The immediate bonding effectiveness of contemporary adhesives is quite favorable, regardless of the approach used. In the long term, the bonding effectiveness of some adhesives drops dramatically, whereas the bond strengths of other adhesives are more stable. This review examines the fundamental processes that cause the adhesion of biomaterials to enamel and dentin to degrade with time. Non-carious class V clinical trials remain the ultimate test method for the assessment of bonding effectiveness, but in addition to being high-cost, they are time- and labor-consuming, and they provide little information on the true cause of clinical failure. Therefore, several laboratory protocols were developed to predict bond durability. This paper critically appraises methodologies that focus on chemical degradation patterns of hydrolysis and elution of interface components, as well as mechanically oriented test set-ups, such as fatigue and fracture toughness measurements. A correlation of in vitro and in vivo data revealed that, currently, the most validated method to assess adhesion durability involves aging of micro-specimens of biomaterials bonded to either enamel or dentin. After about 3 months, all classes of adhesives exhibited mechanical and morphological evidence of degradation that resembles in vivo aging effects. A comparison of contemporary adhesives revealed that the three-step etch-and-rinse adhesives remain the 'gold standard' in terms of durability. Any kind of simplification in the clinical application procedure results in loss of bonding effectiveness. Only the two-step self-etch adhesives approach the gold standard and do have some additional clinical benefits.

http://www.endoexperience.com/documents/DeMunketalDurabiltyofadhesionJDR.pdf

A Critical Review of the Durability of Adhesion to Tooth Tissue: Methods and Results

Bonding to tooth tissue can be achieved through an "etch&rinse," "self-etch" or "glass-ionomer" approach. In this paper, the basic bonding mechanism to enamel and dentin of these three approaches is demonstrated by means of ultramorphological and chemical characterization of tooth-biomaterial interfacial interactions. Furthermore, bond-strength testing and measurement of marginal-sealing effectiveness (the two most commonly employed methodologies to determine "bonding effectiveness" in the laboratory) are evaluated upon their value and relevance in predicting clinical performance. A new dynamic methodology to test biomaterial-tooth bonds in a fatigue mode is introduced with a recently developed micro-rotary fatigue-testing device. Eventually, today's adhesives will be critically weighted upon their performance in diverse laboratory studies and clinical trials. Special attention has been given to the benefits/drawbacks of an etch&rinse versus a self-etch approach and the long-term performance of these adhesives. Correlating data gathered in the laboratory with clinical results clearly showed that laboratory research CAN predict clinical effectiveness. Although there is a tendency to simplify bonding procedures, the data presented confirm that conventional three-step etch&rinse adhesives still perform most favorably and are most reliable in the long-term. Nevertheless, a self-etch approach may have the best future perspective. Clinically, when adhesives no longer require an "etch&rinse" step, the application time, and probably more importantly, the technique-sensitivity are substantially reduced. Especially "mild," two-step self-etch adhesives that bond through a combined micromechanical and chemical interaction with tooth tissue closely approach conventional three-step systems in bonding performance.

Buonocore memorial lecture, adhesion to enamel and dentin: current status and future challenges

Systematic review of the chemical composition of contemporary dental adhesives

Dental adhesion review: Aging and stability of the bonded interface

http://webdelprofesor.ula.ve/odontologia/robertramirez/PDF/1.pdf

State of the art of self-etch adhesives

Newly discovered Erwinia amylovora phages PEar1, PEar2, PEar4 and PEar6 were isolated from three different orchards in North Tunisia to study their potential as biocontrol agents. Illumina sequencing revealed that the PEar viruses carry a single-strand DNA genome between 6608 and 6801 nucleotides and belong to the Inoviridae, making them the first described filamentous phages of E. amylovora. Interestingly, phage-infected cells show a decreased swimming and swarming motility and a cocktail of the four phages can significantly reduce infection of E. amylovora in a pear bioassay, potentially making them suitable candidates for phage biocontrol.

https://www.mdpi.com/2076-2607/8/11/1762/pdf

First Report of Filamentous Phages Isolated from Tunisian Orchards to Control Erwinia amylovora.

