Adhesive Systems Used in Indirect Restorations Cementation: Review of the Literature

Abstract

New technologies are changing the therapeutical options to do indirect restorations and new adhesive systems are continuously introduced to be used by clinicians. Different interactions between restorations, adhesive systems components, enamel and dentin require having criteria based on the selection of the adhesive system, ensuring the longevity of the restorations and the preservation of the biological remnant. The adhesion force to the dental tissue is one of the indicatives of the behavior of the adhesive systems and influences the behavior of the treatments with direct and indirect restorations. The objective of this search was to find the adhesive systems with the best results in terms of the adhesion strength of indirect restorations on the dental tissues. The search was conducted in two MEDLINE digital databases (PubMed), and the Cochrane Library with a search strategy based on the combination of MeSH (Medical Subject Headings) keywords. This systematic review used the PRISMA guide (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). According to this review, the 3-step adhesive systems were the best performing and still are the gold standard for the cementing of indirect restorations. In addition, it can be concluded that self-etched adhesive systems reduce the time spent in clinical practice, however at the interface level they behave as permeable membranes more susceptible to degradation.

Shear force comparative evaluation for surface treated and non- treated 3D interim printed materials with different types of glass-ionomer cements

“…In literature, different cement adhesion values can be found with resin cements having higher values than resin modified glass ionomer cements ( 21 ). A study conducted by Piwowarczyk et al showed higher shear bond strength for resin cements than resin modified glass ionomer cements on zirconia ceramic material ( 22 ).…”

Measuring the polymerization stress of self-adhesive resin composite cements by crack propagation

“…The fixation of all-ceramic restorations with resin composite cements allows for optimal esthetic results, while the powerful bond to the natural tooth can protect and preserve dental hard tissue, as retentive preparations become unnecessary [1]. The adhesive bond can furthermore stabilize brittle ceramic restorations, resulting in a greater resistance to external forces [2]. In addition, resin composite cements can compensate small inaccuracies of the restauration [3].…”

Customized composite veneers from a totally digital workflow: A case report

“…The evolution of composite materials and enamel-dentin adhesive techniques has profoundly changed the restorative approach of dental elements affected by caries or imperfections both in the front and back of the oral cavity. 1 For the front teeth, direct aesthetic restoration, requiring minimal preparation of the tooth, is a widely used therapy, is easily applicable, and is affordable. However, these types of restorations are more subject to wear, microinfiltration, and fractures, and, in some clinical situations, the indirect technique with composite veneers is an excellent treatment option to counter those phenomena thanks to their greater resistance.…”

“…The evolution of composite materials and enamel‐dentin adhesive techniques has profoundly changed the restorative approach of dental elements affected by caries or imperfections both in the front and back of the oral cavity 1 …”