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Pappa E, Gkavela G, Sampri I, Masouras K, Rahiotis C, Kakaboura A. A 2-Year Randomized Clinical Trial of Three Bonding Techniques in Non-Carious Cervical Lesions. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:1005. [PMID: 38929622 PMCID: PMC11205971 DOI: 10.3390/medicina60061005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 06/13/2024] [Accepted: 06/18/2024] [Indexed: 06/28/2024]
Abstract
Background and objective: The aim of this randomized split-mouth study-controlled clinical trial was to compare the 2-year clinical performance of resin composite restorations placed at non-caries cervical lesions (NCCL) with one-step self-etch, total-etch, and selective enamel etch and self-etch adhesive techniques. Materials and methods: Thirty-two patients received three resin composite restorations each at NCCLs (Tetric EvoCeram/Ivoclar/Vivadent), bonded with a total-etch adhesive agent (ExciTE F/Ivoclar/Vivadent) and a self-etch (AdheSE One F/Ivoclar/Vivadent) without and with selective enamel etching. All restorations were evaluated by two examiners at baseline, 6-, 12-, 18-, and 24-months with FDI clinical criteria (post-operation regarding retention, caries occurrence, marginal adaptation, and marginal staining). A logistic regression analysis, a Cohen's kappa statistic, a multifactorial analysis, and X2 were performed with generalized estimating equations. Results: After 2 years, the retention rate was 86.8% for total etch, 92.26% for self-etch, and 93.63% for selective enamel etching and self-etch. No caries was detected on the restorations. Concerning marginal adaptation, the clinically perfect restorations were 26.9% for the total-etch technique, 16% for self-etch, and 25.9% for selective enamel etch and self-etch. The logistic regression model revealed that only time reduced the probability of perfect marginal adaptation. Conclusions: All three adhesive strategies provided restorations with no significant differences in the retention rate or marginal adaptation, whereas the total etch yielded better performance for marginal staining. All restorations were assessed as clinically acceptable after 2 years.
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Affiliation(s)
| | | | | | | | - Christos Rahiotis
- Department of Operative Dentistry, Dental School, National and Kapodistrian University of Athens, 11527 Athens, Greece; (E.P.); (G.G.); (I.S.); (K.M.); (A.K.)
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Arbildo-Vega HI, Cruzado-Oliva FH, Coronel-Zubiate FT, Luján-Valencia SA, Meza-Málaga JM, Aguirre-Ipenza R, Echevarria-Goche A, Luján-Urviola E, Castillo-Cornock TB, Serquen-Olano K, Farje-Gallardo CA. Clinical Effectiveness of Ion-Releasing Restorations versus Composite Restorations in Dental Restorations: Systematic Review and Meta-Analysis. Dent J (Basel) 2024; 12:158. [PMID: 38920859 PMCID: PMC11203382 DOI: 10.3390/dj12060158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 05/19/2024] [Accepted: 05/21/2024] [Indexed: 06/27/2024] Open
Abstract
BACKGROUND To compare the clinical effectiveness of ion-releasing restorations (IRR) vs. composite resin (CR) in dental restorations. METHODS A systematic search was carried out from articles published until January 2024, in the biomedical databases: PubMed, Cochrane Library, Scielo, Scopus, Web of Science and Google Scholar. Randomized clinical trials were included, with a follow-up time greater than or equal to 1 year, without time and language limits and which reported the clinical effect of IRR compared to CR in dental restorations. The RoB 2.0 tool was used to assess the risk of bias of the included studies and the GRADEPro GDT tool was used to assess the quality of evidence and the strength of recommendation of the results. RESULTS The search yielded a total of 1109 articles. After excluding those that did not meet the selection criteria, 29 articles remained for the quantitative synthesis. The analysis found no statistically significant difference when comparing the dental restorations with IRRs or CRs. CONCLUSION The literature reviewed suggests that there are no differences between the IRRs and CRs in dental restorations.
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Affiliation(s)
- Heber Isac Arbildo-Vega
- Faculty of Dentistry, Dentistry School, Universidad San Martín de Porres, Chiclayo 14012, Peru; (H.I.A.-V.); (T.B.C.-C.); (K.S.-O.)
- Faculty of Human Medicine, Human Medicine School, Universidad San Martín de Porres, Chiclayo 14012, Peru
| | - Fredy Hugo Cruzado-Oliva
- Faculty of Stomatology, Stomatology School, Universidad Nacional de Trujillo, Trujillo 13001, Peru;
| | - Franz Tito Coronel-Zubiate
- Faculty of Health Sciences, Stomatology School, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas 01001, Peru;
| | - Sara Antonieta Luján-Valencia
- Postgraduate School, Universidad Católica de Santa María, Arequipa 04013, Peru;
- Faculty of Dentistry, Dentistry School, Universidad Católica de Santa María, Arequipa 04013, Peru;
| | - Joan Manuel Meza-Málaga
- Faculty of Dentistry, Dentistry School, Universidad Católica de Santa María, Arequipa 04013, Peru;
- Faculty of Medicine, Medicine School, Universidad Católica de Santa María, Arequipa 04013, Peru
| | | | | | - Eduardo Luján-Urviola
- Faculty of Dentistry, Universidad Andina Néstor Cáceres Velásquez, Juliaca 21104, Peru;
| | - Tania Belú Castillo-Cornock
- Faculty of Dentistry, Dentistry School, Universidad San Martín de Porres, Chiclayo 14012, Peru; (H.I.A.-V.); (T.B.C.-C.); (K.S.-O.)
- Faculty of Health Sciences, Stomatology School, Universida Señor de Sipán, Chiclayo 14000, Peru
| | - Katherine Serquen-Olano
- Faculty of Dentistry, Dentistry School, Universidad San Martín de Porres, Chiclayo 14012, Peru; (H.I.A.-V.); (T.B.C.-C.); (K.S.-O.)
