Adhesion to Enamel and Dentin: A Review

2021 ◽  
Vol 1 (4) ◽  
pp. 368-376
Author(s):  
S Malhotra ◽  
R Kaur ◽  
AK Jossan ◽  
KK Bhullar ◽  
A Handa

Bonding agents play a crucial role in the effective sealing and retention of resin-based composite restorations, which have been increasingly placed and replaced by dentists in many countries around the world. In fact, direct adhesive restoration with composite resins has become the procedure of choice for the treatment of anterior and posterior teeth. However, long-term durability of those restorations may be compromised due to progressive loss of the integrity of adhesive interfaces. This means that no adhesive strategy is free from technique sensitivity. The specificity and proportion of different constitutive molecules, the interaction between them and substrates can differ greatly from one class of adhesive system to another, which can affect bond quality. Protocol simplification has been an inevitable trend that has boosted the use of self-etching and universal systems in adhesive dentistry.

2012 ◽  
Vol 37 (6) ◽  
pp. E30-E37 ◽  
Author(s):  
RH Sundfeld ◽  
RS Scatolin ◽  
FG Oliveira ◽  
LS Machado ◽  
RS Alexandre ◽  
...  

SUMMARY This clinical study assessed the performance of posterior composite resins applied with the Adper™ Single Bond Plus (SB) and Adper™ Scotchbond SE (SE) adhesive systems and Filtek™ Supreme Plus composite resin, using modified US Public Health Service criteria. A total of 97 restorations were placed in posterior teeth by two calibrated operators. Application of the materials followed manufacturers' instructions. The restorations were evaluated by two examiners at baseline and after one year. Statistical analyses were conducted using the proportion test at a significance level of 5% (p<0.05). All the restorations evaluated (ie, 100%) received an alpha rating for the criteria of marginal discoloration and marginal integrity at baseline. At one year, for marginal discoloration, 64.6% of SB and 61.2% of SE received an alpha rating. For marginal integrity, 72.9% of SB and 77.6% of SE received an alpha rating. The other restorations received bravo ratings for both criteria. None of the teeth that received the restorative systems presented caries lesions around the restorations. A total of eight teeth presented postoperative sensitivity one week after baseline, five with SB and three with SE; the symptom had disappeared one year later. One year later, composite resin restorations using either adhesive system showed satisfactory clinical performance.


2001 ◽  
Vol os8 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Ailbhe McDonald

The rapid developments in biomaterials has led not only to improved materials but also to the development of clinical techniques made possible by these advances. Adhesive dentistry remains one of the fastest changing fields and this will most likely continue well into the next decade. Patients’ aesthetic awareness and, to some extent, concern about amalgam has produced a growing demand for posterior tooth-coloured restorations. Originally this was met by ceramo-metal crowns and subsequently by the development of posterior composite resins. Recent development of stronger ceramics and better luting have now made all-ceramic restorations possible in posterior sites. Several new techniques for cavity preparation are emerging as alternatives to the conventional handpiece while the quest for amalgam alternatives continues. As with all recent developments there are, by definition, few long-term clinical data yet available to allow a comprehensive evaluation of the relevant materials and techniques. This paper is a summary of the most significant recent advances in fixed prosthodontics and operative dentistry.


Author(s):  
Francesca Zotti ◽  
Edoardo Falavigna ◽  
Giorgia Capocasale ◽  
Daniele De Santis ◽  
Massimo Albanese

