Prosthodontics & Occlusion · single question

A lithium disilicate (e.g., e.max) all-ceramic crown is best bonded using:

  1. Resin cement after hydrofluoric acid etching and silane treatment of the intaglio surface
  2. Zinc phosphate cement
  3. Glass ionomer with no surface treatment
  4. Temporary eugenol cement
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Correct answer: A. Resin cement after hydrofluoric acid etching and silane treatment of the intaglio surface

Lithium disilicate is an etchable glass-ceramic; etching the intaglio with hydrofluoric acid and applying silane creates micromechanical and chemical bonding for adhesive resin cement, maximizing retention and strength, especially for minimal preparations and veneers.Other options: Zinc phosphate and untreated glass ionomer give weaker non-adhesive bonds; eugenol temporary cement interferes with resin polymerization and is not definitive.Key exam takeaway: Etchable glass-ceramics (lithium disilicate) get HF etch + silane + resin cement; zirconia (non-etchable) gets sandblasting + an MDP-containing resin cement.

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