Adhesive System Essay

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The Adhesive System Hsinyu-Wung 指導醫師- 
 譚⽟玉欣醫師 鍾明邦醫師 Adhesive “The state in which 
 two surfaces are held together 
 by interfacial forces 
 which may consist of valence forces or interlocking forces or both” The surface tension of the adhesive 
 must be lower than 
 the surface energy of enamel and dentin Solvent of Adhesive Solvent of Adhesive In adhesives, 
 Water, Ethanol and Acetone
 are the most commonly used solvents Solvent of Adhesive Considerations● Permeability with Water ● Permeability with Resin ● Toxicity Adhesive Strength “The measure of 
 the load-bearing capacity 
 of an adhesive joint” Mechanisms Four different mechanisms in dentistry● Mechanical ● Adsorption ● Diffusion ● A combination of the above ● Water ● Organic ● Mineral Composition by Volume % Enamel Dentin Tooth Adhesion Adhesives Etch & Rinse Self-Etch Enamel Dentin Tooth Adhesion Enamel Enamel Etching Enamel Etching Pattern Type I -Dissolution of the prism cores Type II -Dissolution of the prism peripheries Type III -No prism structures are evident to Bond to the Enamel Microtags -
 Formed at the cores of enamel prisms. Macrotags -
 Formed circularly between enamel prism peripheries to Bond to the Enamel The major retention is contributed by the
 Microtags Advantages of Enamel Adhesion ● Prevent microleakage ● Bond strength of composite to phosphoric acid-etched enamel usually exceed 20MPa Required Bond Strength “As a rule of thumb -
 with 15 to 20 MPa of bond strength
 you are usually on the safe side.” E. Swift, ADA 2002, New Orleans Etch & Rinse Adhesives on Enamel Etching Time: 15-40 sec Rinsing Time: 20 sec Dry Apply Adhesives Enamel Enamel Dentin Tooth Adhesion Dentin Basics of Dentin Adhesives Problems ● Heterogeneous Structures ● Dentinal Tubules

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