Lecture Notes on Adhesive Dentistry and Bonding Systems

Introduction

• Early mentors such as Ray Bertolotti and John Kois emphasized the importance of seeking out scientific literature.
• Mentors provided bibliographies that guided understanding of available science and research.
• Importance of private practice decisions between fillings and crowns.
  • Inlays and onlays as intermediate solutions.
  • Role of adhesive dentistry in evolving these solutions.

Adhesive Dentistry Development

• Ray Bertolotti introduced the adhesive approach for inlays and onlays.
• Key literature accessed from libraries like the University of Utah Medical School.
• Journals: "Operative Dentistry" and "Journal of Prosthetic Dentistry" provided insights.

Discoveries and Innovations

• Adhesive dentistry advancements from Japan.
• Introduction of Clearfil system by Japanese researchers.
• Evolution of bonding systems:
  • Liner Bond series as key developments.
  • Simplification and dilution of science by Bertolotti.

Chemistry of Bonding Systems

• Explanation of monomers and polymerization.
• Introduction of initiators such as camphorquinone for photoactivation.
• Historical bonding systems (1951 GPDM) and their polymerization processes.

Patent and Commercialization

• Importance of patenting successful molecules.
• GPDM molecule was initially patented in 1951 and rediscovered by companies in later years.
• Use of patent searches to find viable bonding solutions.

Evolution of Bonding Systems

• Ten-MDP molecule as a critical breakthrough.
• Characteristics of 10-MDP:
  • Hydrophilic and effective in moist dentinal fields.
  • Capable of ionic bonding with dentin.

Advanced Bonding Systems and SE Bond

• Introduction of self-etching systems like Liner Bond Two in 1997.
• SE Bond as a gold standard with a patent on the ten-MDP molecule.
• Shift towards photoactivation in adhesive processes.
• Universal bonding systems developed post-2015, but inferior to previous systems.

Conclusion

• Historical evolution and chemistry of bonding systems matter.
• Future discussions on the use and misuse of universal bonding systems.
• Sign off with a note on the importance of being "bonded" in dentistry.