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González CC, Ñaupari-Villasante R, Dos Santos de Castro A, Mendez-Bauer L, Dávila-Sanchez A, Aliaga-Sancho P, Gutierrez MF, Reis A, Loguercio AD. Clinical evaluation of posterior restorations over wet and dry dentin using an etch-and-rinse adhesive: A 36-month randomized clinical trial. Dent Mater 2024; 40:619-628. [PMID: 38369403 DOI: 10.1016/j.dental.2024.02.009] [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: 11/18/2023] [Revised: 01/30/2024] [Accepted: 02/12/2024] [Indexed: 02/20/2024]
Abstract
OBJECTIVES To evaluate the clinical performance of posterior restorations over wet and dry dentin with an etch-and-rinse adhesive after 36 months of clinical service. METHODS Forty-five participants were recruited, each one had at least two posterior teeth that needed restoration. Ninety restorations were placed on Class I or Class II cavities. For the restoration protocol, a simplified etch-and-rinse adhesive (Adper Single Bond 2) was applied over wet (WD) or dry dentin (DD) and later restored with a bulk-fill composite (Filtek Bulk Fill) under rubber dam isolation. Each restoration was evaluated using the World Dental Federation (FDI) criteria after 6, 12, and 36 months of clinical service, regarding the following principal restoration characteristics: postoperative sensitivity, marginal discoloration, marginal adaptation, fracture of material and retention, and recurrence of caries. Kruskal Wallis analysis of variance rank (α = 0.05) and Kaplan-Meier survival analysis were used for statistical analysis. RESULTS After 36 months of clinical evaluation, no significant difference between groups was observed in each FDI criterion (p > 0.05). Twenty restorations (WD=10, DD=10) showed minor marginal staining, and twenty-two restorations (WD=11, DD=11) presented small marginal adaptation defects (p > 0.05). Four restorations were lost (WD = 2, DD = 2) and the fracture rates (95% confidence interval) were 94.9% for each one, without significant difference between wet and dry dentin (p > 0.05). SIGNIFICANCE The degree of dentin moisture does not seem to affect the clinical performance of a simplified etch-and-rinse adhesive in posterior restorations when the adhesive is applied vigorously over the dentine surface.
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Affiliation(s)
- Claudia C González
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | - Romina Ñaupari-Villasante
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | | | - Luján Mendez-Bauer
- Research Department, Faculty of Dentistry, Francisco Marroquím University, Guatemala city, Guatemala
| | - Andrés Dávila-Sanchez
- Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - Paulina Aliaga-Sancho
- Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - Mario Felipe Gutierrez
- Universidad de los Andes, Facultad de Odontología, Santiago, Chile; University of Chile, Institute for Research in Dental Sciences, Faculty of Dentistry, Santiago, Chile
| | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil.
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Fathpour K, Nili Ahmadabadi M, Atash R, Fathi AH. Effect of Different Surface Treatment Methods on the Shear Bond Strength of Resin Composite/Zirconia for Intra-oral Repair of Zirconia Restorations. Eur J Dent 2023; 17:809-817. [PMID: 36220116 PMCID: PMC10569880 DOI: 10.1055/s-0042-1756475] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Abstract
OBJECTIVE A durable resin/zirconia bond is essential for successful intra-oral repair of zirconia restorations. The purpose of this study was to evaluate the influence of two mechanical treatments followed by seven chemical treatments on the shear bond strength (SBS) of composite resin to zirconia. MATERIALS AND METHODS In this in vitro study, 280 zirconia blocks (Y-TZP) were either air-abraded or bur roughened and divided into seven experimental groups (n = 20) in terms of primer/resin application: 1) ZPP, Z-Prime Plus; 2) ZPP + GP, Z-Prime Plus followed by G-premio bond; 3) ZPP + ALB, Z-Prime Plus followed by All Bond Universal; 4) ZPP + CLRF, Z-Prime Plus followed by Clearfil SE Bond; 5)GP, G-Premio Bond 6) ALB, All Bond Universal; and 7) CLRF, Clearfil SE Bond. After composite bonding and storage in distilled water (24 hours), half of each group specimen (n = 10) were thermocycled. All specimens were subjected to shear force. Statistical analysis was performed using Kruskal-Wallis and Mann-Whitney test (α = 0.05). RESULTS Significant reduction in SBS was observed in all groups after thermocycling(p < 0.05), except for the air-abraded ZPP + CLRF (p = 0.143). After aging, air-abraded CLRF exhibited the highest SBS (13.55 ± 7.8 MPa) and bur roughened ZPP showed the lowest SBS (1.16 ± 1.23 MPa). In the aged specimens, there was a significant difference between air abrasion and bur roughening in all groups (p < 0.05). CONCLUSION Air-abrasion followed by application of adhesive (with/without prior primer application) is the most efficient technique for repair of veneered zirconia restorations with resin composite.
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Affiliation(s)
- Kamyar Fathpour
- Department of Esthetic and Restorative Dentistry, Dental Material Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mahsa Nili Ahmadabadi
- Department of Esthetic and Restorative Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ramin Atash
- Department of Prosthodontics, School of Dentistry, Faculty of Medicine, Université Libre de Bruxelles, Brussels, Belgium
| | - Amir Hossein Fathi
- Dental Materials Research Center, Dental Prosthodontics Department, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
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Mathias-Santamaria IF, Santamaria MP, Silveira CA, Martinho FC, de Melo MAS, De Marco AC, Augusto MG, de Andrade GS, Roulet JF, Bresciani E. Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial. Clin Oral Investig 2023; 27:1781-1792. [PMID: 36462038 DOI: 10.1007/s00784-022-04806-1] [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: 07/11/2022] [Accepted: 11/27/2022] [Indexed: 12/05/2022]
Abstract
OBJECTIVE To compare 2 different resin composites and 2 adhesive systems used in a new restorative protocol (partial restoration) to treat non-carious cervical lesions associated with gingival recession type 1 (RT1). MATERIAL AND METHODS Eighty combined defects (CDs) were treated with a partial restoration and periodontal plastic surgery for root coverage. The CDs were randomly assigned to one of the following groups: NP + TE (n = 20), nanofilled composite and 2-step total-etch adhesive system; NP + UA (n = 20), nanofilled composite and universal adhesive system; MH + TE (n = 20), microhybrid composite and 2-step total-etch adhesive; MH + UA (n = 20), microhybrid composite and universal adhesive. Restorations were assessed using the United States Public Health Service (USPHS) criteria at 1 week (baseline) and 6, 12, and 24 months. Survival rate, periodontal parameters, dentin hypersensitivity (DH), and aesthetics were also evaluated. RESULTS After 24 months, only the MH + TE group did not lose any restoration, with no significant differences between groups. For surface roughness parameter, MH presented 83.3% of the restorations scoring Bravo, whereas NP presented 48.5% of the restorations scoring Bravo. All groups presented restorations with marginal discoloration. All periodontal parameters behaved similarly, regardless of the restorative material. All groups presented significant reductions of dentin hypersensitivity and improved aesthetic perceptions (p < 0.05). CONCLUSION Both resin composites and adhesives tested can be combined for partial restorations to treat CDs. CLINICAL RELEVANCE This new restorative-surgical protocol to treat CDs presents satisfactory outcomes. The partial restorations can be successfully executed with both combinations of adhesives and resin composites evaluated in this investigation. TRN : ClinicalTrial.gov: NCT03215615; registration date July 12, 2017.
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Affiliation(s)
- Ingrid Fernandes Mathias-Santamaria
- Department of General Dentistry, School of Dentistry, University of Maryland, Baltimore, 650 West Baltimore Street, Baltimore, MD, 21201, USA.
