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Current Oral Health Reports

, Volume 4, Issue 3, pp 248–257 | Cite as

How Stable is Dentin As a Substrate for Bonding?

  • Tatjana Maravic
  • Annalisa Mazzoni
  • Allegra Comba
  • Nicola Scotti
  • Vittorio Checchi
  • Lorenzo BreschiEmail author
Dental Restorative Materials (M Özcan, section editor)
First Online:
Part of the following topical collections:
  1. Topical Collection on Dental Restorative Materials

Abstract

Purpose of Review

This paper reviews the complexity of the composition of dentin, and the repercussions of this composition on the stability of dentin over time, particularly in relation to adhesive dental procedures.

Recent Findings

Dentin is a complex and dynamic structure that comprises the major part of the tooth. Most adhesive procedures in dentistry involve bonding to dentin. The hybrid layer (HL) created on the very variable and dynamic organic dentin phase may fail over time, leading to the failure of dental restorations. Literature showed that the collagen fibers in the HL are prone to hydrolysis and mechanical strain, as well as endogenous proteolytic activity (collagenolytic activity of matrix metalloproteinases and cysteine cathepsins). Hydrolysis of the resin phase of the HL also occurs over time.

Summary

Advancements in the area of dental adhesion have been huge. Silencing of collagenolytic enzymes (protease inhibitors and cross-linking agents) is one of the main strategies to decrease the degradation of the HL. In the following years, new techniques will also probably be available, and efficacy of some of the available techniques will perhaps be further clarified.

Keywords

Dentin Collagen Dentin bonding systems Hybrid layer Metalloproteinases Cross-linking agent Enzyme inhibition 
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Notes

Compliance with Ethical Standards

Conflicts of Interest

Tatjana Maravic, Annalisa Mazzoni, Allegra Comba, Nicola Scotti, Vittorio Checchi and Lorenzo Breschi declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the any of the authors.

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© Springer International Publishing AG 2017

Authors and Affiliations

  • Tatjana Maravic
    • 1
  • Annalisa Mazzoni
    • 1
  • Allegra Comba
    • 1
  • Nicola Scotti
    • 2
  • Vittorio Checchi
    • 1
  • Lorenzo Breschi
    • 1
    Email author
  1. 1.Dental School, Department of Biomedical and Neuromotor Sciences, DIBINEMUniversity of BolognaBolognaItaly
  2. 2.Dental School, Department of Surgical SciencesUniversity of TurinTorinoItaly

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