturer’s instructions

Root posts from other materials: pretreat in accordance with the manufacturer’s instructions

3. Apply PermaCem 2.0 directly into the prepared canal with the aid of the appropriate tip. In doing so, insert the tip as deeply as possible into the canal.

Note: During the application of the composite luting cement, ensure that the tip remains submersed in the material and that it is only moved upwards with the rising material. 4. Insert the root post within 1:00 minute after mixing has begun and cement using slight pressure.

5. Remove the excess cement within 0:30 seconds to 1:00 minute of inserting the root post with the aid of a microbrush, brush, foam pellet or scaler

6. Allow the material to chemically cure fully for 7:00 min from the start of mixing. Note: The material can be additionally cured using a suitable curing light for at least aterial can be additionally cured using a suitable curing light for at least 2.