- Department of Restorative Dentistry, Institute of Science and Technology, UNESP - São Paulo State University, São José Dos Campos, Brazil.
| | - Mauro Pedrine Santamaria
- Department of Diagnosis and Surgery, Institute of Science and Technology, UNESP - São Paulo State University, São José Dos Campos, Brazil
- Center for Oral Health Research, College of Dentistry, University of Kentucky, Lexington, USA
| | - Camila Augusto Silveira
- Department of Diagnosis and Surgery, Institute of Science and Technology, UNESP - São Paulo State University, São José Dos Campos, Brazil
| | - Frederico Canato Martinho
- Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, Baltimore, MD, USA
| | - Mary Anne Sampaio de Melo
- Department of General Dentistry, School of Dentistry, University of Maryland, Baltimore, 650 West Baltimore Street, Baltimore, MD, 21201, USA
| | - Andrea Carvalho De Marco
- Department of Diagnosis and Surgery, Institute of Science and Technology, UNESP - São Paulo State University, São José Dos Campos, Brazil
| | - Marina Gullo Augusto
- Department of Dentistry, School of Dentistry, Western Paraná State University, Cascavel, Brazil
| | | | - Jean-François Roulet
- Department of Restorative Dental Sciences, College of Dentistry, University of Florida, Gainesville, USA
| | - Eduardo Bresciani
- Department of Restorative Dentistry, Institute of Science and Technology, UNESP - São Paulo State University, São José Dos Campos, Brazil
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Ismail HS, Ali AI, Mehesen RE, Juloski J, Garcia-Godoy F, Mahmoud SH. Deep proximal margin rebuilding with direct esthetic restorations: a systematic review of marginal adaptation and bond strength. Restor Dent Endod 2022; 47:e15. [PMID: 35692223 PMCID: PMC9160765 DOI: 10.5395/rde.2022.47.e15] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 07/25/2021] [Accepted: 08/08/2021] [Indexed: 11/25/2022] Open
Abstract
This review aimed to characterize the effect of direct restorative material types and adhesive protocols on marginal adaptation and the bond strength of the interface between the material and the proximal dentin/cementum. An electronic search of 3 databases (the National Library of Medicine [MEDLINE/PubMed], Scopus, and ScienceDirect) was conducted. Studies were included if they evaluated marginal adaptation or bond strength tests for proximal restorations under the cementoenamel junction. Only 16 studies met the inclusion criteria and were included in this review. These studies presented a high degree of heterogeneity in terms of the materials used and the methodologies and evaluation criteria of each test; therefore, only a descriptive analysis could be conducted. The included studies were individually evaluated for the risk of bias following predetermined criteria. To summarize the results of the included studies, the type of restorative material affected the test results, whereas the use of different adhesive protocols had an insignificant effect on the results. It could be concluded that various categories of resin-based composites could be a suitable choice for clinicians to elevate proximal dentin/cementum margins, rather than the open sandwich technique with resin-modified glass ionomers. Despite challenges in bonding to proximal dentin/cementum margins, different adhesive protocols provided comparable outcomes.
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Affiliation(s)
- Hoda S. Ismail
- Operative Dentistry Department, Faculty of Dentistry, Mansoura University, Egypt
| | - Ashraf I. Ali
- Operative Dentistry Department, Faculty of Dentistry, Mansoura University, Egypt
| | - Rabab El. Mehesen
- Operative Dentistry Department, Faculty of Dentistry, Mansoura University, Egypt
| | - Jelena Juloski
- Clinic for Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Serbia
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - Franklin Garcia-Godoy
- Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA
- The Forsyth Institute, Cambridge, MA, USA
| | - Salah H. Mahmoud
- Operative Dentistry Department, Faculty of Dentistry, Mansoura University, Egypt
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Bonding interface and dentin enzymatic activity of two universal adhesives applied following different etching approaches. Dent Mater 2022; 38:907-923. [DOI: 10.1016/j.dental.2022.03.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 03/01/2022] [Accepted: 03/02/2022] [Indexed: 11/18/2022]
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Matos TP, Hanzen TA, Almeida R, Tardem C, Bandeca MC, Barceleiro MO, Loguercio AD, Reis A. Five-year Randomized Clinical Trial on the Performance of Two Etch-and-rinse Adhesives in Noncarious Cervical Lesions. Oper Dent 2021; 47:31-42. [PMID: 34963006 DOI: 10.2341/20-103-c] [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: 03/20/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To evaluate the 5-year clinical performance of two-step etch-and-rinse adhesives in noncarious cervical lesions (NCCL). METHODS AND MATERIALS The sample comprised 35 adults with at least two similar-sized NCCL. Seventy restorations were placed, according to one of the following groups: Adper Single Bond 2 (SB) and Ambar (AM). The restorations were placed incrementally using a resin composite (Opallis). The restorations were evaluated at baseline and after 6 and 18 months and 5 years using some items of the FDI criteria. The differences in the ratings of the two materials after 6 months, 18 months, and 5 years were performed with Friedman repeated measures ANOVA by rank and McNemar test for significance in each pair (α=0.05). RESULTS Five patients did not attend the 60-month recall. No significant differences were observed between the materials for any criteria evaluated. Twenty-one restorations failed (12 for SB and 9 for AM) after 60 months. Thus, the retention rate for SB at 60 months were 55.6% for SB and 71% for AM (p=0.32). After 60 months, 12 restorations (6 for SB and 6 AM) showed some loss of marginal adaptation (p=1.0). Slight marginal discoloration was observed in 10 restorations (6 for SB and 4 AM; p=0.91). Five restorations (2 for SB and 3 for AM) showed recurrences of caries (p=1.0). CONCLUSIONS Both two-step etch-and-rinse adhesives-Adper Single Bond 2, a polyalkenoic acid-containing adhesive, and Ambar, a 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing adhesive-showed acceptable clinical performance after 60 months.
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Affiliation(s)
- T P Matos
- Thalita P Matos, DDS, MS, PhD, Department of Dentistry, University Tuiuti of Paraná, Curitiba, PR, Brazil
| | - T A Hanzen
- Taise A Hanzen, DDS, MS, PhD student, Department of Dentistry, State University of Ponta Grossa, PR, Brazil
| | - R Almeida
- Rossana Almeida, DDS, MS student, Postgraduate Program in Dentistry, University Ceuma, São Luiz, MA, Brazil
| | - C Tardem
- Chane Tardem, DDS, MS student, School of Dentistry, Federal Fluminense University, Rio de Janeiro, RJ, Brazil
| | - M C Bandeca
- Matheus C Bandeca, DDS, MS, PhD, University Tuiuti of Paraná, Curitiba, PR, Brazil
| | - M O Barceleiro
- Marcos O Barceleiro, DDS, MS, PhD, School of Dentistry, Federal Fluminense University, Rio de Janeiro, RJ, Brazil
| | - A D Loguercio
- *Alessandrao D Loguercio, DDS, MS, PhD Department of Dentistry, State University of Ponta Grossa, PR, Brazil
| | - A Reis
- Alessandra Reis, DDS, PhD, Department of Dentistry, State University of Ponta Grossa, PR, Brazil
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Gonçalves DFM, Shinohara MS, Carvalho PRMDA, Ramos FDSES, Oliveira LDC, Omoto ÉM, Fagundes TC. Three-year evaluation of different adhesion strategies in non-carious cervical lesion restorations: a randomized clinical trial. J Appl Oral Sci 2021; 29:e20210192. [PMID: 34705986 PMCID: PMC8523123 DOI: 10.1590/1678-7757-2021-0192] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 08/11/2021] [Indexed: 11/21/2022] Open
Abstract
Objective: To evaluate non-carious cervical lesions (NCCLs) restored with different adhesion strategies. Methodology: This is a prospective, randomized, double-blind, split-mouth study. An adhesive restorative system (Single Bond Universal/Filtek Z350XT – SBU) was evaluated both without and with selective enamel conditioning (E-SBU), resin-modified glass-ionomer cements (Vitremer; RMGIC), and ethylenediaminetetraacetic acid pretreatment (EDTA; E-RMGIC). In total, 200 restorations, placed in 50 patients, were evaluated at baseline and at a 3-year follow-up using the modified United States Public Health Service (USPHS) criteria. Data were analyzed using the two-proportion equality test, multinomial logistic regression, Wilcoxon test, and Kaplan-Meier survival curves. Results: In total, 42 (84%) patients returned for the 3-year follow-up. SBU showed restoration losses statistically different from RMGIC. Retention was also statistically different in SBU between baseline and the 3-year follow-up. Marginal defects and surface texture were statistically significant for all groups in the period studied, except for the surface texture of SBU and the marginal integrity in E-RMGIC. We observed no statistically significant difference in wear, secondary caries, anatomical form, surface staining, and color over time. Recession degree was the only factor to influence retention rates. Cumulative survival (%) was 89, 98, 98, and 95.3, for SBU, SE-SBU, RMGIC, and E-RMGIC, respectively, without significant differences among them. There was a statistically significant difference between survival curves; however, multiple comparison procedures found no statistical differences. Conclusion: Selective enamel etching affected the retention of non-carious cervical restorations. Adhesion using EDTA and resin-modified glass-ionomer cements delayed marginal defects over time. The degree of gingival recession influenced retention rates. Resin composite restorations showed initial marginal defects, and ionomer restorations, reduced surface luster. EDTA pre-treatment followed by resin-modified glass-ionomer cements may be a promising adhesion strategy for NCCL restorations.
