Enamel and Dentine Bonding Flashcards

1
Q

What are the 3 principles of adhesion?

A
  • seal vulnerable pits and fissures
  • conserve tooth tissue
  • reduce/ eliminate microleakage
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2
Q

What are the 3 materials used for bonding?

A
  • acid etches
  • coupling agents
  • dentine bonding agents
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3
Q

The ability of a liquid to form an interface with a solid surface is known as?

A

contact angle - degree of wetting

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4
Q

What does the degree of wetting allow?

A

lowers surface tension of adhesive so it will flow into irregularities

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5
Q

What is the etching time?

A

10-60 seconds

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6
Q

Why is etching time important?

A

enough time for effect but not too long as this will allow precipitation of calcium and phosphate

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7
Q

What do you do after you have applied acid etch?

A

wash for 60 seconds to remove debris

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8
Q

Why do you dry after washing off acid etch?

A

enables hydrophobic resin to penetrate and attach

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9
Q

What is the etch pattern?

A

selective decalcification of enamel prisms and micromechanical tags which resin flows in to

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10
Q

How does acid etch impact surface ?

A

increases surface roughness and enamel surface energy
- removes contaminants
- increases wetting
- micromechanical retention

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11
Q

Is dentine hydrophillic or hydrophobic?

A

hydrophillic

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12
Q

Are adhesives hydrophillic or hydrophobic?

A

hydrophobic

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13
Q

What must be removed from dentine when preparing a cavity?

A

smear layer

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14
Q

Why must the smear layer in dentine be removed?

A

open the tubules

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15
Q

What are primers?

A

coupling agents - acids that alter surface appearance and stickiness of dentine

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16
Q

How deep should the surface of dentine be demineralised?

A

4 microns

17
Q

What is an example of a primer?

A

HEMA

18
Q

What does HEMA bind to?

A

hydroxyl apatite and amino groups of collagens

19
Q

What seals dentine?

A

sealers - methacrylate

20
Q

What is the purpose of sealer?

A

endures bonding to resin in the composite

21
Q

What is the 3 stage adhesion?

A
  1. apply and wash etchant
  2. apply primer
  3. apply sealer
22
Q

What is the 2 stage adhesion?

A
  1. apply self-etching primer
  2. apply sealer
23
Q

What is the single stage adhesion?

A

self etching primer and sealer applied as a single solution.