Degradation and Failure Phenomena at the Dentin Bonding Interface

Damage in the bonding interface is a significant factor that leads to premature failure of dental bonded restorations. The imperfectly bonded dentin-adhesive interface is susceptible to hydrolytic degradation and bacterial and enzyme attack, severely jeopardizing restorations’ longevity. Developing...

Full description

Bibliographic Details
Main Authors: Lamia Sami Mokeem, Isadora Martini Garcia, Mary Anne Melo
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/5/1256
_version_ 1827741989365350400
author Lamia Sami Mokeem
Isadora Martini Garcia
Mary Anne Melo
author_facet Lamia Sami Mokeem
Isadora Martini Garcia
Mary Anne Melo
author_sort Lamia Sami Mokeem
collection DOAJ
description Damage in the bonding interface is a significant factor that leads to premature failure of dental bonded restorations. The imperfectly bonded dentin-adhesive interface is susceptible to hydrolytic degradation and bacterial and enzyme attack, severely jeopardizing restorations’ longevity. Developing caries around previously made restorations, also called “recurrent or secondary caries,” is a significant health problem. The replacement of restorations is the most prevailing treatment in dental clinics, leading to the so-called “tooth death spiral”. In other words, every time a restoration is replaced, more tooth tissue is removed, increasing the size of the restorations until the tooth is eventually lost. This process leads to high financial costs and detriment to patients’ quality of life. Since the complexity of the oral cavity makes prevention a challenging task, novel strategies in Dental Materials and Operative fields are required. This article briefly overviews the physiological dentin substrate, features of dentin bonding, challenges and clinical relevance. We discussed the anatomy of the dental bonding interface, aspects of the degradation at the resin-dentin interface, extrinsic and intrinsic factors affecting dental bonding longevity, perspectives on resin and collagen degradation and how these subjects are connected. In this narrative review, we also outlined the recent progress in overcoming dental bonding challenges through bioinspiration, nanotechnology and advanced techniques to reduce degradation and improve dental bonding longevity.
first_indexed 2024-03-11T03:55:55Z
format Article
id doaj.art-9ba9eecde5a14552bfb41a5bd52eed91
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-11T03:55:55Z
publishDate 2023-04-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-9ba9eecde5a14552bfb41a5bd52eed912023-11-18T00:34:19ZengMDPI AGBiomedicines2227-90592023-04-01115125610.3390/biomedicines11051256Degradation and Failure Phenomena at the Dentin Bonding InterfaceLamia Sami Mokeem0Isadora Martini Garcia1Mary Anne Melo2Ph.D. Program in Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USADivision of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD 21201, USADivision of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD 21201, USADamage in the bonding interface is a significant factor that leads to premature failure of dental bonded restorations. The imperfectly bonded dentin-adhesive interface is susceptible to hydrolytic degradation and bacterial and enzyme attack, severely jeopardizing restorations’ longevity. Developing caries around previously made restorations, also called “recurrent or secondary caries,” is a significant health problem. The replacement of restorations is the most prevailing treatment in dental clinics, leading to the so-called “tooth death spiral”. In other words, every time a restoration is replaced, more tooth tissue is removed, increasing the size of the restorations until the tooth is eventually lost. This process leads to high financial costs and detriment to patients’ quality of life. Since the complexity of the oral cavity makes prevention a challenging task, novel strategies in Dental Materials and Operative fields are required. This article briefly overviews the physiological dentin substrate, features of dentin bonding, challenges and clinical relevance. We discussed the anatomy of the dental bonding interface, aspects of the degradation at the resin-dentin interface, extrinsic and intrinsic factors affecting dental bonding longevity, perspectives on resin and collagen degradation and how these subjects are connected. In this narrative review, we also outlined the recent progress in overcoming dental bonding challenges through bioinspiration, nanotechnology and advanced techniques to reduce degradation and improve dental bonding longevity.https://www.mdpi.com/2227-9059/11/5/1256dental restoration failuresmear layerdental etchingcollagen degrading enzymes
spellingShingle Lamia Sami Mokeem
Isadora Martini Garcia
Mary Anne Melo
Degradation and Failure Phenomena at the Dentin Bonding Interface
Biomedicines
dental restoration failure
smear layer
dental etching
collagen degrading enzymes
title Degradation and Failure Phenomena at the Dentin Bonding Interface
title_full Degradation and Failure Phenomena at the Dentin Bonding Interface
title_fullStr Degradation and Failure Phenomena at the Dentin Bonding Interface
title_full_unstemmed Degradation and Failure Phenomena at the Dentin Bonding Interface
title_short Degradation and Failure Phenomena at the Dentin Bonding Interface
title_sort degradation and failure phenomena at the dentin bonding interface
topic dental restoration failure
smear layer
dental etching
collagen degrading enzymes
url https://www.mdpi.com/2227-9059/11/5/1256
work_keys_str_mv AT lamiasamimokeem degradationandfailurephenomenaatthedentinbondinginterface
AT isadoramartinigarcia degradationandfailurephenomenaatthedentinbondinginterface
AT maryannemelo degradationandfailurephenomenaatthedentinbondinginterface