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Affiliation(s)
- Diego Felipe Mardegan Gonçalves
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, Brasil
| | - Mirela Sanae Shinohara
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, Brasil
| | | | - Fernanda de Souza E Silva Ramos
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, Brasil
| | - Laryssa de Castro Oliveira
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, Brasil
| | - Érika Mayumi Omoto
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, Brasil
| | - Ticiane Cestari Fagundes
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, Brasil
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Adhesive strategies in cervical lesions: systematic review and a network meta-analysis of randomized controlled trials. Clin Oral Investig 2021; 25:2495-2510. [PMID: 33661448 DOI: 10.1007/s00784-021-03844-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Accepted: 02/16/2021] [Indexed: 12/13/2022]
Abstract
OBJECTIVES A network meta-analysis (NMA) was performed to assess which adhesive strategy is most clinically effective in treating non-carious cervical lesions (NCCLs). MATERIAL AND METHODS Studies were identified by a systematic search of electronic databases including MEDLINE via PubMed, Brazilian Library in Dentistry (BBO), Cochrane Library, EMBASE, Latin American and Caribbean Health Sciences Literature database (LILACS), Scopus, and Web of Science without restrictions on publication year or language. The grey literature was also consulted. Only randomized clinical trials that compared different adhesive strategies in NCCLs in adult patients were included. The risk of bias was evaluated by using the Cochrane Collaboration tool. A random-effects Bayesian mixed treatment comparison model was used to compare adhesive strategies (3ER, 2ER, 2SE, and 1SE) at different follow-up times. The surface under cumulative ranking curve (SUCRA) was estimated for each strategy. Heterogeneity was assessed by using the Cochran Q test and I2 statistics. The quality of evidence was evaluated using the GRADE approach. RESULTS A total of 5058 studies were identified, 66 of which met the eligibility criteria and of these 5 were judged "low" risk of bias and 57 were meta-analyzed. We did not observe significant differences in the NMA analysis for any two pairs of adhesives, except for the shortest follow-up for 2ER vs 3ER. The material 2SE ranked highest, although it differed only slightly from the other bonding strategies. CONCLUSIONS No bonding strategy is better than the others. CLINICAL RELEVANCE Adhesive efficacy cannot be characterized by its bonding strategy.
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de Paris Matos T, Perdigão J, de Paula E, Coppla F, Hass V, Scheffer RF, Reis A, Loguercio AD. Five-year clinical evaluation of a universal adhesive: A randomized double-blind trial. Dent Mater 2020; 36:1474-1485. [PMID: 32933775 DOI: 10.1016/j.dental.2020.08.007] [Citation(s) in RCA: 55] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 06/26/2020] [Accepted: 08/29/2020] [Indexed: 12/27/2022]
Abstract
OBJECTIVE To evaluate the five-year clinical performance of Scotchbond Universal Adhesive (SU; 3M Oral Care, St. Paul, MN, USA) in non-carious cervical lesions (NCCLs) using two evaluation criteria. METHODS Thirty-nine patients participated in this study. Two hundred restorations were assigned to four groups: SU-ERm: etch-and-rinse + moist dentin; SU-ERd: etch-and-rinse + dry dentin; SU-Set: selective enamel etching; and SU-SE: self-etch. A nanofilled composite resin was placed incrementally. The restorations were evaluated at baseline and after 5 years using both the World Dental Federation (FDI) and the United States Public Health Service (USPHS) criteria. The survival rates (retention/fractures) were calculated with the Kaplan-Meier and the log-rank test. For the secondary outcomes, Friedman repeated measures analysis of variance by rank was applied (α = 0.05). RESULTS After 5 years the recall rate was 86%. The retention/fracture rates were 93% for Erm and ERd, 88.4% for SEet and 81.4% for SE. A significant difference was observed for SE vs. ERd and SE vs. ERm (p = 0.01). Also, marginal discoloration and adaptation showed significant differences with ERm and ERd resulting in fewer marginal discrepancies than SE (p < 0.05). SIGNIFICANCE After 5 years, the clinical behavior of the universal adhesive in the etch-and-rinse strategy was better when compared to the self-etch strategy. The use of selective enamel etching is highly recommended for the self-etch strategy. The FDI and USPHS evaluation criteria showed similar results after 5 years.
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Affiliation(s)
- Thalita de Paris Matos
- School of Dentistry, Department of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - Jorge Perdigão
- University of Minnesota, School of Dentistry, Department of Restorative Sciences, Minneapolis, MN, USA.
| | - Eloisa de Paula
- Department of Restorative Dentistry, School of Dentistry, State University of West Paraná, Cascavel, PR, Brazil; Methodist University, Santos, SP, Brazil
| | - Fabiana Coppla
- School of Dentistry, Centro de Ensino Superior dos Campos Gerais, Ponta Grossa, PR, Brazil
| | - Viviane Hass
- Postgraduate Program in Dentistry, University Northern Parana, Londrina, PR, Brazil
| | - Rafael F Scheffer
- Department of Restorative Dentistry, School of Dentistry, State University of West Paraná, Cascavel, PR, Brazil
| | - Alessandra Reis
- School of Dentistry, Department of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - Alessandro D Loguercio
- School of Dentistry, Department of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
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Lins R, Sebold M, Magno MB, Maia LC, Martins L, Giannini M. Does the Type of Solvent in Dental Adhesives Influence the Clinical Performance of Composite Restorations Placed in Noncarious Cervical Lesions? A Systematic Review and Meta-analysis. Oper Dent 2020; 45:E237-E254. [PMID: 32516376 DOI: 10.2341/19-124-lit] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/07/2020] [Indexed: 11/23/2022]
Abstract
CLINICAL RELEVANCE According to the clinical and scientific evidence presented in this systematic review and meta-analysis, dental adhesives containing either organic solvent (acetone or alcohol) can be used to achieve similar clinical performance and longevity of composite restorations. SUMMARY Objectives: This systematic review and meta-analysis compared the clinical performance and survival rates of composite restorations placed in noncarious cervical lesions (NCCLs) using dental adhesives containing acetone or alcohol-based solvents.Methods and Materials: PubMed, Scopus, Web of Science, Virtual Health Library (VHL) LILACS, Cochrane Library, OpenGrey, Clinical Trials, and Rebec were searched. MeSH terms, supplementary concepts, synonyms, and free keywords were used in the search strategy. All references were crosschecked by two independent investigators following the PICOS strategy (population, NCCLs; intervention, acetone-based bonding agent; comparison, alcohol-based bonding agent; outcome, clinical evaluation parameters and survival rates; study design, randomized controlled clinical trials). Cochrane Collaboration's tool was used to assess risk of bias, and two distinct meta-analyses were performed using the RevMan software. The prevalence of success and the total number of restorations for each group (acetone- or alcohol-based) were used to calculate the risk difference at a confidence interval of 95%. Random-effects models were applied, and heterogeneity was assessed using the I2 index in the pooled and subgrouped meta-analyses. The certainty of evidence was evaluated through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.Results: A total of 7876 studies were retrieved, from which 27 studies were selected for the systematic review. Ten studies were classified as "low risk of bias" and included in the meta-analyses. Overall heterogeneity was not significant (I2 = 0.00%). The clinical performance of restorations placed with bonding agents based on both solvents for each of the available parameters presented no statistical significance for any of the meta-analyses (p>0.05).Conclusion: Scientific evidence suggests composite restorations placed with acetone or alcohol-based dental adhesives present similar clinical performance and survival rates in NCCLs.
