Adhesion Remedies in Stomatology –
Part II (A Review)
Bartoň T., Houšová D., Himmlová L.
Stomatologická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. J. Mazánek, DrSc. Výzkumný ústav stomatologický 1. LF UK a VFN, Praha, přednostka doc. MUDr. J. Dušková, DrSc. |
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Summary:
The paper analyzes in detail the evolution of clinical working procedures in the
preparation of dentin for the realization of bonding of adhesion remedies. The importance is
described as well as the possibilities to adjust the post-preparation layer (smear layer) for
adhesion-conditioning, total etching, application of the primer and the bond.The authors clarify
the origin of so called hybrid layer after the application of the primer and the bond (resin-dentin
interdiffusion zone). Attention is drawn to the importance of various components of adhesion
systems on the quality of the bond (acetone, alcohol,water solvents, active compounds etc.).The
paper presents other factors, which participate in the quality of adhesion of composite materials
(e.g. configuration C-factor, polymerization inhibitors, whitening substances etc.). Main methods
for the evaluation of quality of the bond are presented (tensile, shear bond strength,
micro-leakage). A survey of present adhesion systems is given as well as multi-step systems,
one-bottle systems, self-etching systems.
Key words:
enamel – dentin – adhesion systems – post-preparation layer – total etching –
primer – bond – hybrid layer – bond strength – C-factor
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