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PRESENT FUTURE
PAST PRESENT FUTURE
COMPOSITE RESIN
BONDING AGENT
TOOTH
COMPOSITE RESIN
BONDING AGENT
ETCHING
TOOTH
Adhesion
The state in which two surfaces are held together by
interfacial forces which may consist of valence forces
or interlocking forces or both
Adhesive is a material, frequently a viscous liquid, that
joins two surfaces together and solidifies, and
therefore is able to transfer a load from one surface
to the other.
Dentin Bonding or adhesion
Micromechanical coupling or union of
restorative materials to dentin, particularly
composites, via an intermediary adhesive
resin layer.
Allow more conservative cavity preparation
since reliance on traditional retentive features
is reduced.
Dentin bonding agents
Difunctional or multifunctional organic
molecules that contain reactive group which
interacts with dentin and the monomer of the
restorative resin.
mechanisms of adhesion.
1. Mechanical : Interlocking of the adhesive with
irregularities on the surface of the substrate or
adherend.
2. Adsorption adhesion : Chemical bonding between the
adhesive and the adherend.Forces may be primary
(ionc and covalent ) ,secondary (hydrogen, diple
interaction) and vanderwaal’s valence forces.
3. Diffusion adhesion : Interlocking between mobile
molecules such as adhesion of two polymers.
4. Electrostatic adhesion :An electrical double layer at
the interface of a metal with a polymer that is part of
the total bonding mechanism.
CLINICAL USES OF DENTIN BONDING SYSTEMS:
1. Bonding of directly placed resin based restorative
materials.
9. Sealing of pits and fissures of posterior teeth.
10.Treatment of cervical sensitive dentine.
11. Reattachment of fractured tooth fragments.
12. Pulp capping.
13. Reinforce fragile roots internally.
14. Seal apical restorations placed during endodontic surgery.
IDEAL REQUIREMENTS OF DENTIN BONDING
AGENTS
Good shelf life.
Be compatible with a wide range of resins.
Non toxic and non sensitizing to the operators or
patients.
Bonding agents should seal the tooth surfaces from
oral fluids.
HISTORY OF DENTINAL
BONDING
Oscar Hagger( 1951): GPADMA.
(4) Bonding
1.Good Wetting; degree of spreading of a liquid drop on a solid surface
1955‐ Michael Buonocore
Effects of acid etching
Increases surface area and energy
Irregularities, depressions‐25 µm
Exposes proteinaceous material
ETCHING PATTERNS
Type I: Dissolution of prism cores without
dissolution of prism peripheries.
Type II: Dissolution of peripheral enamel
without dissolution of prism cores.
Type III: Mixed pattern.
SUBSTANCES USED
PHOSPHORIC ACID
Citric acid ‐10%
Polyacrylic acid‐40%
Maleic acid
Nitric acid‐2.5%
With ferric oxalate
With aluminium oxalate
Pyruvic acid + glycine
Hydrochloric acid
Lactic acid
Monohydroxy carboxylic acid
α‐ketocarboxylic acid
Phosphoric acid as an etchant
Buonocore :acid etching with 85% phosphoric acid for 30 sec
50 % phosphoric acid for 60 seconds
Monocalcium phosphate monohydrate precipitate (prevents further
dissolution)
Concentrations below 25%
Dicalcium phosphate monohydrate precipitate ( can not be
removed)
Concentrations above 40%
Dissolve less calcium and etch patterns with poorer definitions
SMEAR LAYER
TOTAL ETCH
SELF ETCH
SMEAR LAYER
Produced by
instrumentation
Composition
cut dentin debris
Bacteria
hydroxyappatite and
altered denatured collagen.
Reduces dentin
permeability 86%
Smear Layer
• Thickness
– 0.5 ‐ 5.0 microns
• Will not wash off
• Weak bond to tooth
– 2 – 3 MPa
• Very soluble
– weak acids
The key element for adhesion is the intimate bond that
develops b/w the adhesive & the substrate.