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Gurgan S, Koc Vural U, Kutuk ZB, Cakir FY. Does a new formula have an input in the clinical success of posterior composite restorations? A chat study. Clin Oral Investig 2020; 25:1715-1727. [PMID: 32748072 DOI: 10.1007/s00784-020-03472-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Accepted: 07/24/2020] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To compare the clinical behavior of a universal light-curing, ultra-fine particle hybrid composite and successor of this material in class I and II cavities after 60 months. MATERIALS AND METHODS Forty patients (21 females, 19 males) with ages ranging between 18 and 38 years (23.15 ± 5.15) received 80 (13 Cl I and 67 Cl II) resin composite restorations (Charisma/Charisma Classic, Kulzer GmbH) in combination with an etch and rinse adhesive system (Gluma 2Bond) under rubber dam isolation. Two experienced operators performed all the restorations. Restorations were evaluated by the other two examiners according to the FDI criteria at baseline and at 6, 12, 18, 24, 36, 48 and 60 months. Surface characteristics of one restoration selected randomly were examined under a scanning electron microscope (SEM) at each recall. Data were analyzed statistically (p < 0.05). RESULTS After 60 months, recall rate was 90%. None of the restorations failed. Three restorations from Charisma and 4 from the Charisma Classic group showed minor surface staining. Twelve Charisma and 14 Charisma Classic restorations were scored as 2 for margin staining. Four restorations from both groups showed minor shade deviations but no significant difference was observed between the two restorative materials for any criteria evaluated after 60 months (p > 0.05). SEM evaluations were in accordance with the clinical findings. CONCLUSIONS Both materials exhibited clinically similar and successful performance over the 60-month observation period. CLINICAL RELEVANCE A new formulation of resin composite may not always perform better clinical performances. TRIAL REGISTRATION ClinicalTrials.gov : NCT02888873.
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Affiliation(s)
- Sevil Gurgan
- Faculty of Dentistry, Department of Restorative Dentistry, Hacettepe University, Sıhhıye, 06100, Ankara, Turkey.
| | - Uzay Koc Vural
- Faculty of Dentistry, Department of Restorative Dentistry, Hacettepe University, Sıhhıye, 06100, Ankara, Turkey
| | - Zeynep Bilge Kutuk
- Faculty of Dentistry, Department of Restorative Dentistry, Hacettepe University, Sıhhıye, 06100, Ankara, Turkey
| | - Filiz Yalcin Cakir
- Faculty of Dentistry, Department of Restorative Dentistry, Hacettepe University, Sıhhıye, 06100, Ankara, Turkey
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Dressano D, Salvador MV, Oliveira MT, Marchi GM, Fronza BM, Hadis M, Palin WM, Lima AF. Chemistry of novel and contemporary resin-based dental adhesives. J Mech Behav Biomed Mater 2020; 110:103875. [PMID: 32957185 DOI: 10.1016/j.jmbbm.2020.103875] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 05/12/2020] [Accepted: 05/20/2020] [Indexed: 12/23/2022]
Abstract
The chemistry of resin-based dental adhesives is critical for its interaction with dental tissues and long-term bonding stability. Changes in dental adhesives composition influences the materials' key physical-chemical properties, such as rate and degree of conversion, water sorption, solubility, flexural strength and modulus, and cohesive strength and improves the biocompatibility to dental tissues. Maintaining a suitable reactivity between photoinitiators and monomers is important for optimal properties of adhesive systems, in order to enable adequate polymerisation and improved chemical, physical and biological properties. The aim of this article is to review the current state-of-the-art of dental adhesives, and their chemical composition and characteristics that influences the polymerisation reaction and subsequent materials properties and performance.
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Affiliation(s)
- Diogo Dressano
- Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Av Limeira, 901 Mail Box 52, Piracicaba, Sao Paulo, 13414-903, Brazil.
| | - Marcos V Salvador
- Dental Research Division, Paulista University, Sao Paulo, Rua Doutor Bacelar, 1212, CEP: 04026-002, Brazil.
| | | | - Giselle Maria Marchi
- Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Av Limeira, 901 Mail Box 52, Piracicaba, Sao Paulo, 13414-903, Brazil.
| | - Bruna M Fronza
- Department of Biomaterials and Oral Biology, University of São Paulo, 2227 Prof. Lineu Prestes Ave, 05508-000, São Paulo, SP, Brazil.
| | - Mohammed Hadis
- Dental Materials Science, Birmingham Dental School and Hospital, College of Medical and Dental Science, University of Birmingham, 5 Mill Pool Way, Edgbaston, Birmingham, B5 7EG, UK.
| | - William M Palin
- Dental Materials Science, Birmingham Dental School and Hospital, College of Medical and Dental Science, University of Birmingham, 5 Mill Pool Way, Edgbaston, Birmingham, B5 7EG, UK.
| | - Adriano Fonseca Lima
- Dental Research Division, Paulista University, Sao Paulo, Rua Doutor Bacelar, 1212, CEP: 04026-002, Brazil.
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Caneppele TMF, Meirelles LCF, Rocha RS, Gonçalves LL, Ávila DMS, Gonçalves SEDP, Bresciani E. A 2-year clinical evaluation of direct and semi-direct resin composite restorations in non-carious cervical lesions: a randomized clinical study. Clin Oral Investig 2019; 24:1321-1331. [PMID: 31297659 DOI: 10.1007/s00784-019-03011-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2019] [Accepted: 07/03/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The purpose of this study was to evaluate the 2-year success of resin composite restorations in non-carious cervical lesions (NCCLs) using the direct or semi-direct techniques. MATERIALS AND METHODS Thirty volunteers presenting with at least two NCCLs were included. Each participant received one restoration using the direct technique and the other using the semi-direct technique, totaling 60 restorations. Time for completing the treatment was computed. Assessments at baseline, 7 days, and 6, 12, and 24 months were performed using the modified United States Public Health Service criteria. Descriptive analysis was reported as a percentage of successful treatments. For inferential analysis, the Student t test was used to evaluate the differences between extension, depth, and time. The chi-square/Fisher tests were used to compare treatment success after each period (α = 0.05). The results were evaluated by using the Kaplan-Meier survival analysis. RESULTS Differences were detected regarding mean ± standard deviation time, in which direct and semi-direct procedures were accomplished in 21.8 (± 14.5) and 35.3 (± 19.9) min, respectively. Of the 60 restorations placed, 7 failed in the direct group while 8 failed in the semi-direct group up to 2 years. No differences were detected between restorative protocols. The cumulative survival was 88.5% and 88.4% for the direct technique and semi-direct techniques after 24 months, respectively. CONCLUSION The tested restorative protocols present similar results for NCCLs within the studied periods. CLINICAL RELEVANCE The semi-direct technique exhibited clinical performance similar to direct technique for NCCL, demonstrating an alternative for restorations of these lesions.
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Affiliation(s)
- Taciana Marco Ferraz Caneppele
- GAPEC - Academic Group of Clinical Research, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University (UNESP), Av. Eng. Francisco José Longo, no. 777, São José dos Campos, São Paulo, 12245-000, Brazil.
| | - Laura Célia Fernandes Meirelles
- GAPEC - Academic Group of Clinical Research, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University (UNESP), Av. Eng. Francisco José Longo, no. 777, São José dos Campos, São Paulo, 12245-000, Brazil
| | - Rafael Santos Rocha
- GAPEC - Academic Group of Clinical Research, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University (UNESP), Av. Eng. Francisco José Longo, no. 777, São José dos Campos, São Paulo, 12245-000, Brazil
| | - Lucélia Lemes Gonçalves
- GAPEC - Academic Group of Clinical Research, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University (UNESP), Av. Eng. Francisco José Longo, no. 777, São José dos Campos, São Paulo, 12245-000, Brazil
| | - Daniele Mara Silva Ávila
- GAPEC - Academic Group of Clinical Research, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University (UNESP), Av. Eng. Francisco José Longo, no. 777, São José dos Campos, São Paulo, 12245-000, Brazil
| | - Sérgio Eduardo de Paiva Gonçalves
- GAPEC - Academic Group of Clinical Research, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University (UNESP), Av. Eng. Francisco José Longo, no. 777, São José dos Campos, São Paulo, 12245-000, Brazil
| | - Eduardo Bresciani
- GAPEC - Academic Group of Clinical Research, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University (UNESP), Av. Eng. Francisco José Longo, no. 777, São José dos Campos, São Paulo, 12245-000, Brazil
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Souza MYD, Jurema ALB, Caneppele TMF, Bresciani E. Six-month performance of restorations produced with the ethanol-wet-bonding technique: a randomized trial. Braz Oral Res 2019; 33:e052. [PMID: 31269116 DOI: 10.1590/1807-3107bor-2019.vol33.0052] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Accepted: 05/22/2019] [Indexed: 11/22/2022] Open
Abstract
This double-blind randomized controlled clinical trial evaluated the effectiveness of dentin pretreatment with 100% ethanol (EWBT - ethanol wet bonding technique) and different adhesive protocols in noncarious cervical lesions (NCCL) after 6 months. Patients presenting at least one NCCL were included. NCCLs (n=148) were randomly assigned to 4 groups: NE (Non-EWBT + three-step etch-and-rinse (Scotchbond Multi Purpose, 3M ESPE [MP]), E (EWBT + MP); EB (EWBT + [Bond - third step of MP]), and EU (EWBT + universal adhesive (Single Bond Universal, 3M ESPE). Conventional acid-etching (Condac 37%, FGM) and nanohybrid resin composite (Z350, 3M ESPE) were used. Trained and calibrated examiners (Kappa = 0.61) evaluated the restorations at baseline (7 days) and 6-month recall using the USPHS modified criteria. Data were subjected to Chi square (α = 0.05). Differences in the success rate were found for the treatments (p = 0.003). EB presented the lowest success rate compared with the other groups (p < 0.02). No significant differences were detected among NE, E, and EU (p > 0.49). The survival rates were 97.23%, 97.30%, 78.95%, and 97.30% for NE, E, EB, and EU, respectively. Regarding postoperative sensitivity, a significant reduction was found for groups E (p = 0.027) and EU (p < 0.01) after 6 months. After 6 months, EWBT associated to the hydrophobic adhesive system had the highest failure rate.
