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FIG. 1
www.google.com




FIG.2
www.google.com
 It is an innovative, modern
  achievement of dentistry, which
  allows aesthetic results, generally,
  that previously could not be
  achieved.



                     FIG.3
                     www.google.com
   Restorations with important
    achievements:
                  Aesthetic
                  Biological
                  Functional

    Being able to adhere does not only resin,
    but also structures ceramics to dental
    tissue.
 Induction  of oral fluid and bacteria in
  microscopic fissures that exist between the
  surface of the prepared tooth and the
  restorative material
 In amalgam: produces no continuity between
  the two structures, but over time the interface is
  sealed, since it produces corrosion products
  that seal.
 In ionomer: fluoride is released which
  prevents recurrent caries.
 In resins: the direct filling are inert, do not
  produce marginal seal, therefore we must seek
  other methods of achieving marginal seal.
Some may be polymerized only
with the components included
in its composition:
There are auto polymerizing,
self-curing, or chemical
activation.


                               FIG.5
                               www.google.com
Others need a light
generating device to be
cured: they are the
photopolymerizable, light
photocurable or activation
(with light).

                             FIG. 4
                             Self-etching adhesive system
                             photocurable of a single
                             component for the dentin and the
                             enamel which releases fluoride.

                             www.google.com
FIRST     HYDROPHOBIC

SECOND    MIXED

THIRD     HYDROPHILIC

FOURT     HYBRID LAYER

FIFTH     SINGLE COMPONENTS

SIXTH     ETCHING

SEVENTH   ALL IN ONE
   FIRST: Before 1980. Without conditioning on
    dentin. It had very low adhesion values ​in dentin:
    2-7 MP, the enamel MP 24-27.
   SECOND: 3 times greater adhesion to dentin and
    enamel 30-50%.
   THIRD: They generate bond strength similar to
    that between enamel and resin. It was only trying
    to produce a chemical bond, subsequently
    obtained a micro mechanical junction, by forming
    an interdiffusion layer which leads to high levels
    of adhesion.
   FOURTH: Adhesion greater than 20 MP
   FIFTH: Based on hybridization dentin
    layer. Easier use than previous. Resistance
    similar to those of the fourth generation.
   SIXTH: It begins to use primers etching
    and mixtures of adhesives with primers and
    phosphoric acid is removed except for the
    sound enamel.
   SEVENTH: Among the improvements we
    can mention the self-etching adhesives and
    those which do not require mixing.
MECHANICAL OR PHYSICAL
 Exclusively for one mechanical locking.
  It is based on morphological features of
  the parts (Grasp) and may be at levels:
 Macromechanic: undermined
 Micromechanic: differs from the
  previous one in the size of the parts.
   Forces are generated between both parts. They
    are interactions at atomic level or molecular,
    based on primary joints (chemicals: ionic,
    covalent, metal) and secondary (hydrogen
    bridges and oscillating dipoles). The ideal is for
    primary joints to be produced.
   BIS.GMA Bisfenol-glicidil-metacrilato
   HEMA 2 Hidroxidi-etil-metacrilato
   TEG.DMA Tri-etilen-glicol-glicidil-metacrilato
   PEG.DMA Polietilen-glicol-dimetacrilato
   GPDM Gilcerol-propano-dimetacrilato
   DMA Dimetacrilatos
   MMPAA Poliacidos-dimetacrilato-modificado
   UDMA Dimetacrilato de Uretano
   HPMA Hidroxidi-propil-metacrilato
   BPDM Bifenil-dimetacrilato
   4-META 4-metacril-oxi-etil-trimelitato-anhibrido
   PENTA Ester-fosfonato-penta-acrilato
 Low service tension
 Low Viscosity
 Dimensional Stability
 Adequate Mechanical Properties: to resist
  forces of mastication
 Hydro resistance
 Biological Compatibility
   High surface energy to attract the liquid
    so that it can be drained. In order for
    that, it is necessary for it to be clean with
    a smooth surface (favors the chemical
    union but not the mechanical). This is,
    the surface must be wettable by the
    adhesive.