- Faculty of Health Sciences, Stomatology School, Universida Señor de Sipán, Chiclayo 14000, Peru
| | - Carlos Alberto Farje-Gallardo
- Faculty of Health Sciences, Stomatology School, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas 01001, Peru;
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Verma S, Singla R, Gill GS, Jain N. Effect of dentin roughening and type of composite material on the restoration of non-carious cervical lesions: an in vivo study with 18 months of follow-up. Restor Dent Endod 2023; 48:e35. [PMID: 38053783 PMCID: PMC10695729 DOI: 10.5395/rde.2023.48.e35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Revised: 03/21/2023] [Accepted: 03/31/2023] [Indexed: 12/07/2023] Open
Abstract
Objectives The purpose of this study was to evaluate the impact of dentin roughening and the type of composite resin used (either bulk-fill flowable or nanohybrid) on the restoration of non-carious cervical lesions (NCCLs) with an 18-month follow-up period. Materials and Methods This prospective split-mouth study included 36 patients, each with a minimum of 4 NCCLs. For each patient, 4 types of restorations were performed: unroughened dentin with nanohybrid composite, unroughened dentin with bulk-fill flowable composite, roughened dentin with nanohybrid composite, and roughened dentin with bulk-fill flowable composite. A universal bonding agent (Tetric N Bond Universal) was applied in self-etch mode for all groups. The restorations were subsequently evaluated at 6, 12, and 18 months in accordance with the criteria set by the FDI World Dental Federation. Inferential statistics were computed using the Friedman test, with the level of statistical significance established at 0.05. Results The 4 groups exhibited no significant differences in relation to fracture and retention, marginal staining, marginal adaptation, postoperative hypersensitivity, or the recurrence of caries at any follow-up point. Conclusions Within the limitations of the present study, over an 18-month follow-up period, no significant difference was present in the clinical performance of bulk-fill flowable and nanohybrid composite restorations of non-carious cervical lesions. This held true regardless of whether dentin roughening was performed.
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Affiliation(s)
- Sanjana Verma
- Department of Conservative Dentistry and Endodontics, JCD Dental College, Sirsa, India
| | - Rakesh Singla
- Department of Conservative Dentistry and Endodontics, JCD Dental College, Sirsa, India
| | - Gurdeep Singh Gill
- Department of Conservative Dentistry and Endodontics, JCD Dental College, Sirsa, India
| | - Namita Jain
- Department of Conservative Dentistry and Endodontics, JCD Dental College, Sirsa, India
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Albelasy EH, Hamama HH, Chew HP, Montaser M, Mahmoud SH. Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials. Sci Rep 2022; 12:19244. [PMID: 36357453 PMCID: PMC9649593 DOI: 10.1038/s41598-022-19622-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Accepted: 08/31/2022] [Indexed: 11/12/2022] Open
Abstract
This systematic review was aimed to evaluate occurrence of secondary caries and marginal adaptation in ion-releasing materials versus resin composite. Electronic search of PubMed, Scopus, and Open Grey databases with no date or language restrictions until May 21st, 2021, was conducted. Randomized clinical trials that compared ion-releasing restorations versus resin composite were included. For quantitative analysis, a random-effects meta-analysis with risk difference as an effect measure and a 95% confidence interval was used. Quality of evidence was assessed using The Grading of Recommendations, Assessment, Development, and Evaluation criteria. The risk of bias was evaluated using the Cochran Collaboration Risk of Bias tool. The inclusion criteria were met by 22 studies, and 10 studies were included in the meta-analysis. Three follow-up periods (1 year, 18 months-2 years, and 3 years) were evaluated. The overall quality of evidence for secondary caries and marginal adaptation outcomes was low. The results of the meta-analysis showed no significant difference (p > 0.05) in both outcomes between ion-releasing materials and resin composite. The occurrence of secondary caries was not dependent on the nature of the restorative material. It is more likely a complex process that involves the same risk factors as primary carious lesions.
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Affiliation(s)
- Eman H. Albelasy
- grid.10251.370000000103426662Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Algomhoria Street, Mansoura, Aldakhlia 35516 Egypt ,grid.17635.360000000419368657Research Visiting Scholar, Minnesota Dental Research Centre for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota, Minneapolis, MN 55455 USA
| | - Hamdi H. Hamama
- grid.10251.370000000103426662Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Algomhoria Street, Mansoura, Aldakhlia 35516 Egypt ,grid.10251.370000000103426662Restorative Dentistry Department, Faculty of Dentistry, New-Mansoura University, New-Mansoura, Egypt
| | - Hooi Pin Chew
- grid.17635.360000000419368657Minnesota Dental Research Centre for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota, Minneapolis, MN 55455 USA
| | - Marmar Montaser
- grid.10251.370000000103426662Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Algomhoria Street, Mansoura, Aldakhlia 35516 Egypt
| | - Salah H. Mahmoud
- grid.10251.370000000103426662Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Algomhoria Street, Mansoura, Aldakhlia 35516 Egypt ,Conservative Dentistry Department, Faculty of Dentistry, Horus University, New-Damietta, Egypt
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Albeshir EG, Alsahafi R, Albluwi R, Balhaddad AA, Mitwalli H, Oates TW, Hack GD, Sun J, Weir MD, Xu HHK. Low-Shrinkage Resin Matrices in Restorative Dentistry-Narrative Review. MATERIALS (BASEL, SWITZERLAND) 2022; 15:2951. [PMID: 35454643 PMCID: PMC9029384 DOI: 10.3390/ma15082951] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 04/14/2022] [Accepted: 04/15/2022] [Indexed: 02/06/2023]
Abstract
Dimethacrylate-based resin composites restorations have become widely-used intraoral materials in daily dental practice. The increasing use of composites has greatly enhanced modern preventive and conservative dentistry. They have many superior features, especially esthetic properties, bondability, and elimination of mercury and galvanic currents. However, polymeric materials are highly susceptible to polymerization shrinkage and stresses that lead to microleakage, biofilm formation, secondary caries, and restoration loss. Several techniques have been investigated to minimize the side effects of these shrinkage stresses. The primary approach is through fabrications and modification of the resin matrices. Therefore, this review article focuses on the methods for testing the shrinkage, as well as formulations of resinous matrices available to reduce polymerization shrinkage and its associated stress. Furthermore, this article reviews recent cutting-edge developments on bioactive low-shrinkage-stress nanocomposites to effectively inhibit the growth and activities of cariogenic pathogens and enhance the remineralization process.
