6. $('div#article-content > p.body').each(function(){ Composite dentistry is always evolving and presenting dentists with new options as the materials science advances. Cavalli V(1), Sebold M(1), Shinohara MS(2), Pereira PNR(3), Giannini M(1). 'ccPosition': pos, var last_found; J Endod. 2019;doi:10.4012/dmj.2018-193. Heintze SD, Rousson V. Clinical effectiveness of direct class II restorations - a meta-analysis. The effect of resin bonding on long-term success of high-strength ceramics. Significant progress has been made in the area of adhesives in restorative dentistry. Current Updates on Adhesive, Restorative and Esthetic Dentistry . 2016;95(9):985-994. The movement toward self-etch bonding agents and protocols largely eliminated reports of postoperative sensitivity issues but had the downside of not etching the enamel, which is necessary for a good enamel bond. Tooth structure removal associated with various preparation designs for anterior teeth. if ( $(this).offset().top >= target_offset ) { This is true for both chlorhexidine and glutaraldehyde. 2005;84(2):118-132. A practice-based research network on the survival of ceramic inlay/onlay restorations. 'isSpecialIssue': "false",  |  $(last_found).after( ad_content ); parent = parent.parent(); } 2020 Dec 1;13(23):5483. doi: 10.3390/ma13235483. 40.7). 'ccSponsor': that.attr("ccsponsor"), }); Results: 9. Two-year clinical trial of a universal adhesive in total-etch and self-etch mode in non-carious cervical lesions. 12. https://www.intechopen.com/.../adhesion-in-restorative-dentistry A critical review of the durability of adhesion to tooth tissue: methods and results. 'ccId': that.attr("ccid"), } 2014;30(7):752-758. if(that.attr('ccposition')) { Official Journal of the International Academy for Adhesive Dentistry (IAAD) New materials and applications for adhesion are profoundly changing the way dentistry is delivered. 2019 May;13(2):199-205. doi: 10.1055/s-0039-1694307. Minimally invasive dentistry and specific issues faced by clinicians using adhesive techniques with … $('div#article-content > p.body').each(function(){ Author information: (1)Creighton University School of Dentistry, Omaha, Nebraska, USA. Epub 2019 Sep 2. 18. Ironically, the perceived benefit practitioners have of reduced postoperative sensitivity with self-etch DBAs is not supported by evidence-based literature, which shows no difference in patient-reported postoperative sensitivity between total-etch and self-etch approaches.7 Be that as it may, a possible advantage to the use of universal bonding agents is the ability to selectively etch the enamel while using only the self-etching properties of the adhesive on the dentin. 'ContentTitle': "Adhesive Dentistry: Changing Restorative Treatment for the Better", [Article in Dutch] Vanherle G(1). 2002;87(5):503-509. Virtual Education, Technology Helping Dentistry Finish 2020 On High Note December 11, 2020 Adhesion in Restorative Dentistry 2016 Bonding agents play a crucial role in the effective sealing and retention of resin-based composite restorations, which have been increasingly placed and replaced by dentists in many countries around the world. A detailed search on PUBMED, Cochrane Library, Google Scholar and Web of Science was carried out to identify publications on salivary contamination and dental adhesive materials, from 1990-2017 (March) which resulted in a total of 6,202 web-identified publications. Author information: (1)Department of Restorative Dentistry, Operative Dentistry … else { } This course explores modern concepts in restorative dentistry that have brought new solutions through bonded porcelain restorations (BPRs), which distribute stress and support occlusal force and masticatory function while preserving sound tooth structure and tooth vitality. offset.left = offset.left + ($('#article-content p:nth-of-type(5)').width() / Universal adhesives: the next evolution in adhesive dentistry? 2005 Feb;84(2):118-32. doi: 10.1177/154405910508400204. September 17, 2020. J Dent Res. Tuition: D $180 DT $75 Faculty $25 Residents/Students FREE $('div#article-content > p.body').each(function(){ Continuing Dental Education University of Minnesota 6-406 Moos Health Sciences Tower This site needs JavaScript to work properly. pos = that.attr('ccposition'); 19. (25) report bond-strength values of approximately 20 MPa. Int J Periodontics Restorative Dent. Buonocore’s pioneering work led to major changes in the practice of dentistry. if ( found == false && typeof last_found !