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

Progressive versus constant tapered shaft design of NiTi rotary instruments

Adhäsion an schmelz und dentin - aktueller stand und zukünftige aufgaben, teil 1

Three different alumina sources (boehmite, aluminium nitrate and α-alumina particles) and 12Ce-TZP powder containing 1 wt% lanthanum oxide were used to prepare 12Ce-TZP-based alumina-toughened-zirconia (ATZ) composites. The obtained ATZs had similar density and phase composition, whereas the microstructures were significantly different. Alumina-particle addition gave rise to a typical ATZ microstructure consisting of equiaxial sub-micrometer zirconia and alumina phases, while the lanthanum hexa-aluminate phase was formed in large and non-homogenously distributed precipitates (∼3.5 μm in length). The boehmite and aluminium nitrate-based composites contained not only sub-micrometer equiaxial alumina and zirconia grains but also small-sized lanthanum hexa-aluminate precipitates (∼1.2 μm in length) that were inter- and transgranularly positioned in the zirconia matrix and effectively promoted crack deflection and toughening. In combination with a higher t-ZrO2 transformability, the boehmite-based composites had a higher indentation fracture resistance, strength and reliability compared to the aluminium-nitrate and alumina-particle based equivalents.

Alumina toughened zirconia reinforced with equiaxed and elongated lanthanum hexa-aluminate precipitates

Clinical effectiveness of a glass-ionomer, resin modified glass-ionomers and a polyacid-modified resin composite in cervical Class-V lesions after 3 years

Bart Van Meerbeek

Papers

Progressive versus constant tapered shaft design of NiTi rotary instruments

Adhäsion an schmelz und dentin - aktueller stand und zukünftige aufgaben, teil 1

Alumina toughened zirconia reinforced with equiaxed and elongated lanthanum hexa-aluminate precipitates

Clinical effectiveness of a glass-ionomer, resin modified glass-ionomers and a polyacid-modified resin composite in cervical Class-V lesions after 3 years

Status of decontamination methods after using dentin adhesion inhibitors on indirect restorations: An integrative review of 19 publications.