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Costa JLDSG, Barros APO, Gelio MB, Galvani LD, Vaz LG, Kuga MC. Influence of bioceramic sealer residues on the adhesion interface with a universal adhesive in the etch-and-rinse strategy, based on the application protocol and evaluation time. Dent Mater J 2024; 43:565-572. [PMID: 38825448 DOI: 10.4012/dmj.2024-046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2024]
Abstract
The aim of this study was to evaluate the effects of the application of universal adhesive in the etch-and-rinse (ER) strategy with a manual brush (MB) or rotary brush (RB) in adhesion to dentin impregnated (WB) or not (NB) with bioceramic sealer, at 24 h and 1 year. Eighty-eight crowns of bovine incisors were divided into four groups (n=22): WB-MB, WB-RB, NB-MB, NB-RB. After the restorative protocol, dentin penetrability was evaluated by confocal microscopy. Bond strength was evaluated by microtensile test. Data were analyzed using one-way ANOVA/Tukey tests (α=0.05). NB-RB and WB-RB exhibited greater extensions of resin tags in dentin. At 24 h, WB-RB and NB-MB showed the highest and lowest values of bond strength, respectively. At 1 year, WB-MB and WB-RB demonstrated the highest bond strength values. The RB increases the formation of resin tags and residues of bioceramic sealer provides higher bond strength in the ER strategy.
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Affiliation(s)
| | | | - Mariana Bena Gelio
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University-UNESP
| | - Lucas David Galvani
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University-UNESP
| | - Luis Geraldo Vaz
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University-UNESP
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University-UNESP
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Lehmann A, Nijakowski K, Jankowski J, Donnermeyer D, Ramos JC, Drobac M, Martins JFB, Hatipoğlu Ö, Omarova B, Javed MQ, Alharkan HM, Bekjanova O, Wyzga S, Alkhawas MBAM, Kudenga R, Surdacka A. Clinical Difficulties Related to Direct Composite Restorations: A Multinational Survey. Int Dent J 2024:S0020-6539(24)00164-3. [PMID: 39048490 DOI: 10.1016/j.identj.2024.06.012] [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: 03/26/2024] [Revised: 06/14/2024] [Accepted: 06/18/2024] [Indexed: 07/27/2024] Open
Abstract
AIMS Composite materials are widely used in dentistry for direct tooth restorations. However, they are highly sensitive to the working technique employed during the restorative procedure. Even minor procedural errors can have a significant impact on the quality including the longevity of the restoration. Hence the aim of this study was to determine the material preferences and analyse the clinical problems associated with direct composite restorations in a cohort of dentists. METHODS A 20-item online questionnaire was created in English and administered 1830 general dentists and specialists in 13 countries. The first section of the questionnaire included four questions to elicit demographic data, and the second section comprised 16 questions focused on material preferences for conservative restorations, durability of composite restorations, and the most challenging stages the dentists faced during the composite restorative procedures. RESULTS Respondents decided most often to use composite materials for the tooth restorations (OR 997.4, 95% CI 233.8-4254.8, P value <.001). Most respondents indicated that the durability of composite restorations was approximately 7 to 10 years (41.5%). Among the factors affecting durability, maintenance of a dry cavity was the most often reported reason (47.1%) and the foremost challenge faced by dentists (61.0%) during the composite restorative procedures. CONCLUSIONS Our study confirmed that resin-based composites are the most popular material for direct restoration in many countries. Although working with this material is difficult and involves multiple steps, maintaining a dry cavity during bonding, and material application may affect the therapeutic success and durability of these restorations. Clinicians need to be attentive to this issue and be prepared to adapt their decision-making and consider opting for alternative restorative materials, if appropriate.
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Affiliation(s)
- Anna Lehmann
- Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Poznan, Poland
| | - Kacper Nijakowski
- Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Poznan, Poland.
| | - Jakub Jankowski
- Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Poznan, Poland
| | - David Donnermeyer
- Department of Periodontology and Operative Dentistry, University Münster, Münster, Germany
| | - João Carlos Ramos
- Center for Innovation and Research in Oral Sciences (CIROS) and Institute of Operative Dentistry, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - Milan Drobac
- Department of Dental Medicine, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - João Filipe Brochado Martins
- Departments of Endodontology Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Ömer Hatipoğlu
- Department of Restorative Dentistry, Niğde Ömer Halisdemir University, Niğde, Turkiye
| | - Bakhyt Omarova
- Department of Therapeutic Dentistry, Kazakh National Medical University by S.D. Asfendiyarov, Almaty, Kazakhstan
| | - Muhammad Qasim Javed
- Department of Conservative Dental Sciences, College of Dentistry, Qassim University, Buraydah, Qassim, Saudi Arabia
| | - Hamad Mohammad Alharkan
- Department of Conservative Dental Sciences, College of Dentistry, Qassim University, Buraydah, Qassim, Saudi Arabia
| | - Olga Bekjanova
- Department of Faculty Therapeutic Dentistry, Tashkent State Dental Institute, Tashkent, Uzbekistan
| | - Sylvia Wyzga
- Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Poznan, Poland
| | | | - Rutendo Kudenga
- Department of Odontology, University of Pretoria, Riviera, Pretoria, Republic of South Africa
| | - Anna Surdacka
- Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Poznan, Poland
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Işisağ Ö, Pektaş N. Comparison of the fracture strengths of single-unit metal-ceramic and monolithic zirconium restorations in the molar region: a systematic review and meta-analysis. Odontology 2024; 112:751-760. [PMID: 38103151 DOI: 10.1007/s10266-023-00878-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 11/17/2023] [Indexed: 12/17/2023]
Abstract
Despite the success of monolithic zirconia restorations (MZ), metal-ceramic restorations (MC) are still considered the gold standard for fixed prosthetics in the posterior region. This systematic review and meta-analysis aimed to compare the fracture strengths of single-unit MC and MZ in the molar region. This review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA, 2020) statement. All articles were searched from the PubMed and Web of Science databases until November 18, 2022. All in vitro studies evaluating the fracture strengths of MC and MZ were also included. Statistical analysis was performed with the Comprehensive Meta-Analysis program, with a significance level of 0.05. Out of 753 studies, five were selected. The fracture strengths of MZ and MC did not show any statistically significant difference for both tooth (95% CI - 1.589: 2.118, p = 0.779, z = 0.280) and implant (95% CI - 2.215: 2.191, p = 0.992 z = - 0.010) supported restorations. However, different abutment materials (p < 0.001) and aging treatments (p < 0.001) in tooth-supported restorations displayed a significant statistical difference. Additionally, a significant difference was also observed in subgroup analysis considering different cements (p = 0.001) and load speeds (p = 0.001) in implant-supported restorations. Fracture strengths of MZ and MC did not show a significant statistical difference in implant or tooth-supported single-unit posterior restorations. MZ may be a suitable alternative to MC in single-unit posterior restorations. The results should be interpreted with caution, as the included studies were in vitro.
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Affiliation(s)
- Özer Işisağ
- Department of Prosthodontics, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Inonu Boulevard No: 4, Afyonkarahisar, Turkey.
| | - Nur Pektaş
- Department of Prosthodontics, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Inonu Boulevard No: 4, Afyonkarahisar, Turkey
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Falcon Aguilar M, Ferretti MA, Lins RBE, Silva JDS, Lima DANL, Marchi GM, Baggio Aguiar FH. Effect of Phytic Acid Etching and Airborne-Particle Abrasion Treatment on the Resin Bond Strength. Clin Cosmet Investig Dent 2024; 16:191-199. [PMID: 38835853 PMCID: PMC11149625 DOI: 10.2147/ccide.s456826] [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: 01/27/2024] [Accepted: 05/21/2024] [Indexed: 06/06/2024] Open
Abstract
Objective This study aimed to evaluate the bond strength of a universal adhesive to dentin (μTBS) using different time periods of airborne particle abrasion (APA) and two types of acid etching. Methods Seventy-two human third molars were divided into 9 groups (n=8) according to dentin pretreatment: APA duration (0, 5, or 10s) and acid etching (no acid - NA, 37% phosphoric acid - PhoA, or 1% phytic acid - PhyA). APA was performed at a 0.5 cm distance and air pressure of 60 psi using 50 μm aluminum oxide particles. Afterwards, two coats of Single Bond Universal adhesive (3M) were applied to the dentin surface. Composite blocks were built using the incremental technique, sectioned into 1×1 mm slices and subjected to microtensile bond strength (μTBS) testing. Fracture patterns and surface topography of each dentinal pretreatment were evaluated using a Scanning electron microscope (SEM). Bond strength data were analyzed using two-way ANOVA and Bonferroni post-hoc tests. Results The group that received pretreatment with 5s APA and PhoA presented higher μTBS values among all groups, which was statistically different when compared with the PhoA, 10APA+PhoA, and 5APA+PhyA groups. PhyA did not significantly influence the bond strength of the air-abraded groups. Finally, adhesive failure was considered the predominant failure in all groups. Conclusion Dentin pretreated by airborne particle abrasion using aluminum oxide demonstrated an increase in bond strength when abraded for 5 seconds and conditioned with phosphoric acid in a universal adhesive system.
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Affiliation(s)
- Milagros Falcon Aguilar
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Marcela Alvarez Ferretti
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | | | | | | | - Giselle Maria Marchi
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
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Santander-Rengifo F, Carreras-Presas CM, Aroste-Andía R, Hernández-Huamaní E, Gavilán-Chávez P, Cervantes-Ganoza L, Cayo-Rojas C. Microtensile Bond Strength and Failure Mode of Different Universal Adhesives on Human Dentin. Int Dent J 2024:S0020-6539(24)00114-X. [PMID: 38734514 DOI: 10.1016/j.identj.2024.04.009] [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: 02/19/2024] [Revised: 03/13/2024] [Accepted: 04/05/2024] [Indexed: 05/13/2024] Open
Abstract
AIM The aim of this study was to compare the microtensile bond strength (µTBS) and failure mode of 4 different universal adhesive systems (UAs) on human dentin. MATERIALS AND METHODS The study sectioned the occlusal thirds of 32 human third molars and divided them into 4 groups based on the adhesive system used. Group A: Palfique Universal Bond, Group B: Single Bond Universal, Group C: All-Bond Universal, and Group D: One Coat 7 Universal. The specimens underwent a 10,000-cycle thermocycling ageing process prior to testing (n = 32). Afterwards, 8 beams were obtained per group and subjected to µTBS testing using a digital universal testing machine at a speed of 1 mm/min. The microtensile bond strength values were analysed in Megapascals (MPa), and the failure mode was evaluated using a stereomicroscope. Welch's parametric ANOVA with robust variance and the Games-Howell post hoc test were used for µTBS comparisons, and Fisher's exact test was used to determine the association between adhesive type and failure mode. The significance level was set at P < .05. RESULTS Group D showed a significantly higher µTBS than groups A (P < .001) and B (P < .001), but no significant difference was observed with group C (P= .075). Furthermore, groups B and C showed significantly higher µTBS than group A (P< .001 and P < .001, respectively), but there was no significant difference between groups B and C (P = .132). Additionally, group A exhibited a significant association with an adhesive failure mode (P < .05), whereas groups B, C, and D were significantly associated with a mixed failure mode (P < .05). CONCLUSION The One Coat 7 Universal adhesive system showed higher microtensile bond strength values and higher chemical interaction with dentin compared to Palfique Universal Bond and Single Bond Universal. However, no significant differences were observed compared to All-Bond Universal.
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Affiliation(s)
- Flor Santander-Rengifo
- Doctoral Program and Health Sciences, Doctoral and Research School, Universidad Europea de Madrid, Madrid, Spain; Academic Program of Dentistry, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
| | - Carmen Martin Carreras-Presas
- Head of Esthetic Dentistry Program, Faculty of Health and Biomedical Sciences, Dentistry Department, Universidad Europea de Madrid, Madrid, Spain
| | - Rosa Aroste-Andía
- School of Stomatology, Universidad Privada San Juan Bautista, Ica, Peru
| | | | | | | | - César Cayo-Rojas
- School of Stomatology, Universidad Privada San Juan Bautista, Ica, Peru.
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Jäggi M, Karlin S, Zitzmann NU, Rohr N. Shear bond strength of universal adhesives to human enamel and dentin. J ESTHET RESTOR DENT 2024; 36:804-812. [PMID: 38308570 DOI: 10.1111/jerd.13204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 01/22/2024] [Accepted: 01/25/2024] [Indexed: 02/05/2024]
Abstract
OBJECTIVE The composition of universal adhesives is highly diverse. The purpose of this in vitro study was to compare the shear bond strength of a composite with five different universal adhesives to human enamel and dentin. MATERIALS AND METHODS The shear bond strength of a composite (G-aenial Universal Injectable) to human enamel and dentin was tested in selective enamel etching mode before and after thermocyclic aging (10,000 cycles) using five different universal adhesive systems (Adhese Universal VivaPen, Clearfil Universal Bond Quick, G-Premio Bond, Prime&Bond active, and Scotchbond Universal Plus). Two-bottle systems (OptiBond FL and G2-Bond Universal) were used as control. Scanning electron microscopy was conducted of the bonding interface. RESULTS Significant differences in shear bond strength values were found among the five evaluated universal adhesives. Lowest shear bond strength values were observed for 2-hydroxyethylmethacrylate (HEMA)-free systems. Thermocyclic aging did not significantly reduce shear bond strength values indicating that the initial bond remains stable. CONCLUSIONS The clinical use of universal adhesives Adhese Universal VivaPen, Clearfil Universal Bond Quick, and Scotchbond Universal Plus can be encouraged as they provided comparable or even better shear bond strength values than the two-bottle controls. CLINICAL SIGNIFICANCE Universal adhesives that were developed for the same indication and approved for clinical use demonstrated variety in shear bond strength values. When applied in the selective enamel etching mode, a stable bond can be expected from adhesives containing HEMA and monomers with phosphate groups.
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Affiliation(s)
- Marco Jäggi
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Sabrina Karlin
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Nicola U Zitzmann
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Nadja Rohr
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
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Almeida G, Marques JA, Van Meerbeek B, Ramos JC, Falacho RI. Particle abrasion as a pre-bonding dentin surface treatment: A scoping review. J ESTHET RESTOR DENT 2024; 36:746-760. [PMID: 38130045 DOI: 10.1111/jerd.13183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 11/29/2023] [Accepted: 11/30/2023] [Indexed: 12/23/2023]
Abstract
OBJECTIVE This scoping review aims to assess the influence of air abrasion with aluminum oxide and bioactive glass on dentin bond strength. MATERIALS AND METHODS An electronic search was conducted in three databases (PubMed, Cochrane Library, and Embase), on March 3rd, 2023, with previously identified MeSH Terms. A total of 1023 records were screened. Exclusion criteria include primary teeth, air abrasion of a substrate other than sound dentin, use of particles apart from aluminum oxide or bioactive glass, and studies in which bond strength was not assessed. RESULTS Out of the 1023 records, title and abstract screening resulted in the exclusion of 895 and 67 studies, respectively, while full-text analysis excluded another 25 articles. In addition, 5 records were not included, as full texts could not be obtained after requesting the authors. Two cross-references were added. Thus, 33 studies were included in this review. It is important to emphasize the absence of standardization of air abrasion parameters. According to 63.6% of the studies, air abrasion does not influence dentin bond strength. Moreover, 30.3% suggest improving bonding performance, and 6.1% advocate a decrease. CONCLUSIONS Air abrasion with aluminum oxide does not enhance or impair dentin bond strength. The available data on bioactive glass are limited, which hinders conclusive insights. CLINICAL SIGNIFICANCE Dentin air abrasion is a widely applied technique nowadays, with numerous clinical applications. Despite the widespread adoption of this procedure, its potential impact on bonding performance requires a thorough analysis of the existing literature.
