Theoretical Foundations and Critical Practical Operational Considerations for Achieving Reliable Dental Bonding

doi:10.12337/zgkqjxjyzz.2026.02.013

Chinese Journal of Stomatological Continuing Education ›› 2026, Vol. 29 ›› Issue (2): 188-196.DOI: 10.12337/zgkqjxjyzz.2026.02.013

Theoretical Foundations and Critical Practical Operational Considerations for Achieving Reliable Dental Bonding

Ming Fang, Fu Wang, Wei Zhou, Sai Ma, Jihua Chen, Lina Niu^*

National Clinical Research Center for Oral Diseases, State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi Province, P.R. China

Online:2026-03-31 Published:2026-06-23
Contact: Lina Niu. Tel:029-84776001. Email: niulina831013@126.com. Address: No. 145 Changle West Road, Xincheng District, Xi’an 710032, Shaanxi Province, P.R. China.
Supported by:
National Natural Science Foundation of China (No. 82471010); Augmentation Program of Shaanxi Provincial Health Commission (No. 2025TD-18)

Abstract

Abstract: With the rapid development of dental bonding technology and materials, selecting appropriate adhesive materials for specific clinical scenarios and ensuring their standardized applications have become crucial to achieve the long-term durability of adhesive restorations. This paper comprehensively outlines the underlying dental bonding mechanisms and key technical aspects of the entire bonding process, encompassing material selection, surface treatment, and operational standardization. It seeks to deliver evidence-based clinical guidance, thereby aiming to improve both the long-term success of adhesive restorations and patient satisfaction.

Key words: dental bonding, dental bonding agent, resins, resin cements, bonding durability

Ming Fang, Fu Wang, Wei Zhou, Sai Ma, Jihua Chen, Lina Niu. Theoretical Foundations and Critical Practical Operational Considerations for Achieving Reliable Dental Bonding[J]. Chinese Journal of Stomatological Continuing Education, 2026, 29(2): 188-196.