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Affiliation(s)
- Maurício Yugo de Souza
- Universidade Estadual Paulista - Unesp, Institute of Science and Technology, Department of Restorative Dentistry, São José dos Campos, SP, Brazil
| | - Ana Luiza Barbosa Jurema
- Universidade Estadual Paulista - Unesp, Institute of Science and Technology, Department of Restorative Dentistry, São José dos Campos, SP, Brazil
| | - Taciana Marco Ferraz Caneppele
- Universidade Estadual Paulista - Unesp, Institute of Science and Technology, Department of Restorative Dentistry, São José dos Campos, SP, Brazil
| | - Eduardo Bresciani
- Universidade Estadual Paulista - Unesp, Institute of Science and Technology, Department of Restorative Dentistry, São José dos Campos, SP, Brazil
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Comparison of laser- and bur-prepared class I cavities restored with two different low-shrinkage composite resins: a randomized, controlled 60-month clinical trial. Clin Oral Investig 2019; 24:357-368. [DOI: 10.1007/s00784-019-02931-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2018] [Accepted: 04/30/2019] [Indexed: 10/26/2022]
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Oz FD, Ergin E, Canatan S. Twenty-four-month clinical performance of different universal adhesives in etch-and-rinse, selective etching and self-etch application modes in NCCL - a randomized controlled clinical trial. J Appl Oral Sci 2019; 27:e20180358. [PMID: 30994773 PMCID: PMC6459227 DOI: 10.1590/1678-7757-2018-0358] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Accepted: 10/25/2018] [Indexed: 01/19/2023] Open
Abstract
Objective The aim of this randomized, controlled, prospective clinical trial was to evaluate the performances of two different universal adhesives and one etch-rinse adhesive for restoration of non-carious cervical lesions (NCCLs). Material and Methods Twenty patients with at least seven NCCLs were enrolled. Lesions were divided into seven groups according to adhesive systems and application modes: GSE: GLUMA Universal-self-etch, GSL: GLUMA Universal-selective etching, GER: GLUMA Universal-etch-and-rinse, ASE: All-Bond Universal-self-etch, ASL: All-Bond Universal-selective etching, AER: All-Bond Universal-etch-and-rinse, SBE (Control): Single Bond2-etch-and-rinse. A total of 155 NCCLs were restored with a nano hybrid composite (Tetric N-Ceram). Restorations were scored with regard to retention, marginal discoloration, marginal adaptation, recurrent caries and post-operative sensitivity using modified United States Public Health Service (USPHS) criteria after one week, 6, 12 and 24 months. Statistical evaluations were performed using Chi-square tests (p=0.05). Results The recall rate was 81.9% after the 24-month follow-up. The cumulative retention rates for self-etch groups (GSE: 72.2%, ASE:75%) were significantly lower than other experimental groups (GSL: 93.7%, GER: 100%, ASL: 94.1%, AER: 100%, SBE: 100%) at the 24-month follow-up (p<0.05). Regarding marginal adaptation and marginal discoloration, GSE and ASE groups demonstrated more bravo scores after 6 and 12-month observations but differences were not significant (p>0.05). Only one restoration from ASL group demonstrated post-operative sensitivity at 6 and 12-month observations. No secondary caries was observed on the restorations at any recall. At the end of 24-month observations, no significant differences were detected among groups regarding any of the criteria assessed, except retention. Conclusion GLUMA Universal and All-Bond Universal showed better results in etch-and-rinse and selective etching mode compared to the self-etch mode regarding retention. Etch-and-rinse and selective etching application modes of the current universal adhesives tended to provide better clinical outcomes considering the criteria evaluated at the end of 24-month evaluation.
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Affiliation(s)
- Fatma Dilsad Oz
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University, Ankara, Turkey
| | - Esra Ergin
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University, Ankara, Turkey
| | - Simge Canatan
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University, Ankara, Turkey
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Silveira RE, Vivanco RG, de Morais RC, Da Col Dos Santos Pinto G, Pires-de-Souza FDCP. Bioactive glass ceramic can improve the bond strength of sealant/enamel? Eur Arch Paediatr Dent 2019; 20:325-331. [PMID: 30903613 DOI: 10.1007/s40368-018-0409-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2018] [Accepted: 12/11/2018] [Indexed: 12/30/2022]
Abstract
AIM Evaluate the influence of enamel pre-treatment using Biosilicate, associated or not to other treatments; on the bond strength (BS) of pit-and-fissure sealant, with or without saliva contamination. METHODS Ninety slices (4 mm × 4 mm) were obtained from 30 bovine incisors. Each slice was embedded in acrylic resin with their buccal surface exposed and polished to obtain a flat enamel surface. Half of them were contaminated with human saliva. All specimens were randomly divided into five groups (n = 9) according to the surface pre-treatment tested: acid etching (AE); AE + Biosilicate (B); AE + B + total-etch adhesive (Ad); Biosilicate; control (no treatment). Then, a 1 mm layer of sealant (Clinpro XT Varnish, 3M ESPE) was applied; and to provide support, a composite resin (Opallis, FGM) block was built up over it. Samples were thermocycled (500 cycles/5-55 °C) and sectioned obtaining sticks (1 × 1 × 10 mm) for microtensile BS testing (0.5 mm/min). Data were analysed with two-way ANOVA, Bonferroni test, p < 0.05. Failure patterns were evaluated using a stereomicroscope. RESULTS There was no difference among contaminated and non-contaminated groups, and between non-contaminated groups (p > 0.05). When contaminated, AE + B + Ad Group showed the highest BS values, differing (p < 0.05) from B Group and Control; similar between them (p > 0.05). Cohesive fractures were found in AE + B + Ad Group, submitted or not to contamination. CONCLUSIONS Since a surface pre-treatment was used, whether Biosilicate was applied or not, the sealant/enamel BS was the same in saliva-contaminated or non-contaminated enamel.
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Affiliation(s)
- R E Silveira
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo (FORP-USP), Av. Do Café, s/n, Bairro Monte Alegre, Ribeirão Preto, SP, CEP 14040-904, Brazil
| | - R G Vivanco
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo (FORP-USP), Av. Do Café, s/n, Bairro Monte Alegre, Ribeirão Preto, SP, CEP 14040-904, Brazil
| | - R C de Morais
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo (FORP-USP), Av. Do Café, s/n, Bairro Monte Alegre, Ribeirão Preto, SP, CEP 14040-904, Brazil
| | - G Da Col Dos Santos Pinto
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo (FORP-USP), Av. Do Café, s/n, Bairro Monte Alegre, Ribeirão Preto, SP, CEP 14040-904, Brazil
| | - F de C P Pires-de-Souza
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo (FORP-USP), Av. Do Café, s/n, Bairro Monte Alegre, Ribeirão Preto, SP, CEP 14040-904, Brazil.