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Affiliation(s)
- Ebtehal G. Albeshir
- Program in Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USA; (E.G.A.); (R.A.)
- Department of Restorative Dentistry, King Abdul-Aziz Medical City, Ministiry of National Guard—Health Affairs, Riyadh 11426, Saudi Arabia;
- King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
- King Abdullah International Medical Research Center, Ministiry of National Guard—Health Affairs, Riyadh 11426, Saudi Arabia
| | - Rashed Alsahafi
- Program in Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USA; (E.G.A.); (R.A.)
- Department of Restorative Dental Sciences, College of Dentistry, Umm Al-Qura University, Makkah 24381, Saudi Arabia
| | - Reem Albluwi
- Department of Restorative Dentistry, King Abdul-Aziz Medical City, Ministiry of National Guard—Health Affairs, Riyadh 11426, Saudi Arabia;
- King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
- King Abdullah International Medical Research Center, Ministiry of National Guard—Health Affairs, Riyadh 11426, Saudi Arabia
| | - Abdulrahman A. Balhaddad
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam 31441, Saudi Arabia;
| | - Heba Mitwalli
- Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11451, Saudi Arabia;
| | - Thomas W. Oates
- Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA; (T.W.O.); (G.D.H.)
| | - Gary D. Hack
- Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA; (T.W.O.); (G.D.H.)
| | - Jirun Sun
- The Forsyth Institute, A Harvard School of Dental Medicine Affiliate, 245 First Street, Cambridge, MA 02142, USA
| | - Michael D. Weir
- Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA; (T.W.O.); (G.D.H.)
| | - Hockin H. K. Xu
- Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA; (T.W.O.); (G.D.H.)
- Center for Stem Cell Biology & Regenerative Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
- Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine, Baltimore, MD 21201, USA
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de Geus JL, Maran BM, Cabral KA, Dávila-Sánchez A, Tardem C, Barceleiro MO, Heintze SD, Reis A, Loguercio AD. Clinical Performance of Filled/Nanofilled Versus Nonfilled Adhesive Systems in Noncarious Cervical Lesions: A Systematic Review and Meta-analysis. Oper Dent 2021; 46:E34-E59. [PMID: 33529313 DOI: 10.2341/19-252-l] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/22/2020] [Indexed: 11/23/2022]
Abstract
CLINICAL RELEVANCE The use of filled adhesive systems does not influence the clinical performance of the adhesive restoration in noncarious cervical lesions. SUMMARY
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Lührs AK, Jacker-Guhr S, Günay H, Herrmann P. Composite restorations placed in non-carious cervical lesions-Which cavity preparation is clinically reliable? Clin Exp Dent Res 2020; 6:558-567. [PMID: 32924312 PMCID: PMC7545222 DOI: 10.1002/cre2.310] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 07/10/2020] [Accepted: 07/13/2020] [Indexed: 11/09/2022] Open
Abstract
The purpose of this in-vivo study was to evaluate the clinical performance of restorations placed in non-carious cervical lesions (NCCLs), using different cavity preparation designs, after 7.7 years. A total of 85 NCCLs with coronal margins in enamel and cervical margins in dentin were randomly assigned to the following treatment protocols: dentin surface cleaning, dentin surface roughening with round bur plus flowable composite, dentin surface roughening/cervical groove preparation with round bur, dentin surface roughening/cervical groove preparation with round bur plus flowable composite. After enamel beveling and selective enamel etching, the defects were restored with composite. The restorations were assessed by two independent, calibrated and blinded investigators, using modified USPHS criteria. At 7 years (7.7 (± 0.35)), a total of 64 restorations (75.3%) were available for follow-up examination. The total retention rate, irrespective of the test groups, was 82.8%. Restorations placed without any preparation showed the highest loss rate (27.8%). Esthetic appearance, marginal adaptation, anatomic form and marginal discoloration did not differ significantly between the groups. Composites are long-term stable materials for restoring NCCLs. Restorations placed without any dentin preparation (cavity cleaning only) showed the highest loss rate.
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Affiliation(s)
- Anne-Katrin Lührs
- Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Hannover, Germany
| | - Silke Jacker-Guhr
- Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Hannover, Germany
| | - Hüsamettin Günay
- Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Hannover, Germany
| | - Peggy Herrmann
- Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Hannover, Germany
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Commercially Available Fluoride-Releasing Restorative Materials: A Review and a Proposal for Classification. MATERIALS 2020; 13:ma13102313. [PMID: 32443424 PMCID: PMC7287768 DOI: 10.3390/ma13102313] [Citation(s) in RCA: 71] [Impact Index Per Article: 17.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Revised: 05/06/2020] [Accepted: 05/11/2020] [Indexed: 02/04/2023]
Abstract
Resin composite and glass ionomer cement (GIC) are the most commonly used dental materials to perform direct restorations. Both have specific characteristics that explain their popularity and their limits. More than 20 years ago, the first attempt (followed by others) to combine the advantages of these two families was performed with compomers, but it was not very successful. Recently, new formulations (also called 'smart materials') with claimed ion release properties have been proposed under different family names, but there are few studies on them and explanations of their chemistries. This comprehensive review aims to gather the compositions; the setting reactions; the mechanical, self-adhesive, and potential bulk-fill properties; and the ion release abilities of the large existing families of fluoride-releasing restorative materials and the new restorative materials to precisely describe their characteristics, their eventual bioactivities, and classify them for an improved understanding of these materials. Based on this work, the whole GIC family, including resin-modified and highly viscous formulations, was found to be bioactive. Cention N (Ivoclar Vivadent, AG, Schaan, Lietschentein) is the first commercially available bioactive resin composite.
