Abstract
Background: The progress in the field of dental adhesion has shown great implications for restorative dentistry. Immediate dentin sealing is a technique that was introduced to improve the bonding of indirect restorations. The improvement of bonding techniques to both enamel and dentin promotes the practice of conservative dental treatment.Hencethe purpose of the current study was to search for the best available evidence concerning the clinical outcomes of immediate dentin sealing.
 Methodology: An extensive search was performed using different online databases (Pubmed, Scopus, Web of Science, Google Scholar and Cochrane library). These search engines were searched for relevant articles by developing relevant search strategies. Three independent authors reviewed studies, collected data, and assessed risk of bias.
 Results: After reviewing 221 studies, duplicates were removed and inclusion and exclusion criteria were applied. Finally, three clinical studies were accepted in this review.
 Conclusions: Previous in vitro studies have shown improved outcomes, although there was no strong evidence in clinical studies to prove superiority of this clinical approach.
Highlights
Adhesion is an important factor to consider in cases of severe tooth destruction
If significant dentin was exposed, it is suggested to seal it with a dentin bonding agent
The advancement of using dental adhesives to form a tight seal between freshly cut dentin and the restoration is crucial to protect the pulp and reduce sensitivity during the time between tooth preparation and bonding of the final restoration [1]
Summary
Adhesion is an important factor to consider in cases of severe tooth destruction. During the treatment, if significant dentin was exposed, it is suggested to seal it with a dentin bonding agent. Contaminated dentin after removal of the provisional restoration is not a proper substrate for bonding, so it can affect the bonding strength of self-adhesive cement because it does not require pretreatment prior to application. To overcome this problem, immediate dentin sealing [3] was proposed in the early 1990s by using etch-andrinse adhesive resin cement [5]. The improvement of bonding techniques to both enamel and dentin promotes the practice of conservative dental treatment.Hencethe purpose of the current study was to search for the best available evidence concerning the clinical outcomes of immediate dentin sealing. Three independent authors reviewed studies, collected data, and assessed risk of bias
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