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Öz FD, Ergin E, Canatan S. Clinical evaluation of universal adhesives used with different application modes on the restoration of non-carious cervical lesions: preliminary findings of a 12-month randomized, controlled clinical trial. ACTA ODONTOLOGICA TURCICA 2019. [DOI: 10.17214/gaziaot.438002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Oz FD, Kutuk ZB, Ozturk C, Soleimani R, Gurgan S. An 18-month clinical evaluation of three different universal adhesives used with a universal flowable composite resin in the restoration of non-carious cervical lesions. Clin Oral Investig 2018; 23:1443-1452. [DOI: 10.1007/s00784-018-2571-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Accepted: 08/08/2018] [Indexed: 11/28/2022]
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Reis A, de Geus JL, Wambier L, Schroeder M, Loguercio AD. Compliance of Randomized Clinical Trials in Noncarious Cervical Lesions With the CONSORT Statement: A Systematic Review of Methodology. Oper Dent 2018; 43:E129-E151. [DOI: 10.2341/17-060-l] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
The literature was reviewed to evaluate the compliance of randomized clinical trials (RCTs) with the CONsolidated Standards of Reporting Trials (CONSORT ) and the risk of bias of these studies through the Cochrane Collaboration risk of bias tool (CCRT). RCTs were searched at Cochrane Library, PubMed, and other electronic databases to find studies about adhesive systems for cervical lesions. The compliance of the articles with CONSORT was evaluated using the following scale: 0 = no description, 1 = poor description, and 2 = adequate description. Descriptive analyses about the number of studies by journal, follow-up period, country, and quality assessments were performed with CCRT for assessing risk of bias in RCTs. One hundred thirty-eight RCTs were left for assessment. More than 30% of the studies received scores of 0 or 1. Flow chart, effect size, allocation concealment, and sample size were more critical items, with 80% receiving a score of 0. The overall CONSORT score for the included studies was 15.0 ± 4.8 points, which represents 46.9% of the maximum CONSORT score. A significant difference among countries was observed (p<0.001), as well as range of year (p<0.001). Only 4.3% of the studies were judged as at low risk; 36.2% were classified as having unclear risk and 59.4% as having high risk of bias. The adherence of RCTs evaluating adhesive systems to the CONSORT is low with unclear/high risk of bias.
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Affiliation(s)
- A Reis
- Alessandra Reis, DDS, PhD, professor, Restorative Dentistry, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil
| | - JL de Geus
- Juliana L de Geus, MS, PhD, professor, School of Dentistry, School Paulo Picanço, Fortaleza, Ceará, Brazil and Department of Restorative Dentistry, Guairacá Faculty, Guarapuava, Paraná, Brazil
| | - L Wambier
- Leticia Wambier, Restorative Dentistry, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil and professor, Graduate Program in Clinical Dentistry, University of Positivo, Curitiba, Paraná, Brazil
| | - M Schroeder
- Marcos Schroeder, DDS, PhD, professor, Prosthodontics and Dental Materials, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - AD Loguercio
- Alessandro D. Loguercio, DDS, MS, PhD, professor, Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, Parana, Brazil
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Ruschel VC, Shibata S, Stolf SC, Chung Y, Baratieri LN, Heymann HO, Walter R. Eighteen-month Clinical Study of Universal Adhesives in Noncarious Cervical Lesions. Oper Dent 2018; 43:241-249. [PMID: 29676975 DOI: 10.2341/16-320-c] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To evaluate the clinical performance of Scotchbond Universal (3M Oral Care) and Prime & Bond Elect (Dentsply Sirona) in the restoration of noncarious cervical lesions (NCCLs). METHODS AND MATERIALS This was a randomized controlled clinical trial involving 63 subjects. Two hundred and three NCCLs were restored using Scotchbond Universal and Prime & Bond Elect using both an etch-and-rinse and a self-etch technique. Lesions were notch-shaped NCCLs, and the restorations were placed without any mechanical retention. Restorations were finished immediately after placement and scored with regard to retention, marginal discoloration, marginal adaptation, and secondary caries. Similar assessment of the restorations was performed 18 months after placement. Logistic regression was performed for each outcome separately with a compound symmetric variance-covariance structure assumed to consider a correlation of restorations within subjects. All analyses were conducted using SAS version 9.4 (SAS Inc). RESULTS One hundred and fifty-eight teeth (77.8% of the restorations placed) in 46 subjects (73% of subjects enrolled) were available for the 18-month follow-up. A statistically significant difference was reached only for the comparison Scotchbond Universal/self-etch (SU_SE) and Prime & Bond Elect/etch-and-rinse (PBE_E&R) groups ( p=0.01), where a restoration with SU_SE was 66% less likely to maintain a score of Alpha for marginal discoloration than a restoration performed with PBE_E&R. CONCLUSIONS Scotchbond Universal and Prime & Bond Elect presented acceptable clinical performance after 18 months of clinical service. However, Scotchbond Universal, when applied with a self-etch approach, did demonstrate a relatively high level of marginal discoloration when compared to the other groups.
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Bollu IP, Hari A, Thumu J, Velagula LD, Bolla N, Varri S, Kasaraneni S, Nalli SVM. Comparative Evaluation of Microleakage Between Nano-Ionomer, Giomer and Resin Modified Glass Ionomer Cement in Class V Cavities- CLSM Study. J Clin Diagn Res 2016; 10:ZC66-70. [PMID: 27437363 DOI: 10.7860/jcdr/2016/18730.7798] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2016] [Accepted: 04/01/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Marginal integrity of adhesive restorative materials provides better sealing ability for enamel and dentin and plays an important role in success of restoration in Class V cavities. Restorative material with good marginal adaptation improves the longevity of restorations. AIM Aim of this study was to evaluate microleakage in Class V cavities which were restored with Resin Modified Glass Ionomer Cement (RMGIC), Giomer and Nano-Ionomer. MATERIALS AND METHODS This in-vitro study was performed on 60 human maxillary and mandibular premolars which were extracted for orthodontic reasons. A standard wedge shaped defect was prepared on the buccal surfaces of teeth with the gingival margin placed near Cemento Enamel Junction (CEJ). Teeth were divided into three groups of 20 each and restored with RMGIC, Giomer and Nano-Ionomer and were subjected to thermocycling. Teeth were then immersed in 0.5% Rhodamine B dye for 48 hours. They were sectioned longitudinally from the middle of cavity into mesial and distal parts. The sections were observed under Confocal Laser Scanning Microscope (CLSM) to evaluate microleakage. Depth of dye penetration was measured in millimeters. STATISTICAL ANALYSIS The data was analysed using the Kruskal Wallis test. Pair wise comparison was done with Mann Whitney U Test. A p-value<0.05 is taken as statistically significant. RESULTS Nano-Ionomer showed less microleakage which was statistically significant when compared to Giomer (p=0.0050). Statistically no significant difference was found between Nano Ionomer and RMGIC (p=0.3550). There was statistically significant difference between RMGIC and Giomer (p=0.0450). CONCLUSION Nano-Ionomer and RMGIC showed significantly less leakage and better adaptation than Giomer and there was no statistically significant difference between Nano-Ionomer and RMGIC.
