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Monday 30 November 2009

Poll: What type of adhesive system do you use in your practice?

Please, select one or more answers from the poll in the sidebar.

Adhesive systems are nowadays classified according to the number of clinical application steps and adhesion strategy. This is one of the most widely accepted classifications in both clinical practice and scientific literature.



(a) Three-step etch-and-rinse systems: acid etching with phosphoric acid followed by the application of primer and bond from separate bottles;
(b) Two-step
etch-and-rinse systems: acid etching with phosphoric acid followed by the application of primer and bond which are in one bottle;
(c) Two-step self-etch systems: self-etching primer and bond are in separate bottles;
(d) One-step self-etch systems (also known as "all-in-one" systems): all components are in one bottle

Feel free to leave a comment about your experience with any particular adhesive system.


In clinical practice, I'm using a two-step etch-and-rinse system. In PhD research, I've studied the degree of conversion and elution of unreacted monomers from a wide range of adhesive systems. Some of these results have been published in scientific dental journals and some are in press and will be published soon.

Though one-step (all-in-one) self-etch systems are currently marketed, results from many in vivo and in vitro studies suggest that these systems often have inferior properties compared to two-step self-etch and etch-and-rinse systems


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