REVIEW PAPER
Interaction of immediate dentine sealing with different
clinical procedures in aesthetic dentistry:
review of literature
More details
Hide details
1
Department of Fixed Prosthodontics, Research Laboratory of Occlusodontics and Ceramics, University Of Monastir, Tunisia
Submission date: 2024-09-11
Final revision date: 2025-01-27
Acceptance date: 2025-03-17
Publication date: 2025-03-16
Corresponding author
Ilhem Ben Othmen
Department of Fixed Prosthodontics, Research Laboratory of Occlusodontics and Ceramics, University Of Monastir, Monastir, Tunisia
Prosthodontics 2025;75(1):71-88
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Bonding to dentine in adhesive
dentistry is a known challenge due to the unique
characteristics of dentine. Dentine exposed
during tooth preparation is vulnerable to bacterial
infiltration and microleakage in the provisional
phase, posing risks of post-operative sensitivity
and pulp irritation in bonded restorations. To
mitigate these issues, immediate dentine sealing
(IDS) was introduced. This review explores the
interactions between IDS and various treatment
phases, from temporization to final assembly.
Material and methods:
An extensive electronic
search was conducted on PubMed Scopus, and
Cochrane Library databases, focusing on in vitro
studies and clinical trials published between 2005
and 2023. The search used specific keywords
such as “immediate dentine sealing”, “IDS”,
and “prehybridization”, targeting studies on IDS
applied to human teeth.
Results:
Forty-six relevant articles were
identified and analysed. The findings consistently
emphasize IDS’s critical role in improving bond strength between dental restorative materials and
dentine.
Discussion:
Researchers support the localized
application of an adhesive system whenever a
significant portion of dentine is exposed during
tooth preparation for indirect restorations. IDS has
been shown to enhance bonding, provide superior
water resistance, and reduce post-operative
sensitivity. Experts recommend adding a layer of
flowable resin and glycerin jelly, followed by a
10-second curing. Additionally, using polyether
impression materials should be avoided, while
micro-sandblasting is recommended to create
surface roughness on the adhesive resin, followed
by gentle cleaning with pumice.
Conclusions:
Immediate dentine sealing
requires meticulous attention but offers promising
results in improving dentine bonding and reducing
complications in bonded restorations.