AbstractSince the bulk-fill composites were produced, there was a progressive diffusion of their use for direct conservative treatment in posterior teeth. Their chemical structure increases the depth of cure and decreases the polymerization contraction; in this manner, bulk-fill composites can be placed in 4 mm single layers and the treatment times are considerably reduced. However, aesthetic and mechanical properties and impact on microleakage of bulk-fill resins are still unclear.This systematic review and meta-analysis aimed to assess the risk of microleakage of direct posterior restorations made of bulk-fill versus conventional composite resins.Researches were performed on PubMed and Scopus databases. Eligible in vivo studies, published since 2006, were reviewed. Outcomes of marginal discoloration, marginal adaptation, and recurrent caries were considered to conduct the systematic review and meta-analysis. Secondary data were examined to implement additional analysis and assess the risk of bias.Eight randomized clinical trials were analyzed, involving 778 direct restorations. The summary of RCTs led to significant but inconsistent results; the marginal discoloration and recurrent caries were found to be improved respectively by 5.1 and 1.4%, whereas the marginal adaptation was reduced of 6.5%. Secondary analyses revealed that follow-up periods, the adhesive system used and the class of carious lesions evaluated are confounding factors, and they result in a risk of bias across studies.Bulk-fill composites are innovative materials for conservative dentistry and they can be used to reduce treatment steps and duration of operative times. There are insufficient data to explore the relationship between bulk-fill composites and microleakage and further investigations are needed.


Author(s):  
Neimar Sartori

<div><p>Adhesive dentistry allowed restoring lost tooth structures using Minimally Invasive direct or indirect bonded restorations. Adhesive systems and bonding techniques have been constantly evolving since the introduction of Sevriton Cavity Seal, in 1940 by Oskar Hagger. As we celebrate the 60th anniversary of adhesive dentistry in 2015 the future of the Minimally Invasive Adhesive Dentistry is more promising than ever. A better understanding of long-term resin-dentin bonds interaction is guiding the development of materials and techniques that overcome the limitation of current bonding agents and restorative procedures. A brief statement would be stated.</p><div> </div></div>


2020 ◽  
Vol 49 ◽  
Author(s):  
Raquel Devisate BORGHI ◽  
Erick Kamiya COPPINI ◽  
Josué Junior Araújo PIEROTE ◽  
João Victor Frazão CÂMARA ◽  
Luis Alexandre Maffei Sartini PAULILLO

Abstract Introduction To prevent the shrinkage stresses produced during polymerization, composite resins of low polymerization shrinkage were developed. Objective To evaluate the microtensile bond strength in class I cavities restored by acid-etching the cavosurface angle and with composite resins indicated for posterior teeth. Material and method 48 healthy molars were selected and divided into six groups (n = 8), considering that the cavosurface enamel of three groups was etched with 35% phosphoric acid. The teeth were restored with the Clearfil SE Bond adhesive system and Filtek Z350 XT, Empress Direct, and Charisma Diamond composite resins, which were light-cured for 40 seconds. After 24 hours, the teeth were taken to a cutting machine, which produced sections in the buccolingual and mesiodistal directions. This resulted in toothpicks of 0.9×0.9 mm that were taken to the universal testing machine for the microtensile bond strength test. Statistical analysis was performed with ANOVA and Tukey’s test (p < 0.05). Result There was no statistically significant difference between the groups evaluated. Conclusion Acid-etching the cavosurface angle did not affect the performance of restorations, probably due to the adhesive system used.


2018 ◽  
Vol 66 (4) ◽  
pp. 391-397
Author(s):  
Mirella Aline Batista da COSTA ◽  
Juliana Raposo Souto MAIOR ◽  
Renata Pedrosa GUIMARÃES ◽  
Daene Patrícia Tenório Salvador da COSTA ◽  
Paulo Fonseca MENEZES FILHO ◽  
...  

ABSTRACT Bulk Fill Composite resins are restorative materials that present low tension and polymerization shrinkage, allowing them to be inserted in a single increment of up to 4 mm of thickness, in a restorative cavity. This paper aims to report a clinical case of restorations done on posterior teeth with Bulk Fill restorative system, using selective acid-etching with self-etch adhesive system. Patient, male, 24 years old, presented a carious lesion on the occlusal surface of dental element 37 and an occlusal unsatisfactory amalgam restoration, on element 36. A restorative treatment with Universal Bond 3M / ESPE and bulk fill composite resin (3M / ESPE) was done. According to the case described, it was possible to observe that the materials and techniques used restored the form and function of the teeth involved, preserving pulp vitality with a satisfactory aesthetic result. The bulk fill resins employed offer practicality and decrease clinical time, with satisfactory clinical applicability in the aesthetic and functional rehabilitation of posterior teeth.


