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Related Experiment Video

Updated: May 2, 2026

In situ Compressive Loading and Correlative Noninvasive Imaging of the Bone-periodontal Ligament-tooth Fibrous Joint
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Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis.

Rosário Costa1, Joana Reis-Pardal2,3, Sofia Arantes-Oliveira4

  • 1Faculty of Dental Medicine, Department of Operative Dentistry, University of Porto, Rua Dr. Manuel Pereira da Silva, 4200-393 Porto, Portugal.

International Journal of Molecular Sciences
|May 7, 2025
PubMed
Summary

Biomimetic remineralization (BR) shows potential to improve the bond strength of artificial caries-affected dentin (ACAD) in human teeth. This review analyzed in vitro studies, finding BR may enhance bonding effectiveness.

Keywords:
adhesivesbiomimetic materialdentin-bonding agentstooth demineralizationtooth remineralization

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Area of Science:

  • Dental Materials Science
  • Biomaterials Engineering
  • Caries Research

Background:

  • Dental caries affects dentin, compromising tooth structure and restoration integrity.
  • Restoring caries-affected dentin (ACAD) requires materials that ensure durable adhesion.
  • Biomimetic remineralization (BR) strategies aim to restore mineral content and structural integrity to demineralized dentin.

Purpose of the Study:

  • To systematically review and perform a network meta-analysis on the bond strength of ACAD with and without BR.
  • To evaluate the influence of different BR strategies on bond strength in vitro.
  • To explore the impact of adhesive application technique and ACAD protocol on bond strength.

Main Methods:

  • Systematic review and random-effect network meta-analysis following PRISMA guidelines.
  • Inclusion of 82 eligible in vitro studies assessing bond strength of ACAD.
  • Meta-regression analysis to investigate relationships between adhesive technique, ACAD protocol, and bond strength.

Main Results:

  • Most included studies (19/22) had a medium risk of bias.
  • Meta-regression indicated significant associations between adhesive technique, ACAD protocol, and bond strength at 24 hours.
  • Network meta-analysis compared multiple BR interventions simultaneously.

Conclusions:

  • Biomimetic remineralization demonstrates potential for enhancing the bond strength of artificial caries-affected dentin in vitro.
  • Adhesive application technique and ACAD protocol are significant factors influencing bond strength.
  • Further high-quality research is warranted to optimize BR strategies for clinical application.