↓ ↓ surface energy _ ↓ ↓ wetting
etching of dentin
↓
↓surface free energy
(exposure of collagen fibres)
↓
less wettability of adhesives
And the difficulty we face is,
Dentin ‐ Hydrophilic
Resin ‐ Hydrophobic
PRIMER
Primer
Increases the surface energy of the
substrate
Better wettability of adhesive resin
In addition to primer the other important component
is the SOLVENT that helps to carry the primer to the
dentin
this solvent can be
‐acetone
‐alcohol (ethanol)
‐water
Primer
• Hydrophilic monomers
– dissolved in acetone, alcohol, or water
• Displaces water
• Promotes infiltration into collagen
• Lightly air dry
– drive off solvents, water
• Transforms hydrophilic to hydrophobic
Van Meerbeek in: Summitt,
Fund Oper Dent 2001
Primer
• Bifunctional monomer
– Link
• hydrophilic collagen
• hydrophobic resin
– Example CH3
• HEMA H2C=C-C-O-CH2-CH2-OH
O
Adhesive Resin
• Unfilled or lightly‐filled monomers
– Bis‐GMA, UDMA, TEGDMA
• Stabilize the hybrid layer
– fills up remaining pores
• Resin tags
• Links primer to composite resin
• Development
– seven generations
– chronologic
• Classification
First Generation
(1950‐1970’s)
• Hydrophobic monomers
• Very low bond strengths
– 2 to 3 MPa
• First commercial dentinal adhesive
• Cervident ‐ SS White (1965)
– claimed chemical bond to calcium
– retention only 50% at 6 months
• Class 5
• Mechanism of action
– mildly acidic hydrophilic monomer
– modified/altered smear layer
• Moderate bond strengths
• Improved short / long term success
• Multi‐step
– condition dentin
• remove smear layer
– primer
– adhesive
• High bond strengths
– Retention 98 to 100 % at 3 yrs
• Class 5
Van Meerbeek in: Summitt,
Fund Oper Dent 2001
Fifth Generation
(late 1990’s)
• Attempt to simplify
– reduce number of bottles
• combined primer and adhesive
• High bond strengths
• Combined conditioner and primer
– moderate bond strengths
Seventh Generation
(most recent)
• “All‐in‐one” adhesives
– combined conditioner,
primer and adhesive
– one‐step
• No mixing
• Low bond strengths
• Seventh Generation
– One‐step Self‐etch
• no mix
Adhesive Categories
• Etch & Rinse
– Three‐Step
• conditioner, primer, adhesive
– Two‐Step
• conditioner, (primer & adhesive)
• Self‐Etch
– Two‐Step
• (conditioner & primer), adhesive
– One‐Step
• (conditioner & primer & adhesive)
Pros/Cons of Etch & Rinse
• Separate acid etch
• Potential to over‐etch dentin
• Post‐conditioning rinse necessary
• Multiple long‐term clinical studies available
Pros/Cons of Self‐Etch
• Good dentin conditioning
• Possible reduction in post‐op sensitivity??
• No post‐conditioning rinse
• Reduced application time
Pros/Cons of Self‐Etch
• Limited clinical indications
• Limited clinical data
• Relatively lower bond strengths
• Many require refrigeration
Dentin Wetness
Etch & Rinse
• After conditioning dentin
– dentin must be wet
• prevent collagen collapse
• Too little water
– collagen collapse
• Ineffective resin penetration
• Leads to nanoleakage
Wet Bonding
• Acetone and ethanol based primers
– displace remaining water
– carry monomers into collagen
– gently air‐dried
• leaving monomers behind
• Examples
– One‐Step
– Prime & Bond NT
Dry Bonding
´Water‐based primers
«effective on wet or dry dentin
²self‐rewetting effect
²re‐expand collapsed collagen
´Permits check of “frosted”
enamel
´Examples
«Scotchbond Multi‐Purpose
«Optibond