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Clinical Cementation Workflow by Restoration Type

By DA’AT Lab Team

Clinical Cementation Workflow by Restoration Type

This guide outlines simple, chairside cementation steps for the most common restoration materials we deliver — zirconia, e.max (lithium disilicate), PMMA, indirect composite resin, and PFM. Use it as a quick reference at the chair.

Universal Clinical Flow

Every cementation case follows the same core sequence. Only the surface treatment in step four changes with the material.

  1. Try-in the restoration
  2. Check fit, contacts, occlusion, and esthetics
  3. Clean the restoration after try-in
  4. Prepare the restoration surface based on material
  5. Clean and isolate the tooth preparation
  6. Cement the restoration
  7. Seat fully with steady pressure
  8. Remove excess cement
  9. Cure if required
  10. Check occlusion and deliver

Material-Specific Surface Preparation

The restoration surface treatment is what changes with the material. Everything else above stays the same.

MaterialKey Surface Treatment
ZirconiaSandblast intaglio → Apply zirconia primer if bonding is needed
e.max / Lithium DisilicateHF etch intaglio → Rinse and dry → Apply silane
PMMA TemporaryClean restoration → Temporary cement
PMMA Long-TermSandblast intaglio → Apply primer or bond if indicated
Indirect Composite ResinSandblast intaglio → Apply silane, primer, or bond if indicated
PFM RoutineClean restoration → Conventional cementation
PFM BondedSandblast metal intaglio → Apply metal primer if indicated
Always follow the material manufacturer’s instructions and the cement system’s recommended clinical protocol.

Workflow by Restoration Type

Each diagram follows the universal flow above — the surface prep is what changes.

Zirconia

Sandblast intaglio · primer if bonding

  1. 1
    Try-In

    Check fit, contacts, and occlusion

  2. 2
    Restoration Prep

    Clean → Sandblast intaglio → Clean and dry → Zirconia primer if bonding

  3. 3
    Tooth Prep

    Clean preparation → Isolate field

  4. 4
    Cementation

    Apply cement → Seat fully → Hold with steady pressure

  5. 5
    Clean-Up

    Remove excess → Final cure if required → Check occlusion → Deliver

e.max / Lithium Disilicate

HF etch · rinse · silane

  1. 1
    Try-In

    Check fit, contacts, and esthetics

  2. 2
    Restoration Prep

    Clean → HF etch intaglio → Rinse and dry → Apply silane

  3. 3
    Tooth Prep

    Clean preparation → Isolate field → Etch tooth as indicated → Apply bonding agent

  4. 4
    Cementation

    Apply resin cement → Seat fully → Hold in place → Tack cure if needed

  5. 5
    Clean-Up

    Remove excess → Final cure → Check occlusion → Deliver

PMMA Temporary

Retrievable · temporary cement

  1. 1
    Try-In

    Check fit and occlusion

  2. 2
    Restoration Prep

    Clean restoration

  3. 3
    Tooth Prep

    Clean preparation → Dry tooth lightly

  4. 4
    Cementation

    Apply temporary cement → Seat restoration

  5. 5
    Clean-Up

    Remove excess → Check occlusion → Deliver

PMMA Long-Term

Sandblast · primer if indicated

  1. 1
    Try-In

    Check fit and occlusion

  2. 2
    Restoration Prep

    Clean → Sandblast intaglio → Clean and dry → Primer or bond if indicated

  3. 3
    Tooth Prep

    Clean preparation → Isolate field

  4. 4
    Cementation

    Apply resin cement → Seat fully

  5. 5
    Clean-Up

    Remove excess → Final cure if needed → Check occlusion → Deliver

Indirect Composite Resin

Sandblast · silane/primer · dual-cure

  1. 1
    Try-In

    Check fit, contacts, and occlusion

  2. 2
    Restoration Prep

    Clean → Sandblast intaglio → Dry → Silane or primer if indicated → Bonding agent if required

  3. 3
    Tooth Prep

    Clean preparation → Isolate field → Etch tooth as indicated → Apply bonding agent

  4. 4
    Cementation

    Apply dual-cure resin cement → Seat fully → Hold with pressure → Tack cure if needed

  5. 5
    Clean-Up

    Remove excess → Final cure → Check occlusion → Deliver

PFM — Routine

Conventional cementation

  1. 1
    Try-In

    Check fit, contacts, and occlusion

  2. 2
    Restoration Prep

    Clean restoration after try-in

  3. 3
    Tooth Prep

    Clean preparation → Isolate field

  4. 4
    Cementation

    Apply cement → Seat crown fully → Hold with pressure

  5. 5
    Clean-Up

    Remove excess → Check occlusion → Deliver

PFM — Bonded

Sandblast metal · metal primer

  1. 1
    Try-In

    Check fit and occlusion

  2. 2
    Restoration Prep

    Clean → Sandblast metal intaglio → Dry → Metal primer if indicated

  3. 3
    Tooth Prep

    Clean preparation → Isolate field → Etch tooth if indicated → Apply bonding agent

  4. 4
    Cementation

    Apply resin cement → Seat crown fully

  5. 5
    Clean-Up

    Remove excess → Final cure if needed → Check occlusion → Deliver