Durability In Adhesive Dentistry

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Adhesion of resin materials to tooth structure has been a challenge in the history of adhesive dentistry. Currently, bond durability is one of the main research topics in adhesive dentistry. Regardless of the improvements in bonding technology, resin dentin bonds show limited durability for both etch and rinse and self-etch adhesive systems. The main problem concerning the durability of resin-dentin is the hydrolytic degradation of the two components of the hybrid layer. These are the collagen matrix and the adhesive resin [8]. Many approaches to enhance long-term bonding were developed , these include the inhibition of dentinal endogenous proteases (matrix metalloproteinases and cysteine cathepsins)[22].Matrix metalloproteinases are thought …show more content…

Because of its ability to break down self-associative tendency of water , it may also reduce the number of water molecules entrapped between the polymeric chains, increasing the degree of postoperative polymerization In addition to post-curing increase in bond strength, the relative decrease in free water would eliminate or decrease the hydrolytic degradation of adhesive in or above the hybrid layer …show more content…

This positive effect was attributed to improved wetting of collagen by the adhesive [21] In the same study Tjaderhane suggested that, a considerably low concentration of dimethyl sulfoxide was shown to reduce dentin bond strength loss after aging. Considering di-methyl sulfoxide properties, higher concentrations might have a positive effect on dentin bonding. [21] Stape et al also found that dentin pre-treatment with low dimethyl sulfoxide concentrations improves long-term bonding at the expense of an extra step in the etch-and-rinse bonding technique. Therefore, solvation of adhesive monomers by dimethyl sulfoxide could possibly benefit dentin bonding in a similar manner, but without the need of an extra bonding step, as long as the resin mechanical/physical properties would not be compromised.

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