Conventional dentin bonding. difficulties and progress in the technique

Authors

  • Gisela Ramos-Sánchez Universidad Nacional de Colombia
  • Ricardo Fierro-Medina Universidad Nacional de Colombia
  • Norberto Calvo-Ramírez Universidad Nacional de Colombia

Keywords:

Adhesives, Composite resins, Dentin coatings, Dental cements, Phosphoric acid

Abstract


Introduction: studies on dentin bonding have reported that, contrary to the achieved stability on dental enamel, adhesive mechanisms on dentine are still sensitive, unpredictable, and unstable. The objective of this study is to review the current literature on dentin bonding in order to characterize conventional bonding, describing current modifications of the conventional protocol aimed at improving the adhesive performance of dental materials. Methods: a literature review was conducted within 3 databases: ScienceDirect, Springer, and Medline, choosing the 52 most relevant articles published between 2004 and 2013. The following key words were used as search criteria: dentin, dentin bonding, bond strength,
and acid etching. Results: the review of the selected articles provided a description of the conventional adhesion protocol showing the formation of smear layer, the action of phosphoric acid, and the actual formation of adhesive interface, as well as the difficulties of the technique and possible solutions suggested to date. Conclusion: conventional dentin bonding is a precise and delicate procedure that shows disadvantages such as the hydrolytic and proteolytic degradation of collagen matrix by enzymes released at the time of demineralization, which damages the adhesive interface. Therefore, several substances have been suggested to be used as agents of collagen protection without altering adhesive strength, and even improving it.

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Author Biographies

Gisela Ramos-Sánchez, Universidad Nacional de Colombia

MSc in Dentistry, Universidad Nacional de Colombia

Ricardo Fierro-Medina, Universidad Nacional de Colombia

Oral Rehabilitator Specialist. Professor, Universidad Nacional de Colombia

Norberto Calvo-Ramírez, Universidad Nacional de Colombia

PhD. Professor, Department of Chemistry. Laboratory of Organometallic Compounds. Universidad Nacional de Colombia

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Published

2015-04-21

How to Cite

Ramos-Sánchez, G., Fierro-Medina, R., & Calvo-Ramírez, N. (2015). Conventional dentin bonding. difficulties and progress in the technique. Revista Facultad De Odontología Universidad De Antioquia, 26(2), 468–486. Retrieved from https://revistas.udea.edu.co/index.php/odont/article/view/17146

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