Resin bonding to cervical sclerotic dentin: A review

Effect of Air Abrasion Preconditioning on Microleakage in Class V Restorations Under Cyclic Loading: An In-vitro Study

“…Use of self-etch adhesives has been proposed over etch and rinse bonding systems that results into discrepancies between depth of mineralization and resin infiltration. However existence of a hypermineralized layer on the surface of NCCLs precludes optimal etching of sclerotic dentin by self-etching primers [15]. GIC possesses many attributes of a perfect restorative material for carious and NCCLs.…”

“…The use of stronger acids to improve bonding to sclerotic dentin was recently challenged. The authors maintained that sclerotic dentine, being a part of the body's natural defence mechanism, should be preserved and AE should be avoided to promote marginal integrity of resin composites [15]. The AE of air abraded cavity surface was not performed in the Group IV prior to composite restoration.…”

The survival of Class V restorations in general dental practice: part 3, five-year survival

“…NCCLs may have been present for longer in older patients increasing the degree of dentine sclerosis present and reducing the ability to bond to these lesions. 31 This may explain the decreased survival of such Class V restorations but not the effect of age on all restorations. It may simply be related to the size of the lesions, since it was established that increasing cavity size was associated with a shorter time to failure and also that there was a positive correlation between increasing patient age and increasing cavity size.…”

The survival of Class V restorations in general dental practice. Part 2, early failure

“…[16][17][18] Although glass ionomer might be expected to bond more effectively to the increased mineral content of sclerotic dentine, it will still be subject to edge failure if the cavity is not prepared to allow the glass ionomer to be of adequate thickness at the margins to compensate for its low fracture strength. The absence of evidence to support significant associations with some factors with early failure is also interesting.…”

“…This is in accord with the views of others who recommend providing some mechanical retention for composite restorations 22 and that roughening the surface is advisable to remove superficial sclerotic dentine to which current composite bonding methods are less effective. 16,23 When placing glass ionomer, preparation of the cavity margins is also necessary to allow adequate bulk for this brittle material. 24 Despite the ability of some materials to adhere to tooth tissue, it would appear advisable in practice to use a bur to prepare these lesions in some way, whichever material is selected.…”