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Reis A, de Geus JL, Wambier L, Schroeder M, Loguercio AD. Compliance of Randomized Clinical Trials in Noncarious Cervical Lesions With the CONSORT Statement: A Systematic Review of Methodology. Oper Dent 2018; 43:E129-E151. [DOI: 10.2341/17-060-l] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
The literature was reviewed to evaluate the compliance of randomized clinical trials (RCTs) with the CONsolidated Standards of Reporting Trials (CONSORT ) and the risk of bias of these studies through the Cochrane Collaboration risk of bias tool (CCRT). RCTs were searched at Cochrane Library, PubMed, and other electronic databases to find studies about adhesive systems for cervical lesions. The compliance of the articles with CONSORT was evaluated using the following scale: 0 = no description, 1 = poor description, and 2 = adequate description. Descriptive analyses about the number of studies by journal, follow-up period, country, and quality assessments were performed with CCRT for assessing risk of bias in RCTs. One hundred thirty-eight RCTs were left for assessment. More than 30% of the studies received scores of 0 or 1. Flow chart, effect size, allocation concealment, and sample size were more critical items, with 80% receiving a score of 0. The overall CONSORT score for the included studies was 15.0 ± 4.8 points, which represents 46.9% of the maximum CONSORT score. A significant difference among countries was observed (p<0.001), as well as range of year (p<0.001). Only 4.3% of the studies were judged as at low risk; 36.2% were classified as having unclear risk and 59.4% as having high risk of bias. The adherence of RCTs evaluating adhesive systems to the CONSORT is low with unclear/high risk of bias.
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Affiliation(s)
- A Reis
- Alessandra Reis, DDS, PhD, professor, Restorative Dentistry, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil
| | - JL de Geus
- Juliana L de Geus, MS, PhD, professor, School of Dentistry, School Paulo Picanço, Fortaleza, Ceará, Brazil and Department of Restorative Dentistry, Guairacá Faculty, Guarapuava, Paraná, Brazil
| | - L Wambier
- Leticia Wambier, Restorative Dentistry, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil and professor, Graduate Program in Clinical Dentistry, University of Positivo, Curitiba, Paraná, Brazil
| | - M Schroeder
- Marcos Schroeder, DDS, PhD, professor, Prosthodontics and Dental Materials, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - AD Loguercio
- Alessandro D. Loguercio, DDS, MS, PhD, professor, Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, Parana, Brazil
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Abstract
The ability to light cure resins 'on demand' in the mouth has revolutionized dentistry. However, there is a widespread lack of understanding of what is required for successful light curing in the mouth. Most instructions simply tell the user to 'light cure for xx seconds' without describing any of the nuances of how to successfully light cure a resin. This article provides a brief description of light curing. At the end, some recommendations are made to help when purchasing a curing light and how to improve the use of the curing light.
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Affiliation(s)
- Richard B T Price
- Department of Dental Clinical Sciences, Dalhousie University, Halifax, Nova Scotia B3H 4R2, Canada.
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11
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Soares CJ, Faria-E-Silva AL, Rodrigues MDP, Vilela ABF, Pfeifer CS, Tantbirojn D, Versluis A. Polymerization shrinkage stress of composite resins and resin cements - What do we need to know? Braz Oral Res 2017; 31:e62. [PMID: 28902242 DOI: 10.1590/1807-3107bor-2017.vol31.0062] [Citation(s) in RCA: 101] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2017] [Accepted: 05/22/2017] [Indexed: 11/22/2022] Open
Abstract
Polymerization shrinkage stress of resin-based materials have been related to several unwanted clinical consequences, such as enamel crack propagation, cusp deflection, marginal and internal gaps, and decreased bond strength. Despite the absence of strong evidence relating polymerization shrinkage to secondary caries or fracture of posterior teeth, shrinkage stress has been associated with post-operative sensitivity and marginal stain. The latter is often erroneously used as a criterion for replacement of composite restorations. Therefore, an indirect correlation can emerge between shrinkage stress and the longevity of composite restorations or resin-bonded ceramic restorations. The relationship between shrinkage and stress can be best studied in laboratory experiments and a combination of various methodologies. The objective of this review article is to discuss the concept and consequences of polymerization shrinkage and shrinkage stress of composite resins and resin cements. Literature relating to polymerization shrinkage and shrinkage stress generation, research methodologies, and contributing factors are selected and reviewed. Clinical techniques that could reduce shrinkage stress and new developments on low-shrink dental materials are also discussed.
