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Published on: May 17, 2020
Current aspects on bonding effectiveness and stability in adhesive dentistry.
M V Cardoso1, A de Almeida Neves, A Mine
1Catholic University of Leuven, School of Dentistry, Oral Pathology and Maxillo-facial Surgery, Department of Conservative Dentistry, Leuven BIOMAT Research Cluster, Leuven, Belgium.
Simplified dental adhesives offer convenience but may compromise long-term bond durability. Material properties and preparation techniques significantly impact adhesion effectiveness for predictable restorative dentistry.
Area of Science:
- Dental materials science
- Restorative dentistry
- Biomaterials engineering
Background:
- Modern restorative dentistry emphasizes minimal-invasive techniques, relying heavily on effective enamel-dentine adhesives.
- Adhesive strategies include etch-and-rinse and self-etch approaches, with simplified one-step and two-step systems gaining popularity.
- Simplified adhesives often exhibit increased acidity and hydrophilicity, potentially leading to issues like water sorption and nanoleakage.
Purpose of the Study:
- To review the theoretical and clinical aspects of dental adhesion to enamel and dentine.
- To analyze the impact of simplified adhesive formulations on bond effectiveness and durability.
- To discuss strategies for overcoming challenges in achieving stable adhesion in restorative dentistry.
Main Methods:
- Literature review of current theoretical and clinical research on dental adhesives.
- Analysis of adhesive interaction with enamel and dentine substrates.
- Discussion of factors influencing bond stability, including material properties and preparation techniques.
Main Results:
- One-step adhesives, while user-friendly, can be more susceptible to degradation due to water sorption and nanoleakage.
- Durability of simplified adhesives is material-dependent and can be inferior to multi-step systems.
- Caries removal and cavity preparation techniques can alter the tooth substrate, potentially affecting adhesive performance.
Conclusions:
- Achieving stable adhesion requires consideration of both adhesive formulation and substrate characteristics.
- Material-dependent properties significantly influence the long-term clinical performance of dental adhesives.
- Further research and clinical strategies are needed to ensure predictable and durable restorative treatments.
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