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Affiliation(s)
- Gabriela Almeida
- Dentistry Department, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - Joana A Marques
- Faculty of Medicine, Institute of Endodontics, University of Coimbra, Coimbra, Portugal
- Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - Bart Van Meerbeek
- Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Dentistry, KU Leuven (University of Leuven), Leuven, Belgium
| | - João Carlos Ramos
- Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Faculty of Medicine, Institute of Operative Dentistry, University of Coimbra, Coimbra, Portugal
| | - Rui I Falacho
- Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
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Ellithy MS, Abdelrahman MH, Afifi RR. Comparative clinical evaluation between self-adhesive and conventional bulk-fill composites in class II cavities: A 1-year randomized controlled clinical study. J ESTHET RESTOR DENT 2024. [PMID: 38655672 DOI: 10.1111/jerd.13242] [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: 02/22/2024] [Revised: 04/04/2024] [Accepted: 04/11/2024] [Indexed: 04/26/2024]
Abstract
OBJECTIVE This randomized controlled clinical trial compared the clinical efficacy of self-adhesive bulk-fill Surefil One with a traditional bulk-fill composite in class II restorations. MATERIALS AND METHODS Sixty-four direct class II composite restorations were categorized into two groups. Group I, control group (n = 32): cavities were restored by Filtek One bulk-fill composite with Scotchbond Universal (SBU) adhesive in self-etch mode, Group II, test group (n = 32): cavities were restored by Surefil One self-adhesive bulk-fill composite. The study involved a follow-up period of 1 year, during which restorations were assessed at baseline (BL), 6 months, and 12 months using Federation Dentaire Internationale (FDI) criteria. Data analysis was performed using nonparametric tests. A comparison of restoration characteristics was performed utilizing the chi-square test (X2). The significance level was set at 0.05. RESULTS Filtek One and Surefil One bulk-fill composites revealed clinically acceptable FDI scores over 12-month recalls. Thirty-two patients (64 restorations) were available for all follow-up visits; 100% of the restorations survived. For esthetic properties, Filtek One was far better than Surefil One at all time points. However, in terms of functional and biological properties, both restorations demonstrated comparable performances. CONCLUSIONS Filtek One bulk-fill restorations were superior in terms of surface luster, surface staining, color match, and translucency, but Surefil One restorations performed well and were similar to Filtek One restorations; however, additional advancements and research are needed to obtain better esthetics. Furthermore, longitudinal studies with extended follow-up periods are needed to assess the clinical potential of both materials. CLINICAL SIGNIFICANCE Both Filtek One and Surefil One met the FDI criteria, with Filtek One demonstrating superior esthetic and functional qualities and similar performance regarding biological criteria. Both innovative restorative materials show potential for clinical use. Trial registered on ClinicalTrials.gov under registration number; NCT06120868:07/11/2023.
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Affiliation(s)
- Mohamed S Ellithy
- Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Mohamed H Abdelrahman
- Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Rania R Afifi
- Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
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Matos LMRD, Silva ML, Cordeiro TO, Cardoso SDAM, Campos DES, de Muniz IAF, Barros SADL, Seraidarian PI. Clinical and laboratorial performance of rehabilitation of endodontically treated teeth: A systematic review. J ESTHET RESTOR DENT 2024. [PMID: 38563466 DOI: 10.1111/jerd.13225] [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: 12/05/2023] [Revised: 02/28/2024] [Accepted: 03/11/2024] [Indexed: 04/04/2024]
Abstract
OBJECTIVE This systematic review aimed to analyze the clinical (survival rate, failure risk, or fracture) and laboratory performance (fracture mode or failure) of rehabilitations of endodontically treated teeth, with and without posts. MATERIALS AND METHODS A systematic search was conducted in the Pubmed, Scopus, Web of Science, Embase, Cochrane Library, and OpenGrey databases up to March 2023, according to PRISMA guidelines. In vitro and clinical studies that compared the clinical and laboratory performance of endodontically treated teeth with and without intraradicular posts were included. Studies selection, data extraction, and risk of bias analysis were performed. RESULTS Thirty-one in vitro and 7 clinical studies were included. For in vitro studies, fiberglass post (n = 24) was the most mentioned. The follow-up time of the clinical studies ranged from 1 to 17 years, with the fiber-reinforced composite post (n = 3) being the most evaluated, and only failure risk proved to be more favorable for using intraradicular posts. CONCLUSION Rehabilitations of endodontically treated teeth with and without intraradicular retainers showed no difference in fracture resistance and failure mode, evaluated by in vitro studies. Clinical studies showed no difference in survival rate, but failure risk proved to be more favorable for the use of posts. CLINICAL SIGNIFICANCE This analysis revealed significant variability between results, however, most laboratory and clinical studies revealed no difference with using the post. Furthermore, it is important to emphasize the need to evaluate the coronary remnant and the general characteristics of the tooth in each situation.
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Affiliation(s)
| | - Marcelo Lopes Silva
- Departamento de Odontologia, Centro Universitário Santo Agostinho, Teresina, Brazil
- Departamento de Odontologia, Universidade Federal do Maranhão, São Luís, Brazil
| | - Thais Oliveira Cordeiro
- Departamento de Odontologia, Centro Universitário Santo Agostinho, Teresina, Brazil
- Departamento de Odontologia, Universidade Federal do Rio Grande do Norte, Natal, Brazil
| | | | - Débora E Silva Campos
- Departamento de Odontologia Restauradora, Universidade Federal da Paraíba, João Pessoa, Brazil
| | | | - Suelen Aline de Lima Barros
- Departamento de Odontologia, Centro Universitário Santo Agostinho, Teresina, Brazil
- Departamento de Prótese e Materiais dentärios, UNESP/FOAr, Araraquara, Brazil
| | - Paulo Isaias Seraidarian
- Departamento de Odontologia, Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, Brazil
- Departamento de Odontologia Preventiva e Restauradora, Universidade Estadual Paulista Júlio de Mesquita Filho, Aracatuba, Brazil
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Chaudhari WA, Birajdar A, Jani K, Deshmukh MV, Thakar GC, Soni SN. Effect of Various Etching Techniques on Shear Strength of Newer Generation Composites. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2024; 16:S1426-S1427. [PMID: 38882892 PMCID: PMC11174181 DOI: 10.4103/jpbs.jpbs_797_23] [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: 08/28/2023] [Revised: 09/15/2023] [Accepted: 10/03/2023] [Indexed: 06/18/2024] Open
Abstract
Aim To evaluate the effect of lasers on the shear bond strength of Giomer and G-aenial flo composite using three different etching techniques. Materials and Methods 60 Samples (extracted human premolar teeth) are cut horizontally using a diamond disk to expose a flat occlusal surface involving enamel and dentin. On exposed occlusal surfaces, etching is done by various methods. These were divided into six groups of ten samples each as follows: group I (acid etched for Giomer), group II (acid etched for G-aenial flo composite), group III (laser etched for Giomer), group IV (Laser etched for G-aenial flo composite), group V (air abrasion etched for Giomer), group VI (Air abrasion etched for G-aenial flo composite). Then, restorative material is placed and cured with light for 20 seconds. The samples were thermocycled to simulate the oral environment. The samples were subjected to a universal testing machine for bond strength testing at a cross-head speed of 3 mm/min until the restoration will fracture. Results The intergroup comparison between both the materials using Student's t-test gives insignificant results. The intergroup comparison between different etching techniques using two-way ANOVA tests gives insignificant results. Conclusion Within the limitation of this study, it can be concluded that Giomer and G-aenial flo composite achieved the same shear bond strength in all the etching techniques.
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Affiliation(s)
- Wasifoddin A Chaudhari
- Department of Conservative Dentistry and Endodontics, Tirumala Institute of Dental Sciences, Nizamabad, Telangana, India
| | - Aparna Birajdar
- Department of Conservative Dentistry and Endodontics, Saraswati Dhanwantari Dental College and Hospital, Parawa, Maharashtra, India
| | - Karna Jani
- Department of Conservative Dentistry and Endodontics, Narsinhnbhai Patel Dental College and Hospital, SP University, Visnagar, Gujarat, India
| | - Mrunal V Deshmukh
- Department of Conservative Dentistry and Endodontics, Nanded Rural Dental College and Research Center, Nanded, Maharashtra, India
| | - Gargkumar C Thakar
- Department of Conservative Dentistry and Endodontics, College of Dental Sciences and Research Center, Ahmedabad, Gujarat, India
| | - Sarang N Soni
- Department of Conservative Dentistry and Endodontics, College of Dental Sciences and Research Center, Ahmedabad, Gujarat, India
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Intajak P, Yuan Y, Sakaguchi N, Saikaew P, Eamsaard P, Matsumoto M, Sano H, Tomokiyo A. Effect of Silver Diamine Fluoride on Bonding Performance and Ultra-morphological Characteristics to Sound Dentin. Dent Mater 2024; 40:e24-e32. [PMID: 38423937 DOI: 10.1016/j.dental.2024.02.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Revised: 01/21/2024] [Accepted: 02/12/2024] [Indexed: 03/02/2024]
Abstract
OBJECTIVES This study aimed to evaluate microtensile bond strength (µTBS) and ultra-morphological characteristic changes in sound dentin resulting from silver diamine fluoride (SDF) when using adhesives. METHODS Ninety-six extracted human third molars were divided into the SDF-contaminated dentin group and the sound dentin group. In the SDF-contaminated dentin group, 38% SDF was agitated for 1 min, left undisturbed for 2 min, and rinsed with distilled water for 30 s. Then, each group was further subdivided into six subgroups (n = 8 / group) according to application modes: self-etch mode (SE) and etch-and-rinse mode (ER) followed by three adhesives: (1) Scothbond Universal Plus Adhesive (SUP); (2) G2-Bond Universal Adhesive (G2B); and (3) Clearfil Mega Bond 2 (MB2). All specimens were restored with resin composite and were stored in distilled water for 24 h before μTBS testing. Data from the μTBS test were analyzed using Three-way ANOVA and Duncan test (p < 0.05). The morphology of fractured surface and adhesive-dentin interfaces were evaluated by SEM, TEM, and STEM. Further elemental analysis was done by EDX. RESULTS All SDF-contaminated dentin groups demonstrated significantly lower μTBS than sound dentin groups. All ER groups had higher μTBS than SE groups, except for G2B in the sound dentin group. STEM/EDX revealed an SDF-dentin-reacted layer in the SDF-contaminated dentin group. SIGNIFICANCE SDF had an adverse effect on adhesives. Additionally, ER mode is preferable when bonded to SDF-contaminated dentin. A calcium and fluoride-contained layer was observed in all SDF-contaminated dentin.
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Affiliation(s)
- Papichaya Intajak
- Department of Restorative Dentistry, Graduate School of Dental Medicine, Hokkaido University, Kita 8, Nishi 5, Kita-ku, Sapporo, 060-080, Japan.
| | - Yuan Yuan
- Department of Restorative Dentistry, Graduate School of Dental Medicine, Hokkaido University, Kita 8, Nishi 5, Kita-ku, Sapporo, 060-080, Japan.
| | - Norihito Sakaguchi
- Center of Advanced Research of Energy and Materials, Faculty of Engineering, Hokkaido University, Kita 13, Nishi 8, Kita-ku, Sapporo, 060-8628, Japan
| | - Pipop Saikaew
- Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Mahidol University, 6 Yothi Road, Radchathewi, Bangkok 10400, Thailand
| | - Pimpinee Eamsaard
- Department of Operative Dentistry, College of Dental Medicine, Rangsit University, 52/347, Muang-Ake Paholyothin Road, Lakhok 12000, Pathum Thani, Thailand
| | - Mariko Matsumoto
- Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Kita 8, Nishi 5, Kita-ku, Sapporo 060-080, Japan
| | - Hidehiko Sano
- Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Kita 8, Nishi 5, Kita-ku, Sapporo 060-080, Japan
| | - Atsushi Tomokiyo
- Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Kita 8, Nishi 5, Kita-ku, Sapporo 060-080, Japan
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Haridoss S, Rajendran M, Swaminathan K, Anbarasi, Sharma A, Elumalai V. Impact of Pericervical Dentin on Fracture Resistance of Endodontically Treated Posterior Permanent Teeth: A Systematic Review and Meta-analysis. J Contemp Dent Pract 2024; 25:372-385. [PMID: 38956854 DOI: 10.5005/jp-journals-10024-3671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/04/2024]
Abstract
OBJECTIVE The main aim of this present systematic review is to evaluate if the preservation of pericervical dentin (PCD) increases the fracture resistance of endodontically treated permanent posterior teeth. MATERIALS AND METHODS Two independent reviewers conducted a comprehensive review of all published studies from 2007 (1/1/2007) to 2023 (31/5/23) since the concept of PCD first appeared in the literature in 2007. Searches were conducted in multiple electronic database engines: PubMed, Scopus, EBSCO (Dentistry and oral health sciences), Web of Sciences (WOS), Cochrane, Google Scholar and Open Grey, Ovid and Shodhganga, in addition to cross-references and hand search. Articles were chosen according to a certain inclusion and exclusion criteria, which, in brief, are laboratory-based studies published in English that assess the impact of PCD on fracture resistance of endodontically treated permanent posterior teeth. Using domains, such as sample size, sample dimensions, and control group as quality assessment criteria, evaluated the selected articles and classified them according to their risk of bias into low, moderate, and high. A meta-analysis was conducted using random effects modeling at a significance level of p < 0.05. RESULTS A total of studies 6,043 were retrieved from 10 different electronic search databases and hand searches, but only 12 laboratory-based studies were selected after removing duplicates and applying the eligibility criteria. Of the included 12 studies, nine studies showed low risk of bias and three studies showed moderate risk of bias. Two studies showed related data for meta-analysis, the difference observed between the two studies is statistically non-significant. CONCLUSION Based on the results of the study, there is evidence to support that PCD preservation offers fracture resistance to the endodontically treated posterior teeth. CLINICAL SIGNIFICANCE The practice of conservative cavity preparation and avoiding the usage of instruments with high taper increases the fracture resistance of the tooth by retaining the PCD. How to cite this article: Haridoss S, Rajendran M, Swaminathan K, et al. Impact of Pericervical Dentin on Fracture Resistance of Endodontically Treated Posterior Permanent Teeth: A Systematic Review and Meta-analysis. J Contemp Dent Pract 2024;25(4):372-385.