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Affiliation(s)
- Carlos José Soares
- Universidade Federal de Uberlândia - UFU, Dental School, Department of Operative Dentistry and Dental Materials, Uberlândia, Minas Gerais, Brazil
| | - André Luis Faria-E-Silva
- Universidade Federal de Sergipe - UFS, Dental School, Department of Dentistry, Aracaju, Sergipe, Brazil
| | - Monise de Paula Rodrigues
- Universidade Federal de Uberlândia - UFU, Dental School, Department of Operative Dentistry and Dental Materials, Uberlândia, Minas Gerais, Brazil
| | - Andomar Bruno Fernandes Vilela
- Universidade Federal de Uberlândia - UFU, Dental School, Department of Operative Dentistry and Dental Materials, Uberlândia, Minas Gerais, Brazil
| | - Carmem Silvia Pfeifer
- Oregon Health and Science University - OHSU, School of Dentistry, Department of Restorative Dentistry, Portland, OR, United States of America
| | - Daranee Tantbirojn
- University of Tennessee Health Science Center, College of Dentistry, Department of Restorative Dentistry, Memphis, TN, United States of America
| | - Antheunis Versluis
- University of Tennessee Health Science Center, College of Dentistry, Department of Bioscience Research, TN, United States of America
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May S, Cieplik F, Hiller KA, Buchalla W, Federlin M, Schmalz G. Flowable composites for restoration of non-carious cervical lesions: Three-year results. Dent Mater 2017; 33:e136-e145. [PMID: 28062127 DOI: 10.1016/j.dental.2016.12.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Accepted: 12/13/2016] [Indexed: 01/10/2023]
Abstract
OBJECTIVES To evaluate the clinical performance of two flowable composites for restoring Class-V non-carious cervical lesions (NCCLs), one with novel (ND; N'Durance® Dimer Flow, Septodont) and one with modified conventional matrix composition (FS; Filtek™ Supreme XTE Flow, 3M-ESPE). The null hypothesis was that both flowable composites perform equally regarding clinical quality and survival. METHODS 50 patients received one ND and one FS restoration of NCCLs in premolars using Clearfil Protect Bond (Kuraray) as an adhesive. Restorations were evaluated by two examiners at baseline (BL), 18 and 36 months employing FDI criteria. Non-parametric statistical analyses and χ2 tests were applied (α=0.05). RESULTS 48 patients with both restorations under risk participated in the 36-mo recall. One patient terminated participation after the 18-mo recall. One ND restoration failed at the 18-mo recall (fracture). One FS restoration failed during clinical examination at the 36-mo recall (debonding). 95.8% of restorations each were rated clinically acceptable at 36-mo. No significant differences for all selected FDI criteria were recorded between ND and FS at each examination time point except for the criteria surface staining at 36-mo and marginal staining at 18-mo and 36-mo, where FS showed significantly better results. For each material, no significant differences over time were detected, except for loss of surface lustre for FS (BL to 18 months). SIGNIFICANCE Within the limitations of the study, the null hypothesis that materials perform equally could not be rejected. Both flowable composites performed equally regarding survival and similarly regarding clinical performance.
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Affiliation(s)
- Sabine May
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany; Private Practice, Amberg, Germany
| | - Fabian Cieplik
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany.
| | - Karl-Anton Hiller
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany
| | - Wolfgang Buchalla
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany
| | - Marianne Federlin
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany
| | - Gottfried Schmalz
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany; Department of Preventive, Restorative and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland
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Boushell LW, Heymann HO, Ritter AV, Sturdevant JR, Swift EJ, Wilder AD, Chung Y, Lambert CA, Walter R. Six-year clinical performance of etch-and-rinse and self-etch adhesives. Dent Mater 2016; 32:1065-72. [PMID: 27352732 DOI: 10.1016/j.dental.2016.06.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2015] [Revised: 03/29/2016] [Accepted: 06/13/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To evaluate the 6-year clinical performance of Xeno IV, Xeno III, and XP Bond adhesives in the restoration of non-carious cervical lesions (NCCLs). METHODS This was a randomized controlled clinical trial where 39 participants met the inclusion/exclusion criteria and were enrolled. Lesions restored were notch-shaped NCCLs. Prior to adhesive procedures, NCCLs were roughened. No enamel bevel was placed and no mechanical retention was created. Adhesive systems were applied following manufacturer's instructions and the NCCLs were restored with composite resin (TPH(3)). Restorations were finished immediately after placement and scored with regard to retention, marginal discoloration, marginal adaptation, sensitivity, and secondary caries using modified USPHS criteria. Descriptive statistics were performed. Logistic regression models were performed for each outcome separately with compound symmetry correlation structure where teeth were clustered by participants. All analyses were conducted using SAS 9.2. RESULTS The 6-year recall rate was 77.5% of the restorations (76.9% of the participants). No statistical differences were found between adhesives for retention, marginal discoloration, and marginal adaptation. Restorations failed by loss of retention (16.7%, 27.6%, and 11.8% of Xeno IV, Xeno III, and XP Bond restorations, respectively) and marginal discoloration (7.4% of Xeno IV restorations). For every unit increase in restoration volume it was 1.31 (95%C.I. 1.05, 1.63, P=0.01) times more likely that the restoration retention would be maintained. SIGNIFICANCE The tested adhesive systems presented similar clinical performance after six years of service, with annual failure rates of 2.8%, 4.6%, and 2.0% for Xeno IV, Xeno III, and XP Bond, respectively.
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Affiliation(s)
- Lee W Boushell
- Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC, USA
| | - Harald O Heymann
- Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC, USA
| | - Andre V Ritter
- Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC, USA
| | - John R Sturdevant
- Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC, USA
| | - Edward J Swift
- Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC, USA
| | - Aldridge D Wilder
- Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC, USA
| | - Yunro Chung
- Department of Biostatistics, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA
| | - Cynthia A Lambert
- Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC, USA
| | - Ricardo Walter
- Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC, USA.