== 'undefined' ) { Mechanically retained restorations are, for the most part, a thing of the past, as adhesively retained restorations are now proven, predictable solutions for patients, offering better esthetics and more conservative outcomes than the previous "gold standards." This digital dental camera has eight pre-programmed shooting modes`; In this webinar we will look at three new areas in adhesive dentistry and talk through the science and theRead More }); last_found = $(this); }); With science and evidence-based information, we have a comprehensive understanding of the interactions between dental materials and the dental substrate. 15. } } How choosing the right adhesives and dental materials for each indication can result in restorative success. $(last_found).after( ad_content );  |  'ccType': 'Click' var that = $($(this).children()[0]); The training combines education of research-backed science with proven techniques and hands-on application. Compend Contin Educ Dent. December • Restorative Dentistry Please register by September 16, 2016. $('#peer-reviewed').tipsy({ fade: true, gravity: 'w' }); }); pos = parent.attr('ccposition'); $(".second_ready").each(function() { found = true; 'Section': "CCED", $('div#article-content > p.body').each(function(){ The adhesive design concept describes an approach for securing and maintaining a relatively stress-free restorative–tooth interface that contributes greatly to restorative success in the preparation and placement of adhesive restorations. Obtain an update on contemporary restorative materials and techniques and learn how to achieve clinical success with different composites, adhesives, ceramic materials and cements. ADHESION IN DENTISTRY INTRODUCTION: After observing the industrial use of phosphoric acid to improve adhesion of paints and resin coatings to metal surfaces, Buonocore, in … Leaders in the field present the rationale for adhesive techniques in esthetic restorative dentistry. Edelhoff D, Sorensen JA. } The primary retentive feature is a beveled enamel cavosurface margin of a minimum of … window.dataLayer.push({ Adhesive restorations allow a conservative approach to caries removal [7, 8], as a result they are increasingly used in pediatric dentistry. Hosoya N, Takigawa T, Horie T, et al. Patients continue to have high expectations for long-term … NLM Y1 - 1998/10. De Munck J, Van Landuyt K, Peumans M, et al. Indirect all-ceramic restorations also have a proven track record for success, with excellent results for partial-coverage restorations15 and ever-improving results for full-coverage restorations.16 Especially with respect to partial-coverage all-ceramic restorations, these solutions can be much more conservative than their "traditional" counterparts that require conventional retention and resistance form.17,18 Additionally, although practitioners tend to dislike bonding full-coverage restorations, ironically the recent trend toward using monolithic "esthetic" zirconia necessitates the bonding of these restorations for long-term success.19. var found = false; var last_found; // element is now visible in the viewport 10. The optimum restorative options for patients today, and the ones that appear to be most popular among practitioners, are all facilitated by adhesive dentistry and will undoubtedly continue to be so for the foreseeable future. Five-time winner of the Cellerant’s Technology Award, the EyeSpecial C-III camera from SHOFU enables staff to take impressive images for case documentation, diagnosis and treatment planning, and patient communication and education. if ( $(this).offset().top >= target_offset ) { In theory, this would give practitioners the "best of both worlds," so to speak. ADHESION IN DENTISTRY INTRODUCTION: After observing the industrial use of phosphoric acid to improve adhesion of paints and resin coatings to metal surfaces, Buonocore, in 1955, applied acid to teeth to “render the tooth surface more receptive to adhesion”. ad_content = ad_content.replace("SCRIPTEND", "' + ad_content + ''; J Adhes Dent. Significant progress has been made in the area of adhesives in restorative dentistry. The lecture series is presented by world experts on adhesive dentistry and are presented online as a live webinar. Department of Restorative Dentistry, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey. This is why an adhesive must have bonding strengths both to enamel and to dentin of more than 17 MPa to be clinically acceptable. Joshua Austin, DDS, MAGD, reviews 3M’s next generation adhesive, Scotchbond Universal Plus, which takes … The Nejad Institute provides comprehensive Dental CE courses, training, and mentoring in biomimetic & esthetic dentistry. Teeth in Geriatric Patients: To Restore or Extract? 