2021
DOI: 10.1038/s41415-021-3336-x
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Predictable bonding of adhesive indirect restorations: factors for success

Abstract: Adhesive indirect restorations are a popular restorative treatment option. This article discusses the many factors that contribute to their successful adhesive cementation, including a review of how to surface treat and manage contaminants across the wide range of indirect materials available.

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Cited by 18 publications
(17 citation statements)
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“…Effective adhesive bonding is crucial for the long-term success of indirect restorations because it minimizes the microleakage, improves marginal adaptation and increases the fracture strength [ 23 – 25 ]. There are two interfaces involved in the adhesive bonding of indirect restorations: the first is the interface between the tooth structure and resin cement which has been extensively studied and documented [ 26 28 ].…”
Section: Introductionmentioning
confidence: 99%
“…Effective adhesive bonding is crucial for the long-term success of indirect restorations because it minimizes the microleakage, improves marginal adaptation and increases the fracture strength [ 23 – 25 ]. There are two interfaces involved in the adhesive bonding of indirect restorations: the first is the interface between the tooth structure and resin cement which has been extensively studied and documented [ 26 28 ].…”
Section: Introductionmentioning
confidence: 99%
“…IRRs with a high degree of conversion have a limited number of freely accessible C=C double bonds left, which are required for the formation of new covalent bonds with the resin cement. This can be detrimental to the bonding between the surface of the restoration and the resin cement [8,[17][18][19][20]. Although there are other bonds, such as Van der Waals bonds, hydrogen bonds, and ionic bonds, they contribute to chemical bonding only to a small extent.…”
Section: Discussionmentioning
confidence: 99%
“…The monomers in bonding materials polymerize within micro-grooves on the surface, leading to mechanical interlocking [17,22]. To improve the bond strength of IRRs, sandblasting is recommended, which is the most definitive pretreatment method to increase the surface roughness of the IRR [13,20,23]. In addition, using a bonding agent that is compatible with the resin cement is important for successful bonding [13,20].…”
Section: Discussionmentioning
confidence: 99%
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“…Although the Dahl appliance is initially a removable device, it has been subsequently modified and adapted into restorations that are locally fixed on affected worn teeth to eliminate poor patient compliance to the treatment [7]. With the advancement of adhesive dentistry, the use of adhesive restorations, such as onlays and composite resin, as fixed Dahl appliances have gained popularity due to the conservative tooth preparation approach without compromising the bonding strength to tooth surfaces [8].…”
Section: Introductionmentioning
confidence: 99%