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van Dijken JWV, Pallesen U. Posterior bulk-filled resin composite restorations: A 5-year randomized controlled clinical study. J Dent 2016; 51:29-35. [PMID: 27238052 DOI: 10.1016/j.jdent.2016.05.008] [Citation(s) in RCA: 68] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2016] [Revised: 05/17/2016] [Accepted: 05/25/2016] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To evaluate in a randomized controlled study the 5-year clinical durability of a flowable resin composite bulk-fill technique in Class I and Class II restorations. MATERIAL AND METHODS 38 pairs Class I and 62 pairs Class II restorations were placed in 44 male and 42 female (mean age 52.4 years). Each patient received at least two, as similar as possible, extended Class I or Class II restorations. In all cavities, a 1-step self-etch adhesive (Xeno V+) was applied. Randomized, one of the cavities of each pair received the flowable bulk-filled resin composite (SDR), in increments up to 4mm as needed to fill the cavity 2mm short of the occlusal cavosurface. The occlusal part was completed with the nano-hybrid resin composite (Ceram X mono+). In the other cavity, the resin composite-only (Ceram X mono+) was placed in 2mm increments. The restorations were evaluated using slightly modified USPHS criteria at baseline and then yearly during 5 years. Caries risk and bruxing habits of the participants were estimated. RESULTS No post-operative sensitivity was reported. At 5-year 183, 68 Class I and 115 Class II, restorations were evaluated. Ten restorations failed (5.5%), all Class II, 4 SDR-CeramX mono+ and 6 CeramX mono+-only restorations. The main reasons for failure were tooth fracture (6) and secondary caries (4). The annual failure rate (AFR) for all restorations (Class I and II) was for the bulk-filled-1.1% and for the resin composite-only restorations 1.3% (p=0.12). For the Class II restorations, the AFR was 1.4% and 2.1%, respectively. CONCLUSION The stress decreasing flowable bulk-fill resin composite technique showed good durability during the 5-year follow-up. CLINICAL SIGNIFICANCE The use of a 4mm incremental technique with the flowable bulk-fill resin composite showed during the 5-year follow up slightly better, but not statistical significant, durability compared to the conventional 2mm layering technique in posterior resin composite restorations.
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Affiliation(s)
| | - Ulla Pallesen
- Institute of Odontology, Faculty of Health Science, University of Copenhagen, Denmark
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15
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Yikilgan İ, Akgul S, Özcan S, Bala O, Ömürlü H. An in vitro evaluation of the effects of desensitizing agents on microleakage of Class V cavities. J Clin Exp Dent 2016; 8:e55-9. [PMID: 26855707 PMCID: PMC4739369 DOI: 10.4317/jced.52755] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Accepted: 10/07/2015] [Indexed: 11/13/2022] Open
Abstract
Background The aim of this study was to evaluate the effect of a desensitizing agent on microleakage of Class V cavities. Material and Methods 72 premolar teeth were used. There were 6 groups. Class V restorations were prepared with two different restorative materials (Equia fil, GC, America and Grandio, VOCO, Germany) and two adhesive systems (Clearfil SE Bond, Kuraray, Japan and S3 Bond Plus, Kuraray, Japan) with and without desensitizing agent (Gluma Desensitizer, Heraeus Kulzer, Germany). Restorations were polished with aluminum oxide abrasive discs. Then a range of 5 - 55C thermocycling was performed 10.000 times. The microleakage of restorations was examined with dye penetration method (Basic fuchsine). Bonferroni corrections and Kruskal-Wallis test were used to determine the significance of differences in occlusal and gingival dye penetration scores between groups. Results There was no stastistical significance between the occlusal and gingival microleakage scores within the groups were shown. Conclusions It can be concluded that use of desensitizing agent under both high viscosity glass ionomer restorative materials and resin composites doesn’t affect the microleakage. Key words:High viscosity glass ionomer cement, composite resin, desensitizing agent, microleakage.
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Affiliation(s)
- İhsan Yikilgan
- Assistant Professor, Gazi University, Faculty of Dentistry, Department of Restorative Dentistry, Bişkek Cd. (8.Cd.) 82. Sk. No:4 06510 Emek-Ankara, Turkey
| | - Sinem Akgul
- Research Assistant, Gazi University, Faculty of Dentistry, Department of Restorative Dentistry, Bişkek Cd. (8.Cd.) 82. Sk. No:4 06510 Emek-Ankara, Turkey
| | - Suat Özcan
- Assistant Professor, Gazi University, Faculty of Dentistry, Department of Restorative Dentistry, Bişkek Cd. (8.Cd.) 82. Sk. No:4 06510 Emek-Ankara, Turkey
| | - Oya Bala
- Professor, Gazi University, Faculty of Dentistry, Department of Restorative Dentistry, Bişkek Cd. (8.Cd.) 82. Sk. No:4 06510 Emek-Ankara,Turkey
| | - Hüma Ömürlü
- Professor, Gazi University, Faculty of Dentistry, Department of Restorative Dentistry, Bişkek Cd. (8.Cd.) 82. Sk. No:4 06510 Emek-Ankara,Turkey
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16
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Tekce N, Demirci M, Gokturk SA, Tuncer S, Ozel E, Pala K, Baydemir C. The effect of bonding and surface sealant application on postoperative sensitivity from posterior composites. J Istanb Univ Fac Dent 2015; 49:1-10. [PMID: 28955539 PMCID: PMC5573498 DOI: 10.17096/jiufd.33921] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Accepted: 06/15/2015] [Indexed: 11/15/2022] Open
Abstract
PURPOSE The purpose of the study was to evaluate the postoperative sensitivity of posterior Class I composite restoration at short-term, restorated with two different all-in-one self-etch adhesives with or without surface sealant application. MATERIALS AND METHODS 44 restorations were inserted in 11 patients who required Class I restorations in their molars. Each patient received 4 restorations, thus four groups were formed; (1) G-Aenial Bond (GC, Japan); (2) Clearfil S3 Bond (Kuraray, Japan); (3) G-Aenial Bond+Fortify Plus (Bisco, USA), (4) Clearfil S3 Bond+Fortify Plus. Sensitivity was evaluated at 24h, 7, 15, and 30 days using cold air, ice, and pressure stimuli using a visual analog scale. Comparisons of continuous variables between the sensitivity evaluations were performed using the Friedman's One-Way Analysis of Variance with repeated measures test (p<0.05). RESULTS The type of adhesive used and the application of a surface sealant had no significant effects in postoperative sensitivity (p>0.05). The use of Clearfil S3 Bond resulted in almost the same level of postoperative sensitivity as did the use of G-Aenial Bond. The highest sensitivity scores were observed for the surface sealant applied teeth without any statistical significance (p>0.05). CONCLUSION Self etch adhesives displayed postoperative sensitivity. The sensitivity scores slightly decreased at the end of 30 days (p>0.05). Surface sealant application did not result in a decrease in sensitivity scores for either dentin adhesives.
