study of the clinical application of the adhesive restorative materials

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1. Bond strength to affected dentinIt was revealed that bond strengths of some resin bonding systems to several types of dentin surfaces affected by cervical abrasion, caries and laser irradiation showed lower bonds than those of normal dentin.2. Dynamic 3-D analysis of etched dentin surfacesTopography of wet and dried etched dentin surface was observed under a laser scanning microscope. Dentin surface etched with phosphoric acid showed shrinkage after air drying. The method that prevents shrinkage of etched collagen is ideal for sufficient penetration into demineralized dentin layer.3. Re-evaluation for the bonding performance to enamelIt was indicated that etching depth of phosphoric acid was 40 times greater than that of self etching primer. Thus, it was suggested that multiple application of self etching primer in the clinical situation. And, it was confirmed that the bond strengths to intact enamel surfaces were lower than those to ground enamel surfaces.4. SEM observation of bond … More ing interfacesThere was no correlation between the thickness of the hybrid layer and tensile bond strength. It can be considered that the mechanical properties of hybrid layer is more accessible to bond strength than its thickness.5. Clinical factors influencing dentin bondingIt was demonstrated that clinical factors (e.g. temperature, humidity, residues of temporary filling materials and endodontic treatment) influence the bond strengths of adhesive resin systems and resin luting cements to dentin.6. Bonding performance of composite resin inlaysThe bond strength of resin composite inlay to dentin was lower than that of resin composite for direct restoration. However, the bond strength indicated higher value when resin coating method was used.Consequently, it was proved that the properties of hybrid layer and bond strength varied because of the difference of composition and structure of dentin and several clinical factors. More research will be needed to confirm the optimal restorative procedures. Less