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Affiliation(s)
- Selvakumar Haridoss
- Department of Pediatric and Preventive Dentistry, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India, Orcid: https://orcid.org/0000-0002-4868-8110
| | - Mathanrajan Rajendran
- Department of Pediatric and Preventive Dentistry; Department of Conservative Dentistry and Endodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India, Phone: +91 9841414604, e-mail: , Orcid: https://orcid.org/0000-0001-6700-2383
| | - Kavitha Swaminathan
- Department of Conservative Dentistry and Endodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India, Orcid: https://orcid.org/0000-0001-8383-8105
| | - Anbarasi
- Department of Oral Medicine and Radiology, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India, Orcid: https://orcid.org/0000-0002-7667-8112
| | - Aruna Sharma
- Department of Pediatric and Preventive Dentistry, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth University, Puducherry, India, Orcid: https://orcid.org/0000-0003-4707-2872
| | - Vijayaragavan Elumalai
- Centre for Biomechanics, Department of Mechanical Engineering, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India, Orcid: https://orcid.org/0000-0002-9963-7620
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13
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Par M, Steffen T, Dogan S, Walser N, Tauböck TT. Effect of sodium hypochlorite, ethylenediaminetetraacetic acid, and dual-rinse irrigation on dentin adhesion using an etch-and-rinse or self-etch approach. Sci Rep 2024; 14:6315. [PMID: 38491076 PMCID: PMC10943220 DOI: 10.1038/s41598-024-57009-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Accepted: 03/13/2024] [Indexed: 03/18/2024] Open
Abstract
The aim was to investigate the influence of endodontic irrigation solutions and protocols on the micro-tensile bond strength (μTBS) to dentin using an etch-and-rinse (ER) or self-etch (SE) adhesive approach. Eighty extracted human molars were ground to dentin. After pretreating for 27 min (21 min-3 min-3 min) with five different endodontic irrigation protocols (Group 1: NaOCl-EDTA-NaOCl; Group 2: NaOCl-NaOCl-EDTA; Group 3: NaOCl-NaCl-NaOCl; Group 4: Dual Rinse-Dual Rinse-Dual Rinse; Group 5: NaCl-NaCl-NaCl), an ER (Optibond FL, Kerr) or a SE (Clearfil SE Bond, Kuraray) adhesive system was applied. After light-curing, composite build-ups were made and cut into dentin-composite sticks. μTBS and failure modes were analyzed. Nonparametric statistical analyses (α = 0.05) were performed for comparison of the five groups within each type of adhesive as well as between the two adhesive systems used. The use of an ER instead of a SE adhesive system resulted in significantly higher μTBS for all irrigation protocols except for group 1 (NaOCl-EDTA-NaOCl) and 2 (NaOCl-NaOCl-EDTA). A statistical difference between the five different endodontic irrigation protocols was only found within the SE adhesive group, where group 1 (NaOCl-EDTA-NaOCl) achieved highest values. The use of an ER adhesive system cancels out the effect of the endodontic irrigation solution. The highest μTBS was achieved when using a NaOCl-EDTA-NaOCl-irrigation protocol in combination with Clearfil SE Bond, which shows that the selection of the endodontic irrigation should match the corresponding SE adhesive system.
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Affiliation(s)
- Matej Par
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000, Zagreb, Croatia.
| | | | - Selinay Dogan
- Department of Conservative and Preventive Dentistry, Center for Dental Medicine, University of Zurich, 8032, Zurich, Switzerland
| | - Noah Walser
- Department of Conservative and Preventive Dentistry, Center for Dental Medicine, University of Zurich, 8032, Zurich, Switzerland
| | - Tobias T Tauböck
- Department of Conservative and Preventive Dentistry, Center for Dental Medicine, University of Zurich, 8032, Zurich, Switzerland
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14
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Souza TJSD, Freitas ADS, Ferreira DMTP, Maia LC, Rabello TB. Does the use of preheated restorative resin composite as a luting agent influence the adaptation of fixed dental prostheses? A systematic review. J Prosthet Dent 2024; 131:384-391. [PMID: 35300849 DOI: 10.1016/j.prosdent.2022.02.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 02/03/2022] [Accepted: 02/04/2022] [Indexed: 11/18/2022]
Abstract
STATEMENT OF PROBLEM Although studies have explored the physical and mechanical properties of different composite resins with the preheating technique, evidence that the use of preheated restorative composite resin as a luting agent influences the adaptation of fixed dental prostheses is lacking. PURPOSE The purpose of this systematic review was to answer the question: Does the use of preheated restorative composite resin as a luting agent influence the adaptation of fixed dental prostheses? MATERIAL AND METHODS Seven databases and nonpeer-reviewed literature were searched, without language or year restrictions. Studies directly comparing the adaptation of fixed dental prostheses cemented with preheated restorative composite resin or resin cement were considered eligible for inclusion. Assessment of the risk of bias was based on a 9-item checklist. RESULTS Of 2109 retrieved articles, 4 in vitro studies met the inclusion criteria. Three of them concluded that preheated restorative composite resin produced a greater mismatch than resin cement, and the remaining study reported that composite resin improved the adaptation of fixed dental prostheses. All included studies had a medium risk of bias. The high level of heterogeneity among the studies precluded meta-analysis. CONCLUSIONS The use of preheated restorative composite resin as a luting agent seems to negatively influence the adaptation of fixed dental prostheses. It was not possible to evaluate whether variables such as the formulation of the resin material or its heating time and temperature influence the adaptation of fixed dental prostheses because of the high heterogeneity of the included studies.
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Affiliation(s)
- Talita Jardim Serra de Souza
- Masters student in Operative Dentistry, Department of Dental Clinic, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil
| | - Alessandra da Silva Freitas
- Masters student in Operative Dentistry, Department of Dental Clinic, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil
| | - Daniele Masterson Tavares Pereira Ferreira
- Doctoral student, Health Information and Communication, Institute of Communication and Scientific Information and Technological in Health, Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, RJ, Brazil
| | - Lucianne Cople Maia
- Full Professor, Department of Pediatric Dentistry and Orthodontics, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil
| | - Tiago Braga Rabello
- Associate Professor, Department of Dental Clinic, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
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15
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Eichler E, Vach K, Schlueter N, Jacker-Guhr S, Luehrs AK. Dentin adhesion of bulk-fill composites and universal adhesives in class I-cavities with high C-factor. J Dent 2024; 142:104852. [PMID: 38244909 DOI: 10.1016/j.jdent.2024.104852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 01/16/2024] [Accepted: 01/17/2024] [Indexed: 01/22/2024] Open
Abstract
OBJECTIVES The aim of this study was to compare the dentin adhesion of bulk-fill composites in high C-factor class I-cavities before and after thermocycling to a control group using incremental layering technique. METHODS A standardized class I-cavity was prepared into 195 human molars, then different universal adhesives were applied either in self-etch or etch & rinse mode, and the cavity was filled according to each materials application protocol. The material combinations used were a conventional layered composite as control, the respective bulk-fill product, two other bulk-fill composites made by different manufacturers, with one of them being tested using two different polymerization times. Furthermore, one thermoviscous bulk-fill composite and one self-adhesive restorative were examined of which the latter can only be applied in self-etch mode. In each group the dentin adhesion to the cavity bottom was measured using microtensile bond strength test initially (24 h water storage) and after thermocycling. All results were statistically analyzed using STATA 17.0. RESULTS The statistical analysis showed significant differences between the control and the experimental groups (p < 0.001). The highest mean bond strength before (14.8 ± 10.7 MPa) and after aging (14.2 ± 11.5 MPa) was measured for the etch & rinse-control group. Among the bulk-fill groups, the etch & rinse technique consistently showed higher bond strengths. Bond strength of groups with shortened polymerization did not exceed 2.1 MPa. The bond strength of the self-adhesive restoration material was low before and after thermocycling (2.7 MPa/ 0.0 MPa). Groups with low bond strength values showed a high number of pre-testing-failures. CONCLUSIONS Bulk-fill materials used in high C-factor class I-cavities showed lower bond strength during self-etch application. The same applies for a shortened polymerization regime, which cannot be recommended for high C-factor cavities. CLINICAL SIGNIFICANCE Today, a large variety of materials and application techniques can be used when placing an adhesive restoration. Whether new instead of established procedures should be applied in high C-factor cavities has to be critically assessed, as they are a demanding scenario for adhesive restorations.
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Affiliation(s)
- Erik Eichler
- Hannover Medical School, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, OE 7740, Carl-Neuberg-Straße 1, Hannover 30625, Germany
| | - Kirstin Vach
- Hannover Medical School, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, OE 7740, Carl-Neuberg-Straße 1, Hannover 30625, Germany
| | - Nadine Schlueter
- Hannover Medical School, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, OE 7740, Carl-Neuberg-Straße 1, Hannover 30625, Germany
| | - Silke Jacker-Guhr
- Hannover Medical School, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, OE 7740, Carl-Neuberg-Straße 1, Hannover 30625, Germany
| | - Anne-Katrin Luehrs
- Hannover Medical School, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, OE 7740, Carl-Neuberg-Straße 1, Hannover 30625, Germany.
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16
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Lima RBW, Muniz IDAF, Campos DES, Murillo-Gómez F, Andrade AKMD, Duarte RM, de Souza GM. Effect of universal adhesives and self-etch ceramic primers on bond strength to glass-ceramics: A systematic review and meta-analysis of in vitro studies. J Prosthet Dent 2024; 131:392-402. [PMID: 35282935 DOI: 10.1016/j.prosdent.2022.01.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 12/28/2021] [Accepted: 01/04/2022] [Indexed: 11/17/2022]
Abstract
STATEMENT OF PROBLEM To simplify dental procedures, multicomponent products such as universal adhesives and self-etch ceramic primers have been recommended for glass-ceramic bonding; however, studies have shown a wide range of results. PURPOSE The purpose of this systematic review and meta-analysis was to analyze the in vitro bond strength promoted by hydrofluoric acid+silane-containing universal adhesives and a self-etch ceramic primer to glass-ceramics and compare it with that of conventional treatments. MATERIAL AND METHODS A systematic search was conducted in the PubMed/Medline, Scopus, LILACS, and ISI Web of Science databases up to April 2021. In vitro studies assessing the resin-mediated bond to glass-ceramics by using a self-etch ceramic primer and hydrofluoric acid+silane-containing universal adhesives and/or compared with traditional hydrofluoric acid+glass-ceramic primers were included. Selection of studies, data extraction, and risk-of-bias analysis were performed. Statistical analysis was performed by using a review management software program using a random effects model (α=.05). RESULTS A total of 33 studies were included in the qualitative analysis and 26 studies in the quantitative analysis. Bond strength to lithium disilicate ceramic was higher when a hydrofluoric acid+glass-ceramic primer was used than when using a hydrofluoric acid+silane-containing universal adhesive (P<.05), except when 9% to 10% acid concentration was used in combination with static aging (P=.100). A self-etch ceramic primer promoted bond strength values to lithium disilicate that were similar to those of the hydrofluoric acid+glass-ceramic primer (P>.100). CONCLUSIONS Hydrofluoric acid+silane-containing universal adhesive was not as effective as the hydrofluoric acid+glass-ceramic primer in promoting bond strength to glass-ceramic. Bond strength values generated by a self-etch ceramic primer to glass-ceramic were similar to those generated by the conventional treatment.
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Affiliation(s)
| | - Isis de Araújo Ferreira Muniz
- Doctoral student, Department of Restorative Dentistry, Federal University of Paraiba (UFPB), João Pessoa, Paraíba, Brazil
| | - Débora E Silva Campos
- Doctoral student, Department of Restorative Dentistry, Federal University of Paraiba (UFPB), João Pessoa, Paraíba, Brazil
| | - Fabián Murillo-Gómez
- Professor, Department of Restorative Dentistry, School of Dentistry, University of Costa Rica- UCR, San José, Costa Rica
| | - Ana Karina Maciel de Andrade
- Professor, Department of Restorative Dentistry, Federal University of Paraiba (UFPB), João Pessoa, Paraíba, Brazil
| | - Rosângela Marques Duarte
- Professor, Department of Restorative Dentistry, Federal University of Paraiba (UFPB), João Pessoa, Paraíba, Brazil
| | - Grace Mendonça de Souza
- Professor, Department of Clinical Sciences, Faculty of Dentistry, University of Toronto (UofT), Toronto, Ontario, Canada
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Elawsya ME, Montaser MA, El-Wassefy NAM, Zaghloul NM. Two-year clinical performance of dual- and light-cure bulk-fill resin composites in Class ӀӀ restorations: a randomized clinical trial. Clin Oral Investig 2024; 28:138. [PMID: 38321228 PMCID: PMC10847201 DOI: 10.1007/s00784-024-05538-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Accepted: 01/29/2024] [Indexed: 02/08/2024]
Abstract
OBJECTIVE This study aimed to compare the clinical performance of dual- and light-cure bulk-fill resin composites (BFRCs) in Class ӀӀ restorations after 2 years. MATERIALS AND METHODS A double-blinded, prospective, randomized clinical trial (RCT) was conducted following the CONSORT (Consolidated Standard of Reporting Trials) guidelines. Forty patients were enrolled in the study. Each patient received three compound Class ӀӀ restorations. One dual-cure (Fill-Up; Coltene Waledent AG) and two light-cure (QuiXfil; Dentsply, and Tetric N-Ceram Bulk Fill; Ivoclar Vivadent) BFRCs were used for 120 Class ӀӀ restorations. A universal adhesive (ONE COAT 7 UNIVERSAL; Coltene Waledent AG) was used with all restorations. Restorations were clinically evaluated after 1 week (baseline), 6 months, 12 months, 18 months, and finally after 24 months using the FDI World Dental Federation (FDI) criteria. The Kruskal-Wallis test was used for comparison between BFRCs groups at baseline and at each recall period, and the Wilcoxon signed-rank test was used for comparing different follow-up times of each BFRC to baseline. The level of significance was set at p < 0.05. RESULTS All BFRCs restorations showed only minor changes and revealed no statistically significant differences between their clinical performance for all evaluated parameters at all recall periods; also, there was no statistically significant difference between all recall periods and baseline for all evaluated parameters. CONCLUSION The two-year clinical performance of dual-cure BFRC was comparable to light-cure BFRCs in Class ӀӀ restorations. CLINICAL RELEVANCE Dual- and light-cure BFRCs showed excellent clinical performance in Class ӀӀ restorations after a 2-year clinical follow-up.
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Affiliation(s)
- Mohamed Elshirbeny Elawsya
- Department of Conservative Dentistry, Faculty of Dentistry, Mansoura University, Algomhoria Street, P.O. Box 35516, Mansoura, Aldakhlia, Egypt.
| | - Marmar Ahmed Montaser
- Department of Conservative Dentistry, Faculty of Dentistry, Mansoura University, Algomhoria Street, P.O. Box 35516, Mansoura, Aldakhlia, Egypt
| | - Noha Abdel-Mawla El-Wassefy
- Department of Dental Biomaterials, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
- Department of Dental Biomaterials, Faculty of Dentistry, Mansoura National University, Mansoura, Egypt
| | - Nadia Mohamed Zaghloul
- Department of Conservative Dentistry, Faculty of Dentistry, Mansoura University, Algomhoria Street, P.O. Box 35516, Mansoura, Aldakhlia, Egypt
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Schulz-Kornas E, Tittel M, Schneider H, Bemmann M, Pellino M, Meissner T, Fuchs F, Hannig C, Tetschke F, Park KJ, Strumpski M, Haak R. Tooth-composite bond failure with a universal and an etch-and-rinse adhesive depending on mode and frequency of application. Dent Mater 2024; 40:359-369. [PMID: 38143188 DOI: 10.1016/j.dental.2023.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 12/09/2023] [Accepted: 12/11/2023] [Indexed: 12/26/2023]
Abstract
OBJECTIVES To evaluate the effect of an additional layer of universal adhesive on the interfacial enamel/dentin-composite gap formation in relation to application mode and aging, via spectral domain optical coherence tomography (SD-OCT) and scanning electron microscopy (SEM). METHODS In vitro class V cavities in 114 caries-free premolars were restored by applying one or two layers of a universal adhesive (Scotchbond Universal, SBU) in self-etch (se) and etch-and-rinse (er) mode or the reference adhesive OptiBond FL (OFL-er). The restorations were imaged by SD-OCT (six groups, n = 8) and SEM (n = 3) directly after filling (t1), water storage (t2, 24 h), embedding (t3), and thermo-mechanical loading (t4, TCML). The interfacial gaps were quantified using 26 parameters and analyzed using principal component analysis and linear mixed effect models. RESULTS Gap formation at enamel and dentin was significantly influenced by the adhesive, the application mode and number of layers (p < 0.001). This was due to the influence of the SBU-er mode (p < 1e-05), which showed significantly more gap formation and a greater range of variation with double application when compared to SBU-se and OFL. The fewest interfacial gaps occurred with one or two applications of OFL-er and one layer of SBU-er. SIGNIFICANCE Adhesive application mode and the number of adhesive layers are relevant factors in the tooth-composite bond failure. Double application worsened the adaptation of SBU to freshly prepared dentin conditioned with phosphoric acid.