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Affiliation(s)
- Neslihan Tekce
- Department of Restorative Dentistry, Faculty of Dentistry, Kocaeli University, Turkey
| | - Mustafa Demirci
- Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University, Turkey
| | | | - Safa Tuncer
- Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University, Turkey
| | - Emre Ozel
- Department of Restorative Dentistry, Faculty of Dentistry, Kocaeli University, Turkey
| | - Kansad Pala
- Department of Restorative Dentistry, Faculty of Dentistry, Erciyes University, Turkey
| | - Canan Baydemir
- Department of Biostatistics and Medical Informatics, Faculty of Medicine, Kocaeli University, Turkey
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A randomized controlled three year evaluation of “bulk-filled” posterior resin restorations based on stress decreasing resin technology. Dent Mater 2014; 30:e245-51. [DOI: 10.1016/j.dental.2014.05.028] [Citation(s) in RCA: 85] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2014] [Revised: 04/16/2014] [Accepted: 05/21/2014] [Indexed: 11/16/2022]
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18
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Oginni AO, Adeleke AA. Comparison of pattern of failure of resin composite restorations in non-carious cervical lesions with and without occlusal wear facets. J Dent 2014; 42:824-30. [DOI: 10.1016/j.jdent.2014.04.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2013] [Revised: 04/02/2014] [Accepted: 04/05/2014] [Indexed: 10/25/2022] Open
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Fagundes TC, Barata TJE, Bresciani E, Santiago S, Franco EB, Lauris JRP, Navarro MF. Seven-year clinical performance of resin composite versus resin-modified glass ionomer restorations in noncarious cervical lesions. Oper Dent 2014; 39:578-87. [PMID: 24809539 DOI: 10.2341/13-054-c] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
PURPOSE The purpose of this study was to comparatively assess the seven-year clinical performance of a one-bottle etch-and-rinse adhesive with resin composite (RC) and resin-modified glass ionomer (RMGI) restorations in noncarious cervical lesions. METHODS AND MATERIALS One operator placed 70 restorations (35 restorations in each group) in 30 patients under rubber dam isolation without mechanical preparation. The restorations were directly assessed by two independent examiners, using modified US Public Health Service criteria at baseline and 6, 12, 24, 60, and 84 months. The obtained data were tabulated and statistically analyzed using the Fisher and McNemar tests. A difference was significant if p<0.05. RESULTS Twenty patients were available for recall after seven years (66.6%), and 25 RC and 26 RMGI restorations out of 70 restorations were evaluated. Excellent agreement was registered for all criteria between examiners (κ≥0.85). Alfa and bravo scores were classified as clinically acceptable. The McNemar test detected significant differences within RC restorations between baseline and seven-year evaluations for anatomic form, marginal integrity, and retention (p<0.05). For RMGI restorations, a significant difference was identified for marginal integrity (p<0.05). As to material comparison, the Fisher exact showed a better retention performance for RMGI restorations than for RC restorations (p<0.05). Twelve composite restorations were dislodged (52.0% retention) and three ionomer restorations were lost (88.5% retention). The cumulative success rate for RC and RMGI was 30% and 58.1%, respectively. CONCLUSIONS After seven years of service, the clinical performance of RMGI restorations was superior to that of the adhesive system/resin composite restorations in this study.
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Rocha Gomes Torres C, Barcellos DC, Batista GR, Pucci CR, Antunes MJS, de La Cruz DB, Borges AB. Five-year clinical performance of the dentine deproteinization technique in non-carious cervical lesions. J Dent 2014; 42:816-23. [PMID: 24739486 DOI: 10.1016/j.jdent.2014.04.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Revised: 04/03/2014] [Accepted: 04/05/2014] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE The aim of this study was to evaluate the 5-year clinical performance of composite restorations of non-carious cervical lesions (NCCL) using a total-etch adhesive system with or without collagen removal with 10% sodium hypochlorite (NaOCl). METHODS In this study randomized controlled split-mouth clinical trial, one-hundred and thirty-eight NCCL were restored into 30 patients. Each patient received at least one pair of composite restorations (Filtek A110/3M ESPE), bonded either with 2 techniques: Conventional Technique--acid etching with 37% phosphoric acid+Prime & Bond NT (Denstply DeTrey); Deproteinization Technique--acid etching with 37% phosphoric acid+10% NaOCl for 1min+Prime & Bond NT. The two techniques were evaluated using the United States Public Health Service (USPHS) criteria at baseline, 18 months, 3 and 5 years. After five years, one-hundred and six restorations were evaluated in 24 patients. Data were analyzed using the Chi-Square test (p<0.05). RESULTS There were no statistically significant differences between the two techniques regarding the evaluated parameters (p>0.05). CONCLUSION After 5 years, the application of 10% NaOCl deproteinization on etched dentine did not affect the clinical performance of composite restorations placed in NCCL when compared to the conventional total-etch technique. CLINICAL SIGNIFICANCE Clinical studies evaluating the performance of the Deproteinization Technique are scarce. In this study, this technique showed similar clinical performance at the end of 5 years when compared to a conventional total-etch technique.
