Current perspectives on dental adhesion: (1) Dentin adhesion - not there yet.
Current perspectives on dental adhesion: (1) Dentin adhesion - not there yet.
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DOI：
10.1016/j.jdsr.2020.08.004
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Perdigão J
中科院分区：
文献类型：
--
作者：
Perdigão J
任何粘结剂修复的基本目标都是实现修复材料与牙釉质和牙本质的紧密和持久的适应。新型牙科粘合剂的关键挑战是同时在两种性质相互冲突的牙科基质上有效。要实现这一目标，必须克服一些障碍。在酸蚀牙釉质中，通过微孔阵列内树脂标签的微机械联锁可以可靠地粘结到牙釉质上，并能有效地封闭修复边缘以防止渗漏，但有效和持久地粘接有机和潮湿的牙本质是粘结剂牙科最令人困惑的任务。牙科粘合剂的大部分研究和开发都集中在通过减少瓶子和/或步骤的数量来使临床过程更加用户友好。虽然临床医生肯定更喜欢不那么复杂和更多用途的粘接材料，但在简化牙科粘接和临床结果之间存在权衡。同样，新材料的推出声称是新奇的，具有特殊的性质，但没有太多的证据支持。本文回顾了牙科粘接领域的开创性工作，强调了基材是获得耐用粘接性修复体的主要挑战，并分析了三种粘接策略及其不足。它还回顾了化学/离子牙科粘连的潜力，讨论了广泛发表的实验室研究不能转化为临床相关性的问题，并就可能对未来粘接材料产生影响的最新研究留下了一些思考。
The essential goal of any adhesive restoration is to achieve a tight and long-lasting adaptation of the restorative material to enamel and dentin. The key challenge for new dental adhesives is to be simultaneously effective on two dental substrates of conflicting nature. Some barriers must be overcome to accomplish this objective. While bonding to enamel by micromechanical interlocking of resin tags within the array of microporosities in acid-etched enamel can be reliably achieved and can effectively seal the restoration margins against leakage, bonding effectively and durably to organic and humid dentin is the most puzzling task in adhesive dentistry. Much of the research and development of dental adhesives has focused on making the clinical procedure more user-friendly by reducing the number of bottles and/or steps. Although clinicians certainly prefer less complicated and more versatile adhesive materials, there is a trade-off between simplification of dental adhesives and clinical outcomes. Likewise, new materials are launched with claims of being novel and having special properties without much supporting evidence. This review article discusses dental adhesion acknowledging pioneer work in the field, highlights the substrate as a major challenge to obtain durable adhesive restorations, as well as analyzes the three adhesion strategies and their shortcomings. It also reviews the potential of chemical/ionic dental adhesion, discusses the issue of extensively published laboratory research that does not translate to clinical relevance, and leaves a few thoughts in regard to recent research that may have implications for future adhesive materials.
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DOI：
10.1016/j.dental.2020.08.007
发表时间：
2020-11-01
期刊：
Dental materials : official publication of the Academy of Dental Materials
影响因子：
--
作者：
de Paris Matos, Thalita;Perdigao, Jorge;Loguercio, Alessandro D
通讯作者：
Loguercio, Alessandro D
影响因子：
2.2
作者：
Burrow, M. F.;Kitasako, Y.;Tagami, J.
通讯作者：
Tagami, J.
影响因子：
8
作者：
Aida KL;Kreling PF;Caiaffa KS;Calixto GMF;Chorilli M;Spolidorio DM;Santos-Filho NA;Cilli EM;Duque C
通讯作者：
Duque C
影响因子：
4.4
作者：
Degrazia, Felipe Weidenbach;Genari, Bruna;Sauro, Salvatore
通讯作者：
Sauro, Salvatore
影响因子：
7.6
作者：
Chiaraputt, S.;Mai, S.;Tay, F. R.
通讯作者：
Tay, F. R.