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Affiliation(s)
- Ellen Schulz-Kornas
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany.
| | - Mathilde Tittel
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Hartmut Schneider
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Maximilian Bemmann
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Marco Pellino
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Tobias Meissner
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Florian Fuchs
- Department of Prosthetic Dentistry and Dental Material Science, University of Leipzig, Leipzig, Germany
| | - Christian Hannig
- Policlinic of Operative Dentistry, Periodontology and Pediatric Dentistry, Faculty of Medicine Carl-Gustav-Carus, TU Dresden, Dresden, Germany
| | - Florian Tetschke
- Department of Clinical Sensoring and Monitoring, Faculty of Medicine Carl-Gustav-Carus, TU Dresden, Dresden, Germany
| | - Kyung-Jin Park
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Michaela Strumpski
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Rainer Haak
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
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Baig MR, Qasim SSB, Baskaradoss JK. Marginal and internal fit of porcelain laminate veneers: A systematic review and meta-analysis. J Prosthet Dent 2024; 131:13-24. [PMID: 35260253 DOI: 10.1016/j.prosdent.2022.01.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 01/01/2022] [Accepted: 01/04/2022] [Indexed: 11/22/2022]
Abstract
STATEMENT OF PROBLEM Marginal integrity and internal adaptation are key to the long-term success of porcelain laminate veneers. Evidence for their marginal and internal fit is unclear, and the factors affecting such fit have not been identified. PURPOSE The purpose of this systematic review and meta-analysis was to summarize the scientific literature assessing the effects of various parameters on the marginal and internal fit of porcelain laminate veneers. MATERIAL AND METHODS An electronic search was conducted to identify all relevant published articles on the fit accuracy of ceramic veneers between January 2000 and June 2021 in the PubMed-MEDLINE, Scopus, Embase, Google Scholar, and Web of Science databases. Information, including the study outcomes, in terms of the mean marginal gap, internal gap, and absolute marginal discrepancies of porcelain laminate veneers, was extracted from the selected studies. The inverse-variance random effects model was used to analyze the pooled results and estimate the overall effect based on the heterogeneity of studies (α=.05). RESULTS Twenty-one studies were selected for analysis, 2 clinical and 19 in vitro. The risk of bias was "medium" for most studies (19 of 21), and only 2 studies were classified as "high risk." A mean difference of -4.53 μm (95% CI: -21.46 to 12.41) was found, with no statistically significant difference in marginal gap between the pressed and milled fabrication modes (P=.600). As for the internal gap, significant differences were found (mean difference=-40.56 μm; 95% CI: -76.54 to -4.58), with pressed veneers performing better (P=.030). Butt joint preparation design produced significantly (P=.002) lower marginal gaps than the palatal chamfer (mean difference=-14.02 μm; 95% CI: -23.07 to -4.98). CONCLUSIONS No significant differences were found between the pressed and milled porcelain laminate veneers for marginal gap, but for the internal gap, the differences were significantly in favor of the pressed type. The butt joint veneer preparation design was significantly better than the palatal chamfer design in terms of marginal fit.
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Affiliation(s)
- Mirza Rustum Baig
- Associate Professor, Department of Restorative Sciences (Prosthodontics), Faculty of Dentistry, Kuwait University, Kuwait City, Kuwait.
| | - Sayed Saad Bin Qasim
- Assistant Professor, Department of Bioclinical Sciences (Dental Materials), Faculty of Dentistry, Kuwait University, Kuwait City, Kuwait
| | - Jagan Kumar Baskaradoss
- Assistant Professor, Department of Developmental and Preventive Sciences (Dental Public Health), Faculty of Dentistry, Kuwait University, Kuwait City, Kuwait
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Anton Y Otero CI, Liaudet N, di Bella E, Abdelaziz M, Feilzer A, Krejci I, Marger L. Evaluating the use of self-conditioning adhesive combined with dual curing resin cement as an endodontic sealer: An in vitro study. Biomater Investig Dent 2023; 10:2282523. [PMID: 38979096 PMCID: PMC11229672 DOI: 10.1080/26415275.2023.2282523] [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: 07/22/2023] [Accepted: 11/07/2023] [Indexed: 07/10/2024] Open
Abstract
Objectives To compare infiltration, sealing and microleakage in root dentin with a self-conditioning adhesive system combined with dual curing resin (resin-based cement) to a conventional epoxy-resin-based sealer using confocal microscopy imaging. Methods 26 roots were enlarged and disinfected. Dentin tubules of 24 teeth were labelled with a red fluorophore (Rhodamine B) (two samples served as controls). Root canal samples were sealed in group AH (n = 11) with a conventional sealer (AH Plus Root Canal Sealer, Dentsply DeTrey) and in group RC (n = 11) with a resin-based cement (Parabond combined with Paracore, Coltène). Roots were then sectioned horizontally and immersed in H2O2 to remove the Rhodamine B not fixed by the sealers. The empty dentin spaces were labeled with a green fluorophore (Fluorescein) enabling the evaluation of infiltration as well as microleakage by confocal microscopy. Two additional samples were fractured in vertical direction for observation under SEM. Results Group RC presented significantly more infiltration in the middle third than in the middle and apical thirds of group AH. Microleakage was significantly higher in group AH than in group RC. SEM images revealed more dentin plugs and a homogenous resin layer in group RC in contrast to group AH. Conclusion The resin-based cement revealed promising outcomes compared to a traditional epoxy resin based sealer.
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Affiliation(s)
- Clara Isabel Anton Y Otero
- Division of Cariology and Endodontology, CUMD - University Clinics of Dental Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Nicolas Liaudet
- Bioimaging Core Facility, University of Geneva, Geneva, Switzerland
| | - Enrico di Bella
- Division of Cariology and Endodontology, CUMD - University Clinics of Dental Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Marwa Abdelaziz
- Division of Cariology and Endodontology, CUMD - University Clinics of Dental Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Albert Feilzer
- Department of Dental Material Sciences, Academic Center for Dentistry Amsterdam (ACTA), Gustav Mahlerlaan, LA Amsterdam
| | - Ivo Krejci
- Division of Cariology and Endodontology, CUMD - University Clinics of Dental Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Laurine Marger
- Division of Cariology and Endodontology, CUMD - University Clinics of Dental Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
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Menon K, Vijayaraghavan S, Dhanyakumar NM. Comparative evaluation of the effect of 37% orthophosphoric acid pre-etching on the microtensile enamel bond strength using universal adhesive and two-step self-etch adhesive systems - An in vitro study. JOURNAL OF CONSERVATIVE DENTISTRY AND ENDODONTICS 2023; 26:671-676. [PMID: 38292748 PMCID: PMC10823979 DOI: 10.4103/jcde.jcde_79_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 09/27/2023] [Accepted: 10/06/2023] [Indexed: 02/01/2024]
Abstract
Context The significance of enamel etching has been well-researched and established. Limited literature is available comparing the enamel bond strengths of the two-step self-etch adhesive system and the newly introduced universal adhesive (UA) system with prior acid etching. Aims The aim of the study was to evaluate and compare the microtensile bond strength (μTBS) of composite to enamel with and without 37% orthophosphoric acid pre-etching using a recently introduced UA and a two-step self-etch adhesive. Subjects and Methods This in vitro, experimental study was conducted on 48 extracted human third molar teeth. Two enamel surface fragments were obtained per tooth, polished using 600-grit silicon carbide abrasive paper, and randomly divided into four groups-CLEARFIL SE BOND with and without acid pre-etching and G-Premio Bond with and without acid pre-etching. The samples were etched using 37% phosphoric acid gel for 30 s, followed by the bonding protocol. Composite resin blocks were built incrementally to a thickness of approximately 6 mm, and the restored samples were stored in distilled water for 24 h at 37°C. They were then sectioned, mounted, and subjected to a μTBS test using a universal testing machine. Statistical Analysis Used Statistical analysis of the data was performed using one-way ANOVA and Tukey's post hoc test using SPSS software version 22.0. Results Samples bonded with the UA subjected to prior acid etching protocol demonstrated the highest enamel μTBS. In contrast, those treated with the two-step self-etch adhesive without prior acid etching demonstrated the lowest enamel μTBS. Pre-etching with phosphoric acid significantly increased the enamel bond strength of both bonding agents, with the universal agent showing better results than the two-step adhesive system. Conclusions Enamel etching with phosphoric acid significantly increases the bond strength of self-etch adhesives. UA with prior acid etching showed the maximum enamel μTBS. Two-step self-etch adhesive without prior acid etching yielded enamel μTBSs unacceptable for long-term, durable bonding.
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Affiliation(s)
- Krutika Menon
- Department of Conservative Dentistry and Endodontics, College of Dental Sciences, Davanagere, Karnataka, India
| | - Siddheswaran Vijayaraghavan
- Department of Conservative Dentistry and Endodontics, College of Dental Sciences, Davanagere, Karnataka, India
| | - N. M. Dhanyakumar
- Department of Conservative Dentistry and Endodontics, College of Dental Sciences, Davanagere, Karnataka, India
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Liu Y, Sakaguchi N, Iijima M, Islam MRR, Zhang J, Islam R, Yamauti M, Sano H, Tomokiyo A. Effects of Short-Term Exposure of Chloramine-T Solution on the Characteristics of Light-Cured and Chemical-Cured Adhesives. Polymers (Basel) 2023; 15:3995. [PMID: 37836044 PMCID: PMC10575163 DOI: 10.3390/polym15193995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 09/27/2023] [Accepted: 10/02/2023] [Indexed: 10/15/2023] Open
Abstract
This study evaluated the effect of a 0.5% chloramine T solution on a chemical-cured universal adhesive by comparing the light-cured, one-step, self-etch adhesive for the bonding performance, mechanical properties, and resin-dentin interfacial characteristics. Caries-free human molars were randomly assigned into eight groups based on the bonding systems employed (Bond Force II, BF and Bondmer Lightless, BL), the immersion solutions used before bonding (0.5% chloramine T solution and distilled water), and the immersion durations (5 and 60 min). Microtensile bond strength (μTBS), nanoleakage evaluation, and nanoindentation tests were performed, and the surface morphology of the resin-dentin interface was examined using a focus ion beam/scanning ion microscopy system. Immersion in chloramine-T for 5 min significantly decreased the μTBS of Bondmer Lightless (from 22.62 to 12.87 MPa) compared with that in distilled water. Moreover, there was also a decreasing trend after immersing in chloramine-T for 60 min (from 19.11 to 13.93 MPa). Chloramine T was found to have no effect on the hardness, elastic modulus, or morphological characteristics of the ion-beam milled resin-dentin interfacial surfaces in the tested adhesives, suggesting that chloramine T might reduce the bond strength by interfering with the interaction and the sealing between the adhesive resin and dentin in the chemical-cured universal adhesive, albeit without affecting the mechanical properties.
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Affiliation(s)
- Yunqing Liu
- Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Sapporo 0608586, Japan; (R.I.); (M.Y.); (H.S.); (A.T.)
| | - Norihito Sakaguchi
- Center for Advanced Research of Energy Technology, Faculty of Engineering, Hokkaido University, Sapporo 0608628, Japan;
| | - Masahiro Iijima
- Department of Oral Growth and Development, Division of Orthodontics and Dentofacial Orthopedics, Health Sciences University of Hokkaido, Ishikari-Tobetsu 0610293, Japan;
| | - Md Refat Readul Islam
- Department of Restorative Dentistry, Graduate School of Dental Medicine, Hokkaido University, Sapporo 0608586, Japan; (M.R.R.I.); (J.Z.)
| | - Jiayuan Zhang
- Department of Restorative Dentistry, Graduate School of Dental Medicine, Hokkaido University, Sapporo 0608586, Japan; (M.R.R.I.); (J.Z.)
| | - Rafiqul Islam
- Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Sapporo 0608586, Japan; (R.I.); (M.Y.); (H.S.); (A.T.)
| | - Monica Yamauti
- Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Sapporo 0608586, Japan; (R.I.); (M.Y.); (H.S.); (A.T.)
| | - Hidehiko Sano
- Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Sapporo 0608586, Japan; (R.I.); (M.Y.); (H.S.); (A.T.)
| | - Atsushi Tomokiyo
- Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Sapporo 0608586, Japan; (R.I.); (M.Y.); (H.S.); (A.T.)
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Karadas M, Bedir F. Does extended air-drying time improve bond strength of universal adhesives to enamel? J ESTHET RESTOR DENT 2023; 35:1113-1120. [PMID: 37039512 DOI: 10.1111/jerd.13050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Revised: 03/29/2023] [Accepted: 03/30/2023] [Indexed: 04/12/2023]
Abstract
OBJECTIVE To investigate the effect of extended air-drying time on the microshear bond strength (MSBS) of universal adhesives to enamel. MATERIALS AND METHODS The distal and mesial specimens from third molars were wet-ground and randomly assigned to three groups according to adhesives tested (n = 60): Clearfil Bond Universal, Gluma Bond Universal, and G-Premio Bond. The adhesives were applied in etch-and-rinse or self-etch modes, followed by air-drying for 5, 15, or 25 s. Composite buildups were constructed and subjected to the MSBS test after 24-h or thermocycling. MSBS results were evaluated using a four-way ANOVA. The thickness of the adhesive layer and the degree of solvent evaporation were further evaluated. RESULTS At 24-h, MSBS of G-Premio Bond significantly improved with the 25 s air-drying in both of the etching modes when compared to the 5 s air-drying. After thermocycling, the extended air-drying did not produce a significant difference on the MSBS, regardless of the application strategy. Extended air-drying (25 s) evaporated almost all of the volatile part of Gluma Bond Universal and G-Premio Bond. CONCLUSIONS Extended air-drying times increased solvent evaporation but did not contribute to the bonding effectiveness of the adhesives, regardless of the etching mode. CLINICAL SIGNIFICANCE Air-drying applications for more than 5 s had no significant effect on enamel bonding performance of universal adhesives.
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Affiliation(s)
- Muhammet Karadas
- Department of Restorative Dentistry, Recep Tayyip Erdogan University, Faculty of Dentistry, Rize, Turkey
| | - Fatih Bedir
- Department of Restorative Dentistry, Recep Tayyip Erdogan University, Faculty of Dentistry, Rize, Turkey
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24
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Haak R, Stache G, Schneider H, Häfer M, Schmalz G, Schulz-Kornas E. Effect of the Adhesive Strategy on Clinical Performance and Marginal Integrity of a Universal Adhesive in Non-Carious Cervical Lesions in a Randomized 36-Month Study. J Clin Med 2023; 12:5776. [PMID: 37762718 PMCID: PMC10531668 DOI: 10.3390/jcm12185776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 08/31/2023] [Accepted: 09/01/2023] [Indexed: 09/29/2023] Open
Abstract
The effectiveness of a universal adhesive applied in three application modes for the preparation of Class V composite restorations was evaluated both clinically and by quantitative marginal analysis (QMA) over 36 months. In 50 patients, three (n = 21) or four (n = 29) non-carious cervical lesions (NCCL) were restored with Venus® Diamond Flow (Kulzer GmbH, Hanau, Germany). The adhesive iBond® Universal (iBU, Kulzer, Germany) was used in self-etch (SE), etch-and-rinse (ER), or selective-enamel-etch mode (SEE). The etch-and-rinse adhesive OptiBondTM FL served as a control (OFL, Kerr GmbH, Herzogenrath, Germany). The restorations were clinically assessed (FDI criteria) at 14 days (BL), 6, 12, 24, and 36 months. Additionally, QMA was conducted on all restorations of 11 randomly selected patients. FDI criteria and marginal gap and perfect margin were compared between and within groups and recalls using McNemar, Wilcoxon, or Mann-Whitney U-tests (α = 0.05). Starting with 12 months, cumulative failure rates were lower in iBU-SE (0.0%, p = 0.016) and iBU-ER groups (2.1%, p = 0.07) compared to OFL (16.7%). At two years, iBU-SEE also showed fewer failures (0.0% SEE vs. 34.6% OFL, p = 0.016), as did iBU-SE compared to iBU-ER after 36 months (2.2 and 19.6%, p = 0.039). From BL, the iBU-SEE group always had the fewest marginal gaps and the highest percentage of perfect margins. From BL, iBU-SEE (0%, p = 0.008) and iBU-ER (0.2%, p = 0.027) showed significantly fewer marginal gaps compared to OFL (2.5%) and more perfect margins were found with iBU-SEE starting at 6 months (p = 0.054). The SEE and ER modes ensured the most excellent marginal quality, with differences from the control appearing earlier with QMA than clinically. In restoring NCCls, iBU showed superior clinical performance over OFL, especially in modes SE and SEE.
