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Adhesive dentistry is a branch of dentistry which deals with adhesion or bonding to the natural substance of teeth, enamel and dentin.It studies the nature and strength of adhesion to dental hard tissues, properties of adhesive materials, causes and mechanisms of failure of the bonds, clinical techniques for bonding and newer applications for bonding such as bonding to the soft tissue. [1]
If permanent restoration cannot be carried out immediately after tooth preparation, temporary restoration may be performed. The prepared tooth, ready for placement of restorative materials, is generally called a tooth preparation. Materials used may be gold, amalgam, dental composites, glass ionomer cement, or porcelain, among others.
Bonding to tooth structure: Composite fillings micro-mechanically bond to tooth structure. This strengthens the tooth's structure and restores its original physical integrity. The discovery of acid etching (producing enamel irregularities ranging from 5-30 micrometers in depth) of teeth to allow a micro-mechanical bond to the tooth allows good ...
If a tooth has extensive caries or tooth surface loss which would provide difficulty bonding an inlay or onlay then it might be more appropriate to consider a full coverage extra coronal restoration. This can protect remaining tooth structure. Direct restorations, for example composite may be beneficial when restorations are small.
Dentin bonding refers to process of bonding a resin to conditioned dentin, [1] where mineral component is replaced with resin monomers to form a biocomposite comprising dentin collagen and cured resin. The adhesive-dentin interface forms a tight and permanent bond between dentin and composite resins. [2]
With regard to permanent teeth, there is insufficient evidence to support the use of RMGIC as long term restorations in permanent teeth. Despite the low number of randomised control trials , a meta- analysis review by Bezerra et al. [2009] reported significantly fewer carious lesions on the margins of glass ionomer restorations in permanent ...