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Affiliation(s)
- Indira Priyadarshini Bollu
- Senior Lecturer, Department of Conservative Dentistry & Endodontics, St. Joseph Dental College & Hospital , Eluru, Andhra Pradesh, India
| | - Archana Hari
- Senior Lecturer, Department of Periodontics, St. Joseph Dental College & Hospital , Eluru, Andhra Pradesh, India
| | - Jayaprakash Thumu
- Professor and Head of Department, Department of Conservative Dentistry & Endodontics, St. Joseph Dental College & Hospital , Eluru, Andhra Pradesh, India
| | - Lakshmi Deepa Velagula
- Reader, Department of Conservative Dentistry & Endodontics, Lenora Institute of Dental Sciences , Rajahmundry, Andhra Pradesh, India
| | - Nagesh Bolla
- Professor and Head of Department, Department of Conservative Dentistry & Endodontics, Sibar Institute of Dental Sciences , Guntur, Andhra Pradesh, India
| | - Sujana Varri
- Professor, Department of Conservative Dentistry & Endodontics, Sibar Institute of Dental Sciences , Guntur, Andhra Pradesh, India
| | - Srikanth Kasaraneni
- Consultant, Oral & Maxillofacial Surgeon, Global Multispecialty Dental Care , Eluru, Andhra Pradesh, India
| | - Siva Venkata Malathi Nalli
- Senior Lecturer, Department of Conservative Dentistry & Endodontics, St. Joseph Dental College & Hospital , Eluru, Andhra Pradesh, India
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Loguercio AD, de Paula EA, Hass V, Luque-Martinez I, Reis A, Perdigão J. A new universal simplified adhesive: 36-Month randomized double-blind clinical trial. J Dent 2015; 43:1083-1092. [DOI: 10.1016/j.jdent.2015.07.005] [Citation(s) in RCA: 83] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Revised: 06/16/2015] [Accepted: 07/02/2015] [Indexed: 12/19/2022] Open
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Albuquerque NLG, de Souza AMB, de Moraes MDR, Mendonça JS, Rodrigues LKA, Santiago SL. Four-year randomized clinical trial of oxalic acid pretreatment in restorations of non-carious cervical lesions. Clin Oral Investig 2015; 20:199-205. [DOI: 10.1007/s00784-015-1521-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Accepted: 06/30/2015] [Indexed: 11/27/2022]
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de Souza AMB, Colares RCR, Mendonça JS, Rodrigues LKA, Santiago SL. Effect of oxalic acid pre-treatment in restorations of non-carious cervical lesions: A randomized clinical trial. J Conserv Dent 2014; 17:427-31. [PMID: 25298641 PMCID: PMC4174700 DOI: 10.4103/0972-0707.139825] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2014] [Revised: 06/22/2014] [Accepted: 07/01/2014] [Indexed: 12/23/2022] Open
Abstract
Context: Non-carious cervical lesions are usually associated with dentin hypersensitivity. The use of oxalic acid in restorations of these lesions could be beneficial in relieving pain. Aims: To evaluate the use of oxalic acid in restorations of non-carious cervical lesions. Settings and Design: A randomized clinical trial. Subjects and Methods: One operator placed 90 restorations in 20 volunteers of both sexes, with at least two lesions to be restored with the techniques: Control — Restoration with total-etch technique and Experimental — Restoration with pretreatment with oxalic acid followed by application of adhesive system. The restorative adhesive system used was XP Bond/Durafill. The restorations were directly assessed by two independent examiners using a modified United States Public Health Service (USPHS) method at baseline, 6 and 12 months, taking into account the following criteria: Retention (R), marginal integrity (MI), marginal discoloration (MD), postoperative sensitivity (S), caries (C), and anatomic form (AF). Statistical analysis used: The data were statistically analyzed using the Fisher exact and McNemar tests. The level of significance was set at 5%. Results: After 1 year, the results of restorations clinically satisfactory obtained for the control and experimental group respectively were: R (97% / 89%), MI (100% / 100%), MD (100% / 100%), S (100% / 100%), C (100% / 100%), and AF (100% / 100%). Conclusions: The use of oxalic acid as an agent of dentin pretreatment did not influence the clinical performance of restorations in non-carious cervical lesions after 1 year.
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Affiliation(s)
- André Mattos Brito de Souza
- Faculty of Pharmacy, Dentistry and Nursing, Post Graduate Program in Dentistry, Department of Restorative Dentistry, Federal University of Ceara, Brazil
| | - Regina Claudia Ramos Colares
- Faculty of Pharmacy, Dentistry and Nursing, Post Graduate Program in Dentistry, Department of Restorative Dentistry, Federal University of Ceara, Brazil ; School of Dentistry, University of Fortaleza, Fortaleza-Ce, Brazil
| | - Juliano Satori Mendonça
- Faculty of Pharmacy, Dentistry and Nursing, Post Graduate Program in Dentistry, Department of Restorative Dentistry, Federal University of Ceara, Brazil
| | - Lidiany Karla Azevedo Rodrigues
- Faculty of Pharmacy, Dentistry and Nursing, Post Graduate Program in Dentistry, Department of Restorative Dentistry, Federal University of Ceara, Brazil
| | - Sérgio Lima Santiago
- Faculty of Pharmacy, Dentistry and Nursing, Post Graduate Program in Dentistry, Department of Restorative Dentistry, Federal University of Ceara, Brazil
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Retention of tooth-colored restorations in non-carious cervical lesions--a systematic review. Clin Oral Investig 2014; 18:1369-81. [PMID: 24671713 DOI: 10.1007/s00784-014-1220-7] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2013] [Accepted: 02/25/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVES The aim of this review was to assess the effect of different adhesive systems and tooth preparation on the retention of tooth-colored restorative materials placed in non-carious cervical lesions (NCCLs). METHODS Randomized clinical trials with a minimum of 3 years of follow-up that evaluated the effectiveness of tooth-colored materials, adhesive systems, and preparation techniques for the restoration of NCCLs were selected. The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE (OVID), the Latin American and Caribbean Health Sciences Literature database (LILACS), and Medline (OVID) electronic databases were searched from 1990 to 2013. RESULTS Twenty-seven randomized clinical trials were included and reviewed. Meta-analysis was used to determine the relative risk of loss of tooth-colored NCCL restorations between different categories of adhesive systems. The effect of tooth preparation could not be similarly analyzed. CONCLUSION The current best evidence indicates that a glass ionomer cement has a significantly lower risk of loss of a NCCL restoration compared to either a three-step etch-and-rinse or a two-step etch-and-rinse adhesive system; a three-step etch-and-rinse adhesive system has a significantly lower risk of loss of a NCCL restoration compared to a two-step etch-and-rinse adhesive system. No significant difference could be observed in the risk of loss of a tooth-colored NCCL restoration between a three-step etch-and-rinse adhesive system and either a two-step self-etch or a one-step self-etch adhesive system.
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Perdigão J, Kose C, Mena-Serrano AP, De Paula EA, Tay LY, Reis A, Loguercio AD. A New Universal Simplified Adhesive: 18-Month Clinical Evaluation. Oper Dent 2014; 39:113-27. [DOI: 10.2341/13-045-c] [Citation(s) in RCA: 154] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Purpose
To evaluate the 18-month clinical performance of a multimode adhesive (Scotchbond Universal Adhesive, SU, 3M ESPE, St Paul, MN, USA) in noncarious cervical lesions (NCCLs) using two evaluation criteria.
Materials and Methods
Thirty-nine patients participated in this study. Two-hundred restorations were assigned to four groups: ERm, etch-and-rinse + moist dentin; ERd, etch-and-rinse + dry dentin; Set, selective enamel etching; and SE, self-etch. The composite resin, Filtek Supreme Ultra (3M ESPE), was placed incrementally. The restorations were evaluated at baseline, and at 18 months, using both the World Dental Federation (FDI) and the United States Public Health Service (USPHS) criteria. Statistical analyses were performed using Friedman repeated-measures analysis of variance by rank and McNemar test for significance in each pair (α=0.05).
Results
Five restorations (SE: 3; Set: 1; and ERm: 1) were lost after 18 months (p>0.05 for either criteria). Marginal staining occurred in four and 10% of the restorations evaluated (p>0.05), respectively, for USPHS and FDI criteria. Nine restorations were scored as bravo for marginal adaptation using the USPHS criteria and 38%, 40%, 36%, and 44% for groups ERm, ERd, Set, and SE, respectively, when the FDI criteria were applied (p>0.05). However, when semiquantitative scores (or SQUACE) for marginal adaptation were used, SE resulted in a significantly greater number of restorations, with more than 30% of the total length of the interface showing marginal discrepancy (28%) in comparison with the other groups (8%, 6%, and 8%, respectively, for ERm, ERd, and Set).
Conclusions
The clinical retention of the multimode adhesive at 18 months does not depend on the bonding strategy. The only differences between strategies were found for the parameter marginal adaptation, for which the FDI criteria were more sensitive than the USPHS criteria.
