Bonding of restorative resins to enamel. 1988

A J Gwinnett
Department of Oral Biology and Pathology, School of Dental Medicine, State University of New York, Stony Brook 11794-8702.

The bond between restorative resin and enamel may be likened to a chain with a series of links. The potentially weakest link is the interface between the resin and the tissue. This link is established by the clinician and is considered to be technique sensitive. An understanding of the steps in clinical method provide a rationale and an aim for each step. A thorough dental prophylaxis to remove deposits, including calculus from enamel, is important in allowing the acidic conditioning agent, namely phosphoric acid, to exert its optimal effect. Conditioning of the enamel raises its surface energy, creates increased surface area and enhances tissue porosity in the outermost enamel. These conditions are achieved through careful isolation of the teeth and thorough washing to remove the acid and reaction products. A dry field is also of paramount importance in obtaining the micromechanical retention of the resin within the enhanced tissue micropores. The polymerized resin within the tissue serves to retain the bulk of resin located upon the enamel surface. The method is a clinically conservative, non-traumatic, biocompatible means by which resins, polymerizable under oral conditions, can be bonded durably to enamel.

UI MeSH Term Description Entries
D012116 Resins, Plant Flammable, amorphous, vegetable products of secretion or disintegration, usually formed in special cavities of plants. They are generally insoluble in water and soluble in alcohol, carbon tetrachloride, ether, or volatile oils. They are fusible and have a conchoidal fracture. They are the oxidation or polymerization products of the terpenes, and are mixtures of aromatic acids and esters. Most are soft and sticky, but harden after exposure to cold. (From Grant & Hackh's Chemical Dictionary, 5th ed & Dorland, 28th ed) Plant Resins
D001840 Dental Bonding An adhesion procedure for orthodontic attachments, such as plastic DENTAL CROWNS. This process usually includes the application of an adhesive material (DENTAL CEMENTS) and letting it harden in-place by light or chemical curing. Bonding, Dental,Cure of Orthodontic Adhesives,Curing, Dental Cement,Dental Cement Curing,Orthodontic Adhesives Cure
D003743 Dental Enamel A hard thin translucent layer of calcified substance which envelops and protects the dentin of the crown of the tooth. It is the hardest substance in the body and is almost entirely composed of calcium salts. Under the microscope, it is composed of thin rods (enamel prisms) held together by cementing substance, and surrounded by an enamel sheath. (From Jablonski, Dictionary of Dentistry, 1992, p286) Enamel,Enamel Cuticle,Dental Enamels,Enamel, Dental,Enamels, Dental,Cuticle, Enamel,Cuticles, Enamel,Enamel Cuticles,Enamels
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013499 Surface Properties Characteristics or attributes of the outer boundaries of objects, including molecules. Properties, Surface,Property, Surface,Surface Property

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