Resin coating should always be included in the conversation with immediate dentin sealing, but it isn’t. Immediate dentin sealing can increase bond strengths by 400%, but resin coating functions at the opposite end of the adhesive equation by reducing polymerization stress to the hybrid layer.
Dr. Alleman discusses materials used in resin coating — flowable composites — their history, uses and how to use them effectively when establishing your hybrid layer. Once again, it all comes back to decoupling with time.
Articles discussed in this episode:
- Van Meerbeek, B. (1993). Dentine adhesion: morphological, physico-checmial and clinical aspects [Catholic University of Leuven]
- Kemp-Sholte CM, Davidson, CL. Complete marginal seal of Class V resin composite restorations effected by increased flexibility. J Dent Res. 1990 Jun;69(6):1240-3.
- Brannstrom M. The hydrodynamic theory of dentinal pain: sensation in preparations, caries, and the dentinal crack syndrome. Journal of Endodontics. 1986;12(10)-453-457
- Unterbrink GL, Liebenberg WH. Flowable resin composites as “filled adhesives” literature review and clinical recommendations. Quintessence Int. 1999; 249-257.
- Alleman DS, Et al. Decoupling with time. A solution to the problem of the hierarchy of bondability. Inside Dent. 2021;August: 35-41
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