时间标签：数据日期 2026-11-05 · 生成时间 2026-11-05 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/11/02 – 2026/11/06 ｜ 情报发生日期 2026-11-05
研究问题
The purpose of the technique is to maximize the initial bond between the resin and dentin, to plug dentinal tubules, to decrease dentin permeability and sensitivity, and to provide good marginal and interfacial adaptation [9].
方法
The prepared dentin should be properly isolated and treated as per the chosen adhesive system, and the sealed surface should be protected during the provisional phase.；Generally, silicone-based elastomeric impression materials are preferred, as they are compatible with IDS-treated surfaces, but polyether impression materials can have a negative effect on the polymerized adhesive layer.；Fracture resistance is a mechanical property but is indirectly related to the stability and durability of the underlying adhesive interface when exposed to thermal and mechanical stresses [30].Similar results have been reported for ceramic onlays, and the samples treated with IDS showed higher resistance against fracture after thermomechanical aging.
核心结论
Earlier studies have demonstrated that the bond interface is strengthened by the introduction of filled adhesive systems or by the application of a thin layer of flowable resin over the adhesive.；All these results agree with an improvement in adhesive durability and restorative performance with IDS [31].；The evidence about marginal integrity indicates that the maintenance of a well-sealed dentin surface during the provisional phase is helpful to prevent marginal gap formation and maintain tooth-restoration adaptation before final cementation, as the result of using IDS [32].Further enhancements have been emphasized when used with biomodification processes such as application of proanthocyanidin.
局限
Delayed sealing of dentin after the provisional phase, however, can leave the dentin surface susceptible to potential contamination from saliva, temporary cements, plaque, and other materials, which can have a negative impact on subsequent dentin adhesion [2].；IDS can therefore potentially lead to better patient comfort during provisionalization and can minimize postoperative sensitivity after placement of the definitive restoration.Beyond its mechanical role, the polymerized resin layer formed during IDS may also limit the oral elution of unreacted monomers and bisphenol A degradation products from the restorative interface, though the long-term biocompatibility of these coatings still warrants investigation [6].；Therefore, although the available evidence generally supports the biological rationale and potential clinical benefits of IDS, the findings should be interpreted in the context of these methodological differences, and further well-designed long-term clinical studies are warranted.ConclusionsIDS is a simple yet effective modification of the conventional adhesive protocols that is in harmony with the concepts of minimally invasive, biologically driven dentistry.
对本项目的价值
中等价值：属「衰老机制与老年临床」方向；其他衰老相关栏目可用作本项目文献库与综述素材。 ｜ 价值分 2.7/5（★★★☆☆）
全文来源
PubMed PMC JATS（正文 28,127 字符，题名指纹 1.0，已过 PubMed PMCID 官方关联 + 题名指纹 + 正文长度归属校验）
原文题录
- 中文题名：间接修复中的即刻牙本质封闭：生物学依据、临床流程与当代证据
- 英文标题：Immediate Dentin Sealing in Indirect Restorations: Biological Rationale, Clinical Protocol, and Contemporary Evidence.
- 期刊与标识：Cureus · PMID 42974609 · DOI 10.7759/cureus.117395 · PMC PMC13727012