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Adhesive bonding--some clinical considerations.

F Elizabeth Martin1

  • 1Faculty of Dentistry, University of Sydney, Westmead Centre for Oral Health, NSW.

Annals of the Royal Australasian College of Dental Surgeons
|August 3, 2007
PubMed
Summary
This summary is machine-generated.

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Dental adhesive systems have evolved for easier use, but durability remains a challenge due to hydrolysis. Research explores improving bond stability for longer-lasting dental restorations.

Area of Science:

  • Dental Materials Science
  • Adhesive Dentistry

Background:

  • Dental adhesive technology has advanced from multi-step to simplified systems.
  • Current systems include etch-and-rinse, self-etch, and glass ionomers, each with varying durability.
  • In vivo bond durability remains a significant clinical challenge for bonded restorations.

Purpose of the Study:

  • To review the evolution of dental adhesive systems.
  • To discuss the impact of hydrolysis on adhesive bond durability.
  • To explore strategies for enhancing adhesive bond stability.

Main Methods:

  • Literature review of adhesive system development and durability.
  • Analysis of factors contributing to bond degradation, particularly hydrolysis.
  • Discussion of techniques to improve long-term clinical performance.

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Main Results:

  • Three-step etch-and-rinse adhesives offer the highest durability.
  • Two-step self-etch systems approach the durability of etch-and-rinse.
  • Glass ionomers are clinically reliable but have physical property limitations.
  • Hydrolysis, involving water uptake and collagen degradation, compromises all adhesive systems.

Conclusions:

  • Hydrolysis is a critical factor affecting the longevity of all dental adhesive systems.
  • Improving adhesive resin stability and preserving the hybrid layer are key to enhancing bond durability.
  • Further research into stabilization techniques is needed to prolong the clinical success of bonded restorations.