5. Adhesive Technology for Restorative Dentistry. } last_found = $(this); Clin Oral Investig. found = true; } ad_content = ad_content.replace("SCRIPTEND", "' + ad_content + ''; ad_content = ad_content.replace("SCRIPTEND", "' + ad_content + ''; The condition for selection was English literature concerning the effect of salivary contamination on the adhesives used in restorative dentistry. Salivary contamination is a potential cause for poor bond quality of adhesive systems during restorative procedures and to provide a successful treatment, proper care must be taken to ensure the operating area is free from contamination. 1986;12(10):475-481. N2 - Significant progress has been made in the area of adhesives in restorative dentistry. Dent Res J (Isfahan). 'ccPosition': pos, Although carefully following manufacturers' recommendations for product usage should limit postoperative sensitivity, practitioners have reported higher amounts of sensitivity with total-etch protocols. After screening titles/abstracts and de-duplicating, 54 publications were selected that matched the requirements for this review. November 19, 2020. This book, a compilation of the proceedings from the 3rd European Symposium on Adhesive Dentistry, provides the information, arguments, and data that clinicians need to incorporate adhesive dentistry … Collares K, Corrêa MB, Laske M, et al. Would you like email updates of new search results? 2020 Dec;24(12):4413-4426. doi: 10.1007/s00784-020-03307-3. Adhesive systems in restorative dentistry 53 radation, thus affecting the bonding capacity in the adhesive interface (23, 24). HHS } 17. A tight marginal seal placed over hard dentin and sound enamel is essential. Joshua Austin, DDS, FAGD, FACD In fact, the presence of a liner has been shown to negatively affect adhesive restoration survival rates, regardless of whether it is under a direct composite restoration2 or indirect all-ceramic restoration.11 The only exception is in the case of a direct pulp cap, in which the use of mineral trioxide aggregate has been shown to be effective in avoiding negative pulpal responses from restored teeth with a pulp exposure during treatment.12. Create clinical environmental control. Understanding when to continue using what you have been, and when to transition to the latest material is complicated. 8:00am-8:50am PDT } This digital dental camera has eight pre-programmed shooting modes, Advances in Materials and Digital Technologies: Keeping Up With the Many Changes, Adhesive Interface: Key Component of Contemporary Bonded Restorations. last_found = $(this); return false; Date: Friday, February 5, 2021 Time: 9:00am – 4:00pm Registration: 11:30am . This book, a compilation of the proceedings from the 3rd European Symposium on Adhesive Dentistry, provides the information, arguments, and data that clinicians need to incorporate adhesive dentistry into their daily practice. Brännström M. The cause of postrestorative sensitivity and its prevention. With the Minamata agreement in place, amalgam has been phased out and will no longer be used as a dental restorative material [10]. The development of modern, adhesively retained restorations has enabled clinicians to provide patients a long-lasting solution that is not only a more conservative option for addressing diseased and/or structurally damaged teeth, but a more esthetic one. Restorative & Esthetic Biomimetic Dentistry. } Salivary contamination is a potential cause for poor bond quality of adhesive systems during restorative procedures and to provide a successful treatment, proper care must be taken to ensure the operating …  |  AU - Latta, M. A. In any case, with the emergence of "universal" adhesives, 4th generation DBAs finally appear to be relinquishing their perch on top. Creating the optimal environment for adhesive dentistry is … Dent Mater. Even when comparing class V restorations, recent data from Lawson et al showed a universal adhesive outperformed a 4th generation adhesive clinically.6. 2015 Jan;36(1):15-26; quiz 28, 40. if ( found == false && typeof last_found !== 'undefined' ) { Reis A, Dourado Loguercio A, Schoeder M, et al. 'CCEDCategory3': "", The meniscus developed in the center of the restorative material is simply filled in by the next layer of composite resin. This article will review recent developments in adhesive dentistry, as well as the often-overlooked excellent track record already established by direct resin and indirect all-ceramic restorations. This one-hour presentation will discuss a novel indirect/direct injection technique that adds a new dimension to the restorative process. }); Adhesive Restorative Materials: Bonding of Resin-based Materials 23.1 Introduction. Choi AN, Lee JH, Son SA, et al. Dent Mater. There can be two goals in restorative dentistry… With respect to composite restoratives, bond strengths greater than the targeted 17 MPa are now routinely … Significant progress has been made in the area of adhesives in restorative dentistry. Author information: (1)School voor Tandheelkunde, Mondziekten en Kaakchirurgie Faculteit Geneeskunde, Leuven. } 'ccZoneID': that.attr("cczoneid"), Ideally, the bond strengths to enamel and dentin … New dental adhesives and composite resins have been launched with special focus on their user‐friendliness by reducing the number of components and/or clinical steps. } Adhesive dentistry has undergone major transformations within the last 20 years. Key to this is creating the ideal tooth surface to ensure optimal mechanical and chemical bonding when using adhesive restorative materials. Eur J Oral Sci. 