Acid-Base Resistant Zone in Teeth with the Direct Restoration Using Different Adhesive System Generations: A Systematic Review

ABSTRACT Objective: To find out what the acid-base resistant zone (ABRZ) is and the mechanism of its formation. Material and Methods: This systematic review was based on the search of laboratory studies in which selfetching adhesive systems were used. The electronic database PubMed was used for the search. The search began on August 2021 and ended on June 2022. We have analyzed the materials and methods of each research and entered them in the appropriate tables to give a clearer assessment of the obtained results. Results: This systematic review included 15 full-text articles published from 2011 to 2019. The ABRZ is formed on both dentine and enamel. On dentine, the ABRZ is formed only when using self-etching adhesive systems; on the enamel, on the contrary, the step of preliminary etch and rinse contributes to the formation of a thicker ABRZ. The functional monomer MDP and fluorine increase the thickness of the ABRZ and provide a hybrid layer /ABRZ boundary without defects and erosions. Conclusion: Self-etching adhesive systems ensure the creation of an ABRZ resistant to acid-base tests. This phenomenon can provide the resistance of tooth tissues to demineralization, and therefore increase their resistance to caries.

The Substantiation of the Pre-Polymerization Heating Efficiency of the Dental Nanocomposite Material

Abstract Objective: To evaluate the effect of pre-polymerization heating of nanocomposite filling materials on their strength properties within one manufacture group. Material and Methods: Two nanocomposite filling materials Enamel Plus HRi Universal Dentin® and Universal Enamel® were used. The linear thermal expansion coefficient (LTEC), Young's modulus and penetration depth were determined during the tests. Changes in the structure of materials were evaluated using electron scanning microscopy. Results: Dentin nanocomposite samples after pre-heating and polymerization have higher LTEC after 30°C compared to dentine nanocomposite untreated samples with statistically significance started at 62°C (p<0.05) and higher temperature. Pre-polymerization heated samples had a statistically higher LTEC (p<0.05) at 57°С. It was revealed that Young's modulus of the dentin nanocomposite samples after thermal processing at 55°C was higher in total after the first heating cycle by 15% compared to the untreated dentin nanocomposite samples (p<0.05). The volume of total porosity after pre-heating decreased to 5-7% (p<0.05). Conclusion: The material that has undergone preliminary heat processing is significantly less deformed under load than the material that does not have thermal processing during the research was established and also has a denser structure.