Volume 33, Issue 1 pp. 51-68
REVIEW ARTICLE

Adhesive dentistry: Current concepts and clinical considerations

Jorge Perdigão DMD, MS, PhD

Corresponding Author

Jorge Perdigão DMD, MS, PhD

Department of Restorative Sciences, Division of Operative Dentistry, University of Minnesota, Minneapolis, Minnesota, USA

Correspondence

*Jorge Perdigão, School of Dentistry, University of Minnesota, 515 SE Delaware Street, 8-450 Moos Tower Minneapolis, MN, USA.

Email: [email protected]

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Edson Araujo DDS, MS, PhD

Edson Araujo DDS, MS, PhD

Department of Comprehensive Care, School of Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil

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Renato Q. Ramos DDS, MS

Renato Q. Ramos DDS, MS

Department of Operative Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil

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George Gomes DDS, MSD

George Gomes DDS, MSD

George Gomes Dental Center, Oeiras, Lisbon, Portugal

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Lucas Pizzolotto DDS, MS

Lucas Pizzolotto DDS, MS

Department of Dental Materials, Faculty of Dental Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

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First published: 02 December 2020
Citations: 151

Abstract

Objectives

To address contemporary concepts in adhesive dental materials with emphasis on the evidence behind their clinical use.

Overview

Adhesive dentistry has undergone major transformations within the last 20 years. New dental adhesives and composite resins have been launched with special focus on their user-friendliness by reducing the number of components and/or clinical steps. The latest examples are universal adhesives and universal composite resins. While clinicians prefer multipurpose materials with shorter application times, the simplification of clinical procedures does not always result in the best clinical outcomes. This review summarizes the current evidence on adhesive restorative materials with focus on universal adhesives and universal composite resins.

Conclusions

(a) Although the clinical behavior of universal adhesives has exceeded expectations, dentists still need to etch enamel to achieve durable restorations; (b) there is no clinical evidence to back some of the popular adjunct techniques used with dental adhesives, including glutaraldehyde-based desensitizers and matrix metalloproteinase inhibitors; and (c) the color adaptation potential of new universal composite resins has simplified their clinical application by combining multiple shades without using different translucencies of the same shade.

Clinical Significance

New adhesive restorative materials are easier to use than their predecessors, while providing excellent clinical outcomes without compromising the esthetic quality of the restorations.

DATA AVAILABILITY STATEMENT

Author elects to not share data

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