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[Dentin adhesives. An update].

R Grandini1, C Novelli, P Pierleoni

  • 1Facoltà di Medicina e Chirurgia, Istituto di Odonto-Gnato-Stomatologia, Università degli Studi di Firenze.

Minerva Stomatologica
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

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Adhesion to dentin remains challenging, unlike enamel. Newer dentin bonding systems offer improved chemical bonding but require precise application for effective composite resin adhesion.

Area of Science:

  • Dental Materials Science
  • Biomaterials Engineering

Context:

  • Enamel bonding is successful via acid-etching.
  • Dentin's unique composition presents adhesion challenges.
  • Acid-etching dentin can cause pulpal issues and doesn't improve bond strength.

Purpose:

  • To review the evolution and challenges of dentin bonding systems.
  • To highlight the mechanisms and limitations of early and newer dentin adhesives.

Summary:

  • First-generation methacrylate-based dentin adhesives chemically bonded to dentin's inorganic phase, yielding low bond strengths.
  • Second-generation dentin bonding systems utilize mild acid conditioners and aqueous primers for better monomer penetration.
  • These newer systems rely on physicochemical interactions but are highly sensitive to procedural variations.

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Impact:

  • Understanding dentin bonding limitations is crucial for clinical success.
  • Development of effective dentin bonding systems is vital for durable dental restorations.
  • Precise adherence to instructions for second-generation systems is critical for optimal performance.