Söderholm K J
Department of Dental Biomaterials, College of Dentistry, University of Florida, Gainesville 32610-0446, USA.
Int Dent J. 1995 Dec;45(6):371-81.
Since Buonocore, in the mid 1950s, introduced enamel etching to be used to bond resinous restorations to enamel, different resin based bonding procedures have continuously found their way into dental practise. Today, dentists bond materials not only to enamel, but also to dentine. Up until recently, the clinical success with dentine bonding agents had been unreliable at best, and many clinicians had become sceptical as to whether it would ever be possible to bond to dentine. In this paper, some of the important break-throughs in the field of dentinal adhesives are reviewed in an attempt to throw some light on the question, does resin based dentine bonding work? The technical procedure used to optimise dentine bonding is reviewed, emphasising the significance of etching dentine, placing the primer on a slightly moist dentine surface, avoiding oxygen inhibition of the bonding resin, and maximising the degree of cure. In addition, emphasis is also placed on the significance of variations in dentine structure, and how sclerotic dentine may make dentine bonding less efficient. The conclusion of the entire review is that although significant improvements have been made in the field of dentine bonding during the last few years, it is still too early to conclude that dentine bonding will survive several years of clinical service.
自20世纪50年代中期布奥诺科尔引入牙釉质酸蚀技术用于将树脂修复体粘结到牙釉质上以来，不同的树脂基粘结方法不断进入牙科临床实践。如今，牙医不仅将材料粘结到牙釉质上，还粘结到牙本质上。直到最近，牙本质粘结剂的临床成功率充其量也不可靠，许多临床医生甚至怀疑是否有可能粘结到牙本质上。本文回顾了牙本质粘结领域的一些重要突破，试图阐明基于树脂的牙本质粘结是否可行这一问题。文中回顾了用于优化牙本质粘结的技术程序，强调了酸蚀牙本质、在稍微湿润的牙本质表面放置底漆、避免粘结树脂的氧抑制以及最大化固化程度的重要性。此外，还强调了牙本质结构变化的重要性，以及硬化牙本质如何可能使牙本质粘结效率降低。整个综述的结论是，尽管在过去几年里牙本质粘结领域取得了显著进展，但现在就得出牙本质粘结能在临床上使用数年的结论还为时过早。
