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Effects and properties of deproteinizing methods in dentin : a comprehensive narrative review

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorCosta, Madalena Belmar da
dc.contributor.authorAzul, Ana Mano
dc.contributor.authorSauro, Salvatore
dc.contributor.authorDelgado, António H. S.
dc.date.accessioned2026-07-08T11:01:21Z
dc.date.available2026-07-08T11:01:21Z
dc.date.issued2026-06
dc.description.abstractDentin deproteinization strategies are being revisited as adjunctive approaches to reduce technique sensitivity, improve monomer infiltration to mineralized dentin, and enhance the longevity of resin–dentin interfaces. This organized narrative review critically summarizes the chemistry, kinetics, biological considerations, and clinical translatability of agents used for smear-layer deproteinization or post-etching deproteinization. Searches of PubMed/MEDLINE, Scopus, and LILACS up to October 2025 were used to identify evidence on oxidizing irrigants (sodium hypochlorite/hypochlorous acid, calcium hypochlorite, peracetic acid, chlorine dioxide), enzymatic proteolysis treatments (bromelain, papain, trypsin/pepsin, and GAG-targeting enzymes), physical approaches (heat and lasers), and post-oxidizer reducing/antioxidant strategies. Oxidizers provide the fastest and most surface-verified organic removal, but their clinical value is limited by concentration- and time-dependent oxidative carry-over, which interferes with free-radical polymerization. Enzymes offer a more selective route, although their support is driven largely by bond strength and morphological outcomes rather than direct surface-chemical confirmation. Heat remains a proof-of-principle method rather than a clinical option, whereas laser protocols are highly parameter-sensitive. Overall, deproteinization should be interpreted through a combined framework of surface chemistry, adhesive compatibility, aging behavior, biosafety, and chairside feasibility. Current evidence supports cautious, protocol-specific development rather than routine clinical adoption, with priority given to clinically realistic time-dose windows and paired surface/aging outcomes.eng
dc.identifier.citationBelmar da Costa M, Mano Azul A, Sauro S, Delgado AHS. Effects and Properties of Deproteinizing Methods in Dentin: A Comprehensive Narrative Review. Journal of Functional Biomaterials. 2026; 17(6):277. https://doi.org/10.3390/jfb17060277
dc.identifier.doi10.3390/jfb17060277
dc.identifier.issn2079-4983
dc.identifier.urihttp://hdl.handle.net/10400.26/63763
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/jfb17060277
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectbond strength
dc.subjectdentin
dc.subjectdeproteinization
dc.subjectendodontic irrigants
dc.subjectenzymes
dc.titleEffects and properties of deproteinizing methods in dentin : a comprehensive narrative revieweng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue6
oaire.citation.startPage277
oaire.citation.titleJournal of Functional Biomaterials
oaire.citation.volume17
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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