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Affiliation(s)
- J Perdigão
- Jorge Perdigão, DMD, MS, PhD, University of Minnesota, Restorative Sciences, Minneapolis, MN, USA
| | - C Kose
- Carlos Kose, DDS, MS, State University of Ponta Grossa (UEPG), Restorative Dentistry, Ponta Grossa, Paraná, Brazil
| | - AP Mena-Serrano
- Alexandra Patricia Mena-Serrano, DDS, MS, State University of Ponta Grossa (UEPG), Restorative Dentistry, Ponta Grossa, Paraná, Brazil
| | - EA De Paula
- Eloisa Andrade De Paula, DDS, MS, State University of Ponta Grossa (UEPG), Restorative Dentistry, Ponta Grossa, Paraná, Brazil
| | - LY Tay
- Lidia Yileng Tay, DDS, MS, State University of Ponta Grossa (UEPG), Restorative Dentistry, Ponta Grossa, Paraná, Brazil
| | - A Reis
- Alessandra Reis, DDS, PhD, State University of Ponta Grossa (UEPG), Restorative Dentistry, Ponta Grossa, Paraná, Brazil
| | - AD Loguercio
- Alessandro D. Loguercio, DDS, MS, PhD, State University of Ponta Grossa (UEPG), Restorative Dentistry, Ponta Grossa, Paraná, Brazil
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Ferreira JC, Pires PT, Azevedo AF, Oliveira SA, Melo PR, Silva MJ. Influence of solvents and composition of etch-and-rinse and self-etch adhesive systems on the nanoleakage within the hybrid layer. J Contemp Dent Pract 2013; 14:691-699. [PMID: 24309350 DOI: 10.5005/jp-journals-10024-1386] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
AIM The goal of this study was to evaluate nanoleakage within the hybrid layer yielded by etch-and-rinse and self-etch adhesive systems, with different solvents and compositions. MATERIALS AND METHODS Four adhesives were applied onto 20 human dentin disks: group A: Adper Scotchbond 1XT(™) (3M ESPE), group B: One Coat Bond(®) (Coltène Whaledent), group C: AdheSE(®) (Ivoclar Vivadent) and group D: Xeno-V(®) (Dentsply). The samples were immersed in aqueous ammoniacal silver nitrate for 24 hour, prepared and observed under field-emission scanning electron microscopy with backscattered electrons. Microphotographs were scanned and data were processed. The mean value and standard deviation were calculated. Kruskal- Wallis and Mann-Whitney tests were used (p < 0.05). RESULTS All the adhesives showed nanoleakage within the hybrid layer: Adper Scotchbond 1XT(™) (218.5 µm ± 52.6 µm), One Coat Bond(®) (139.6 µm ± 79.0 µm), AdheSE(®) (92.7 µm ± 64.8 µm) and Xeno-V(®) (251.0 µm ± 85.2 µm). AdheSE(®) yielded less nanoleakage than Adper Scotchbond-1XT(™) (p = 0.003) and than Xeno-V(®) (p = 0.007). No other statistically significant differences were detected. CONCLUSION Two-step self-etch adhesive system (AdheSE(®)) might contribute for lower nanoleakage deposition and thus better performance in dentin adhesion. CLINICAL SIGNIFICANCE The two-step self-etch adhesive system showed the lowest nanoleakage deposition compared with the other adhesive systems evaluated, which seems to indicate a better behavior when a restoration is performed in dentin and possibly can lead to a durable adhesion along time.
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Affiliation(s)
- Joao Cardoso Ferreira
- Professor, Department of Operative Dentistry, Faculty of Dentistry University of Porto, Portugal, e-mail:
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Costa TRFD, Loguercio AD, Reis A. Effect of Enamel Bevel on the Clinical Performance of Resin Composite Restorations Placed in Non-carious Cervical Lesions. J ESTHET RESTOR DENT 2013; 25:346-56. [DOI: 10.1111/jerd.12042] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Thays Regina Ferreira Da Costa
- School of Dentistry; State University of Ponta Grossa; Av. General Carlos Cavalcanti, 4748 Ponta Grossa Paraná CEP 84030-900 Brazil
| | - Alessandro Dourado Loguercio
- Department of Restorative Dentistry; School of Dentistry; State University of Ponta Grossa; Av. General Carlos Cavalcanti, 4748 Ponta Grossa Paraná CEP 84030-900 Brazil
| | - Alessandra Reis
- Department of Restorative Dentistry; School of Dentistry; State University of Ponta Grossa; Av. General Carlos Cavalcanti, 4748 Ponta Grossa Paraná CEP 84030-900 Brazil
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Mena-Serrano A, Kose C, De Paula EA, Tay LY, Reis A, Loguercio AD, Perdigão J. A New Universal Simplified Adhesive: 6-Month Clinical Evaluation. J ESTHET RESTOR DENT 2012; 25:55-69. [DOI: 10.1111/jerd.12005] [Citation(s) in RCA: 78] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- Alexandra Mena-Serrano
- Universidade Estadual de Ponta Grossa; Restorative Dentistry; Ponta Grossa Paraná Brazil
| | - Carlos Kose
- Universidade Estadual de Ponta Grossa; Restorative Dentistry; Ponta Grossa Paraná Brazil
| | | | - Lidia Yileng Tay
- Universidade Estadual de Ponta Grossa; Restorative Dentistry; Ponta Grossa Paraná Brazil
| | - Alessandra Reis
- Universidade Estadual de Ponta Grossa; Restorative Dentistry; Ponta Grossa Paraná Brazil
| | | | - Jorge Perdigão
- Department of Restorative Sciences; University of Minnesota; Minneapolis Minnesota USA
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Adhesives for the restoration of non-carious cervical lesions: A systematic review. J Dent 2012; 40:443-52. [DOI: 10.1016/j.jdent.2012.02.007] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2011] [Revised: 02/04/2012] [Accepted: 02/10/2012] [Indexed: 11/21/2022] Open
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Krithikadatta J. Clinical effectiveness of contemporary dentin bonding agents. J Conserv Dent 2011; 13:173-83. [PMID: 21217944 PMCID: PMC3010021 DOI: 10.4103/0972-0707.73376] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2010] [Revised: 10/16/2010] [Accepted: 10/20/2010] [Indexed: 11/29/2022] Open
Abstract
Aim: The purpose of this paper is to review the literature on the clinical effectiveness of contemporary resin-based dentin bonding agents primarily focussing on the longevity of restoration. Materials and Methods: The literature published from June 2004 up to September 2010 was reviewed for clinical trials that tested the effectiveness of dentin bonding agents in the longevity of noncarious class V restoration. Results of each study reported using the USPHS criteria for clinical assessment of restoration were included and tabulated. The American Dental Association guidelines for dentin and enamel adhesives were used as a reference to compare the performance of individual bonding agents. Kruskal–Wallis followed by Mann–Whitney U was done to compare the mean Alfa score percentage for the three categories of bonding systems [etch-and-rinse (ER), self-etch primer (SEP), and self-etch-adhesive (SEA)]. Results: A comparison of the mean Alfa score percentages revealed no difference between the ER, SEP, and SEA categories of bonding systems except for marginal adaptation where ER was found to be superior to SEA. Conclusion: The clinical effectiveness of resin-based bonding agents is comparable among the three categories.
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Affiliation(s)
- Jogikalmat Krithikadatta
- Department of Conservative Dentistry and Endodontics, Mennakshi Ammal Dental College and Hospitals, Maduravoyal, Chennai 600 095, India
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Application of etch-and-rinse adhesives on dry and rewet dentin under rubbing action. J Am Dent Assoc 2011; 142:828-35. [DOI: 10.14219/jada.archive.2011.0272] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Loguercio AD, Raffo J, Bassani F, Balestrini H, Santo D, do Amaral RC, Reis A. 24-month clinical evaluation in non-carious cervical lesions of a two-step etch-and-rinse adhesive applied using a rubbing motion. Clin Oral Investig 2010; 15:589-96. [PMID: 20405185 DOI: 10.1007/s00784-010-0408-8] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2009] [Accepted: 03/18/2010] [Indexed: 11/29/2022]
Abstract
The aim of this clinical trial was to evaluate the effects of application mode on the clinical performance of a two-step etch-and-rinse adhesive in class V cavities over 24 months. Forty patients with at least three similar-sized non-carious cervical lesions participated in this study. A total of 120 restorations with Prime & Bond NT were placed, 40 in each group. The adhesive was applied with no rubbing action, with slight rubbing action, or with vigorous rubbing action. The restorations were placed incrementally using the composite resin Esthet-X. The restorations were evaluated at baseline and after 6, 12, and 24 months following the modified United States Public Health Service criteria. Statistical analysis was conducted using Friedman repeated measures analysis of variance by rank and using the Wilcoxon signed-rank test for significance at each pair (α = 0.05). The 24-month retention rates of Prime & Bond NT were 82.5% for the no rubbing group, 82.5% for the slight rubbing group, and 92.5% for vigorous rubbing group. No significant difference in the retention rates in each recall period was detected among groups (p > 0.05); however, the retention rates in the 24-month recall was statistically lower than the baseline only for no rubbing or slight rubbing groups. The use of a vigorous application mode can be a clinical approach to improve the retention of restorations placed in non-carious cervical lesions.
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Affiliation(s)
- Alessandro D Loguercio
- School of Dentistry, Department of Restorative Dentistry, Universidade Estadual de Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M, Sala 64A - Uvaranas,, Ponta Grossa, Paraná 84030-900, Brazil
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Swift EJ. OPTIONS FOR DENTIN/ENAMEL BONDING: PART II. J ESTHET RESTOR DENT 2010; 22:149-54. [DOI: 10.1111/j.1708-8240.2010.00327.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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