牙科粘结系统的分类综述:从第四代到通用型

Classification review of dental adhesive systems: from the IV generation to the universal type.

作者信息

Sofan Eshrak, Sofan Afrah, Palaia Gaspare, Tenore Gianluca, Romeo Umberto, Migliau Guido

机构信息

Department of Oral and Maxillofacial Sciences, University of Rome "Sapienza", Rome, Italy.

出版信息

Ann Stomatol (Roma). 2017 Jul 3;8(1):1-17. doi: 10.11138/ads/2017.8.1.001. eCollection 2017 Jan-Mar.

Abstract

Adhesive dentistry has undergone great progress in the last decades. In light of minimal-invasive dentistry, this new approach promotes a more conservative cavity design, which relies on the effectiveness of current enamel-dentine adhesives. Adhesive dentistry began in 1955 by Buonocore on the benefits of acid etching. With changing technologies, dental adhesives have evolved from no-etch to total-etch (4 and 5 generation) to self-etch (6, 7 and 8 generation) systems. Currently, bonding to dental substrates is based on three different strategies: 1) etch-and-rinse, 2) self-etch and 3) resin-modified glass-ionomer approach as possessing the unique properties of self-adherence to the tooth tissue. More recently, a new family of dentin adhesives has been introduced (universal or multi-mode adhesives), which may be used either as etch-and-rinse or as self-etch adhesives. The purpose of this article is to review the literature on the current knowledge for each adhesive system according to their classification that have been advocated by many authorities in most operative/restorative procedures. As noted by several valuable studies that have contributed to understanding of bonding to various substrates helps clinicians to choose the appropriate dentin bonding agents for optimal clinical outcomes.

摘要

在过去几十年中,粘结牙科取得了巨大进展。鉴于微创牙科,这种新方法促进了更保守的窝洞设计,这依赖于当前牙釉质-牙本质粘结剂的有效性。粘结牙科始于1955年,由布奥诺科尔发现酸蚀的益处。随着技术的不断变化,牙科粘结剂已从非酸蚀系统发展到全酸蚀(第4代和第5代)再到自酸蚀(第6代、第7代和第8代)系统。目前,与牙体组织的粘结基于三种不同策略:1)酸蚀冲洗;2)自酸蚀;3)树脂改性玻璃离子方法,因其具有对牙体组织自粘结的独特性能。最近,引入了一类新的牙本质粘结剂(通用或多模式粘结剂),其既可用作酸蚀冲洗粘结剂,也可用作自酸蚀粘结剂。本文的目的是根据许多权威机构在大多数手术/修复操作中所倡导的分类,回顾有关每种粘结系统当前知识的文献。正如一些有价值的研究所指出的,有助于理解与各种牙体组织粘结的研究,能帮助临床医生选择合适的牙本质粘结剂以获得最佳临床效果。

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