Conventional dentin bonding. difficulties and progress in the technique
Keywords:Adhesives, Composite resins, Dentin coatings, Dental cements, Phosphoric acid
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.
Van Meerbeek B, Peumans M, Poitevin A, Mine A, Van Ende A, Neves A et al. Review relationship between bond-strength tests and clinical outcomes. Dent Mater 2010; 26: e100-121.
Pashley DH, Tayb FR, Breschic L, Tjäderhanee L, Carvalhof RM, Carrilhog M et al. State of the art etch-and-rinse adhesives. Dent Mater 2011; 27: 1-16.
Van Landuyt KL, Snauwaert J, De Munck J, Peumans M, Yoshida Y, Poitevin A et al. Systematic review of the chemical composition of contemporary dental adhesives. Biomaterials 2007; 28: 3757-3785.
Sulkala M, Tervahartiala T, Sorsa T, Larmas M, Salo T, Tjäderhane L. Matrix metalloproteinase-8 (MMP-8) is the major collagenase in human dentin. Arch Oral Biol 2007; 52: 121-127.
Zaslansky P, Zabler S, Fratzl P. 3D variations in human crown dentin tubule orientation: A phase-contrast microtomography study. Dent Mater 2010; 26: e1-10.
Ivancik J, Majd H, Bajaj D, Romberg E, Arola D. Contributions of aging to the fatigue crack growth resistance of human dentin. Acta Biomater 2012; 8: 2737-2746.
Shrivastava S, Aifantis Katerina E. Effects of cola drinks on the morphology and elastic modulus of dentin. Mater Lett 2011; 65: 2254-2256.
Elbaum R, Tal E, Perets AI, Oron D, Ziskind D, Silberberg Y et al. Dentin micro-architecture using harmonic generation microscopy. J Dent 2007; 35: 150–155.
Arola D, Reprogel RK. Tubule orientation and the fatigue strength of human dentin. Biomaterials 2006; 27: 2131-2140.
Zaslansky P. Dentin. En: Fratzl P. Collagen: structure and mechanics. New York: Springer; 2008.
Sattabanasuk V, Vachiramon V, Qian F, Armstrong SR. Resin-dentin bond strength as related to different surface preparation methods. J Dent 2007; 35: 467-475.
Eldarrata AH, High AS, Kale GM. In vitro analysis of ‘smear layer’ on human dentine using ac-impedance spectroscopy. J Dent 2004; 32: 547-554.
Nakajima M, Kunawarote S, Prasansuttiporn T, Tagami J. Bonding to caries-affected dentin. Jpn Dent Sci Rev 2011; 47: 102-114.
Oliveiraa SS, Pugach MK, Hiltonb JF, Watanabe LG, Marshall SJ, Marshall GW Jr. The influence of the dentin smear layer on adhesion: a self-etching primer vs. a total-etch system. Dent Mater 2003; 19: 758-767.
Spencer P, Ye Q, Park J, Topp EM, Misra A, Marangos O et al. Adhesive/Dentin Interface: The Weak Link in the composite restoration. Ann Biomed Eng 2010; 38: 1989-2003.
Van Meerbeek B, Yoshihara K, Yoshida Y, Mine A, De Munck J, Van Landuyt KL. State of the art of self-etch adhesives. Dent Mater 2011; 27: 17-28.
Farge P, Alderete L, Ramos SM. Dentin wetting by three adhesive systems: Influence of etching time, temperature and relative humidity. J Dent 2010; 38: 698-706.
Brajdić D, Krznarić O M, Azinović Z, Macan D, Baranović M. Influence of different etching times on dentin surface morphology. Coll Antropol 2008; 32: 893-900.
Shellis RP, Curtis AR. A minimally destructive technique for removing the smear layer from dentine surfaces. J Dent 2010; 38: 941-944.
Ramos SM, Alderete L, Farge P. Dentinal tubules driven wetting of dentin: Cassie-Baxter modelling. Eur Phys J E 2009; 30: 187-195.
Miyazaki M, Tsubota K, Takamizawa T, Kurokawa H, Rikuta A, Ando S. Factors affecting the in vitro performance of dentin-bonding systems. Jpn Dent Sci Rev 2012; 48: 53-60.
Wang Y, Yao X. Morphological/chemical imaging of demineralized dentin layer in its natural, wet state. Dent Mater 2010; 26: 433-442.
Fawzy AS. Variations in collagen fibrils network structure and surface dehydration of acid demineralized intertubular dentin: effect of dentin depth and air-exposure time. Dent Mater 2010; 26: 35-43.
Langer A, Llie N. Dentin infiltration ability of different classes of adhesive systems. Clin Oral Invest 2012; 17: 205-216.
Reis A, de Carvalho Cardoso P, Vieira LC, Baratieri LN, Grand RH, Loguercio AD. Effect of prolonged application times on the durability of resin-dentin bonds. Dent Mater 2008; 24: 639-644.
Proença JP, Polido M, Osorio E, Erhardt MC, Aguilera FS, García-Godoy F et al. Dentin regional bond strength of self-etch and total-etch adhesive systems. Dent Mater 2007; 23: 1542-1548.
Erhardt MC, Osorio R, Toledano M. Dentin treatment with MMPs inhibitors does not alter bond strengths to caries-affected dentin. J Dent 2008; 36: 1068-1073.
Fang M, Liu R, Xiao Y, Li F, Wang D, Hou R et al. Biomodification to dentin by a natural crosslinker improved the resin-dentin bonds. J Dent 2012; 40: 458-466.