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Affiliation(s)
| | | | | | | | | | - Ellen Schulz-Kornas
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Liebigstraße 12, 04103 Leipzig, Germany
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Arandi NZ. The Classification and Selection of Adhesive Agents; an Overview for the General Dentist. Clin Cosmet Investig Dent 2023; 15:165-180. [PMID: 37692095 PMCID: PMC10488680 DOI: 10.2147/ccide.s425024] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 08/23/2023] [Indexed: 09/12/2023] Open
Abstract
Adhesive agents are essential to most restorative procedures used in everyday practice. Depending on the clinical situation, the dentist will choose among a rapidly evolving variety of adhesive agents (bonding agents). Due to the availability of many adhesive agents, appropriate selection can take time and effort. Typically, a practitioner relies more on marketing and experience than in-depth material knowledge. The classification of adhesive agents may need to be clarified and easier to remember due to its lack of relevance to clinical procedures. This paper reviews the published literature retrieved from PubMed, Google Scholar, and Scopus by using specific keywords "adhesive agents", "classification", "dentin", "enamel", "universal", "self-etch", "etch-and-rinse", and "bonding". The titles and abstracts were screened, and the relevant literature was retrieved. The list of references from each identified article was examined to find other potentially relevant articles. Adhesive agents can be classified as etch-and-rinse, self-etch, or "multi-mode" according to their approach to interacting with the smear layer, and each approach can be further classified according to the number of clinical steps required during application. This article reviews the classification of current adhesive agents and discusses the properties that make a specific adhesive agent the optimal choice for a particular clinical indication. The review will assist the general dentist in understanding the various types of available adhesive agents and how they function. Overall, the review will facilitate decision-making and allow the selection of appropriate materials.
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Affiliation(s)
- Naji Ziad Arandi
- Department of Conservative Dentistry, Faculty of Dentistry, Arab American University, Jenin, Palestine
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Siqueira FSFD, Wendlinger M, Araújo LCR, Moreira PHDA, Cardenas AFM, Carvalho TS, Reis A, Loguercio AD. Bonding performance of universal adhesives to eroded dentine: A 6-year evaluation. J Dent 2023; 136:104633. [PMID: 37490967 DOI: 10.1016/j.jdent.2023.104633] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 07/06/2023] [Accepted: 07/21/2023] [Indexed: 07/27/2023] Open
Abstract
OBJECTIVES To evaluate the microtensile bond strength (µTBS) and nanoleakage (NL) of several universal adhesives to eroded dentine (ED) using etch-and-rinse (ER) and self-etch (SE) strategies, immediately and after 6 years of water storage. MATERIAL AND METHODS Four hundred and eighty human molars were distributed into 60 groups according to dentine substrate (sound dentine [SD], eroded with soft drink, or eroded with citric acid), application method of the adhesive (SE or ER), and the adhesives used: 1. All-Bond Universal, 2. Ambar Universal, 3. Clearfil Universal, 4. Futurabond U, 5. One Coat 7 Universal, 6. Peak Universal Bond, 7. Prime&Bond Elect, 8. Scotchbond Universal, 9. Tetric n-bond Universal, and 10. Xeno Select. The restoration was then performed with a composite resin, and the specimens were sectioned into resin-dentine bonded sticks. The sticks were tested (immediately or after 6 years of storage) for µTBS (0.5 mm/min) or used to assess NL. The eroded dentine surfaces were also examined using FE-SEM to evaluate the NL. Data for µTBS were analyzed by four-way ANOVA and Tukey's post-hoc test (a = 0.05), and the NL was analyzed by Kruskal-Wallis and the Wilcoxon Signed Rank Sum test (a = 0.05). RESULTS In ED, there was no difference in μTBS and NL between ER and SE strategies (p > 0.05). Most μTBS and NL values obtained for ED were lower and higher, respectively, than those for SD (p < 0.005). Additionally, the worst results (μTBS and NL) were observed for erosion with citric acid groups in comparison with erosion with soft-drink groups (p < 0.007). After 6y, μTBS was generally lower and NL higher for all substrates, adhesives, and strategies (p < 0.05), except for AMB, SBU, and TEU in dentine eroded with citric acid. The lowest μTBS and highest NL values were observed for ABU, FBU, OCU, PUB, PBE, and XEN in both types of eroded dentine and evaluation times (p < 0.002). CONCLUSION The use of MDP-containing adhesives seems to be essential to maintain adhesion to eroded dentine. However, other factors such as acidity should be considered. CLINICAL SIGNIFICANCE The bonding of eroded dentine is a challenge. However, the use of MDP-containing universal adhesives showed less degradation after long-term evaluation.
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Affiliation(s)
| | - Michel Wendlinger
- Department of Restorative Dentistry, Ponta Grossa State University, Ponta Grossa, Paraná, Brazil
| | | | | | | | - Thiago Saads Carvalho
- Department of Pediatric Dentistry, School of Dental Medicine, Bern University, Switzerland
| | - Alessandra Reis
- Department of Restorative Dentistry, Ponta Grossa State University, Ponta Grossa, Paraná, Brazil.
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, Ponta Grossa State University, Ponta Grossa, Paraná, Brazil
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Cavalcanti KGBA, Pulido C, Moreira PHA, Monteles CF, Salvatierra BLC, Siqueira FSF, Soares CJ, Reis A, Loguercio AD, Cardenas AFM. Effect of irradiance and exposure time on the adhesive properties of universal adhesives after 2 years of storage. Clin Oral Investig 2023; 27:5223-5232. [PMID: 37458867 DOI: 10.1007/s00784-023-05142-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 07/04/2023] [Indexed: 09/10/2023]
Abstract
OBJECTIVE This study aims to evaluate the effects of exposure time and irradiance on the dentin bonding properties (microtensile bond strength (μTBS) and nanoleakage (NL)) of the Clearfil Universal Bond Quick (CUQ) adhesive and Scotchbond Universal Adhesive (SBU) immediately and after 2 years of water storage. MATERIAL AND METHODS Hence, 128 human molars were randomly assigned to 16 groups based on adhesive strategy, irradiance/exposure times, and storage time for each universal adhesive tested. The adhesives were applied using the etch-and-rinse and self-etch strategies and were light-cured using four different irradiance/exposure times: 1400 mW/cm2 for 5 s (1400 × 5), 1400 mW/cm2 for 10 s (1400 × 10), 3200 mW/cm2 for 5 s (3200 × 5), and 3200 mW/cm2 for 10 s (3200 × 10). Then, each sample was restored and sectioned into a resin-dentin bonded stick to be tested for μTBS and NL (immediately and after 2 years of water storage). The mean μTBS and NL of all resin-dentin bonded sticks from the same hemi-tooth (factor time) were statistically analyzed using a three-way ANOVA and Tukey's test (a = 0.05). RESULTS Despite a significant decrease in the μTBS values for all groups after 2 years of water storage, the 3200 × 5 group showed higher μTBS values, whereas the 3200 × 10 group showed lower μTBS values for both universal adhesives tested. Although a significant increase in the NL values was observed for all groups after 2 years of water storage, the 3200 × 10 group showed higher NL values than the other groups (p < 0.001). CONCLUSION Results indicate that light-curing the adhesive layer with 14-16 J/cm2 led to an improvement in the stability of the resin-dentin adhesive interface. A longer exposure time (10 s) coupled with a higher irradiance (3200 mW/cm2) resulted in a greater degree of degradation of the adhesive interface. CLINICAL SIGNIFICANCE To guarantee better stability of the adhesive interface, clinicians could be preferred a light-cured universal adhesive layer with 14-16 J/cm2. Higher irradiances should be avoided.
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Affiliation(s)
| | - Camilo Pulido
- Department of Restorative Dentistry and Biomaterials, San Francisco de Quito University, Quito, Ecuador
| | - Pedro H A Moreira
- Postgraduate Program in Dentistry, CEUMA University, São Luis, MA, Brazil
| | - Camila F Monteles
- Postgraduate Program in Dentistry, CEUMA University, São Luis, MA, Brazil
| | - Byron L C Salvatierra
- Department of Restorative Dentistry, Ponta Grossa State University, Rua Carlos Cavalcanti, 4748, Bloco M, Sala 64A-Uvaranas, Ponta Grossa, Paraná, 84030-900, Brazil
| | | | - Carlos J Soares
- Postgraduate Program in Dentistry, CEUMA University, São Luis, MA, Brazil
- Department of Operative Dentistry and Dental Materials, Dental School, Federal University of Uberlândia, Uberlândia, MG, Brazil
| | - Alessandra Reis
- Department of Restorative Dentistry, Ponta Grossa State University, Rua Carlos Cavalcanti, 4748, Bloco M, Sala 64A-Uvaranas, Ponta Grossa, Paraná, 84030-900, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, Ponta Grossa State University, Rua Carlos Cavalcanti, 4748, Bloco M, Sala 64A-Uvaranas, Ponta Grossa, Paraná, 84030-900, Brazil.
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Campos DES, Ferreira Muniz ÍDA, da Costa TKVL, Lima RBW, Neppelenbroek KH, Batista AUD. Effect of simulated brushing with dentifrices on surface roughness and the mass loss of acrylic resin: A systematic review and meta-analysis of in vitro studies. J Prosthet Dent 2023:S0022-3913(23)00437-7. [PMID: 37612194 DOI: 10.1016/j.prosdent.2023.06.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 06/27/2023] [Accepted: 06/29/2023] [Indexed: 08/25/2023]
Abstract
STATEMENT OF PROBLEM Brushing with dentifrice is the most commonly used denture cleaning method. However, it can result in the mass loss of acrylic resin and an increase in surface roughness, which favors the adherence of microorganisms. PURPOSE The purpose of this systematic review and meta-analysis of in vitro studies was to assess the influence of simulated brushing by using dentifrices and water on surface roughness and the mass loss of acrylic resins. MATERIAL AND METHODS Searches were performed in PubMed, Scopus, Web of Science, Lilacs, Embase, Open Gray, and Google Scholar databases in September 2022. The study selection process, data extraction, and risk of bias analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol of this systematic review was registered in the Open Science Framework (DOI number 10.17605/OSF.IO/QD4GH). Meta-analysis was performed by using a random effects model (α=.05) in the RevMan (Cochrane Collaboration) software program. RESULTS A total of 14 studies were included in the qualitative synthesis and 2 studies in the quantitative synthesis. The manual toothbrush was the most analyzed (n=9), followed by the electric toothbrush (n=5) and denture brush (n=1). Denture base resin (n=8) was evaluated more than acrylic resin for the abrasiveness of toothpaste (n=6). Most studies used conventional toothpaste (n=12), whereas 6 used specific dentifrices. The period of brushing corresponding to 1 year was the most predominant (n=6). Surface roughness (n=13) was evaluated more than mass loss (n=4). In general, dentifrices resulted in greater surface roughness than water. According to meta-analysis results, brushing by using dentifrices reported higher mass loss values than brushing with distilled water (P<.05). CONCLUSIONS Brushing acrylic resins with dentifrice was more abrasive than brushing with water.
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Affiliation(s)
- Débora E Silva Campos
- PhD student, Postgraduate Program in Dentistry, Federal University of Paraiba (UFPB), João Pessoa, Paraiba, Brazil
| | | | | | | | - Karin Hermana Neppelenbroek
- Associate Professor, Department of Periodontics and Prosthodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - André Ulisses Dantas Batista
- Associate Professor, Department of Restorative Dentistry, Federal University of Paraíba (UFPB), João Pessoa, Paraiba, Brazil.
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Ji X, Liang J, Liu J, Shen J, Li Y, Wang Y, Jing C, Mabury SA, Liu R. Occurrence, Fate, Human Exposure, and Toxicity of Commercial Photoinitiators. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2023; 57:11704-11717. [PMID: 37515552 DOI: 10.1021/acs.est.3c02857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/31/2023]
Abstract
Photoinitiators (PIs) are a family of anthropogenic chemicals used in polymerization systems that generate active substances to initiate polymerization reactions under certain radiations. Although polymerization is considered a green method, its wide application in various commercial products, such as UV-curable inks, paints, and varnishes, has led to ubiquitous environmental issues caused by PIs. In this study, we present an overview of the current knowledge on the environmental occurrence, human exposure, and toxicity of PIs and provide suggestions for future research based on numerous available studies. The residual concentrations of PIs in commercial products, such as food packaging materials, are at microgram per gram levels. The migration of PIs from food packaging materials to foodstuffs has been confirmed by more than 100 reports of food contamination caused by PIs. Furthermore, more than 20 PIs have been detected in water, sediment, sewage sludge, and indoor dust collected from Asia, the United States, and Europe. Human internal exposure was also confirmed by the detection of PIs in serum. In addition, PIs were present in human breast milk, indicating that breastfeeding is an exposure pathway for infants. Among the most available studies, benzophenone is the dominant congener detected in the environment and humans. Toxicity studies of PIs reveal multiple toxic end points, such as carcinogenicity and endocrine-disrupting effects. Future investigations should focus on synergistic/antagonistic toxicity effects caused by PIs coexposure and metabolism/transformation pathways of newly identified PIs. Furthermore, future research should aim to develop "greener" PIs with high efficiency, low migration, and low toxicity.
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Affiliation(s)
- Xiaomeng Ji
- Shandong Key Laboratory of Environmental Processes and Health, School of Environmental Science and Engineering, Shandong University, Qingdao 266237, China
| | - Jiefeng Liang
- Shandong Key Laboratory of Environmental Processes and Health, School of Environmental Science and Engineering, Shandong University, Qingdao 266237, China
| | - Jiale Liu
- Shandong Key Laboratory of Environmental Processes and Health, School of Environmental Science and Engineering, Shandong University, Qingdao 266237, China
| | - Jie Shen
- Shandong Key Laboratory of Environmental Processes and Health, School of Environmental Science and Engineering, Shandong University, Qingdao 266237, China
| | - Yiling Li
- Yellow Sea Fisheries Research Institute, Chinese Academy of Fishery Sciences, Qingdao 266071, China
| | - Yingjun Wang
- Shandong Key Laboratory of Environmental Processes and Health, School of Environmental Science and Engineering, Shandong University, Qingdao 266237, China
| | - Chuanyong Jing
- Shandong Key Laboratory of Environmental Processes and Health, School of Environmental Science and Engineering, Shandong University, Qingdao 266237, China
| | - Scott A Mabury
- Department of Chemistry, University of Toronto, 80 St. George Street, Toronto M5S 3H6, Ontario, Canada
| | - Runzeng Liu
- Shandong Key Laboratory of Environmental Processes and Health, School of Environmental Science and Engineering, Shandong University, Qingdao 266237, China
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Bedir MGA, Karadas M, Bedir F. Effect of matrix metalloproteinase inhibitors on bonding durability of universal adhesives. Dent Mater J 2023; 42:581-590. [PMID: 37302822 DOI: 10.4012/dmj.2022-282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This study aimed to evaluate the effect of different matrix metalloproteinase inhibitors (MMPIs) on the microtensile bond strength (μTBS) and nanoleakage of universal adhesives. One hundred twenty non-carious human molars were prepared and randomly assigned to two groups: Scotchbond Bond Universal (SBU) and Gluma Bond Universal (GBU). The samples in each group were assigned to five subgroups (n=12) based on one control (water) and four MMPIs (Benzalkonium-chloride (BAC), Batimastat (BB94), Chlorhexidine (CHX), and Epigallocatechin-gallate (EGCG)). Each adhesive was applied in self-etch (SE) mode or etch-and-rinse (ER) mode. Dentin/composite sticks were fabricated and subjected to the μTBS test after 24 h or 6 months. At 6 months, MMPIs did not affect the μTBS of the adhesives, regardless of etching mode. Nanoleakage was more pronounced in ER mode than in SE mode for all subgroups. All MMPIs, with the exception of CHX, decreased the nanoleakage of GBU in ER mode.
