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Peer-reviewedCC BYCureus

Immediate Dentin Sealing in Indirect Restorations: Biological Rationale, Clinical Protocol, and Contemporary Evidence

  • Sruthi Sakaray1
  • Vanika Jain2
  • Alisha Jain3
  • Roshini Ravula4
  • Pranavi Chandra Karrothi5
  • Jerrish Joseph Antony6
6 affiliations
  1. 1Department of Dentistry, Rajiv Gandhi University of Health Sciences, Karnataka, IND
  2. 2Department of Dentistry, Baba Jaswant Singh Dental College Hospital and Research Institute, Ludhiana, IND
  3. 3Department of Dentistry, Pacific Medical University, Rajasthan, IND
  4. 4Department of Dentistry, Government Dental College and Hospital, Vijayawada, IND
  5. 5Department of Dentistry, St Joseph Dental College, Eluru, IND
  6. 6Department of Dentistry, Jagadguru Sri Shivarathreeshwara (JSS) Dental College and Hospital, Mysore, IND
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Abstract

Immediate dentin sealing (IDS) is a newly developed adhesive procedure that involves sealing of freshly exposed dentin's surface immediately after preparation and before fabrication and placement of an indirect restoration. Nowadays, the technique has become more and more popular in modern adhesive dentistry, which attempts to achieve optimum dentin bonding in ideal clinical conditions. IDS promotes hybrid layer formation and, when applied before provisionalization, may enhance the quality and longevity of the dentin-resin bond. The current evidence suggests that IDS can improve the bond between dentin and indirect restorations and may help to decrease dentin hypersensitivity after restoration placement. A sealed dentin surface can also offer protection against contamination by bacteria, mechanical irritations, and other conditions that may be met during the provisional phase. Also, IDS can help with better adaptation of indirect restorations and more predictable resin cementation by maintaining the integrity of the adhesive interface. Clinical issues, such as choosing an adhesive system, handling an oxygen-inhibited layer, ensuring proper polymerization, and avoiding buildup of too much adhesive, are critical in order to have predictable results. While there are differences in clinical protocols and long-term evidence is somewhat mixed, the available literature is encouraging IDS as a biologically valid and clinically viable approach for indirect adhesive restorations. In conclusion, IDS is a useful tool in current restorative dentistry, especially when achieving high dentin bond strength, reducing post-preparation sensitivity, and preserving the intact dentin surface is paramount.

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Cite

BibTeXRIS
BibTeX
@article{sakaray2026immediate,
  title = {{Immediate Dentin Sealing in Indirect Restorations: Biological Rationale, Clinical Protocol, and Contemporary Evidence}},
  author = {Sruthi Sakaray and Vanika Jain and Alisha Jain and Roshini Ravula and Pranavi Chandra Karrothi and Jerrish Joseph Antony},
  journal = {Cureus},
  year = {2026},
  month = oct,
  doi = {10.7759/cureus.117395},
  url = {https://europepmc.org/article/PMC/PMC13727012},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Immediate Dentin Sealing in Indirect Restorations: Biological Rationale, Clinical Protocol, and Contemporary Evidence
AU  - Sruthi Sakaray
AU  - Vanika Jain
AU  - Alisha Jain
AU  - Roshini Ravula
AU  - Pranavi Chandra Karrothi
AU  - Jerrish Joseph Antony
PY  - 2026
DA  - 2026/10/03
JO  - Cureus
DO  - 10.7759/cureus.117395
UR  - https://europepmc.org/article/PMC/PMC13727012
AB  - Immediate dentin sealing (IDS) is a newly developed adhesive procedure that involves sealing of freshly exposed dentin's surface immediately after preparation and before fabrication and placement of an indirect restoration. Nowadays, the technique has become more and more popular in modern adhesive dentistry, which attempts to achieve optimum dentin bonding in ideal clinical conditions. IDS promotes hybrid layer formation and, when applied before provisionalization, may enhance the quality and longevity of the dentin-resin bond. The current evidence suggests that IDS can improve the bond between dentin and indirect restorations and may help to decrease dentin hypersensitivity after restoration placement. A sealed dentin surface can also offer protection against contamination by bacteria, mechanical irritations, and other conditions that may be met during the provisional phase. Also, IDS can help with better adaptation of indirect restorations and more predictable resin cementation by maintaining the integrity of the adhesive interface. Clinical issues, such as choosing an adhesive system, handling an oxygen-inhibited layer, ensuring proper polymerization, and avoiding buildup of too much adhesive, are critical in order to have predictable results. While there are differences in clinical protocols and long-term evidence is somewhat mixed, the available literature is encouraging IDS as a biologically valid and clinically viable approach for indirect adhesive restorations. In conclusion, IDS is a useful tool in current restorative dentistry, especially when achieving high dentin bond strength, reducing post-preparation sensitivity, and preserving the intact dentin surface is paramount.
SN  - 2168-8184
ER  -