Scotti Nicola, Cavalli Giovanni, Gagliani Massimo, Breschi Lorenzo
Int J Esthet Dent. 2017;12(4):524-535.
Nowadays, adhesive dentistry is a fundamental part of daily clinical work. The evolution of adhesive materials and techniques has been based on the need for simplicity in the step-by-step procedures to obtain long-lasting direct and indirect restorations. For this reason, recently introduced universal multimode adhesives represent a simple option for creating a hybrid layer, with or without the use of phosphoric acid application. However, it is important to understand the limitations of this latest generation of adhesive systems as well as how to use them on coronal and radicular dentin. Based on the findings in the literature, universal multimode adhesives have shown promising results, even if the problem of hybrid layer degradation due to the hydrolytic activity of matrix metalloproteinases (MMPs) still exists. Studies are therefore required to help us understand how to reduce this degradation.
如今，粘结牙科是日常临床工作的重要组成部分。粘结材料和技术的发展基于在逐步操作过程中实现简单化的需求，以获得持久的直接和间接修复体。因此，最近推出的通用多模式粘结剂是创建混合层的一种简单选择，无论是否使用磷酸。然而，了解这一代最新粘结系统的局限性以及如何在冠部和根部牙本质上使用它们很重要。基于文献中的研究结果，通用多模式粘结剂已显示出有前景的结果，即使由于基质金属蛋白酶（MMPs）的水解活性导致混合层降解的问题仍然存在。因此，需要开展研究来帮助我们了解如何减少这种降解。