References

[1] 中华口腔医学会. 瓷贴面粘接技术操作规范: T/CHSA 001—2019[S/OL].2019[2026-01-05]. https://www.ttbz.org.cn/standardDetail/0t32mkgzfwez54i56uhwahc4gv61623.html.
[2] 中华口腔医学会. 纤维根管桩临床粘接技术操作规范: T/CHSA 002—2019[S/OL].2019[2026-01-05]. https://www.ttbz.org.cn/standardDetail/6qu2mhr1lqskrfbgcrgh2usx54yty6j.html.
[3] 中华口腔医学会. 树脂陶瓷复合材料椅旁CAD/CAM修复技术指南: T/CHSA 013—2022[S/OL].2022[2026-01-05]. https://www.ttbz.org.cn/standardDetail/grtnf0kljjt1sa2490f1d5ntewdyinq.html.
[4] 中华口腔医学会. 口腔全瓷修复材料应用专家共识: T/CHSA 092—2024.[S/OL].2022[2026-01-05].
https://www.ttbz.org.cn/standardDetail/gi1jigxdsrexdw1bor30f6bu6canew2. html.
[5] 中华口腔医学会口腔美学专业委员会, 中华口腔医学会口腔材料专业委员会. 全瓷美学修复材料临床应用专家共识[J]. 中华口腔医学杂志, 2019, 54(12):825-828.
[6] 全国卫生产业企业管理协会数字化口腔产业分会. 计算机辅助设计与辅助制作一体化纤维桩核技术临床操作规范[J]. 中华口腔医学杂志, 2025, 60(1):3-7.
[7] 中华口腔医学会牙体牙髓病学专业委员会. 复合树脂直接粘接修复中光固化灯使用及操作规范的专家共识[J]. 中华口腔医学杂志, 2018, 53(9):579-584.
[8] 中华口腔医学会牙体牙髓病学专业委员会. 复合树脂直接粘接修复操作规范的专家共识[J]. 中华口腔医学杂志, 2019, 54(9):618-622.
[9] 中华口腔医学会口腔美学专业委员会. 口腔美学修复中瓷贴面技术专家共识[J]. 中华口腔医学杂志, 2021, 56(12):1185-1190.
[10] 王晓燕, 岳林. 从复合树脂直接粘接修复材料的发展看临床技术指南[J]. 中华口腔医学杂志, 2018, 53(6): 374-380.
[11] Eakle WS, Bastin KG.Dental materials: clinical applications for dental assistants and dental hygienists[M]. 4th Edition. St. Louis: Elsevier, 2021.
[12] 黄翠. 临床口腔粘接问题解析:深入浅出和你一起做粘接[M]. 北京: 人民卫生出版社, 2025.
[13] Hayashi M.Adhesive dentistry: understanding the science and achieving clinical success[J]. Dent Clin North Am, 2020, 64(4):633-643.
[14] Jain D, Kunhappan S, Maheshwari D, et al.Estimation of the effect of acetone- or ethanol-based solvents on shear bond strength of composite resin using air-and blot-dry techniques[J]. J Conserv Dent Endod, 2024, 27(9):930-934.
[15] Forville H, Wendlinger M, Cochinski GD, et al.Re-evaluating the role of moist dentin of adhesive systems used in the etch-and-rinse bonding strategy. A systematic review and meta-analysis[J]. J Dent, 2025, 152:105495.
[16] Breschi L, Maravic T, Mazzitelli C, et al.The evolution of adhesive dentistry: from etch-and-rinse to universal bonding systems[J]. Dent Mater, 2025, 41(2):141-158.
[17] 姜步琳, 黄翠. 不同酸蚀模式对通用型粘接剂粘接效果的影响[J]. 口腔医学研究, 2022, 38(11):1018-1021.
[18] Josic U, Mazzitelli C, Maravic T, et al.The influence of selective enamel etch and self-etch mode of universal adhesives’ application on clinical behavior of composite restorations placed on non-carious cervical lesions: a systematic review and meta-analysis[J]. Dent Mater, 2022, 38(3):472-488.
[19] Etiennot L, Ordies M, Yao C, et al.Effective 10-MDP Bonding to Saliva-Contaminated Dentin[J]. J Adhes Dent, 2025, 27:65-74.
[20] Van Meerbeek B, Yoshihara K, Van Landuyt K, et al.From Buonocore’s pioneering acid-etch technique to self-adhering restoratives. A status perspective of rapidly advancing dental adhesive technology[J]. J Adhes Dent, 2020, 22(1):7-34.
[21] Sekundo C, Frese C, Frankenberger R, et al.Direct composite restorations on permanent teeth in the anterior and posterior region - an evidence-based clinical practice guideline-part 2: recommendations for composite processing[J]. J Adhes Dent, 2024, 26:201-212.
[22] Tsolomitis P, Diamantopoulou S, Papazoglou E.Contemporary concepts of adhesive cementation of glass-fiber posts: a narrative review[J]. J Clin Med, 2024, 13(12):3479.
[23] Craig RG, Powers JM.Restorative Dental Materials[M]. 14th Edition. St. Louis: Mosby, 2019.
[24] Dreweck FDS, Burey A, de Oliveira Dreweck M, et al. Adhesive strategies in cervical lesions: systematic review and a network meta-analysis of randomized controlled trials[J]. Clin Oral Investig, 2021, 25(5):2495-2510.
[25] Brackett WW, Brackett MG, Pacheco RR, et al.Restoration of non-carious cervical lesions: a brief review for clinicians[J]. Oper Dent, 2024, 49(6):665-672.
[26] Oliveira LV, Maia TS, Zancopé K, et al.Can intra-radicular cleaning protocols increase the retention of fiberglass posts? A systematic review[J]. Braz Oral Res, 2018, 32:e16.
[27] 李萌, 李晓静, 周唯, 等. 桩道酸蚀处理对自粘接树脂水门汀与纤维桩粘接性能影响的研究[J]. 临床口腔医学杂志, 2015, 31(3):165-168.
[28] Martos R, Hegedüs V, Szalóki M, et al.A randomised controlled study on the effects of different surface treatments and adhesive self-etch functional monomers on the immediate repair bond strength and integrity of the repaired resin composite interface[J]. J Dent, 2019, 85:57-63.
[29] Hadilou M, Dolatabadi A, Ghojazadeh M, et al.Effect of different surface treatments on the long-term repair bond strength of aged methacrylate-based resin composite restorations: a systematic review and network meta-analysis[J]. Biomed Res Int, 2022, 2022:7708643.
[30] Quigley NP, Loo DSS, Choy C, et al.Clinical efficacy of methods for bonding to zirconia: a systematic review[J]. J Prosthet Dent, 2021, 125(2):231-240.
[31] 苏晨, 卢枳岑, 于皓. 10-甲基丙烯酰氧癸二氢磷酸酯媒介的氧化锆-树脂粘接耐久性的系统评价和荟萃分析[J]. 中华口腔医学杂志, 2023, 58(12):1281-1290.
[32] Musharbash L, Fnu K, Ozer F, et al.Effectiveness of cleaning agents on bond strength to contaminated zirconia[J]. J Esthet Restor Dent, 2025, 37(11):2451-2458.
[33] Ma Y, Wang H, Xiang Y, et al.The effects of optimized microstructured surfaces on bond strength and durability of NPJ-printed zirconia[J]. Dent Mater, 2024, 40(11):1991-1999.
[34] Al-Akhali M, Al-Dobaei E, Wille S, et al.Influence of elapsed time between airborne-particle abrasion and bonding to zirconia bond strength[J]. Dent Mater, 2021, 37(3):516-522.
[35] World Dental Federation.Intraoral Light Curing of Resin Based Material: Adopted by the FDI General Assembly: 27-29 September 2021, Sydney, Australia[J]. Int Dent J, 2022, 72(1):6-7.
[36] Makvandi P, Jamaledin R, Jabbari M, et al.Antibacterial quaternary ammonium compounds in dental materials: A systematic review[J]. Dent Mater, 2018, 34(6):851-867.
[37] Zhou W, Liu S, Zhou X, et al.Modifying adhesive materials to improve the longevity of resinous restorations[J]. Int J Mol Sci, 2019, 20(3):723.
[38] Yu F, Luo ML, Xu RC, et al.A novel dentin bonding scheme based on extrafibrillar demineralization combined with covalent adhesion using a dry-bonding technique[J]. Bioact Mater, 2021, 6(10):3557-3567.
[39] Yoshihara K, Nagaoka N, Benino Y, et al.Touch-cure polymerization at the composite cement-dentin interface[J]. J Dent Res, 2021, 100(9):935-942.
[40] 项东, 林红. 口腔氧化锆陶瓷粘接预处理方法的研究进展[J]. 中华口腔医学杂志, 2020, 55(5):348-352.

Theoretical Foundations and Critical Practical Operational Considerations for Achieving Reliable Dental Bonding

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