Technique sensitivity in bonding to enamel and dentin.
Bonding to enamel and dentin has been among the most significant advancements in dentistry in the last five decades; extensive research and product development have resulted in more adhesive options. However, bonding to enamel and dentin still proves to be challenging, and selecting the correct product for a clinical application can be confusing. An incorrect choice can lead to insufficient bond strength. Day-to-day clinical factors, such as the presence of enamel, superficial dentin, or carious dentin, as well as contamination by saliva, blood, or bleaching agents, can cause bonding agents to be technique sensitive-they may fail prematurely if steps are not followed meticulously. This article attempts to simplify the selection process for enamel and dentinal bonding and summarize clinically relevant bonding information that will help produce consistently successful results.
The University of Texas Dental Branch at Houston, Houston, Texas, USA.
John M
JM
Powers
John W
JW
Farah
D000134:Acid Etching, Dental / Q000379:methods; D001769:Blood; D055598:Chemical Phenomena; D003188:Composite Resins / Q000737:chemistry; D003442:Crowns; D001840:Dental Bonding / Q000379:methods*; D003731:Dental Caries / Q000473:pathology; D003738:Dental Cements / Q000737:chemistry; D003743:Dental Enamel / Q000648:ultrastructure*; D003764:Dental Materials / Q000737:chemistry; D003793:Dental Restoration, Permanent; D003801:Dental Veneers; D003804:Dentin / Q000648:ultrastructure*; D017220:Dentin-Bonding Agents / Q000737:chemistry; D006801:Humans; D055115:Light-Curing of Dental Adhesives / Q000379:methods; D016877:Oxidants / Q000737:chemistry; D011176:Post and Core Technique; D012463:Saliva / Q000502:physiology; D055116:Self-Curing of Dental Resins / Q000379:methods; D013314:Stress, Mechanical
D003188:Composite Resins; D003738:Dental Cements; D003764:Dental Materials; D017220:Dentin-Bonding Agents; D016877:Oxidants