PURPOSE To evaluate the biomechanics of endodontically treated incisors restored with a fiberglass post and a CAD/CAM lithium-disilicate ceramic crown with/without a ferrule after thermal and mechanical aging. MATERIALS AND METHODS Twenty bovine incisors were divided into two groups (n = 10): 1. Fe, with a ferrule of 2 mm, and 2. NFe, without a ferrule. After endodontic treatment, the teeth were restored using a fiberglass post (Exacto 3, Angelus) and composite core (Tetric Ceram, Ivoclar Vivadent). They then received a CAD/CAM lithium-disilicate ceramic crown (IPS e.max CAD) luted using a self-adhesive composite (RelyX Unicem 2, 3M Oral Care). All specimens were subjected to 20,000 thermocycles and 2,400,000 simulated chewing cycles. Ceramic crown and root dentin strains (µS) were measured using strain gauges (n = 10) during 100-N loading before and after the thermal and mechanical aging, and upon fracture loading. The specimens were subsequently loaded to fracture (N). The stress distribution was analyzed using 3D individualized finite-element models created by micro-CT of experimental samples (n = 3). Strain data were analyzed using two-way ANOVA and Tukey's HSD test. Fracture resistance was analyzed using Student's t-test and fracture mode was analyzed using the chi-squared test (α = 0.05). RESULTS After aging, NFe exhibited significantly higher root dentin deformation (buccal: 1248.0 ± 282.8; lingual: 516.2 ± 195.0; p < 0.001) than Fe (buccal, 554.0 ± 233.8; lingual: 311.8 ± 159.0; p < 0.001). The deformation measured on ceramic crowns was not influenced by ferrule presence or aging process. Significantly higher fracture resistance (N) was observed for the Fe (1099.6 ± 214.8) than the NFe group (675.3 ± 113.8) (p < 0.001). The NFe group revealed a lower fracture resistance:root strain ratio than did the Fe group. The stress levels on root dentin and fiberglass were lower for the Fe group. CONCLUSION The NFe group showed increased root dentin strain after the aging process. The Fe group revealed higher fracture resistance, lower stress concentration on root dentin and fewer catastrophic fractures.

Biomechanical Effect of Ferrule on Incisors Restored with a Fiberglass Post and Lithium-Disilicate Ceramic Crown after Thermal Cycling and Fatigue Loading.

Editorial: The VALUE and remaining NEED of bond-strength testing.

Today, direct composite fillings have reached a satisfactory level, aesthetically and functionally, to replace decayed or lost tooth tissue. However, as the bond degrades with time, the restoration lifetime is limited, depending largely on the type of adhesive used. This review examines the processes involved in the adhesion of biomaterials to enamel and dentin. Contemporary adhesives are categorized upon ultra-morphological, chemical and mechanical features, as well as clinical parameters. Apart from these properties, special attention is given to one-step (self-etch) adhesives, as they are aggressively marketed as the most user-friendly adhesives. Nevertheless, in-vitro research has revealed considerable shortcomings related to many of these simplified adhesives. Notwithstanding the amount of n-vitro data available, non-carious class-V clinical trials remain the ultimate test method to assess clinical success. In combination with the prior in-vitro assessment, the following conclusions were drawn : 1) At present, the three-step etchr 2) Any kind of simplification in the application procedure results in loss of bonding effectiveness ; 3) The today most acceptable trade-off between bonding effectiveness and ease-of-use is a ‘mild’ two-step self-etch approach that combines micro-mechanical interlocking with additional chemical interaction, the latter definitely contributing to the bond stability on the long term.

The Current Status of Bonding to Dentin Anno 2007

/pdf/preclinical-effectiveness-of-an-experimental-tricalcium-s94u26udoc.pdf

Bart Van Meerbeek

Papers

First Report of Filamentous Phages Isolated from Tunisian Orchards to Control Erwinia amylovora.

Biomechanical Effect of Ferrule on Incisors Restored with a Fiberglass Post and Lithium-Disilicate Ceramic Crown after Thermal Cycling and Fatigue Loading.

Editorial: The VALUE and remaining NEED of bond-strength testing.

The Current Status of Bonding to Dentin Anno 2007

Preclinical effectiveness of an experimental tricalcium silicate cement on pulpal repair