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Órgano Oficial de la Asociación Dental Mexicana

2019, Número 3

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Rev ADM 2019; 76 (3)


Factores que afectan y mejoran la adhesión en dentina, una puesta al día. Una revisión de la literatura

Garcilazo-Gómez A, Miguelena-Muro KE, Guerrero-Ibarra J, Rios-Szalay E, Bonilla-Haro R

Idioma: Español
Referencias bibliográficas: 68
Paginas: 162-168
Archivo PDF: 199.88 Kb.


RESUMEN

Objetivo: Analizar la evidencia disponible sobre los componentes de los adhesivos dentinarios, las causas de la falla de la interface dentina-adhesivo, las alternativas para disminuir este fenómeno y aumentar el tiempo de vida de las restauraciones adhesivas. Material y métodos: Se realizó una revisión de la literatura de tipo descriptiva, la búsqueda de artículos se llevó a cabo en diferentes bases de datos, bibliotecas electrónicas, buscadores académicos y búsqueda manual en revistas. Se revisaron 118 artículos, de los cuales se seleccionaron 68. Conclusiones: La adhesión dentinaria sufre degradación hidrolítica y degradación proteolítica; el acondicionado ácido de la dentina promueve la liberación de metaloproteinasas y con ello el inicio de la degradación de la interface dentino-adhesivo, por el momento los adhesivos con MDP brindan la mejor opción ya que presentan los mejores resultados para contrarrestar la degradación, además de encontrarse comercialmente al alcance de los profesionistas. Los sistemas que presentan una simplificación de la técnica en ocasiones pueden ir en detrimento de los resultados. Aún es necesario realizar investigación que conduzca a reducir la falla de la interface adhesiva a largo plazo y obtener restauraciones óptimas, duraderas y libres de microfiltraciones.


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