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Although one clinical study reported good retention of class V restorations bonded to unprepared eroded dentin for 12 months [ 8], another investigation showed a high loss rate of even 44 50% [ 9].
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Although a minimally invasive approach should clinically always be strived for, superficial preparation (or minimal roughening) with a diamond bur is recommendable for long-term bonding to eroded dentin.
Whereas O-FL confirmed his well-known superiority in long-term bond strength to "normal" non-eroded dentin, it performed clearly less effectively onto eroded dentin.
Although onto eroded dentin surfaces the self-etch adhesive performed slightly better, the bond strength was clearly reduced after 1-year water storage for both adhesives.
There are however only few studies dealing with adhesive properties on eroded dentin surfaces.
Interestingly, even pumice appeared relatively effective to remove the outer zone of demineralized (eroded) dentin.
This could be directly related to a less effective removal of demineralized (eroded) dentin.
Overall, the ultra-morphologic interfacial features hardly differed for the different surface preparation techniques employed, except for the diamond bur preparation that appeared to have removed the demineralized (eroded) dentin layer quite effectively (Figs. 3 and 4).
This investigation showed that the way eroded dentin was prepared clearly influenced the bonding effectiveness of two representative adhesives.
The application of phosphoric acid on eroded dentin resulted in a completely demineralized outer dentin zone that gradually became more mineralized towards the inner part and eventually changed into normal mineralized dentin.
The different preparation techniques investigated were chosen in order to investigate how invasive the preparation should be to achieve good long-term bonding to eroded dentin.
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