Role of the smear layer in adhesive dentistry and the clinical applications to improve bonding performance

Currently, dental adhesives can be divided into two systems; a smear layer-removal approach with etch-and-rinse adhesives or a smear layer-modified approach with self-etching adhesives. After phosphoric acid etching, the smear layer is completely removed. More attention is, however, required when us...

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Main Authors: Pipop Saikaew, Vanthana Sattabanasuk, Choltacha Harnirattisai, Abu Faem Mohammad Almas Chowdhury, Ricardo Carvalho, Hidehiko Sano
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Japanese Dental Science Review
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1882761621000442
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author Pipop Saikaew
Vanthana Sattabanasuk
Choltacha Harnirattisai
Abu Faem Mohammad Almas Chowdhury
Ricardo Carvalho
Hidehiko Sano
author_facet Pipop Saikaew
Vanthana Sattabanasuk
Choltacha Harnirattisai
Abu Faem Mohammad Almas Chowdhury
Ricardo Carvalho
Hidehiko Sano
author_sort Pipop Saikaew
collection DOAJ
description Currently, dental adhesives can be divided into two systems; a smear layer-removal approach with etch-and-rinse adhesives or a smear layer-modified approach with self-etching adhesives. After phosphoric acid etching, the smear layer is completely removed. More attention is, however, required when using self-etching adhesives. The smear layer is partially demineralized by the weak acidic monomer and subsequently incorporated into the hybrid layer. Therefore, the characteristics of the smear layer play an important role on the bonding performance of self-etching adhesives. Such characteristics, for instance, smear layer thickness and smear layer density, are influenced by many factors, e.g., instruments used for dentin surface preparation, cutting speed, and the abrasive particle size of the cutting instruments. This review discusses the contributing factors that affect the smear layer characteristics, and the influence of the smear layer on the bonding performance of dental adhesives. Also, the application techniques regarding how to improve the bonding performance of self-etching adhesives – the smear layer removal by using chemical agents, or the modification of the adhesive application procedures – are provided.
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spelling doaj.art-a7a587114ff04450b8d61e285ae793a72022-12-25T04:17:14ZengElsevierJapanese Dental Science Review1882-76162022-11-01585966Role of the smear layer in adhesive dentistry and the clinical applications to improve bonding performancePipop Saikaew0Vanthana Sattabanasuk1Choltacha Harnirattisai2Abu Faem Mohammad Almas Chowdhury3Ricardo Carvalho4Hidehiko Sano5Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Mahidol University, 6 Yothi Road, Ratchathewi, Bangkok 10400, Thailand; Corresponding author.Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Mahidol University, 6 Yothi Road, Ratchathewi, Bangkok 10400, ThailandDepartment of Operative Dentistry and Endodontics, Faculty of Dentistry, Mahidol University, 6 Yothi Road, Ratchathewi, Bangkok 10400, ThailandDepartment of Conservative Dentistry and Endodontics, Sapporo Dental College and Hospital, Plot 24, Sector 8, Dhaka 1230, BangladeshDepartment of Oral Biological and Medical Sciences, Division of Biomaterials, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC V6T 1Z3, CanadaDepartment of Restorative Dentistry, Faculty of Dentistry, Hokkaido University Graduate School of Dental Medicine, JapanCurrently, dental adhesives can be divided into two systems; a smear layer-removal approach with etch-and-rinse adhesives or a smear layer-modified approach with self-etching adhesives. After phosphoric acid etching, the smear layer is completely removed. More attention is, however, required when using self-etching adhesives. The smear layer is partially demineralized by the weak acidic monomer and subsequently incorporated into the hybrid layer. Therefore, the characteristics of the smear layer play an important role on the bonding performance of self-etching adhesives. Such characteristics, for instance, smear layer thickness and smear layer density, are influenced by many factors, e.g., instruments used for dentin surface preparation, cutting speed, and the abrasive particle size of the cutting instruments. This review discusses the contributing factors that affect the smear layer characteristics, and the influence of the smear layer on the bonding performance of dental adhesives. Also, the application techniques regarding how to improve the bonding performance of self-etching adhesives – the smear layer removal by using chemical agents, or the modification of the adhesive application procedures – are provided.http://www.sciencedirect.com/science/article/pii/S1882761621000442DentinSelf-etching adhesiveSmear layerSurface preparationTEM
spellingShingle Pipop Saikaew
Vanthana Sattabanasuk
Choltacha Harnirattisai
Abu Faem Mohammad Almas Chowdhury
Ricardo Carvalho
Hidehiko Sano
Role of the smear layer in adhesive dentistry and the clinical applications to improve bonding performance
Japanese Dental Science Review
Dentin
Self-etching adhesive
Smear layer
Surface preparation
TEM
title Role of the smear layer in adhesive dentistry and the clinical applications to improve bonding performance
title_full Role of the smear layer in adhesive dentistry and the clinical applications to improve bonding performance
title_fullStr Role of the smear layer in adhesive dentistry and the clinical applications to improve bonding performance
title_full_unstemmed Role of the smear layer in adhesive dentistry and the clinical applications to improve bonding performance
title_short Role of the smear layer in adhesive dentistry and the clinical applications to improve bonding performance
title_sort role of the smear layer in adhesive dentistry and the clinical applications to improve bonding performance
topic Dentin
Self-etching adhesive
Smear layer
Surface preparation
TEM
url http://www.sciencedirect.com/science/article/pii/S1882761621000442
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