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Affiliation(s)
- Carlos Rocha Gomes Torres
- Department of Restorative Dentistry, Institute of Science and technology, UNESP - Univ Estadual Paulista, São José dos Campos, SP, Brazil.
| | - Daphne Camara Barcellos
- Institute of Science and Technology, UNESP - Univ Estadual Paulista, São José dos Campos, SP, Brazil.
| | - Graziela Ribeiro Batista
- Institute of Science and Technology, UNESP - Univ Estadual Paulista, São José dos Campos, SP, Brazil
| | - César Rogério Pucci
- Department of Restorative Dentistry, Institute of Science and technology, UNESP - Univ Estadual Paulista, São José dos Campos, SP, Brazil
| | - Maria Julia Sala Antunes
- Clinical Research Academic Group (GAPEC) Institute of Science and Technology, UNESP - Univ Estadual Paulista, São José dos Campos, SP, Brazil
| | - Daniela Barone de La Cruz
- Clinical Research Academic Group (GAPEC) Institute of Science and Technology, UNESP - Univ Estadual Paulista, São José dos Campos, SP, Brazil
| | - Alessandra Bühler Borges
- Department of Restorative Dentistry, Institute of Science and technology, UNESP - Univ Estadual Paulista, São José dos Campos, SP, Brazil
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Retention of tooth-colored restorations in non-carious cervical lesions--a systematic review. Clin Oral Investig 2014; 18:1369-81. [PMID: 24671713 DOI: 10.1007/s00784-014-1220-7] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2013] [Accepted: 02/25/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVES The aim of this review was to assess the effect of different adhesive systems and tooth preparation on the retention of tooth-colored restorative materials placed in non-carious cervical lesions (NCCLs). METHODS Randomized clinical trials with a minimum of 3 years of follow-up that evaluated the effectiveness of tooth-colored materials, adhesive systems, and preparation techniques for the restoration of NCCLs were selected. The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE (OVID), the Latin American and Caribbean Health Sciences Literature database (LILACS), and Medline (OVID) electronic databases were searched from 1990 to 2013. RESULTS Twenty-seven randomized clinical trials were included and reviewed. Meta-analysis was used to determine the relative risk of loss of tooth-colored NCCL restorations between different categories of adhesive systems. The effect of tooth preparation could not be similarly analyzed. CONCLUSION The current best evidence indicates that a glass ionomer cement has a significantly lower risk of loss of a NCCL restoration compared to either a three-step etch-and-rinse or a two-step etch-and-rinse adhesive system; a three-step etch-and-rinse adhesive system has a significantly lower risk of loss of a NCCL restoration compared to a two-step etch-and-rinse adhesive system. No significant difference could be observed in the risk of loss of a tooth-colored NCCL restoration between a three-step etch-and-rinse adhesive system and either a two-step self-etch or a one-step self-etch adhesive system.
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van Dijken JW. A randomized controlled 5-year prospective study of two HEMA-free adhesives, a 1-step self etching and a 3-step etch-and-rinse, in non-carious cervical lesions. Dent Mater 2013; 29:e271-80. [DOI: 10.1016/j.dental.2013.08.203] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2013] [Accepted: 08/09/2013] [Indexed: 10/26/2022]
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Paschos E. A 7-year randomized prospective study of a one-step self-etching adhesive in non-carious cervical lesions. The effect of curing modes and restorative material. J Orofac Orthop 2013. [PMID: 23974445 DOI: 10.1007/s00056-013-0170-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/29/2022]
Affiliation(s)
- E Paschos
- Poliklinik für Kieferorthopädie, Ludwig-Maximilians-Universität München, Goethestr. 70, 80336, München, Germany,
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24
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Van Landuyt KL, De Munck J, Ermis RB, Peumans M, Van Meerbeek B. Five-year clinical performance of a HEMA-free one-step self-etch adhesive in noncarious cervical lesions. Clin Oral Investig 2013; 18:1045-1052. [PMID: 23949016 DOI: 10.1007/s00784-013-1061-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Accepted: 07/16/2013] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The objective of this randomized controlled trial was to evaluate the clinical performance of a 2-hydroxyethyl methacrylate (HEMA)-free one-step adhesive. MATERIALS AND METHODS Two hundred sixty-seven cervical lesions in 52 patients were restored with the composite Gradia Direct (GC), bonded with either the one-step self-etch adhesive G-Bond (GC) or the three-step etch-and-rinse adhesive Optibond FL (Kerr) in a random order. The restorations were evaluated for retention, marginal integrity, marginal discoloration, and caries occurrence after 5 years. Specific statistics were used to account for the clustered data (multiple restorations per patient). RESULTS The clinical success rate for G-Bond (87.4 %) was not significantly different from that of Optibond FL (90.9 %). Both adhesives showed progressive marginal deterioration, but G-Bond exhibited more small enamel defects and marginal discoloration, and unlike previous recalls, several restorations failed because of deep microleakage. Large sclerotic lesions were a significant risk factor for retention loss with G-Bond. Irrespective of the adhesive, almost all restorations with retention loss were located in the lower jaw. CONCLUSION After 5 years of clinical service, restorations bonded with the HEMA-free one-step adhesive did not need repair or replacement more often than those with the three-step etch-and-rinse adhesive, and both adhesives had a high retention rate (>90 %). There were indications that G-Bond did not (self-)etch enough in some clinical situations, as G-Bond exhibited more incisal defects and marginal discolorations, and sclerotic lesions were at higher risk of retention loss. CLINICAL RELEVANCE The clinical performance of the HEMA-free one-step adhesive was clinically acceptable after 5 years.
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Affiliation(s)
- Kirsten L Van Landuyt
- KU Leuven BIOMAT, Department of Oral Health Sciences and University Hospitals Leuven, University of Leuven, KU Leuven, Kapucijnenvoer 7, B-3000, Leuven, Belgium.
| | - Jan De Munck
- KU Leuven BIOMAT, Department of Oral Health Sciences and University Hospitals Leuven, University of Leuven, KU Leuven, Kapucijnenvoer 7, B-3000, Leuven, Belgium
| | - R Banu Ermis
- Department of Restorative Dentistry and Endodontics, School of Dentistry, Suleyman Demirel University, Isparta, Turkey
| | - Marleen Peumans
- KU Leuven BIOMAT, Department of Oral Health Sciences and University Hospitals Leuven, University of Leuven, KU Leuven, Kapucijnenvoer 7, B-3000, Leuven, Belgium
| | - Bart Van Meerbeek
- KU Leuven BIOMAT, Department of Oral Health Sciences and University Hospitals Leuven, University of Leuven, KU Leuven, Kapucijnenvoer 7, B-3000, Leuven, Belgium
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