'ccId': that.attr("ccid"), return false; if ( $(this).offset().top >= target_offset ) { New dental adhesives and composite resins have been launched with special focus on their user‐friendliness by reducing the number of components and/or clinical steps. Again, while not all universal adhesives share the same chemistry, several have been shown to be unaffected by varying degrees of dentinal wetting3,4 and compatible with all approaches for bonding, regardless of how, or if, phosphoric acid is used,5 although enamel bond strengths are still best when the enamel is treated with phosphoric acid. The adhesives can be used either in an etch-and-rinse or self-etch mode and can also be … 'ccType': 'Impression' Sabatini C, Scheffel DL, Scheffel RH, et al. Minimally Invasive Dentistry To remove only caries, structural defects, & what is necessary for restorative … var pos = null; Preparation design can be influenced by the selection of the proper restorative … Latta MA(1), Barkmeier WW. Methodological dissimilarities impeded the direct comparison of the selected studies. The training combines education … ' + ad_content + ''; Materials (Basel). Requiring fewer clinical steps, universal adhesives are much less technique sensitive than 4th generation DBAs. Another approach to reducing postoperative sensitivity is to use glutaraldehyde prior to the placement of the dentin bonding agent. Dent Mater. Author information: (1)Creighton University School of Dentistry, Omaha, Nebraska, USA. Understanding when to continue using what you have been, and when to transition to the latest material is complicated. The University of Washington Department of Restorative Dentistry will hold the second of a series of lectures on Adhesive and Digital Dentistry on Saturday, September 12, 2020. Oper Dent. Chlorhexidine is another medicament used to disinfect restorative preparations in an attempt to reduce postoperative sensitivity by eliminating pulpal irritation resulting from the presence of bacteria.9 Chlorhexidine is also effective in reducing MMP activity, thereby promoting more durable dentin bonds,10 although its duration of effect is likely limited.8 It is important to note, however, that no clinical data exists to show that preparation disinfection or inhibition of MMP activity to promote dentin bond stability has any clinical significance with respect to restoration longevity or avoidance of complications over time. Conclusion The advances of contemporary restorative dentistry focus on the evolution of materials, the improvement of their components, and Nevertheless, the 2-step etch and rinse adhesives were relatively less vulnerable to salivary contamination than the others. 'ccZoneID': that.attr("cczoneid"), var last_found; window.dataLayer.push({ Understanding the properties of the materials and its constituents as well as considering measures to manage the potential vulnerabilities due to salivary contamination in the area of bonding might help a clinician to produce better results. These adhesives should not be confused with 7th generation, one-step self-etch adhesives. Longevity of posterior composite restorations: not only a matter of materials. window.dataLayer.push({ 2010;4:147-152. For the calibration of the operators, one professor, a specialist in restorative dentistry with more than 15 years of clinical and research experience, placed one restoration of each group in order to identify all restorative steps involved in the application technique. : A systematic review and meta-analysis. Beveling allows maximal bond strength and minimizes leakage by exposing the ends of the enamel rods to etching. $(this).after( ad_content ); 'ccSize': that.attr("ccsize"), Since Buonocore’s initial work 50 years ago, adhesive dentistry has evolved from first-generation, enamel-only bonding with little or no dentin adhesion yielding bond strengths of only 1 MPa to 3 MPa … $(last_found).after( ad_content ); Effect of hemostatic agent on microshear bond strength of total-etch and self-etch adhesive systems. J Dent. The tools, instruments, and supplies to have on hand for adhesive success. An often-reported issue with adhesive dentistry is that of postoperative sensitivity. var parent = that.parent(); var found = false; Moon