B. Vanmeerbeek et al., MORPHOLOGICAL CHARACTERIZATION OF THE INTERFACE BETWEEN RESIN AND SCLEROTIC DENTIN, Journal of dentistry, 22(3), 1994, pp. 141-146
Since dentine exposed to the oral environment undergoes important comp
ositional and morphological transformations, bonding to it differs sig
nificantly from bonding to unaffected normal dentine. In this investig
ation, the interface between resin and sclerotic dentine, the dentine
type clinically exhibited by cervical abrasive or erosive lesions, was
morphologically characterized by scanning electron microscopy after a
n argon-ion-beam etching procedure. The microstructure of the resin-sc
lerotic dentine interface was compared with that produced to normal un
affected dentine in an attempt to find reasons for the reported less r
eliable bonding of adhesive resins to sclerotic dentine. A resin-denti
ne interdiffusion zone or hybrid layer with only a limited width was f
ormed at the hypermineralized intertubular dentine. No or only short r
esin tags were developed in most dentinal tubules, since their orifice
s were obliterated due to increased peritubular dentine apposition, in
tratubular deposition of irregular minerals and formation of so-called
sclerotic casts. Consequently, it is reasonable to predict that denti
ne adhesives with an adhesion strategy, which mainly involves micromec
hanical interlocking by the formations of a resin-dentine interdiffusi
on zone combined with resin-tag development into the dentinal tubules,
will be less effective when applied to sclerotic dentine than to unaf
fected normal dentine. An adapted adhesive treatment may be necessary
to make sclerotic dentine more receptive to bonding. Further research
should be directed to develop adhesive systems that bond equally well
to various kinds of dentine.