Presentation Category
Literature Review
Introduction/Context/Diagnosis
Objective: This study aims to provide a comprehensive overview of the evolution, current options, clinical considerations, and challenges in resin-dentin bonding in modern dentistry. Methods: A thorough review of the literature was conducted to gather information on the historical development of resin-dentin bonding systems, including first, second, and third-generation adhesives. Current options such as three-step etch-and-rinse adhesives, two-step etch-and-rinse adhesives, two-step self-etch adhesives, one-step self-etch adhesives, and universal adhesives were analyzed. Clinical factors impacting adhesive restorations, stresses at the resin-dentin interface, biocompatibility concerns, and clinical performance were also examined. Results: The review highlights the progression from early bonding systems with limited bond strengths to current systems aiming for simplified application and improved clinical outcomes. Challenges such as moisture management, polymerization shrinkage stresses, pulp inflammation, and restoration failure rates in specific clinical scenarios like non-carious cervical lesions (NCCLs) are discussed. Despite advancements, concerns remain regarding hydrolytic degradation, inadequate sealing of deep dentin, and long-term interfacial bonding degradation. Conclusion: The evolution of resin-dentin bonding has witnessed significant advancements, yet challenges persist in achieving consistently high bond strengths and long-term clinical success. While current options offer simplified application and enhanced flexibility, considerations such as moisture management, stress distribution, and biocompatibility remain crucial for successful adhesive restorations. Future research should focus on addressing these challenges to further improve the longevity and reliability of resin-dentin bonding in clinical practice. Acknowledgment: Special thanks to our mentor Dr. Aniket Dhamorikar for his invaluable guidance and support throughout this research.
Location
Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA
Format
Presentation
Stronger Bond, Stronger Smiles: Adhesion Techniques in Modern Dentistry
Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA
Objective: This study aims to provide a comprehensive overview of the evolution, current options, clinical considerations, and challenges in resin-dentin bonding in modern dentistry. Methods: A thorough review of the literature was conducted to gather information on the historical development of resin-dentin bonding systems, including first, second, and third-generation adhesives. Current options such as three-step etch-and-rinse adhesives, two-step etch-and-rinse adhesives, two-step self-etch adhesives, one-step self-etch adhesives, and universal adhesives were analyzed. Clinical factors impacting adhesive restorations, stresses at the resin-dentin interface, biocompatibility concerns, and clinical performance were also examined. Results: The review highlights the progression from early bonding systems with limited bond strengths to current systems aiming for simplified application and improved clinical outcomes. Challenges such as moisture management, polymerization shrinkage stresses, pulp inflammation, and restoration failure rates in specific clinical scenarios like non-carious cervical lesions (NCCLs) are discussed. Despite advancements, concerns remain regarding hydrolytic degradation, inadequate sealing of deep dentin, and long-term interfacial bonding degradation. Conclusion: The evolution of resin-dentin bonding has witnessed significant advancements, yet challenges persist in achieving consistently high bond strengths and long-term clinical success. While current options offer simplified application and enhanced flexibility, considerations such as moisture management, stress distribution, and biocompatibility remain crucial for successful adhesive restorations. Future research should focus on addressing these challenges to further improve the longevity and reliability of resin-dentin bonding in clinical practice. Acknowledgment: Special thanks to our mentor Dr. Aniket Dhamorikar for his invaluable guidance and support throughout this research.
Comments/Acknowledgements
Presentation Category: IDS: First Year Literature Review