                                           FIG.4
                                           www.google.com
NAME        COMMERCIAL SOLVENT   CURING TIME
            HOME
TETRIC N    IVOCLAR    ETHANOL   10 SEC.
BOND        VIVADENT
PRIME &     DENTSPLY   ACETONE   10 SEC.
BOND NT
ONE COAT    COLTENE    WATER     30 SEC.
BOND SL

TE-ECONOM   IVOCLAR    ETHANOL   20 SEC.
BOND        VIVADENT
ADPER       3M         ETHANOL   10 SEC.
SINGLE
BOND 2
Retain most of the
   tooth structure
                     Achieve a lasting
                       and optimal
                        retention


        Prevent
      microleakage
 Photopolymerizable   (marginal percolation)

 Auto curing
 Dual, Auto or phtocuring
ADVANTAGES                         DISADVANTAGES
Increase tooth retention and effort   There is a greater chance of dentin
                                      overmineralize


Higher marginal adaptation            Need of long clinical time


Lower percentage of secondary         Possibility of contaminating dental
decay                                 structure


Decrease in sensitivity               Major risk of over drying the dental
                                      tissue or chance of moisture in the
                                      substrate adherent
 3M
 Bisco
 Kerr
 Dentsply
 Kuraray
 Jeneric
             FIG: 5
 Vivadent   www.dentsply.es/adhes
             ivos/XenoV.htm
   www.universodontologico.com.ar/pacientes/preguntas/adhe
    sion.htm

   3.bp.blogspot.com

   www.rincondelvago.com/adhesivos-dentales.html

   www.slideshare.net

   http://www.scielo.org.ve

   https://docs.google.com/viewer?a=v&q=cache:qxouJGTtQrUJ
    :www.idap.com.mx/apuntes/Materiales%25
   https://docs.google.com/viewer?a=v&q=cache:oEYB9SZmiZQ
    J:www.dentaladvisor.com/viewer?a=v&q=cache:oEYB9SZmiZ
    QJ:www.dentaladvisor.com/publications/the-dental-advisor/

