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Advances in dentin adhesion.

Jorge Perdigão1, Sillas Duarte, Maria M Lopes

  • 1Division of Operative Dentistry, Department of Restorative Sciences, University of Minnesota, Minneapolis, Minnesota, USA.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|December 25, 2003
PubMed
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Dental adhesives have evolved from multi-bottle systems to simplified total-etch or self-etching primers. Newer adhesives streamline the bonding process without a separate acid-etch step, impacting enamel etching depth.

Area of Science:

  • Dentistry
  • Biomaterials Science

Background:

  • Bonding to enamel is reliable, but bonding to dentin remains challenging due to its moist, organic nature.
  • Early enamel bonding agents evolved into complex multi-bottle adhesives by the 1990s, capable of bonding to various dental substrates.

Purpose of the Study:

  • To review the evolution of dental adhesive systems.
  • To discuss the different strategies employed in simplified dentin adhesives.
  • To highlight recent advancements in adhesive technology.

Main Methods:

  • Review of historical development of dental bonding agents.
  • Categorization of modern dentin adhesives into total-etch and self-etching primer strategies.
  • Discussion of simplified adhesives that omit a separate acid-etch step.

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Main Results:

  • Dental adhesives have progressed from early enamel-specific agents to versatile multi-bottle systems.
  • Simplified dentin adhesives utilize either total-etch or self-etching primer approaches.
  • Newer simplified adhesives may not etch enamel as deeply as traditional phosphoric acid-based systems.

Conclusions:

  • The evolution of dental adhesives has focused on simplifying clinical procedures while maintaining or improving bond strength.
  • Understanding the different adhesion strategies is crucial for selecting appropriate dental materials.
  • Further research may be needed to assess the long-term clinical performance of simplified adhesives with reduced enamel etching.