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Affiliation(s)
| | - Muhammet Karadas
- Department of Restorative Dentistry, Faculty of Dentistry, Recep Tayyip Erdogan University
| | - Fatih Bedir
- Department of Restorative Dentistry, Faculty of Dentistry, Recep Tayyip Erdogan University
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Ozaslan S, Celiksoz O, Tepe H, Tavas B, Yaman BC. A Comparative Study of the Repair Bond Strength of New Self-Adhesive Restorative Materials With a Resin Composite Material. Cureus 2023; 15:e44309. [PMID: 37779740 PMCID: PMC10535027 DOI: 10.7759/cureus.44309] [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] [Accepted: 08/29/2023] [Indexed: 10/03/2023] Open
Abstract
AIM The aim of the present study is to compare the repair bond strengths (RBSs) of Cention-N (light-cure and self-cure modes), Equia Forte HT Fil and a nanohybrid resin composite. MATERIALS AND METHODS Equia Forte HT Fil (GC, Tokyo, Japan), Cention-N (Ivoclar Vivadent, Schaan, Liechtenstein) and Filtek Z550 (3M ESPE, St Paul, MN, USA) were used in this study. Equia Forte HT Fil (EQF), Cention-N self-cure (CSC), Cention-N light-cure (CLC) and Filtek Z550 (Z550) groups were formed. A total of 40 samples were prepared; 10 samples in each group (n = 10). After the polymerization was completed according to the manufacturer's instructions, the samples were polished with OptiDisc (Kerr Corporation, Orange, USA) for 5 s each, from extra-course to extra-fine. After all samples were stored in 37°C water for 24 h, 10,000 cycles of brushing simulator and thermal cycles were applied to the samples. The samples were prepared in accordance with the selected repair protocol, and microshear bond strength (µSBS) test was performed. Fracture analysis on debonded surfaces was visualized by scanning electron microscopy. The conformity of the data to normal distribution was analyzed by the Shapiro-Wilk test. Multiple comparisons were performed using Dunn's test. RESULTS Z550 showed significantly higher µSBS as compared to the other three groups. There is no difference between CSC, CLC and EQF. CONCLUSION The use of Cention-N's self-cure or light-cure mode did not affect the RBS values. The RBS values of Cention-N and Equia Forte HT Fil materials are lower than those of the composite resin material.
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Affiliation(s)
- Sanem Ozaslan
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TUR
| | - Ozge Celiksoz
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TUR
| | - Hatice Tepe
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TUR
| | - Begum Tavas
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TUR
| | - Batu Can Yaman
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TUR
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Sato T, Tabata T, Akabane K, Zhao M, Khaled AHM, Hiraishi N, Sumi Y, Tagami J, Shimada Y. Noninvasive diagnostic method using optical coherence tomography detected a vulnerable dentin enamel junction created by phosphoric acid etching. Dent Mater J 2023:2022-246. [PMID: 37271540 DOI: 10.4012/dmj.2022-246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
To investigate the influence of phosphoric acid etching on the dentin enamel junction (DEJ) using optical coherence tomography (OCT). Human teeth were assigned to four groups: 1. control, no additional treatment (CT); 2. The primer of "SE Bond2" was applied (SE), 3. "Enamel Conditioner" was applied (EC), 4. "K-etchant syringe" was applied (KE). After treatment, the DEJ was observed using a laser microscope (CLSM), OCT, and scanning electron microscopy (SEM). Additionally, an ultimate tensile strength (UTS) test at the DEJ was performed. No cracks were observed by CLSM. In contrast, cracks were observed all samples by SEM. Additionally, OCT revealed a white line along the DEJ in all KE specimens and some EC specimens. The UTS test showed a significant difference between CT and KE. This study found that phosphoric acid etching may cause excessive demineralization and weaken the DEJ. This fragility was observed using a non-invasive diagnostic method using OCT.
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Affiliation(s)
- Takaaki Sato
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Tomoko Tabata
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Koudai Akabane
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Mengtian Zhao
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Abu Hasan Mohammad Khaled
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Noriko Hiraishi
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Yasunori Sumi
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Yasushi Shimada
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
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Ñaupari-Villasante R, Matos TP, de Albuquerque EG, Warol F, Tardem C, Calazans FS, Poubel LA, Reis A, Barceleiro MO, Loguercio AD. Five-year clinical evaluation of universal adhesive applied following different bonding techniques: A randomized multicenter clinical trial. Dent Mater 2023:S0109-5641(23)00107-0. [PMID: 37147235 DOI: 10.1016/j.dental.2023.04.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 04/21/2023] [Accepted: 04/27/2023] [Indexed: 05/07/2023]
Abstract
OBJECTIVES To evaluate the clinical performance of a universal adhesive system (Futurabond U, Voco) when applied following different adhesive strategies in non-carious cervical lesions (NCCLs) after 5 years. METHODS Fifty participants were included. Futurabond U (Voco) was applied in NCCLs using four adhesive strategies (n = 50 each): only self-etch (SE); selective enamel etching + self-etch (SET + SE); etch-and-rinse with dry dentin (ERD); and etch-and-rinse with wet dentin (ERW). All cavities were restored with Admira Fusion composite resin (Voco). Restorations were evaluated after 1, 3, and 5 years using the World Federation criteria (FDI) and the modified United States Public Health Service (USPHS) criteria. RESULTS After 5 years, retention rates were 81 % (65.8-90.5) for SE, 87 % (73.2-94.4) for SET + SE, 84 % (69.6-92.6) for ERD, and 78 % (63.6-88.9) for ERW (p > 0.05). Thirty-five restorations were considered to have minor discrepancies in marginal adaptation at the 5-year recall (14 for SE, 9 for SET + SE, 6 for ERD, and 6 for ERW; p > 0.05). Sixteen restorations were detected as a minor marginal discoloration (6 for SE, 4 for SET + SE, 1 for ERD, and 5 for ERW; p > 0.05) and one restoration showed a recurrence of caries (1 for ERW; p > 0.05) at the 5-year recall. No restorations showed postoperative sensitivity after 5 years. SIGNIFICANCE NCCLs restorations using a universal adhesive showed satisfactory clinical performance after 5 years, regardless of the adhesive strategy.
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Affiliation(s)
- Romina Ñaupari-Villasante
- Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Avenida General Carlos Cavalcanti, 4748, Ponta Grossa, PR ZIP CODE 84010-330, Brazil
| | - Thalita P Matos
- Department of Restorative Dentistry, School of Dentistry, Tuiuti University of Paraná, R. Padre Ladislau Kula, 395 - Santo Inácio, Curitiba, PR ZIP CODE 82010-210, Brazil
| | - Elisa Gomes de Albuquerque
- Department of Restorative Dentistry, School of Dentistry, Juiz de Fora Federal University, Rua José Lourenço Kelmer, s/n - São Pedro, Juiz de Fora, MG ZIP CODE 36036-900, Brazil
| | - Flavio Warol
- Department of Restorative Dentistry, School of Dentistry, UNIGRANRIO, Rua Prof. José de Souza Herdy, 1.160, bloco C, 2º andar, 25 de Agosto, Duque de Caxias, RJ ZIP CODE 25071-202, Brazil
| | - Chane Tardem
- Department of Restorative Dentistry, School of Dentistry, Fluminense Federal University, Rua Mario Santos Braga, 28, 3° andar, Centro, Niterói, RJ ZIP CODE 24020-140, Brazil
| | - Fernanda Signorelli Calazans
- Department of Restorative Dentistry, School of Dentistry, Fluminense Federal University, Rua Doutor Silvio Henrique Braune, 22, Centro, Nova Friburgo, RJ ZIP CODE 28625-650, Brazil
| | - Luiz Augusto Poubel
- Department of Restorative Dentistry, School of Dentistry, Fluminense Federal University, Rua Doutor Silvio Henrique Braune, 22, Centro, Nova Friburgo, RJ ZIP CODE 28625-650, Brazil
| | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, Tuiuti University of Paraná, R. Padre Ladislau Kula, 395 - Santo Inácio, Curitiba, PR ZIP CODE 82010-210, Brazil
| | - Marcos Oliveira Barceleiro
- Department of Restorative Dentistry, School of Dentistry, Fluminense Federal University, Rua Doutor Silvio Henrique Braune, 22, Centro, Nova Friburgo, RJ ZIP CODE 28625-650, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, Tuiuti University of Paraná, R. Padre Ladislau Kula, 395 - Santo Inácio, Curitiba, PR ZIP CODE 82010-210, Brazil.
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Hurtado A, Fuentes V, Cura M, Tamayo A, Ceballos L. Long-Term In Vitro Adhesive Properties of Two Universal Adhesives to Dentin. MATERIALS (BASEL, SWITZERLAND) 2023; 16:ma16093458. [PMID: 37176339 PMCID: PMC10179858 DOI: 10.3390/ma16093458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 04/18/2023] [Accepted: 04/26/2023] [Indexed: 05/15/2023]
Abstract
The composition of universal adhesives, as well as the adhesive strategy, may influence bonding effectiveness and durability. This study aimed to evaluate the microtensile bond strength (µTBS) and nanoleakage (NL), immediately and after 6-month aging, and in situ degree of conversion (DC), of two universal adhesives (Scotchbond Universal Adhesive, SBU; Xeno Select, XEN) applied with etch-and-rinse (ER) and self-etch (SE) strategies, in comparison with a two-step SE adhesive (Clearfil SE Bond, CSE). Dentin surfaces of fifty human third molars were randomly assigned to the following adhesives: two universal adhesives, SBU and XEN, applied in ER or SE mode and CSE, used as control. Teeth were sectioned into beams to be tested under µTBS, half of them after 24 h, and the rest after 6 months of water aging. Selected beams from each tooth were used for NL evaluation and in situ DC quantification. SBU and CSE showed significantly higher mean µTBS and lower nanoleakage than XEN, regardless of the evaluation time and adhesion strategy. XEN-SE yielded the lowest degree of conversion. Therefore, adhesive properties of universal adhesives to dentin are material dependent, regardless of the adhesion strategy, exhibiting XEN a significantly worse performance than SBU.
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Affiliation(s)
- Ana Hurtado
- International Doctoral School, Rey Juan Carlos University, 28008 Madrid, Spain
| | - Victoria Fuentes
- IDIBO Research Group, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Alcorcón, Madrid, Spain
| | - María Cura
- Faculty of Health Sciences, Rey Juan Carlos University, 28922 Alcorcón, Madrid, Spain
| | - Aitana Tamayo
- Institute of Ceramics and Glass, CSIC, Kelsen 5, 28049 Madrid, Spain
| | - Laura Ceballos
- IDIBO Research Group, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Alcorcón, Madrid, Spain
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Tseng PC, Chuang SF, Kaisarly D, Kunzelmann KH. Simulating the shrinkage-induced interfacial damage around Class I composite resin restorations with damage mechanics. Dent Mater 2023; 39:513-521. [PMID: 37031095 DOI: 10.1016/j.dental.2023.03.020] [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: 12/26/2022] [Revised: 03/20/2023] [Accepted: 03/28/2023] [Indexed: 04/10/2023]
Abstract
OBJECTIVES To investigate the shrinkage-induced damage at the composite-tooth interface by finite element analysis (FEA) using the cohesive zone model (CZM). METHODS Axisymmetric models of Class I restorations were created to illustrate the interfacial damage around composite resin restorations of different dimensions, with polymerization shrinkage modeled analogously to thermal shrinkage. The damage to the adhesive interface was determined using a CZM based on the fracture strength and fracture energy. To show the effects of damage, conventional models with perfectly bonded composite resin restorations were created as controls. RESULTS The results indicated interfacial damage at the butt-joint cavosurface margin, dentinoenamel junction, and internal line angle. The percentage of damaged interfacial area was found to increase with decreasing diameter for restorations of the same height. For a given diameter, the damage was more severe for restorations of greater depth. The effects of the damage were further illustrated in the model with a restoration of 2-mm diameter and height. The interfacial damage occurred primarily at the internal line angle (83.3 % of all the damaged interfacial area), leading to local stress relief (from 18.3 MPa to 12.8 MPa), but also higher stress at the damage fronts. Greater local shrinkage was found in composites adjacent to the damage. SIGNIFICANCE The damage mechanics-based CZM is an essential refinement of the FEA to predict interfacial damage and its implications. The extent of damage was found to be greater around restorations with smaller diameters and greater depths. The entire simulation is available via an open-source platform to facilitate further applications in adhesive dentistry.
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Affiliation(s)
- Po-Chun Tseng
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Munich, Germany.
| | - Shu-Fen Chuang
- School of Dentistry and Institute of Oral Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Stomatology, National Cheng Kung University Hospital, Tainan, Taiwan
| | - Dalia Kaisarly
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Munich, Germany; Biomaterials Department, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt
| | - Karl-Heinz Kunzelmann
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Munich, Germany
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Fang K, Chen K, Shi M, Wang L. Effect of different adhesive systems on dental defects and sensitivity to teeth in composite resin restoration: a systematic review and meta-analysis. Clin Oral Investig 2023:10.1007/s00784-023-05007-0. [PMID: 37017757 DOI: 10.1007/s00784-023-05007-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 03/28/2023] [Indexed: 04/06/2023]
Abstract
OBJECTIVES This meta-analysis aimed to elucidate the effects of various acid etching patterns on the sensitivity of teeth and their clinical effectiveness following composite resin repair. MATERIALS AND METHODS PubMed, Cochrane Library, Web of Science, and Embase databases were searched for relevant studies on the postoperative sensitivity (POS) of composite resin restorations after using different bonding systems. The retrieval was from the inception of the databases to August 13, 2022, with no filter of written language. Literature screening was conducted by two independent researchers. The Cochrane risk-of-bias assessment tool was adopted for quality evaluation, and Stata 15.0 for analysis. RESULTS Twenty-five randomized controlled trials were included in the present study. Following resin composite restoration, 1309 restorations were bonded by self-etching (SE) adhesives, whereas 1271 restorations were bonded by total-etching (TE) adhesives. The meta-analyses showed that there is no evidence to prove the SE and TE will affect POS at present when measured using the modified United States Public Health Service (USPHS) criteria [RR = 1.00 (95% CI: 0.96, 1.04)], the World Dental Federation (FDI) [RR = 1.06 (95% CI: 0.98, 1.15)], or the visual analog scale (VAS) [SMD = 0.02 (95% CI: -0.15, 0.20)] scales. At a certain follow-up time, TE adhesives provide better outcomes in terms of color match, marginal staining, and marginal adaptation. In other words, TE adhesives have better esthetic results. CONCLUSIONS The type of bonding technique (ER and SE) does not affect the risk and degree of POS in class I/II and class V restorations. Further research is required to verify whether these findings apply to different forms of composite resin restorations. CLINICAL RELEVANCE Besides the fact that TE barely increase postoperative sensitivity, it also yields superior cosmetic results.
