Dentine disorders and adhesive treatments: A systematic review

A better understanding of the microstructure and mechanical properties enamel dentine may enable practitioners to apply current adhesive dentistry protocols clinical cases involving disorders (dentinogenesis imperfecta or dysplasia). Publications (up June 2020) investigating were browsed in a systematic search using PubMed/Medline, Embase Cochrane Library electronic databases. Two authors independently selected studies, extracted data accordance with PRISMA statement, assessed risk bias Critical Appraisal Checklist. Mann-Whitney U test was computed compare tissues damage related two interest. From an initial total 642 only 37 (n = 164 teeth) included present analysis, among which 18 70 teeth), 15 dentine-enamel junction 62 35 156 teeth). Dentine is damaged dentinogenesis osteogenesis (p 2.55E-21 p 3.99E-21, respectively). These studies highlight reduction mineral density, hardness, modulus elasticity abnormal disorders. The majority report altered 6.26E-09 0.001, Interestingly, also affected 0.0013), unlike 0.056). Taking into account all these observations, few principles be favoured case cementation: (i) preserve residual enhance bonding, (ii) sandblast tooth surfaces increase roughness, (iii) choose universal reinforce by means infiltrant resins. As recommendations are mostly based on vitro future vivo should conducted confirm hypotheses.