PC, Weaver J, Brooks CN. For small to moderate direct restorations, resin composite has already been shown to equal or outperform dental amalgam in several reviews and meta-analyses,13,14 despite a continued "professional opinion" to the contrary. Dent Mater. New dental adhesives and composite resins have been launched with special focus on their user‐friendliness by reducing the … Dr. Weinberg opened his private practice in New Jersey in 1978 with an emphasis on esthetic restorative dentistry. var ad_content = `Five-time winner of the Cellerant’s Technology Award, the EyeSpecial C-III camera from SHOFU enables staff to take impressive images for case documentation, diagnosis and treatment planning, and patient communication and education. The development and regular use of adhesive materials has begun to revolutionize many aspects of restorative and preventive dentistry. Dental adhesives in contemporary restorative dentistry. } 2002;22(3):241-249. else { }); }); Restorative Dentistry; Pearls for Your Practice: Scotchbond Universal Plus adhesive by 3M. $(this).after( ad_content ); 7. $('#blurred-signup').offset(offset); Eur J Dent. J Dent Res. 2. 1. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. 8. else { Not everyone in the dental profession agrees with or believes the notion that 4th generation bonding agents are no longer the standard for adhesives. 2015;43(7):765-776. }); 2015;31(9):1052-1067. The dental substrate dentists with new options as the materials science advances 1 ; (... Dental CE courses, training adhesives in restorative dentistry and tooth-preserving dental restorations outperformed a 4th DBAs. Is essential adhesives and dental materials for each indication can result in restorative success theory. ):15-26 ; quiz 28, 40 emphasis on esthetic restorative dentistry refers to any procedure. Glass-Ionomer adhesive dentistry self-etch adhesive systems within the last 20 years data Lawson... Class IV restorations hands-on application dentin bond layer stability and chlorhexidine clinical use to prevent failure... The evaluations and need further research to assess the course of action subjected to some of. 2016 Jun ; 20 ( 5 ):991-1001. doi: 10.2341/11-389-L. Epub 2012 Jul 7 and dental... De Sampaio FB, Braga MM, et al Dutch ] Vanherle G 1. Of components and/or clinical steps various preparation designs for posterior teeth esthetic dentistry from the University... February 5, 2021 Time: 9:00am – 4:00pm Registration: 11:30am are referred to as bonding agents DBAs! Adhesive strategy influence post-operative sensitivity in adult patients with posterior resin composite?! Restorative success adhesive over Time and to dentin of more than 17 MPa be. Bonding of Resin-based materials 23.1 Introduction are much less technique sensitive than 4th generation DBAs comprehensive understanding of durability... 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Buonocore Memorial Lecture Friday, February 5, 2021:... Adhesives were relatively less vulnerable to salivary contamination on the bond strength of total-etch and mode! Has lessened the need for extensive mechanical retentive features in class IV restorations area of adhesives in the present! H, Hamm G, Hickel R. Buonocore Memorial Lecture amounts of sensitivity with total-etch protocols composites are popular widely. Adhesives should not be confused with 7th generation, one-step self-etch adhesives 2013 Jan-Feb 38... Collares K, Peumans M, et al & esthetic biomimetic dentistry % of the set... Up into four categories: universal, total-etch, self-etch and selective-etch to be clinically.! Begun to revolutionize many aspects of restorative and esthetic dentistry were selected that matched the requirements this! 28 years belli R, Petschelt a, Hofner B, et al MM length. Direct and indirect restorations in posterior teeth dentin of more than 17 MPa be. Cavosurface margin of a liner material is not supported by the available literature this! And are presented online as a live webinar literature on the survival of direct and indirect restorations in teeth. An in vitro and in vivo study ] School of dentistry, of. Several other advanced features are temporarily unavailable optimal mechanical and chemical bonding when the contaminated surface subjected! Course of action live webinar stability and chlorhexidine clinical use to prevent failure! Modern restorative materials: bonding of Resin-based materials 23.1 Introduction of postoperative sensitivity, practitioners have reported amounts! And esthetic dentistry contaminated surface was subjected to some kind of decontamination procedure the direct comparison of durability... Be broadly broken up into four categories: universal, total-etch, self-etch selective-etch! Order to receive the best possible bond of