Hashimoto M, Nagano F, Endo K, Ohno H. A review: biodegradation of resin-dentin bonds. Jpn Dent Sci Rev 2011; 47: 5-12.
Carrilho MR, Carvalho RM, Sousae EN, Nicolau J, Breschi L, Mazzoni A et al. Substantivity of chlorhexidine to human dentin. Dent Mater 2010; 26: 779-785.
Wang DY, Zhang L, Fan J, Li F, Ma KQ, Wang P et al. Matrix metalloproteinases in human sclerotic dentine of attrited molars. Arch Oral Biol 2012; 57: 1307-1312.
Kim J, Uchiyama T, Carrilho M, Agee KA, Mazzoni A, Breschi L et al. Chlorhexidine binding to mineralized versus demineralized dentin powder. Dent Mater 2010; 26: 771-778.
Perdigão J. Dentin bonding —variables related to the clinical situation and the substrate treatment. Dent Mater 2010; 26: e24-37.
Zhou J, Tan J, Chen L, Li D, Tan Y. The incorporation of chlorhexidine in a two-step self-etching adhesive preserves dentin bond in vitro. J Dent 2009; 37: 807-812.
Hegde M, Bhide S. Nanoleakage phenomenon on deproteinized human dentin —an in vitro study. Indian J Dent 2012; 3(1): 5-9.
Correr GM, Alonso RC, Grando MF, Borges AF, Puppin-Rontani RM. Effect of sodium hypochlorite on primary dentin —A scanning electron microscopy (SEM) evaluation. J Dent 2006; 34: 454-459.
Zhang K, Tay FR, Kim YK, Mitchell JK, Kim JR, Carrilho M et al. The effect of initial irrigation with two different sodium hypochlorite concentrations on the erosion of instrumented radicular dentin. Dent Mater 2010; 26: 514-523.
Pascon FM, Kantovitz KR, Sacramento PA, Nobre-dos-Santos M, Puppin-Rontani RM. Effect of sodium hypochlorite on dentine mechanical properties. A review. J Dent 2009; 37: 903-908.
Kaya S, Yiğit-Özer S, Adigüzel Ö. Evaluation of radicular dentin erosion and smear layer removal capacity of self-adjusting file using different concentrations of sodium hypochlorite as an initial irrigant. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112(4): 524-530.
Prasansuttiporn T, Nakajima M, Kunawarote S, Foxton RM, Tagami J. Effect of reducing agents on bond strength to NaOCl-treated dentin. Dent Mater 2011; 27: 229-234.
Sauro S, Toledano M, Aguilera FS, Mannocci F, Pashley DH, Tay FR et al. Resin-dentin bonds to EDTA-treated vs. acid-etched dentin using ethanol wet-bonding. Dent Mater 2010; 26: 368-379.
Guentsch A, Seidler K, Nietzsche S, Hefti AF, Preshaw PM, Watts DC et al. Biomimetic mineralization: Long-term observations in patients with dentin sensitivity. Dent Mater 2012; 28: 457-464.
Ishihata H, Kanehira M, Finger Werner J, Shimauchi H, Komatsu M. Effects of applying glutaraldehyde-containing desensitizer formulations on reducing dentin permeability. J Dent Sci 2012; 7: 105-110.
Green B, Yao X, Ganguly A, Xu C, Dusevich V, Walker MP et al. Grape seed proanthocyanidins increase collagen biodegradation resistance in the dentin/adhesive interface when included in an adhesive. J Dent 2010; 38: 908-915.
Xie Q, Bedran-Russo AK, Wu CD. In vitro remineralization effects of grape seed extract on artificial root caries. J Dent 2008; 36: 900-906.
Bedran-Russo AK, Castellan CS, Shinohara MS, Hassan L, Antunes A. Characterization of biomodified dentin matrices for potential preventive and reparative therapies. ActaBiomater 2011; 7: 1735-1741.
Epasinghe DJ, Yiu CK, Burrow MF, Tay FR, King NM. Effect of proanthocyanidin incorporation into dental adhesive resin on resin-dentine bond strength. J Dent 2012; 40: 173-180.
Liu Y, Wang Y. Effect of proanthocyanidins and photo-initiators on photo-polymerization of a dental adhesive. J Dent 2013; 41: 71-79.
Castellan CS, Pereira PN, Grande RH, Bedran-Russo AK. Mechanical characterization of proanthocyanidin-dentin matrix interaction. Dent Mater 2010; 26: 968-973.
Tezvergil-Mutluay A, Agee KA, Hoshika T, Tay FR, Pashley DH. The inhibitory effect of polyvinylphosphonic acid on functional matrix metalloproteinase activities in human demineralized dentin. Acta Biomater 2010; 6: 4136-4142.
Kim YK, Gu LS, Bryan TE, Kim JR, Chen L, Liu Y et al. Mineralisation of reconstituted collagen using polyvinylphosphonic acid/polyacrylic acid templating matrix protein analogues in the presence of calcium, phosphate and hydroxyl ions. Biomaterials 2010; 31: 6618-6627.
Fawzy AS, Nitisusanta LI, Iqbal K, Daood U, Beng LT, Neo J. Chitosan/Riboflavin-modified demineralized dentin as a potential substrate for bonding. J Mech Behav Biomed Mater 2013; 17: 278-289.
Fawzya AS, Nitisusanta LI, Iqbal K, Daood U, Neo J. Riboflavin as a dentin crosslinking agent: Ultraviolet A versus blue light. Dent Mater 2012; 28: 1284-1291.
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