Immediate Dentin Sealing: A Literature Review

Samartzi, Theodora-Kalliopi; Papalexopoulos, Dimokritos; Sarafianou, Aspasia; Kourtis, Stefanos

doi:10.2147/ccide.s307939

Cited by 32 publications

(45 citation statements)

References 127 publications

(261 reference statements)

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“…One should bear in mind that applying bonding agents to dentin after preparing dental cavity might increase the bond strength [ 12 ]. Furthermore, the resulting hybrid layer (HL) was stable, especially when filled adhesive was applied for IDS [ 14 ]. After tooth preparation, IDS reduces the formation of microleakage between dentin surface and restoration, thus lessening bacterial contamination and pulpal sensitivity [ 15 , 47 ].…”

Section: Resultsmentioning

confidence: 99%

“…IDS demands hybridization of the freshly dentinal surface closely after preparing the tooth and before the luting processes [ 12 , 13 ]. This technique provides adhesion to a freshly cut and uncontaminated dentin, which is ideal for bonding [ 14 , 15 ]. In addition, the technique prevents the bacterial invasion and dentin sensitivity during the provisional phase [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis

Hardan

Devoto²,

Bourgi

et al. 2022

Gels

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Immediate dentin sealing (IDS) involves applying an adhesive system to dentin directly after tooth preparation, before impression. This was considered an alternate to delayed dentin sealing (DDS), a technique in which hybridization is performed following the provisional phase and just before the indirect restoration luting procedure. This study aimed to compare the bond strength of restorations to dentin of the IDS and the DDS techniques throughout a systematic review and meta-analysis. The following PICOS framework was used: population, indirect restorations; intervention, IDS; control, DDS; outcomes, bond strength; and study design, in vitro studies. PubMed (MedLine), The Cochrane Library, ISI Web of Science, Scielo, Scopus, and Embase were screened up to January 2022 by two reviewers (L.H. and R.B.). In vitro papers studying the bond strength to human dentin of the IDS technique compared to the DDS technique were considered. Meta-analyses were carried out by using a software program (Review Manager v5.4.1; The Cochrane Collaboration). Comparisons were made by considering the adhesive used for bonding (two-step etch-and-rinse, three step etch-and-rinse, one-step self-etch, two-step self-etch, and universal adhesives). A total of 3717 papers were retrieved in all databases. After full-text assessment, 22 potentially eligible studies were examined for qualitative analysis, leaving a total of 21 articles for the meta-analysis. For the immediate bond strength, regardless of the adhesive strategy used, the IDS technique improved the bond strength of restorations to the dentin (p < 0.001). Taking into account the subgroup analysis, it seems that the use of the IDS technique with a two-step etch-and-rinse or a one-step self-etch adhesive system does not represent any advantage over the DDS technique (p = 0.07, p = 0.15). On the other hand, for the aged bond strength, regardless of the adhesive strategy used, the IDS technique improved the bond strength of restorations to the dentin (p = 0.001). The subgroups analysis shows that this improvement is observed only when a three-step etch-and-rinse adhesive system (p < 0.001) or when a combination of an adhesive system plus a layer of flowable resin (p = 0.01) is used. The in vitro evidence suggests that the use of the IDS technique improves the bond strength of dentin to resin-based restorations regardless of the adhesive strategy used. The use of a three-step etch-and-rinse adhesive system or the combination of an adhesive system plus a layer of flowable resin seems to considerably enhance the bond strength in the long term.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis

Hardan

Devoto²,

Bourgi

et al. 2022

Gels

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“…Determinó que al usar adhesivos de grabado total convencional de tres pasos durante la técnica SDI, las preparaciones presentan mayor fuerza de unión, menos formación de espacios, menos microfiltración bacteriana y disminuye la hipersensibilidad dentinaria. Pues esta técnica genera un revestimiento más hidrófobo lo que es importante para evitar la degradación del material y para obtener una técnica más eficaz (6).…”

