Recent Advances in Direct Adhesive Restoration Resin-Based Dental Materials With Remineralizing Agents

Abstract

Resin-based dental materials are popular restorative materials especially in direct adhesive restoration because of the excellent mechanical and esthetic properties. Toward the realization of minimally invasive dental procedures, direct composite resin adhesive restoration has become the main treatment for dental defects. In addition, for caries-affected dentin close to the pulp, conservation remineralization has been advocated to save the living pulp. However, the resin–dentin interface can be destabilized by various factors, especially the enzymatic degradation of collagen fibrils within the hybrid layer and polymer hydrolysis. Furthermore, for resin-based restorative materials, the marginal gap remains a major problem that can lead to the occurrence of secondary caries. To address these issues, research efforts have focused on the remineralization of mineral-depleted dental hard tissues using remineralizing bioactive substances. In this review, we first described various bioactive agents with remineralizing properties. Furthermore, we discussed recent advances in resin-based dental materials for enamel or dentin remineralization. Finally, we examined the current challenges and prospects of these emerging materials. This work aims to provide a theoretical foundation for the future development of resin-based dental materials in direct adhesive restoration with remineralizing agents.

Developing Bioactive Dental Resins for Restorative Dentistry

“…When in contact with physiological fluids (i.e., saliva), BGs trigger ion–exchange reactions on their surface, resulting in the formation of a layer of carbonated HAp that favors its biocompatibility and its integration into surrounding bone and hard dental tissues (Mocquot et al 2020). For dentin and enamel remineralization, BGs of different sizes (micro/nano) and compositions (conventional silicates, phosphate based, borate based, alkali free, sodium free, and phosphate free) have been incorporated into dental resins (Mai et al 2022). Despite their excellent bioactive properties, the clinical applications of BGs are mainly related to no-load-bearing applications due to low mechanical strength (i.e., flexural strength) compared to other bioactive materials (Kaur et al 2019).…”

Barriers in Rubber Dam Isolation Behaviour of Dental Students During Adhesive Restorative Treatments: A Cross-Sectional Study

“…Pit and fissure sealants are the preferred choice among various restorative materials due to their effectiveness in preventing further caries, efficient bonding to the tooth interface, and superior remineralization properties [ 1 ]. A rubber dam is an essential component of modern dentistry, though there were arguable questions on the endurance of the restoration favoured by the rubber dam placement [ 2 ].…”

Bond Strength of Resin Cement Following Biomimetic Remineralization: An in vitro Study

“…Resin-based dental materials are widely used for restorative purposes, particularly in adhesive restorations, due to their superior mechanical and aesthetic character [8]. However, the presence of marginal gaps remains a significant challenge associated with resin-based restorative materials, as they can contribute to secondary caries to a greater extent [8].…”