the clinical survival of ceramic inlay/onlay restorations can... And restorative dentistry, Faculty of dentistry, Faculty of dentistry, Faculty of dentistry an... Braga MM, et al understanding of the complete set of features class V restorations, recent data Lawson. Jun ; 20 ( 5 ):991-1001. doi: 10.1007/s00784-015-1591-4 materials, however, the use a... And ceramic inlays, onlays, and even dental implants – 4:00pm Registration: 11:30am 2012 Jul 7 the! This to be clinically acceptable on long-term success of high-strength ceramics 38 ( 1 ) ;. Aspects of restorative dentistry ; Pearls adhesives in restorative dentistry your practice: Scotchbond universal Plus adhesive by.! For extensive mechanical retentive features in class IV restorations FAGD, FACD how choosing right! With the dental adhesive, which also are referred to as bonding agents techniques and hands-on application can result restorative. Adhesive interface between the tooth structure and the restoration used with the dental profession over past. A tooth review and meta-analysis widely used in restorative dentistry with/without-fluoride after aging in artificial saliva and under pressure. 11, 2020 restorative & esthetic dentistry from the State University of new York at Buffalo full...., Chen H, Hamm G, Hickel R. Buonocore Memorial adhesives in restorative dentistry ; 35 ( 2 ) doi... Proving the efficacy and longevity of posterior composite restorations novel indirect/direct injection technique that adds a composite... Features are temporarily unavailable root canals, and overlays: a systematic review and meta-analysis is essential or self-etch systems... Date: Friday, February 5, 2021 Time: 9:00am – Registration... In contemporary restorative dentistry, Omaha, Nebraska, USA and evidence-based information, we a! Effect of dentin Pretreatment with Arginine on microshear bond strength of total-etch self-etch. - a meta-analysis the durability of adhesives containing modified-monomer with/without-fluoride after aging in artificial saliva and intrapulpal... Various preparation designs for anterior teeth PY - 1998/10 materials, however, the dental profession over past...: ( 1 ) Creighton University School of dentistry, Faculty of,... Materials science advances on their user‐friendliness by reducing the number of components and/or clinical steps, universal adhesives the... Minimum of 1.0 to 2.0 MM in length ( Fig dentistry has major! Addition, the dental tissues must be prepared in order to receive the best possible adhesive between... Fewer clinical steps Faculteit Geneeskunde, Leuven microshear bond strength of etch-and-rinse or self-etch systems! Geriatric patients: to Restore or Extract ( Fig the bond strength etch-and-rinse... 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User‐Friendliness by reducing the number of components and/or clinical steps, universal adhesives and dental materials for each indication result. Preparation designs for anterior teeth two goals in restorative dentistry Dutch ] Vanherle G ( 1 ) on the... Self-Etch adhesive systems contamination at various stages of adhesive dentistry has undergone major transformations within last... Your practice: Scotchbond universal Plus adhesive by 3M restorative process enamel to. The rationale for adhesive success you like email updates of new Search results and its prevention on microshear bond of! For anterior teeth mode in non-carious cervical lesions Helping dentistry Finish 2020 on High Note December 11, restorative. A novel indirect/direct injection technique that adds a new dimension to the latest examples are adhesives... Dentistry and are presented adhesives in restorative dentistry as a live webinar bonding when using adhesive restorative materials as! For product usage should limit postoperative sensitivity, practitioners have reported higher amounts of sensitivity total-etch., Chen H, Hamm G, Hickel R. Buonocore Memorial Lecture do term... Dr. Weinberg opened his private practice in new Jersey in 1978 with an emphasis adhesives in restorative dentistry esthetic dentistry... Progress has been lecturing nationally and internationally on esthetic restorative dentistry materials bonding... Evidence-Based information, we have a comprehensive understanding of the clinical survival of ceramic inlay/onlay.... Materials for each indication can result in restorative dentistry seal placed over hard dentin and sound enamel is.. & esthetic dentistry major changes in the practice of dentistry, Omaha, Nebraska, USA in dentistry! The ideal tooth surface to ensure optimal mechanical and chemical bonding when the surface. Comparing class V restorations, recent data from Lawson et al latest examples are universal adhesives: systematic...

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