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Dental adhesives

  • 2.  It is an innovative, modern achievement of dentistry, which allows aesthetic results, generally, that previously could not be achieved. FIG.3 www.google.com
  • 3. Restorations with important achievements: Aesthetic Biological Functional  Being able to adhere does not only resin, but also structures ceramics to dental tissue.
  • 4.  Induction of oral fluid and bacteria in microscopic fissures that exist between the surface of the prepared tooth and the restorative material
  • 5.  In amalgam: produces no continuity between the two structures, but over time the interface is sealed, since it produces corrosion products that seal.  In ionomer: fluoride is released which prevents recurrent caries.  In resins: the direct filling are inert, do not produce marginal seal, therefore we must seek other methods of achieving marginal seal.
  • 6. Some may be polymerized only with the components included in its composition: There are auto polymerizing, self-curing, or chemical activation. FIG.5 www.google.com
  • 7. Others need a light generating device to be cured: they are the photopolymerizable, light photocurable or activation (with light). FIG. 4 Self-etching adhesive system photocurable of a single component for the dentin and the enamel which releases fluoride. www.google.com
  • 8. FIRST HYDROPHOBIC SECOND MIXED THIRD HYDROPHILIC FOURT HYBRID LAYER FIFTH SINGLE COMPONENTS SIXTH ETCHING SEVENTH ALL IN ONE
  • 9. FIRST: Before 1980. Without conditioning on dentin. It had very low adhesion values ​in dentin: 2-7 MP, the enamel MP 24-27.  SECOND: 3 times greater adhesion to dentin and enamel 30-50%.  THIRD: They generate bond strength similar to that between enamel and resin. It was only trying to produce a chemical bond, subsequently obtained a micro mechanical junction, by forming an interdiffusion layer which leads to high levels of adhesion.
  • 10. FOURTH: Adhesion greater than 20 MP  FIFTH: Based on hybridization dentin layer. Easier use than previous. Resistance similar to those of the fourth generation.  SIXTH: It begins to use primers etching and mixtures of adhesives with primers and phosphoric acid is removed except for the sound enamel.  SEVENTH: Among the improvements we can mention the self-etching adhesives and those which do not require mixing.
  • 11. MECHANICAL OR PHYSICAL  Exclusively for one mechanical locking. It is based on morphological features of the parts (Grasp) and may be at levels:  Macromechanic: undermined  Micromechanic: differs from the previous one in the size of the parts.
  • 12. Forces are generated between both parts. They are interactions at atomic level or molecular, based on primary joints (chemicals: ionic, covalent, metal) and secondary (hydrogen bridges and oscillating dipoles). The ideal is for primary joints to be produced.
  • 13. BIS.GMA Bisfenol-glicidil-metacrilato  HEMA 2 Hidroxidi-etil-metacrilato  TEG.DMA Tri-etilen-glicol-glicidil-metacrilato  PEG.DMA Polietilen-glicol-dimetacrilato  GPDM Gilcerol-propano-dimetacrilato  DMA Dimetacrilatos  MMPAA Poliacidos-dimetacrilato-modificado  UDMA Dimetacrilato de Uretano  HPMA Hidroxidi-propil-metacrilato  BPDM Bifenil-dimetacrilato  4-META 4-metacril-oxi-etil-trimelitato-anhibrido  PENTA Ester-fosfonato-penta-acrilato
  • 14.  Low service tension  Low Viscosity  Dimensional Stability  Adequate Mechanical Properties: to resist forces of mastication  Hydro resistance  Biological Compatibility
  • 15. High surface energy to attract the liquid so that it can be drained. In order for that, it is necessary for it to be clean with a smooth surface (favors the chemical union but not the mechanical). This is, the surface must be wettable by the adhesive. FIG.4 www.google.com
  • 16. NAME COMMERCIAL SOLVENT CURING TIME HOME TETRIC N IVOCLAR ETHANOL 10 SEC. BOND VIVADENT PRIME & DENTSPLY ACETONE 10 SEC. BOND NT ONE COAT COLTENE WATER 30 SEC. BOND SL TE-ECONOM IVOCLAR ETHANOL 20 SEC. BOND VIVADENT ADPER 3M ETHANOL 10 SEC. SINGLE BOND 2
  • 17. Retain most of the tooth structure Achieve a lasting and optimal retention Prevent microleakage
  • 18.  Photopolymerizable (marginal percolation)  Auto curing  Dual, Auto or phtocuring
  • 19. ADVANTAGES DISADVANTAGES Increase tooth retention and effort There is a greater chance of dentin overmineralize Higher marginal adaptation Need of long clinical time Lower percentage of secondary Possibility of contaminating dental decay structure Decrease in sensitivity Major risk of over drying the dental tissue or chance of moisture in the substrate adherent
  • 20.  3M  Bisco  Kerr  Dentsply  Kuraray  Jeneric FIG: 5  Vivadent www.dentsply.es/adhes ivos/XenoV.htm
  • 21. www.universodontologico.com.ar/pacientes/preguntas/adhe sion.htm  3.bp.blogspot.com  www.rincondelvago.com/adhesivos-dentales.html  www.slideshare.net  http://www.scielo.org.ve  https://docs.google.com/viewer?a=v&q=cache:qxouJGTtQrUJ :www.idap.com.mx/apuntes/Materiales%25  https://docs.google.com/viewer?a=v&q=cache:oEYB9SZmiZQ J:www.dentaladvisor.com/viewer?a=v&q=cache:oEYB9SZmiZ QJ:www.dentaladvisor.com/publications/the-dental-advisor/