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Original Research

Open Access

Retention Force of Glass Ionomer Based Luting Cements with Posterior Primary Zirconium Crowns A Comparative in Vitro Study

  • Tarun Walia1,*,
  • Carel Brigi2
  • Mona Mohsen Ziadkhani3
  • Afaf Amjad Khayat4
  • Zohreh Tabibzadeh2

1Unit of Pediatric Dentistry,Department of Growth & Development, College of Dentistry, Ajman University, Ajman, UAE

2College of Dentistry, Ajman University, Ajman, UAE

3New Ivory Dental and Implant Clinic, Dubai, UAE

4Boston University Henry M. Goldman School of Dental Medicine, Department of Postdoctoral Prosthodontics, Boston, MA, USA

DOI: 10.17796/1053-4625-45.4.7 Vol.45,Issue 4,October 2021 pp.259-264

Published: 01 October 2021

*Corresponding Author(s): Tarun Walia E-mail:


Objective: To determine the retentive force of three glass-ionomer luting cements used with prefabricated primary zirconium crowns (PPZCs) and to assess whether the retentive force was dependent on cementation material or different PPZCs brands. Study design: Four mandibular right second molar PPZCs were selected, one each from four manufacturers–NuSmile®ZR, Sprig Crowns, Cheng Crowns and Kinder Krowns. Silicone impressions of the outer surface of crowns were taken; stone dies prepared and reduced to fit the corresponding brand. 24 alginate impressions of each die obtained and filled with core buildup flowable composite. 96 composite tooth-replicas thus achieved were divided into four groups and further categorized into three subgroups of eight samples based on luting cements used – BioCem, FujiCEM®2 and KetacCem. Samples were thermocycled, placed in artificial saliva for one week followed by assessment of retentive force for crown dislodgment and failure mode. Results: Data was statistically evaluated using two-way ANOVA, HSD (P <0.05). KetacCem had the lowest retentive force while BioCem showed comparatively higher value to FujiCEM®2. Adhesive failure modes were predominant with cement mainly adhering to crown’s internal surface. Conclusions: Resin-based GI cements offered superior retention than conventional GI cements for PPZCs and retentive force was dependent on cement type.


Primary zirconia crowns; Luting cement; Retentive force

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Tarun Walia,Carel Brigi,Mona Mohsen Ziadkhani,Afaf Amjad Khayat,Zohreh Tabibzadeh. Retention Force of Glass Ionomer Based Luting Cements with Posterior Primary Zirconium Crowns A Comparative in Vitro Study. Journal of Clinical Pediatric Dentistry. 2021. 45(4);259-264.


1. Planells del Pozo P., and Fuks A.B. Zirconia crowns: an esthetic and resistant restorative alternative for ECC affected primary teeth. J Clin Pediatr Dent; 38(3): 193-195. 2014.

2. Salami A., Walia T., and Bashiri R. Comparison of Parental Satisfaction with Three Tooth-Colored Full-Coronal Restorations in Primary Maxillary Incisors. J Clin Pediatr Dent; 39(5): 423-8. 2015.

3. El Shahawy O.I., and O’Connell A.C. Successful Restoration of Severely Mutilated Primary Incisors Using a Novel Method to Retain Zirconia Crowns–Two Year Results. J Clin Pediatr Dent; 40(6) :425-30. 2016.

4. Walia T., Salami A.A., Bashiri R., Hamoodi O.M., and Rashid F. A randomised controlled trial of three aesthetic full-coronal restorations in primary maxillary teeth. Eur J Paediatr Dent; 15(2) :113-8. 2014.

5. Lee J.H. Guided tooth preparation for a pediatric zirconia crown. J Amer Dent Assoc; 149(3) :202-8. 2018.

6. Stepp P., Morrow B.R., Martha W., Tipton D.A., and Garcia-Godoy F. Microleakage of Cements in Prefabricated Zirconia Crowns. Pediatr Dent; 40(2) :136-139. 2018.

7. Clark L., Wells M.H., Harris E.F., and Lou J. Comparison of amount of primary tooth reduction required for anterior and posterior zirconia and stainless steel crowns. Pediatr Dent; 38(1) :42-6. 2016.

8. Parisay I., and Khazaei Y. Evaluation of retentive strength of four luting cements with stainless steel crowns in primary molars: An in vitro study. Isfahan Dent Res J; 15(3) :201-207. 2018.

9. Sahin I., Karayilmaz H., Çiftçi Z.Z., and Kirzioglu Z. Fracture Resistance of Prefabricated Primary Zirconium Crowns Cemented with Different Luting Cements. Pediatr Dent; 40(7): 443-438. 2018.

10. Rosato L.A., Chen J.W., Roggenkamp C., and Su J.M. An In-Vitro Study of Retentive Force for Prefabricated Posterior Zirconia Crowns Using Five Different Cements. EC Dent Sci; 17(4): 292-301. 2018.

11. Kachhara S., Ariga P., and Jain A.R. Recommended cementation for monolithic zirconia crowns. Drug invent today; 10(4) :566-568. 2018.

