Knowledge, Attitude, and Practices on the Use of Cross-Linkers During Dentin Bonding among Practitioners Specialised in Conservative Dentistry

Abstract

Introduction: Biomodification involves the application of exogenous cross-linkers to stabilise collagen molecules through the formation of inter- and intramolecular cross-links. This approach shows potential for improving bonding performance in adhesive restorations. Aim: To assess the Knowledge, Attitude, and Practices (KAP) regarding the use of cross-linkers during dentin bonding among practitioners specializing in conservative dentistry. Materials and Methods: An online survey was conducted among dentists practicing conservative dentistry across India from September 2022 to November 2022. The survey consisted of a semi-validated questionnaire with 24 questions and was distributed through personal email and social media. Data was collected over a period of three months and analysed using statistical evaluation in the Statistical Package for the Social Sciences (SPSS) via chi-square test. Results: A total of 181 responses were received. Of the study population, 68.2 percent became aware of biomodification through articles in various journals. According to the study, 85 individuals (47%) acknowledged that using cross-linkers could enhance the mechanical properties of dentin by stabilising collagen. However, it is interesting to note that only 33 individuals (18.2%) actually incorporated biomodification techniques in their dental practice. Conclusion: Nearly half of the study population were aware of the use of cross-linkers to enhance dentin strength, prevent degradation and preserve resin-dentin bonds, inhibit demineralisation, and prevent root caries. However, only 18.2% of the participants reported practicing biomodification procedures in their dental practice.