Carious affected dentine: its behaviour in adhesive bonding

Australian Dental Journal
R PinnaEgle Milia

Abstract

Carious affected dentine (CAD) represents a very common substrate in adhesive dentistry. Despite its ability to interact with adhesive systems, the intrinsic character of CAD leads to lower bonding compared with sound dentine, regardless of the adhesive systems used. This low bonding may be more susceptible to leakage and hydrolysis of the interface by matrix metalloproteinases (MMPs). This systematic review aimed to determine current knowledge of CAD bonding, together with bond strength and MMP inhibitors' ability to prevent hybrid layer instability. MEDLINE/Pubmed, Scopus and The Cochrane Library databases were electronically searched for articles published from 1 January 1960 to 31 August 2014. Two reviewers independently screened and included papers according to predefined selection criteria. The electronic searches identified 320 studies. After title, abstract and full-text examinations, 139 articles met the inclusion criteria. Data highlighted that a poor resin saturation of the already demineralized collagen matrix in CAD is strictly related to nanoleakage in interdiffusion and is the basis of the progressive decrease in strength with hydrolysis by MMPs. The use of mild self-etching systems seems to be the more accredite...Continue Reading

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Citations

Jan 19, 2018·Microscopy Research and Technique·Vanessa CavalliMarcelo Giannini
Sep 16, 2018·Clinical Oral Investigations·Karen Pintado-PalominoCamila Tirapelli
Jan 8, 2019·Journal of Dental Research·J P de SousaR M Puppin-Rontani
Jan 20, 2021·Journal of Dentistry·Rocio Geng VivancoFernanda de Carvalho Panzeri Pires-de-Souza
Feb 17, 2018·Dental Materials : Official Publication of the Academy of Dental Materials·Qianmin OuXuefeng Lin
Sep 27, 2020·Dental Materials : Official Publication of the Academy of Dental Materials·Ruitian ChenZhi Chen

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