Substantial in-vitro and emerging clinical evidence supporting immediate dentin sealing

IF 5.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Japanese Dental Science Review Pub Date : 2021-11-01 DOI:10.1016/j.jdsr.2021.05.004

Haitham Elbishari , Emad S. Elsubeihi , Taif Alkhoujah , Heba E. Elsubeihi

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引用次数: 6

Abstract

The application of resin adhesive to freshly cut dentin after teeth preparation, the so-called immediate dentin sealing (IDS) has been suggested as an alternative to the delayed dentin sealing (DDS), a technique in which resin adhesive is applied just before final bonding of indirect restorations.

The aim of this review is to demonstrate the evidence of the claimed advantages made by the proponents of IDS technique.

The results of this review revealed substantial in-vitro evidence supporting the IDS benefits including improved bond strength, reduced dentin permeability, improved restorations’ adaptation, and increased fracture strength of the restorations. Clinical studies have shown that IDS improves survival of ceramic laminate veneers bonded to prepared teeth with increased exposure of dentin. Moreover, it has been shown that IDS reduces post-cementation hypersensitivity in full coverage restorations, which is characterized by exposure of a large number of dentinal tubules. The selection of filled resin adhesive that is capable of producing thick adhesive layer appears to contribute to the success of the technique. Furthermore, careful management of the oxygen inhibition layer before conventional impression making and proper cleaning of the residual temporary cement used with provisional restorations appears to affect the outcome of the restorations.

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大量的体外实验和新出现的临床证据支持即刻牙本质密封

在牙齿准备后，将树脂粘接剂应用于新切割的牙本质，即所谓的即时牙本质密封(IDS)已被建议作为延迟牙本质密封(DDS)的替代方法，延迟牙本质密封是在间接修复的最终粘接之前应用树脂粘接剂的技术。这篇综述的目的是证明IDS技术的支持者所声称的优势的证据。本综述的结果显示了大量的体外证据支持IDS的益处，包括改善粘结强度，降低牙本质渗透性，改善修复体的适应性，增加修复体的断裂强度。临床研究表明，随着牙本质暴露的增加，IDS可以改善与预备牙齿结合的陶瓷层压板贴面的存活率。此外，研究表明，IDS可以减少全覆盖修复体的骨水泥后过敏反应，其特点是暴露了大量的牙本质小管。选择能够产生较厚粘接层的填充树脂胶粘剂似乎是该技术成功的原因。此外，在常规印模制作之前仔细管理氧抑制层，并适当清洁临时修复体使用的残留临时水泥，似乎会影响修复体的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japanese Dental Science Review DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

9.90

自引率

1.50%

发文量

审稿时长

32 days

期刊介绍： The Japanese Dental Science Review is published by the Japanese Association for Dental Science aiming to introduce the modern aspects of the dental basic and clinical sciences in Japan, and to share and discuss the update information with foreign researchers and dentists for further development of dentistry. In principle, papers are written and submitted on the invitation of one of the Editors, although the Editors would be glad to receive suggestions. Proposals for review articles should be sent by the authors to one of the Editors by e-mail. All submitted papers are subject to the peer- refereeing process.