Section:  Resultados Y Ventajas Clínicasunclassified

“…En cuanto a reducción de sensibilidad postoperatoria Smartzi en su investigación bibliográfica determina que el SDI genera menos espacios y menos microfiltración bacteriana debido a su mayor fuerza de unión, disminuyendo así la hipersensibilidad dentinaria (6). Esto coincide con la investigación del autor Calatrava el cual refiere que la pre-polimerización mejora la resistencia de unión y previene el micro-filtrado bacteriano y sensibilidad durante la etapa provisional (8).…”

Section: Discussionunclassified

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Ventajas clínicas del SDI y Resin Coating en los procesos adhesivos, una nueva visión

Altamirano¹,

Vega²

2022

EOUG

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Objetivo: identificar las ventajas de aplicar la técnica SDI y resin coating durante la preparación dentaria en restauraciones indirectas. Materiales y métodos: se realizó una investigación descriptiva con una búsqueda sistemática de artículos científicos, de los cuales 15 fueron incluidos en la presente revisión luego de hacer un descarte en base a los criterios de exclusión. Resultados: la colocación de un agente adhesivo inmediatamente después de la preparación mejora la fuerza de unión y prolonga la supervivencia de las restauraciones. La pre-polimerización en restauraciones previene la microfiltración bacteriana durante la fase provisional, y reduce de manera significativa la hipersensibilidad post cementación. Se determinó que la técnica de resin coating va en conjunto con la técnica SDI, pues, mejora la fuerza de unión microtensil en adhesivos ligeramente relleno, sin relleno y en general, por la capa hibrida que genera la colocación de una resina fluida en la superficie. Conclusiones: se determinó varias ventajas clínicas al aplicar las técnicas de SDI y resin coating, tales como la disminución de la hipersensibilidad post cementación, la resistencia al cizallamiento, y el aumento la fuerza de unión microtensil (μTBS).

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Effect of temporary cements and their removal methods on the bond strength of indirect restoration: a systematic review and meta-analysis

et al. 2022

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Objectives For a conventional indirect restoration, temporary cementation inevitably contaminated collapsed dentin collagen. The purpose of this review was to evaluate the optimal strategy for minimizing its negative effects. Material and methods Databases such as PubMed, Web of Science, EMBASE, and the Cochrane Library were searched for in vitro studies, involving the influence of immediate dentin sealing (IDS), different temporary cements, and their removal strategies on dentin bond strength. The meta-analysis used the inverse variance method with effect method of the standardized mean difference and statistical significance at p ≤ 0.05. The I2 value and the Q-test were used to assess the heterogeneity. Results A total of 14 in vitro trials were subjected to the meta-analysis. Within the study’s limitations, we assumed that IDS eliminated the negative effects of temporary bonding, achieving the comparable immediate bond strength with the control (p = 0.46). In contrast, under delayed dentin sealing (DDS), temporary cementation statistically decreased bond strength (p = 0.002). Compared with resin-based and non-eugenol zinc oxide cements, polycarboxylate and calcium hydroxide cements performed better on bond strength with no statistical difference from the control group (p > 0.05). Among the removal methods of temporary cements, the Al2O3 abrasion restored the decreased bond strength (p = 0.07) and performed better than hand instruments alone (p = 0.04), while pumice removal slightly reduced the bond strength in contrast with the control group (p = 0.05, 95% CI = − 1.62 to 0). Conclusions The choices of IDS, polycarboxylate and calcium hydroxide temporary cements, Al2O3 abrasion removal method were feasible and efficient to enhance the bond strength. Clinical relevance It is worthwhile applying IDS technique, polycarboxylate and calcium hydroxide temporary cements during indirect restoration. The Al2O3 abrasion of cleaning dentin can minimize the negative effects of temporary cement.

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Immediate Dentin Sealing: A Literature Review

Cited by 32 publications

References 127 publications

Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis

Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis

Ventajas clínicas del SDI y Resin Coating en los procesos adhesivos, una nueva visión

Effect of temporary cements and their removal methods on the bond strength of indirect restoration: a systematic review and meta-analysis

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