2004 ◽  
Vol 51 (4) ◽  
pp. 169-176 ◽  
Author(s):  
Slavoljub Zivkovic ◽  
Mila Kolar ◽  
Larisa Blazic ◽  
Mirjana Vucetic ◽  
Goran Tosic

Adhesion to enamel has become a routine technique in restorative dentistry. Adhesion to dentin, however, is still under investigation. Except structural elements of the dentin, smear layer has been one of the reasons that the interaction between the adhesive system and this tissue is difficult. The smear layer tissue created by cutting a tooth. It varies in thickness, roughness, density and degree of attachment andoccludes tubules and reduces the dental permeabilita. Dentin adhesivesystems can react with intertubular and peritubular dentin only when this smear layer is removed or when the adhesive system is capable of diffusion through layer of debris. As part of restorative procedures required by adhesive dentistry, the smear layer must be removed, modified or impregnated by the resin to allow for bonding between the tooth and the restorative material. For remove and dissolve of smear layer acid conditioners on total etch and self-etching primers were used. Self-etching primer systems are undergoing rapid evolution; their results are not yet sufficiently predictable overall, but some systems have achieved positive results in both enamel and dentin bonding. Further studies are necessary to confirm the long-term efficiency of these self-etching primers.


2006 ◽  
pp. 4-19 ◽  
Author(s):  
L. Abalkin

The article covers unified issues of the long-term strategy development, the role of science as well as democracy development in present-day Russia. The problems of budget proficit, the Stabilization Fund issues, implementation of the adopted national projects, an increasing role of regions in strengthening the integrity and prosperity of the country are analyzed. The author reveals that the protection of businessmen and citizens from the all-embracing power of bureaucrats is the crucial condition of democratization of the society. Global trends of the world development and expert functions of the Russian science are presented as well.


2020 ◽  
Vol 6 (2) ◽  
pp. 194-221 ◽  
Author(s):  
Paul K. Gellert ◽  
Paul S. Ciccantell

Predominant analyses of energy offer insufficient theoretical and political-economic insight into the persistence of coal and other fossil fuels. The dominant narrative of coal powering the Industrial Revolution, and Great Britain's world dominance in the nineteenth century giving way to a U.S.- and oil-dominated twentieth century, is marred by teleological assumptions. The key assumption that a complete energy “transition” will occur leads some to conceive of a renewable-energy-dominated twenty-first century led by China. After critiquing the teleological assumptions of modernization, ecological modernization, energetics, and even world-systems analysis of energy “transition,” this paper offers a world-systems perspective on the “raw” materialism of coal. Examining the material characteristics of coal and the unequal structure of the world-economy, the paper uses long-term data from governmental and private sources to reveal the lack of transition as new sources of energy are added. The increases in coal consumption in China and India as they have ascended in the capitalist world-economy have more than offset the leveling-off and decline in some core nations. A true global peak and decline (let alone full substitution) in energy generally and coal specifically has never happened. The future need not repeat the past, but technical, policy, and movement approaches will not get far without addressing the structural imperatives of capitalist growth and the uneven power structures and processes of long-term change of the world-system.


Author(s):  
V.B. Kondratiev

The COVID-19 pandemic has affected the commodity markets and mining industry around the world in different ways. Mining company’s operations have been hit by coronavirus outbreaks and government-mandated production stops. Demand for many commodities remains low. This paper examines the potential long-term impact of the COVID-19 pandemic on future commodity demand, mining prospects, as well as tactical and strategic steps by mining companies to overcome the current crisis quickly and effectively.


Sign in / Sign up

Export Citation Format

Share Document