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Affiliation(s)
- Keda Fang
- Department of Stomatology, Ningbo No.2 Hospital, Ningbo City, Zhejiang Province, 315010, China.
| | - Kenan Chen
- Department of Stomatology, Zhoushan Hospital of Zhejiang Province, Zhoushan, Zhejiang Province, 316021, China
| | - Mengqi Shi
- Department of Stomatology, Navy Specialty Medical Center of Peoples' Liberation Army, Shanghai, 200052, China
| | - Liang Wang
- Department of Stomatology, Ningbo No.2 Hospital, Ningbo City, Zhejiang Province, 315010, China
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Wang S, Meng Y, Zhang Y, Huang F, Teng R, Lu Y, Li A, Sun J, Pei D. Influence of calcium-based desensitizing toothpastes on the bonding performance of universal adhesive. Microsc Res Tech 2023; 86:402-413. [PMID: 36575979 DOI: 10.1002/jemt.24280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 10/20/2022] [Accepted: 12/11/2022] [Indexed: 12/29/2022]
Abstract
The study evaluated the effect of calcium-based desensitizing toothpastes on the dentinal tubule occlusion and its influence on the dentin bond strength of universal adhesive. Mid-coronal dentin samples were prepared for hypersensitivity model and treated by the following calcium-based desensitizing toothpastes: no treatment (Control), Clinpro (fTCP), Pro-Relief (Pro-Argin), and Repair & Protect (Novamin). Single Bond Universal adhesive was applied in self-etch or etch-and-rinse mode. The dentinal tubule occlusion and adhesion interface were evaluated under scanning electron microscope (SEM). A double-fluorescence technique was used to examine interfacial permeability under confocal laser scanning microscopy (CLSM). The micro-tensile bond strength (μTBS) was employed, followed by the fracture interface observation. SEM showed the toothpastes occluded dentinal tubules, and the occlusion exhibited stability against acid and abrasion. Hindered resin infiltration was observed in the adhesion interface after desensitization. CLSM showed more water permeation within or under the adhesion interface in etch-and-rinse mode than self-etch mode. Desensitization decreased the μTBS in self-etch mode. When using etch-and-rinse mode, the desensitized samples presented similar μTBS to the control group. No difference in μTBS was found between the two bonding modes, except for the control group. Calcium-based desensitizing toothpastes can effectively occlude the exposed dentinal tubules with acid-resistant and abrasion-resistant stability. The desensitization reduced the dentin bond strength of the universal adhesive system in self-etch mode but did not affect the bond strength of etch-and-rinse mode.
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Affiliation(s)
- Silin Wang
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Yuchen Meng
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Yuchen Zhang
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Fan Huang
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Rui Teng
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Yi Lu
- Department of Prosthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Ang Li
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Junyi Sun
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Dandan Pei
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
- Department of Prosthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
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Valsan D, Bhaskaran S, Mathew J, Hari K, Joy J. Comparative Evaluation of the Bonding Efficacy of Multimode Adhesive, Two-Step Self-Etch Adhesive, and a Total-Etch System to Pulpal Floor Dentin - An In vitro Study. Contemp Clin Dent 2023; 14:104-108. [PMID: 37547427 PMCID: PMC10399809 DOI: 10.4103/ccd.ccd_754_21] [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: 11/24/2021] [Revised: 05/19/2022] [Accepted: 08/23/2022] [Indexed: 02/10/2023] Open
Abstract
Background Postendodontic restoration with composite resins has gained popularity due to the development of more reliable adhesives with simplified bonding procedures and less technique sensitivity. Pulpal floor dentin is a complex biological structure and a more challenging bonding substrate. Hence, appropriate selection of the bonding agent for these regions of the tooth is important. Aims To compare the shear bond strength of a new generation of dental adhesives referred to as multimode adhesives, two-step self-etch adhesive, and a total-etch system to pulpal floor dentin. Materials and Methods Sixty human mandibular molars were sectioned with a slow speed diamond disc to expose the pulp chamber and divided into four groups of 15 teeth each, based on the bonding agent used. Group A: Single bond universal (self-etch); Group B: Single Bond Universal (etch-and-rinse), Group C: Clearfil SE Bond, Group D: Adper Single Bond 2. Using a split Teflon mold, composite cylinders were built on the prepared dentinal surfaces. The shear bond strength was then evaluated with the universal testing machine. Results Two step self-etch adhesives recorded higher shear bond strength than total-etch and multimode/universal adhesives applied in both self-etch and etch-and-rinse techniques. Conclusion The self-etching/priming system bonded more strongly to the pulpal floor dentin than multimode adhesive and total-etch system.
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Affiliation(s)
- Dhanya Valsan
- Department of Conservative Dentistry and Endodontics, Sree Anjaneya Institute of Dental Sciences, Kozhikode, Kerala, India
| | | | - Joy Mathew
- Department of Conservative Dentistry and Endodontics, Mar Baselios Dental College, Kothamangalam, Kerala, India
| | - Krishnan Hari
- Department of Conservative Dentistry and Endodontics, Mar Baselios Dental College, Kothamangalam, Kerala, India
| | - Joseph Joy
- Department of Conservative Dentistry and Endodontics, Mar Baselios Dental College, Kothamangalam, Kerala, India
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Alhamdan EM. Influence of Contemporary Photoactivated Disinfection on the Mechanical Properties and Antimicrobial Activity of PMMA Denture Base: A Systematic Review and Meta Analysis. Photodiagnosis Photodyn Ther 2023; 42:103523. [PMID: 36958538 DOI: 10.1016/j.pdpdt.2023.103523] [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: 03/19/2023] [Accepted: 03/20/2023] [Indexed: 03/25/2023]
Abstract
PURPOSE The present study aimed to perform a systematic review and meta-analysis to investigate the effectiveness of the contemporary photoactivated disinfection methods on the mechanical features and/or antimicrobial activity of polymethyl methacrylate (PMMA) dentures bases. METHODS THE FOCUSED RESEARCH QUESTION WAS: : "What is the effect of contemporary photoactivated disinfection methods as compared to conventional disinfection protocols on the mechanical features and/or antimicrobial activity of PMMA dentures bases?". An electronic literature search was carried out by the author and a senior librarian specialized in health sciences on Web of Science, PubMed, and Scopus. In vitro investigations evaluating the antimicrobial and/or mechanical effects of photoactivated disinfectants as compared to conventional chemical disinfectants on the microbes formed on PMMA denture bases were included. Meta-analysis was performed for calculating the standard mean difference (SMD) with a 95% confidence interval. RESULTS Four out of eight studies concluded that photoactivated disinfectants, including riboflavin-mediated photodynamic therapy (PDT), hematoporphyrin-mediated PDT, poly-L-glycolic acid loaded with methylene blue, Erbium, chromium-doped yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser, erbium-doped yttrium-aluminum-garnet (Er:YAG) laser, and chitosan-mediated PDT, demonstrated a significant reduction in colony-forming unit per milliliter (CFU/mL) of exposed viable colonies of Escherichia coli (E. coli), Streptococcus mutans (S. mutans), Staphylococcus aureus (S. aureus), and Candida albicans (C. albicans) comparable to the conventionally used chemical disinfectants of PMMA denture bases. Contrarily, two studies concluded that the PMMA denture base colonized with C. albicans and disinfected with conventional chemical disinfectants showed the greatest anti-fungal efficaciousness. All the included studies concluded that the application of photoactivated disinfectants does not negatively impact the mechanical features of the PMMA denture bases colonized with microbes including E. coli, S. mutans, S. aureus, and C. albicans. The meta-analysis revealed statistically significant reduction in C. albicans counts (CFU/mL [Log10]) (p < 0.00001) and improvement in the flexural strength (p = 0.0002) of PMMA-based denture base after the application of conventional disinfectants, while a statistically significant improvement in the fracture strength of PMMA-based denture base was observed after the application of photoactivated disinfectants (p = 0.03). CONCLUSION According to the systematic review (qualitative synthesis), photoactivated disinfectants demonstrated comparable mechanical features and antimicrobial activity of PMMA dentures bases to conventional chemical disinfectants suggesting their potential to be utilized as an alternative to conventional chemical disinfectants. However, the meta-analysis (quantitative synthesis) revealed that the application of conventional disinfectants demonstrated better outcomes related to antimicrobial activity and flexural strength of PMMA-based denture based.
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Affiliation(s)
- Eman M Alhamdan
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, P.O.Box 21069, Riyadh 11475, Saudi Arabia.
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Are universal adhesives in etch-and-rinse mode better than old 2-step etch-and-rinse adhesives? One-year evaluation of bonding properties to dentin. J Dent 2023; 132:104481. [PMID: 36918052 DOI: 10.1016/j.jdent.2023.104481] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 02/22/2023] [Accepted: 03/08/2023] [Indexed: 03/14/2023] Open
Abstract
OBJECTIVES This study compared the bonding properties of dentin of three 2-step etch-and-rinse adhesives (2-ERAs) to those of three universal adhesives (UAs) applied with an etch-and-rinse strategy (ER), immediately and after 1 year of water storage. METHODS Sixty caries-free molars were divided into 6 groups according to the adhesive systems used (n = 10). The 2-ERA systems included were: 1) Adper Single Bond 2 (SB), 2) Tetric N-Bond (TB), and 3) Ambar (AM); and the UAs systems were: 4) Single Bond Universal (SBU) 5) Tetric N-Bond Universal (TBU), and 6) Ambar Universal (AMU). The occlusal third of each tooth was removed and the adhesives were applied. After the composite build-up, specimens were sectioned and tested for microtensile bond strength (µTBS) and nanoleakage (NL) immediately and after 1 year of water storage. In situ degree of conversion (DC) was only evaluated in the immediate time. For water sorption (WS), solubility (SO), and mass change (MC) tests, 48 disk-shaped specimens were prepared (n = 8) and assessed according to ISO 4049:2009. RESULTS UAs showed higher µTBS and lower NL values than 2-ERAs did after 1 year of water storage (p = 0.001). Regarding DC, 2-ERAs showed higher DC values than UAs (p = 0.001). Regarding WS, 2-ERAs showed higher WS values than those of UAs (p = 0.00001), except for AM and AMU. Lower WS was observed for AM than for other 2-ERAs (p = 0.00001). CONCLUSION The use of UAs applied with the ER strategy seems to be a more effective technique for maintaining adhesion to dentin substrate than 2-ERAS. CLINICAL SIGNIFICANCE This study may support clinicians in selecting the most adequate adhesive system to be used in ER strategy in dentin, demonstrating that UAs were more effective, considering the longevity of the resin restorations.
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Soares J, Perdigão J, Chrispim B, Lopes GC. Effect of Extra Hydrophobic Resin Layer on Bonding of Universal Adhesive Systems to Enamel. Oper Dent 2023; 48:E48-E59. [PMID: 36928743 DOI: 10.2341/21-140-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/10/2022] [Indexed: 03/18/2023]
Abstract
OBJECTIVE The objective of this study was to compare the effect of solvent in universal adhesives (UA) and the application of an extra layer of hydrophobic bonding resin on enamel shear bond strengths (SBS). METHODS AND MATERIALS Crowns of 224 bovine mandibular incisors were embedded in acrylic resin, wet-polished up to 600-grit silicon carbide paper and assigned to 3 UAs with different solvents (n=32): ethanol-based UA (ADU, AdheSE Universal, Ivoclar Vivadent); isopropanol-based UA (PBU, Prime&Bond Universal, Dentsply Sirona); and acetone-based UA (OPT, OptiBond Universal, Kerr Co). The same UAs were also applied with an extra layer of a hydrophobic bonding resin (HLB, Heliobond, Ivoclar Vivadent): ADU + HLB; PBU + HLB; and OPT + HLB. HLB alone was used as control. Enamel was etched with 37.5% H3PO4 (Kerr Gel Etchant, Kerr Co) for 15 seconds, rinsed with water, and air dried. UAs were applied according to the respective manufacturer's instructions. After adhesive application, composite cylinders (Filtek Z250, 3M Oral Care) were built up and light-cured (40 seconds/increment, 40 J/cm2) keeping the light tip in contact with the mold. Specimens were stored in water for 24 hours (24H) or for 6 months (6M). A knife-edged metallic rod (Ø=2.8-mm semicircular notch) loaded the composite cylinders until fracture. Mode of failure was analyzed with optical microscopy (40×). Statistics included twoway analysis of variance (ANOVA; adhesive strategy and water storage) and Tukey honestly significant difference (HSD) post hoc test (α=95%). RESULTS Mean enamel SBS ranged from 3.6 (±2.2) MPa (HLB/6M) to 24.7 (±7.1) MPa (ADU + HLB/6M). ANOVA revealed significant differences for adhesive strategy (p≤0.001) but no significant differences for water storage (p>0.05). All UAs resulted in similar mean enamel SBS with or without an extra layer of HLB at 24H. After 6M, only ADU resulted in higher enamel SBS when an extra layer of HLB was applied. All UAs resulted in higher mean enamel SBS than HLB (control). Most failures were adhesive exception for PBU/HLB/6M, which had mostly mixed failures. CONCLUSIONS UAs resulted in statistically higher enamel SBS than the nonsolvated hydrophobic bonding resin (control), regardless of the solvent in their composition. Application of an extra layer of hydrophobic bonding resin over UAs did not improve mean enamel SBS for isopropanol- and acetone-based UAs but did improve mean enamel SBS for the ethanol-based UA after 6M. Resin composite bonding to enamel using a hydrophobic bonding resin alone is not recommended.
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Affiliation(s)
- Jpb Soares
- José Paulo Barbosa Soares, DDS, MS, Department of Operative Dentistry, School of Dentistry, Federal University of Santa Catarina, Campus Universitário Trindade, Santa Catarina, Brazil
| | - J Perdigão
- *Jorge Perdigão, DMD, MS, PhD, Department of Restorative Sciences, Division of Operative Dentistry, University of Minnesota, Minneapolis, Minnesota, USA
| | - B Chrispim
- Bruna Chrispim, DDS, MS, Department of Operative Dentistry, School of Dentistry, Federal University of Santa Catarina, Campus Universitário Trindade, Florianópolis, Santa Catarina, Brazil
| | - G C Lopes
- Guilherme Carpena Lopes, DDS, MS, PhD, Department of Operative Dentistry, School of Dentistry, Federal University of Santa Catarina, Campus Universitário Caixa, Florianópolis, Santa Catarina, Brazil
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Porto ICCDM, Lôbo TDLGF, Rodrigues RF, Lins RBE, da Silva MAB. Insight into the development of versatile dentin bonding agents to increase the durability of the bonding interface. FRONTIERS IN DENTAL MEDICINE 2023. [DOI: 10.3389/fdmed.2023.1127368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023] Open
Abstract
Despite the huge improvements made in adhesive technology over the past 50 years, there are still some unresolved issues regarding the durability of the adhesive interface. A complete sealing of the interface between the resin and the dentin substrate remains difficult to achieve, and it is doubtful whether an optimal interdiffusion of the adhesive system within the demineralized collagen framework can be produced in a complete and homogeneous way. In fact, it is suggested that hydrolytic degradation, combined with the action of dentin matrix enzymes, destabilizes the tooth-adhesive bond and disrupts the unprotected collagen fibrils. While a sufficient resin–dentin adhesion is usually achieved immediately, bonding efficiency declines over time. Thus, here, a review will be carried out through a bibliographic survey of scientific articles published in the last few years to present strategies that have been proposed to improve and/or develop new adhesive systems that can help prevent degradation at the adhesive interface. It will specially focus on new clinical techniques or new materials with characteristics that contribute to increasing the durability of adhesive restorations and avoiding the recurrent replacement restorative cycle and the consequent increase in damage to the tooth.
