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Durability of bonds and clinical success of adhesive restorations
Author(s):
Ricardo M. Carvalho
,
Adriana P. Manso
,
Saulo Geraldeli
,
Franklin R. Tay
,
David H. Pashley
Publication date
Created:
January 2012
Publication date
(Print):
January 2012
Journal:
Dental Materials
Publisher:
Elsevier BV
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Abstract
Resin-dentin bond strength durability testing has been extensively used to evaluate the effectiveness of adhesive systems and the applicability of new strategies to improve that property. Clinical effectiveness is determined by the survival rates of restorations placed in non-carious cervical lesions (NCCL). While there is evidence that the bond strength data generated in laboratory studies somehow correlates with the clinical outcome of NCCL restorations, it is questionable whether the knowledge of bonding mechanisms obtained from laboratory testing can be used to justify clinical performance of resin-dentin bonds. There are significant morphological and structural differences between the bonding substrate used in in vitro testing versus the substrate encountered in NCCL. These differences qualify NCCL as a hostile substrate for bonding, yielding bond strengths that are usually lower than those obtained in normal dentin. However, clinical survival time of NCCL restorations often surpass the durability of normal dentin tested in the laboratory. Likewise, clinical reports on the long-term survival rates of posterior composite restorations defy the relatively rapid rate of degradation of adhesive interfaces reported in laboratory studies. This article critically analyzes how the effectiveness of adhesive systems is currently measured, to identify gaps in knowledge where new research could be encouraged. The morphological and chemical analysis of bonded interfaces of resin composite restorations in teeth that had been in clinical service for many years, but were extracted for periodontal reasons, could be a useful tool to observe the ultrastructural characteristics of restorations that are regarded as clinically acceptable. This could help determine how much degradation is acceptable for clinical success. Copyright © 2011 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
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Author and article information
Journal
Title:
Dental Materials
Abbreviated Title:
Dental Materials
Publisher:
Elsevier BV
ISSN (Print):
01095641
Publication date Created:
January 2012
Publication date (Print):
January 2012
Volume
: 28
Issue
: 1
Pages
: 72-86
Article
DOI:
10.1016/j.dental.2011.09.011
PMC ID:
3863938
PubMed ID:
22192252
SO-VID:
dcee7e21-811e-4dcc-8eda-208c92bc6c28
Copyright ©
© 2012
License:
https://www.elsevier.com/tdm/userlicense/1.0/
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