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Dental Composite Materials for Direct Restorations pp 199–218Cite as

Bonding to Tooth Tissues

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Abstract

Apart from self-adhesive (self-adhering) composites, all dental composites bond to tooth tissues via adhesive systems. In this chapter, characteristics of the adhesive-tooth and adhesive-composite bond are discussed with an emphasis on the clinical factors affecting the adhesive-dentin bond as the most challenging in contemporary adhesive dentistry. It is now widely accepted that the weakest link of the composite-tooth restoration remains the hybrid layer. Understanding of the resin-dentin bond degradation mechanisms and strategies for improvement are important determinants of the clinical longevity of composite restorations. Two main mechanisms of resin-dentin bond degradation, hydrolysis of the resin matrix and enzyme-mediated collagen degradation are explained. Strategies for improved resin-dentin bond include inhibition of enzyme-mediated collagen degradation, cross-linking agents for collagen strengthening, bonding techniques for improved polymerization as well as therapeutic remineralization of resin-dentin interfaces.

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Authors and Affiliations

  1. DentalNet Research Group, School of Dental Medicine, University of Belgrade, Belgrade, Serbia

    Vesna Miletic

  2. Departamento de Odontología, Facultad de Ciencias de la Salud, Universidad CEU-Cardenal Herrera, Valencia, Spain

    Salvatore Sauro

  3. Biomaterials, Biophotonics and Tissue Engineering, King’s College London Dental Institute, London, UK

    Salvatore Sauro

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  1. Vesna Miletic
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    Vesna Miletic

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Miletic, V., Sauro, S. (2018). Bonding to Tooth Tissues. In: Miletic, V. (eds) Dental Composite Materials for Direct Restorations. Springer, Cham. https://doi.org/10.1007/978-3-319-60961-4_13

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