Dentine permeability and tracer tests

Objectives: This paper reviews the evidence for dentineʹs permeability in order to clarify and emphasize its confounding effect on leakage test measurements, and hence the need to use special test designs to avoid its effects. Methods: The literature on the subject between 1887 and 1997, including 249 articles. Conclusions: The prerequisite condition for any tracer penetration test is that unflawed specimens are themselves impermeable to tracer. Entry of tracer then can be used to indicate correctly the location or severity of flaws. The relative impermeability of intact dental enamel permits such testing of the enamel–restoration interface seal, but the same is not true when using dentine, which is usually frankly porous to most tracers through its tubules. False positive results are very likely. Recent intense interest in dentine bonding agents has increased the need and frequency of these tests with dentine, but this serious confounding factor has so far generally remained unstated, and has only been controlled adequately in one study. If tracer penetration test results are to be meaningful, then adequate control is required.