Long-term durability of dental adhesives
: Tezvergil-Mutluay A, Pashley D, Mutluay MM
Publisher: Springer
: 2015
: Current Oral Health Reports
: Curr Oral Health Rep
: 2
: 4
: 174
: 181
: 8
DOI: https://doi.org/10.1007/s40496-015-0070-y
Abstract The use of tooth-colored dental restorative materials,
along with the adhesive techniques, has become routine
in today’s dental practice. The longevity of adhesive restorations
depends mainly on good bonding between restorative
materials and tooth structure, which should be achieved in
situ, within minutes. While bonding to enamel is reliable
through micromechanical retention, bonding to dentin presents
challenges due to its more complex collagenous structure.
Progressive loss of resin-dentin bond integrity and reduction
in bond strength have been extensively reported. This was
attributed partly to the hydrophilic nature of the contemporary
adhesives systems that causes unwanted water absorption,
phase separation, and resin leaching and also to the endogenous
collagenolytic enzymes that can slowly hydrolyze collagen.
Current research in this field aims at increasing the durability
of resin-dentin bonds by inhibition of the collagenolytic
activity of dentin, as well as implementing bonding strategies
which allow the use of more hydrophobic bonding agents.