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Published on: December 20, 2024
Dental Adhesives-Surface Modifications of Dentin Structure for Stable Bonding
Bruna Marin Fronza1, Roberto Ruggiero Braga1, Milena Cadenaro2
1Department of Biomaterials and Oral Biology, University of São Paulo, Av. Prof. Lineu Prestes, 2227, São Paulo, São Paulo 05508-000, Brazil.
Abstract:
The latest advancements in dentin bonding have focused on strategies to impair degradation mechanisms in order to extend the longevity of bonded interfaces. Protease inhibitors can reduce collagen degradation within the hybrid layer (HL). Collagen cross-linkers allow better adhesive infiltration and also inhibit proteases activity. Particles added to adhesive can promote mineral precipitation within the HL, reducing nanoleakage and micropermeability, besides possible antimicrobial and enzymatic inhibition effects. Most of these approaches are still experimental, and aspects of the adhesive under the clinician's control are still determinant for the long-term stability of adhesive restorations.
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