12. Nicholson J., and Czarnecka B. Resin-modified glass-ionomer cements. Materials for the Direct Restoration of Teeth:137-59. 2016.

13. Engstrand J., Unosson E., and Engqvist H. Hydroxyapatite formation on a novel dental cement in human saliva. ISRN Dent: 624056. 2012.

14. Curtis A.R., Wright A.J., and Fleming G.J. The Influence of Surface Modification Techniques on the Performance of a Y-TZP Dental Ceramic. J Dent; 34(3) :195-206. 2006.

15. NuSmile. NuSmile® ZR Zirconia. Available at: Accessed July 26, 2019.

16. EZ-PEDO. Sprig Zir-Lock. Available at: Accessed July 26, 2019.

17. Cheng Crowns. Introducing the all new redesigned pediatric zirconia crowns. Available at: Accessed July 26, 2019.

18. Kinder Krowns®–Zirconia Pediatric Crowns. Available at: Accessed July 26, 2019.

19. Jing L., Chen J.W., Roggenkamp C., and Suprono M.S. Effect of Crown Preparation Height on Retention of a Prefabricated Primary Posterior Zirconia Crown. Pediatr Dent; 41(3) :229-233. 2019.

20. Pinto J.R., Mesquita M.F., Nóbilo M.A., and Henriques G.E. Evaluation of varying amounts of thermal cycling on bond strength and permanent deformation of two resilient denture liners. J Prosthet Dent; 92(3): 288-293. 2004.

21. Yang B., Lange-Jansen H.C., Scharnberg M., Wolfart S., Ludwig K., and Adelung R. Influence of saliva contamination on zirconia ceramic bonding. Dent Mater; 24(4): 508-13. 2008.

22. Tian T., Tsoi J.K., Matinlinna J.P., and Burrow M.F. Aspects of bonding between resin luting cements and glass ceramic materials. Dent Mater; 30(7): e147-162. 2014.

23. FujiCEM® 2 Available at . Accessed July 26, 2019.

24. NuSmile® . BioCem. Available at Accessed July 26, 2019.

25. Jefferies S.R., Pameijer C.H., Appleby D.C., Boston D., and Lööf J. A bioactive dental luting cement—its retentive properties and 3-year clinical findings. Compend Contin Educ Dent; 34(1): 2-9. 2013.

26. Lüthy H., Loeffel O., and Hammerle C.H.F. Effect of thermocycling on bond strength of luting cements to zirconia ceramic. Dent Mater; 22(2): 195- 200. 2006.

27. Sadighpour L., Geramipanah F., Fazel A., Allahdadi M., and Kharazifard M. J. Effect of Selected Luting Agents on the Retention of CAD/CAM Zirconia Crowns under Cyclic Environmental Pressure. Tehran J Dent; 15(2): 97–105. 2018.

28. Garner J.R., Wajdowicz M.N., DuVall N.B., and Roberts H.W. Selected physical properties of new resin-modified glass ionomer luting cements. J Prosthet Dent; 117(2): 277-82. 2017.

29. Panitiwat P., and Salimee P. Effect of different composite core materials on fracture resistance of endodontically treated teeth restored with FRC posts. J Appl Oral Sci; 25(2): 203–210. 2017.

30. Dual 2018 SPIDENT Product Catalog. Available at

31. Zaytsev D., Grigoriev S., and Panfilov P. Deformation Behavior of Human Dentin under Uniaxial Compression. Int J Biomater: 854539. 2012.

32. Plotino G., Grande N.M., Bedini R., Pameijer C.H., and Somma F. Flexural properties of endodontic posts and human root dentin. Dent Mater; 23(9) :1129-1135. 2007.

33. Nicholson J., and Czarnecka B. Conventional glass-ionomer cements. Materials for the Direct Restoration of Teeth; 6: 107-136. 2016.

34. Arora V., Kundabala M., Parolia A., Thomas M.S., and Pai V. Comparison of the shear bond strength of RMGIC to a resin composite using different adhesive systems: An in vitro study. J Conserv Dent; 13(2): 80-83. 2010.

35. Becci A.C.O., Benetti M.S., Domingues N.B., and Giro E.M.A. Bond strength of a composite resin to glass ionomer cements using different adhesive systems. Rev Odontol UNESP; 46(4): 214-219 2017.

36. Ernst C.P., Cohnen U., Stender E., and Willershausen B. In vitro retentive strength of zirconium oxide ceramic crowns using different luting agents. J Prosthet Dent; 93(6): 551-558 2005.

37. Zhang W., Masumi S.I., and Song X.M. Bonding property of two resin-reinforced glass-ionomer cements to zirconia ceramic. Quintessence Int; 41(7): e132-40. 2010.

38. Cattani-Lorente M.A., Godin C., and Meyer J.M. Mechanical behavior of glass ionomer cements affected by long-term storage in water. Dent Mater; 10(1): 37-44. 1994.

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