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Brkanović S, Sever EK, Vukelja J, Ivica A, Miletić I, Krmek SJ. Comparison of Different Universal Adhesive Systems on Dentin Bond Strength. MATERIALS (BASEL, SWITZERLAND) 2023; 16:1530. [PMID: 36837160 PMCID: PMC9963205 DOI: 10.3390/ma16041530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 02/06/2023] [Accepted: 02/10/2023] [Indexed: 06/18/2023]
Abstract
Over the past few decades, adhesive dentistry has advanced significantly. In light of minimal-invasive dentistry, this novel technique advocates a more conservative cavity design that relies on the efficiency of present enamel-dentine adhesives. The study aimed to address the scientific deficit in understanding the long-term bonding performance of universal adhesives and to provide a new clinical solution with desirable bond strength to dentin. The dentin bond strength of three bonding agents, G2-Bond Universal (GC), Clearfil SE Bond (Kuraray), and Scotchbond Universal Plus (3M ESPE), was evaluated following various storage and etching modes. The UltraTester (Ultradent) bond strength testing machine was used to assess shear bond strength. The results showed that thermal cycling and the choice of adhesive system significantly affected the shear bond strength (p = 0.018 and p = 0.001, respectively). Among the three adhesives, Scotchbond Universal Plus had the lowest bond strength value (mean value = 24.78 MPa), while G2-Bond Universal was found to have desirable shear bond strength to dentin compared to the other adhesives, even after one year in the oral environment (mean value = 35.15 MPa). These findings imply that the HEMA-free universal adhesive G2-Bond Universal is the most effective universal adhesive for clinical practices, particularly when applied in the self-etch mode.
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Effect of an additional bonding resin on the 5-year performance of a universal adhesive: a randomized clinical trial. Clin Oral Investig 2023; 27:837-848. [PMID: 35821134 DOI: 10.1007/s00784-022-04613-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 06/29/2022] [Indexed: 02/03/2023]
Abstract
OBJECTIVES To evaluate the effect of the application of an additional hydrophobic bonding resin on the clinical performance of a universal adhesive applied in etch-and-rinse (ER) or self-etch adhesive (SE) strategy in non-carious cervical lesions (NCCLs) after 5 years. MATERIALS AND METHODS Scotchbond Universal Adhesive (3M Oral Care) was applied in 134 NCCLs of 39 subjects using different adhesion approaches: 3-step ER (3-ER), 2-step ER (2-ER), 2-step SE (2-SE), and 1-step SE (1-SE). Enamel and dentin were acid etched prior to application of the universal adhesive for the 3-ER and 2-ER groups. An extra layer of a hydrophobic bonding resin was applied for groups 3-ER and 2-SE. All lesions were restored with Filtek Supreme XTE resin composite (3M Oral Care). Restorations were evaluated at baseline and at 5 years using the modified USPHS criteria. Mann-Whitney U and Wilcoxon tests were performed, and the survival rates (retention/fracture) were analyzed using Kaplan-Meier and log-rank tests (p < 0.05). RESULTS The recall rate was 66.7% at 5 years. The cumulative survival rate was 96.9% for 3-ER, 96.8% for 2-ER, 71.4% for 2-SE, and 81.3% for 1-SE strategies. The log-rank test was statistically significant (p = 0.006). Retention rates were 100% for both ER groups, 75% for 2-SE and 81.3% for 1-SE. At 5 years, 2- and 1-SE approaches showed similar retention rates, but lower than those for 3- and 2-ER. A significant decrease in retention rate was detected for 2-SE (p = 0.007) and 1-SE (p = 0.014) groups between baseline and 5 years. All groups, except 2-ER, showed an increase in marginal discoloration. For this parameter, significant differences were detected between 2-ER and 1-SE (p = 0.004). CONCLUSIONS The addition of a hydrophobic bonding resin to the recommended application sequence of Scotchbond Universal Adhesive did not improve its clinical performance in NCCLs after 5 years. Higher retention rates were measured when this adhesive was applied in ER mode. TRIAL REGISTRATION This manuscript is a 5-year follow-up of a randomized clinical trial that started in 2012 when there was no strong recommendation for registration in clinicaltrials.gov. The results after 36 months of clinical service were previously published in this journal.
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Haupt F, Meyerdiercks C, Kanzow P, Wiegand A. Survival analysis of fragment reattachments and direct composite restorations in permanent teeth after dental traumatic injuries. Dent Traumatol 2023; 39:49-56. [PMID: 36116107 DOI: 10.1111/edt.12789] [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: 03/16/2022] [Revised: 08/23/2022] [Accepted: 08/29/2022] [Indexed: 01/14/2023]
Abstract
BACKGROUND/AIM In case of crown fractures after traumatic dental injuries, the affected teeth can be restored either with reattachment of the fractured fragment or with a direct composite restoration. So far, longevity data for reattachments and direct composite restorations with regard to different failure types (pulp necrosis and infection, restoration loss) are scarce. Therefore, the aim of this retrospective study was to evaluate the restorative and biological survival of reattached fragments and composite restorations after crown fractures in permanent teeth. MATERIAL AND METHODS Dental records of patients treated between 2000 and 2018 were retrospectively analysed regarding the restoration (reattachment or direct composite restorations) of teeth with crown fractures. Survival (no further intervention) and restorative and/or biological failure of all restored teeth were recorded. Statistical analysis was performed using Kaplan-Meier statistics, and the mean annual failure rates for two and 5 years were calculated. Furthermore, the effect of potential risk factors on survival was assessed. Log-rank tests and univariate Cox regression models (likelihood ratio tests) were used to assess the univariate effect of all variables of interest. Variables with a p-value ≤.10 were included in a multivariate Cox regression model with shared frailty (p < .05). RESULTS Overall, 164 patients with 235 teeth (uncomplicated crown fracture: N = 201, complicated crown fracture: N = 34) were included (1.6 ± 2.5 years observation time). Of these, 59 teeth were restored with reattachment of the fragment and 176 with a composite restoration. Overall, composite restorations had a significantly higher survival rate than reattachments (p = .002). The cumulative survival after 2 years was 42.9% and 65.0% for teeth treated with a reattachment (mAFR = 34.5%) and a composite restoration (mAFR = 19.3%), respectively. When differentiating between failure types, restoration failure and pulp necrosis were significantly more frequently detected in reattached crown fractures compared to composite restorations (restorative failure: p = .001; biological failure: p = .036). In the multivariate Cox regression model, the variable jaw and luxation significantly influenced the survival when the tooth was restored with a composite restoration. The survival was not influenced by the fracture type. CONCLUSIONS Restorative and biological failures were more frequently detected when the tooth was restored with a reattached fragment compared to a direct composite restoration. Both, restoration failure and pulp necrosis with infection should be considered as frequent complications after restoration of crown-fractured teeth which emphasizes the necessity of regular and short follow-up intervals throughout the first 2 years.
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Affiliation(s)
- Franziska Haupt
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Centre Göttingen, Göttingen, Germany
| | - Christopher Meyerdiercks
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Centre Göttingen, Göttingen, Germany
| | - Philipp Kanzow
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Centre Göttingen, Göttingen, Germany
| | - Annette Wiegand
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Centre Göttingen, Göttingen, Germany
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Clinical reliability of self-adhesive luting resins compared to other adhesive procedures: A systematic review and meta-analysis. J Dent 2023; 129:104394. [PMID: 36566829 DOI: 10.1016/j.jdent.2022.104394] [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: 10/21/2022] [Revised: 12/14/2022] [Accepted: 12/19/2022] [Indexed: 12/24/2022] Open
Abstract
OBJECTIVES This systematic review aimed to collect and interpret the randomized clinical trials (RCTs) that investigated the outcome of the self-adhesive luting resins (SA) compared to total-etch (TE), selective etch with dentin adhesives (Sle), selective etch without dentin adhesives (SleSA) or self-etch adhesives (SE). DATA SOURCES A thorough search of Internet databases was conducted without language restrictions, and the search ran up to and including April 2022. The illegible records citations were checked for more relevant clinical studies. STUDY SELECTION/RESULTS The inclusion criteria were randomized controlled trials (RCTs) that compared self-adhesive luting resins with total-etch, selective-etch, or self-etch adhesives regarding postoperative sensitivity, incidences of debonding, and survival rates of indirect restorations. From 1732 records, 9 RCTs met the eligibility criteria. Three RCTs compared total-etch adhesive to self-adhesive luting resin for intracoronal restorations, one RCT compared selective etch to self-adhesive luting resin for inlays, and 5 RCTs compared self-adhesive to other protocols for partial ceramic crowns. Postoperative sensitivity showed a non-statistically significant difference between SA and other adhesive protocols, SA revealed a non-statistically significant difference in debonding and survival to TE, but a lower statistically significant difference to Sle, SleSA, and SE. CONCLUSIONS Postoperative sensitivity might not be affected by the adhesive protocol. In relatively short observation, TE revealed comparable survival to SA for intracoronal restorations. SE and Sle exhibited the best clinical outcomes, followed by SleSA. Selective etch, and self-etch adhesives are preferable to self-adhesive resins. CLINICAL SIGNIFICANCE The significance of enamel etching and the superiority of self-etching adhesives over self-adhesive luting resins for reliable and durable bonding and improved clinical outcomes. However, long-term RCTs, particularly for total-etch comparison to self-adhesive luting resins, might be recommended to derive further evidence.
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Temel UB, Kam Hepdeniz O, Gulec A. Evaluation of the bonding effectiveness of a universal adhesive to the plasma-activated dentin surface. Eur J Oral Sci 2023; 131:e12914. [PMID: 36617641 DOI: 10.1111/eos.12914] [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: 07/12/2022] [Accepted: 12/21/2022] [Indexed: 01/10/2023]
Abstract
This study aimed to evaluate the effect of non-thermal atmospheric pressure plasma on the bond strength of a universal adhesive used in etch-and-rinse mode. Dentin surfaces were etched with phosphoric acid and samples were divided into groups exposed to either dry bonding, plasma-dried bonding, plasma-dried and rewetted bonding, or wet bonding (n = 10). Dentin surfaces of the plasma-dried specimens were treated with a plasma jet before the adhesive procedure. After application, composite blocks were built, and specimens were subjected to micro-tensile bond strength testing after 24 h and after 10,000 thermal cycles. The hybrid layer formation was evaluated by micro-Raman spectral analysis; the resin-dentin interface was analyzed by scanning electron microscopy. One-way ANOVA and Tukey's post hoc multiple comparison tests were used to statistically analyze the data. The bond strength values of the plasma-dried bonding groups were statistically higher than the non-plasma-treated groups both before and after aging. After the thermal cycles, bond strength values decreased significantly only in the wet bonding group. Micro-Raman spectral analysis revealed that plasma-drying increased adhesive penetration, especially hydrophobic monomer infiltration. This may increase the mechanical properties and durability of the resin-dentin interface, provide long-term stability, and improve the polymerization rate of the adhesive layer.
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Affiliation(s)
- Ugur Burak Temel
- Faculty of Dentistry, Department of Restorative Dentistry, Suleyman Demirel University, Isparta, Turkey
| | - Ozge Kam Hepdeniz
- Faculty of Dentistry, Department of Restorative Dentistry, Suleyman Demirel University, Isparta, Turkey
| | - Ali Gulec
- Faculty of Technology, Department of Biomedical Engineering, Isparta University of Applied Sciences, Isparta, Turkey
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Sato A, Sato T, Ikeda M, Takagaki T, Nikaido T, Tagami J, Shimada Y. Influence of different tooth etchants on bur-cut and uncut enamel. Dent Mater J 2023. [PMID: 36709986 DOI: 10.4012/dmj.2022-194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
This study aimed to evaluate the effect of pre-etching for two-step self-etch adhesive bonding to bur-cut and uncut enamel. Bur-cut and uncut enamel surfaces were assigned to surface treatments of no etchant (CT), Enamel Conditioner (EC; Shofu, Kyoto, Japan), or K-etchant syringe (KE; Kuraray Noritake Dental, Tokyo, Japan). The bonded samples were thermal cycled and evaluated by microshear bond strength (μSBS). The adhesive interface after acid-base challenge and the conditioned enamel surfaces were morphologically analyzed using scanning electron microscopy (SEM). For bur-cut enamel, EC and KE pre-etching significantly improved μSBS. For uncut enamel, KE showed higher μSBS than EC. SEM observation revealed that only KE removed the prismless layer of the uncut enamel surface. EC could improve enamel bonding and appears to be a substitute for phosphoric acid, especially for bur-cut enamel. However, uncut enamel could not be effectively conditioned by EC with a lower bond strength than KE.
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Affiliation(s)
- Ayaka Sato
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Takaaki Sato
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Masaomi Ikeda
- Oral Prosthetic Engineering, Graduate School, Faculty of Dentistry, Tokyo Medical and Dental University (TMDU)
| | - Tomohiro Takagaki
- Department of Operative Dentistry, Division of Oral Functional Science and Rehabilitation, School of Asahi University
| | - Toru Nikaido
- Department of Operative Dentistry, Division of Oral Functional Science and Rehabilitation, School of Asahi University
| | - Junji Tagami
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Yasushi Shimada
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
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Ma KSK, Wang LT, Blatz MB. Efficacy of adhesive strategies for restorative dentistry: A systematic review and network meta-analysis of double-blind randomized controlled trials over 12 months of follow-up. J Prosthodont Res 2023; 67:35-44. [PMID: 35691823 DOI: 10.2186/jpr.jpr_d_21_00279] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
PURPOSE The efficacy of etch-and-rinse, selective enamel-etching, and self-etching protocols for universal adhesives in follow-ups of over 12 months was compared in a network meta-analysis. STUDY SELECTION Randomized controlled trials (RCTs) published from 1998 to 2022 that compared marginal staining, marginal adaptation, retention and fractures, post-operative sensitivity, or recurrence of caries that took place over 12-months post-restoration were selected. A network meta-analysis determined the performance of each adhesive protocol. RESULTS After screening 981 articles, 16 RCTs were subjected to data extraction. Of which, 674 patients with 2816 restorations, were included in the network meta-analysis. The pooled risk of marginal discoloration following self-etching was significantly higher than that following etch-and-rinse at over 12, 24, and 36 months, which was time-dependent. The pooled risks of unfavorable marginal adaptation and unfavorable retention and fractures following self-etching were also significantly higher than that following etch-and-rinse, with the rates of unfavorable retention and fractures in non-carious cervical lesions increasing in a time-dependent manner. The pooled risks of marginal discoloration, unfavorable marginal adaptation, retention and fractures were similar between etch-and-rinse and selective enamel-etching protocols. Post-operative hypersensitivity and recurrence of caries were not significantly different among etch-and-rinse, selective enamel-etching, and self-etching protocols. CONCLUSIONS In follow-ups over 12 months, esthetic and functional outcomes of restorations completed with an etch-and-rinse adhesive protocol were superior to the ones achieved with a self-etching strategy without selective enamel-etching. Selective enamel etching is recommended for self-etching systems. Biological responses were similar for all three adhesive strategies.
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Affiliation(s)
- Kevin Sheng-Kai Ma
- Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.,Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.,Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan
| | - Li-Tzu Wang
- National Taiwan University (NTU) Hospital and College of Medicine, NTU, Taipei, Taiwan
| | - Markus B Blatz
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA
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Kazemian M, Hosseini M, Raji Z. Microshear Bond Strength of Composite to Superficial Dentin by Use of Universal Adhesives with Different pH Values in Self-Etch and Etch & Rinse Modes. Dent Res J (Isfahan) 2023. [DOI: 10.4103/1735-3327.367904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
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