Molar-Incisor Hypomineralisation: Bonding to Adhesive Materials

HSPM  Molar-Incisor hypomineralisation

Manas Dave in his debut blog for the Dental Elf looks at a review on bonding of adhesive materials to molar-incisor hypomineralisation (MIH) affected enamel. 10 studies were included only 4 of which were clinical so the findings need to be interpreted cautiously.

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Adhesively bonded amalgams – insufficient evidence of better performance


This Cochrane review update only identified 1 RCT assessing the difference in survival between bonded and non-bonded amalgam restorations providing insufficient evidence to support or refute a difference.

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Direct anterior restorations have good survival rates


This review of direct anterior restorative materials included 21 studies and covered a wide range of materials and adhesive systems. Overall the failure rates were low for both class III and class IV restorations.

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Only low-quality evidence to assess effectiveness of bonding for fixed orthodontic appliances

iStock_000002551343XSmall colourful braces on teeth

Fixed banded orthodontic treatment is commonplace not only amongst children by but increasingly in adults.  Being able to successful bond these brackets to the teeth during treatment is a one factor for successful treatment.   The aim of this review was to compare the effects of different dental etchants and different etching techniques for the bonding [read the full story…]

1-step bonding technique for orthodontic appliances provides modest time saving compared with 2-stage techniques

shutterstock_81157801-orthodontic appliance

The application of dental bonding to orthodontics had had a significant impact on with  bonded appliances replacing multi-banded systems.  With the development of bonding systems there is increasing interest in 1-step systems.  These self-etch systems (SEPs) are used by about 30% of American practitioners and are thought to reduce chair-side time.   The aim of this [read the full story…]

Using liquid resin reduced lingual orthodontic retainer failure rate

iStock_000002551343XSmall colourful braces on teeth

Long -term retention is necessary to avoid relapse following the completion of orthodontic treatment. The lingual retainer can be a useful method of retention. The aim of this study was to investigate the effect of liquid resin on the survival of fixed lingual retainers and to evaluate the incidence of calculus accumulation and discoloration adjacent [read the full story…]

Insufficient evidence for recommendations on best adhesive system or bonding strategy for non-carious cervical lesions

shutterstock_15351199- light activated restoration

Tooth coloured adhesive filling materials are in common use in dentistry providing good results. However, their success relies on the adhesive systems that provide this bond which has allowed a more conservative approach to cavity preparation.  The aim of this review was to assess the effectiveness of these systems in non-carious cervical lesions (NCCLs).   The [read the full story…]