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Favoreto MW, Carneiro TDS, Ñaupari-Villasante R, Cordeiro DC, Cochinski GD, Machado do Nascimento TVP, Matos TDP, Bandeca MC, Reis A, Loguercio AD. Clinical performance of preheating thermoviscous composite resin for non-carious cervical lesions restoration: A 24-month randomized clinical trial. J Dent 2024; 144:104930. [PMID: 38471581 DOI: 10.1016/j.jdent.2024.104930] [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: 01/24/2024] [Revised: 02/17/2024] [Accepted: 03/05/2024] [Indexed: 03/14/2024] Open
Abstract
OBJECTIVES This 24-month, double-blind, split-mouth randomized clinical trial aimed to compare the retention rates of a preheated thermoviscous composite resin (PHT) compared to a non-heated composite resin (NHT) in non-carious cervical lesions (NCCLs). METHODS A total of 120 restorations were restored on NCCLs using a preheated (VisCalor bulk, Voco GmbH) and a non-heated (Admira Fusion, Voco GmbH) composite resins with 60 restorations per group. A universal adhesive in the selective enamel conditioning was applied. In the PHT group, composite was heated at 68 °C for using a bench heater. In the NHT group, no heating was employed. Both restorative materials were dispensed into caps and inserted into the NCCLs. The restorations were evaluated at baseline, 6, 12, 18, and after 24 months of clinical service using the FDI criteria. Statistical analysis was performed with Kaplan-Meier estimation analysis for retention/fracture rate and Chi-square test for the other FDI parameters (α=0.05). RESULTS After 24 months 108 restorations were assessed. Seven restorations were lost (two for PHT group and five for NHT group), and the retention rates (95 % confidence interval [CI]) were 96.7 % (81.5-99.9) for PHT group and 90.8 % (81.1-96.0) for NHT group, with no statistical differences between them (p > 0.05). The hazard ratio (95 % CI) was 0.52 (0.27 to 1.01), with no significant difference within groups. In terms of all other FDI parameters that were assessed, all restorations were deemed clinically acceptable. CONCLUSIONS Both composites showed high rates of retention rates after 24 months. CLINICAL SIGNIFICANCE The clinical performance of the new preheated thermoviscous was found to be as good as the non-heated composite after 24-month of clinical evaluation in non-carious cervical lesions. REGISTRATION OF CLINICAL TRIALS RBR-6d6gxxz.
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Affiliation(s)
- Michael Willian Favoreto
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil; School of Dentistry, Tuiuti University, Curitiba, Paraná, Brazil
| | - Taynara de Souza Carneiro
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil; Department of Stomatology, IDIBO research group, Health Sciences Faculty, Rey Juan Carlos University, Alcorcón, Madrid, Spain
| | - Romina Ñaupari-Villasante
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Deisy Cristina Cordeiro
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Gabriel David Cochinski
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | | | | | - Matheus Coelho Bandeca
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.
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Favoreto MW, de Souza Carneiro T, Wendlinger M, Ñaupari-Villasante R, de Matos TP, Kunz PM, Reis A, Loguercio AD. Various ways of pre-heating a bulk-fill thermoviscous composite in restoration in non-carious cervical lesions: 12-month randomized clinical trial. Clin Oral Investig 2023; 27:4345-4359. [PMID: 37217713 DOI: 10.1007/s00784-023-05054-7] [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: 03/13/2023] [Accepted: 04/30/2023] [Indexed: 05/24/2023]
Abstract
OBJECTIVE The objective of the study is to evaluate through a randomized clinical trial the best method to preheat a composite resin, if using a Caps dispenser device associated with Caps Warmer (CD) or with a VisCalor Caps dispenser/warmer (VD) for restorations in non-carious cervical lesions (NCCLs). MATERIAL AND METHODS One hundred and twenty restorations were distributed to two groups (n = 60) according to the pre-heating way of thermoviscous bulk-fill composite resin. For the CD group, pre-heating was carried at 68 °C using a heating bench for 3 min. For the VD group, pre-heating was performed at 68 °C using a heating gun for 30 s. After that, pre-heated bulk-fill composites were directly inserted in the NCCLs. The total working time was recorded. The restorations were evaluated after 6 and 12 months of clinical performance according to the FDI criteria. Statistical analysis was performed using the Student's t test for unpaired samples for working time, and the Chi-square test for restoration clinical performance (α = 0.05). RESULTS Working time was shorter for VD with a statistically significant difference compared to CD (p = 0.01). Few restorations were lost or fractured after 12 months of clinical evaluation (p > 0.05). The retention rates were 96.7% (CI 95 %: 88.6-99.1%) for CD and 98.3% (CI 95 %: 91.1-99.7%) for VD. The other FDI parameters were considered clinically acceptable. CONCLUSIONS The different pre-heating ways did not influence the clinical performance of thermoviscous bulk-fill composite restorations in NCCLs after 12 months. CLINICAL RELEVANCE Regardless of the bulk-fill thermoviscous composite resin pre-heating ways, the restorations are clinically acceptable after 12 months.
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Affiliation(s)
- Michael Willian Favoreto
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Parana, Brazil
| | - Taynara de Souza Carneiro
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Parana, Brazil
| | - Michel Wendlinger
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Parana, Brazil
| | - Romina Ñaupari-Villasante
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Parana, Brazil
| | | | - Patricia Manozzo Kunz
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Parana, Brazil
- Department of Restorative Dentistry, Tuiuti University of Parana, Parana, Brazil
| | - Alessandra Reis
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Parana, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Parana, Brazil.
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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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Doshi K, Nivedhitha MS, Solete P, S DPA, Balasubramaniam A, Jacob B, Siddique R. Effect of adhesive strategy of universal adhesives in noncarious cervical lesions - an updated systematic review and meta-analysis. BDJ Open 2023; 9:6. [PMID: 36781841 PMCID: PMC9925793 DOI: 10.1038/s41405-022-00124-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 09/21/2022] [Accepted: 09/23/2022] [Indexed: 02/15/2023] Open
Abstract
OBJECTIVE To determine the effect of adhesive strategy (total etch or self-etch) of universal adhesives in non-carious cervical lesions. DATA SOURCE A search was made in PubMed, Scopus, Cochrane, Web Of Science, Open Gray, Clinical Registries. DATA SELECTION Randomized Controlled Clinical Trials, studies on non-carious cervical lesions restored using Universal Adhesives, and studies in which universal adhesives have been used in total etch and self -etch strategies were included in this systematic review. DATA EXTRACTION A total of 17 articles were included in the systematic review and 13 in the meta-analysis. Meta-analysis was conducted to assess the clinical performance of NCCLs in terms of retention, marginal adaptation, marginal discoloration, secondary caries and post-operative sensitivity at 18, 24, 36 month follow-up using USPHS as well as FDI criteria, separately. DATA SYNTHESIS Overall there was no significant difference between total etch and self etch adhesive strategies for any of the five outcome measures using either the FDI or the USPHS criteria. p > 0.05, 95% CI, I2 value of 0%. A strongly suspected publication bias in the retention domain was seen at 18 month follow up under FDI criteria. CONCLUSION Most universal adhesives show acceptable clinical performance. There is no significant effect of the adhesive strategy of universal adhesives on their clinical performance according to the results of our meta-analysis.
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Affiliation(s)
- Krisha Doshi
- grid.412431.10000 0004 0444 045XDepartment of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical And Technical Sciences (SIMATS), Chennai, Tamil Nadu India
| | - M. S. Nivedhitha
- grid.412431.10000 0004 0444 045XDepartment of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical And Technical Sciences (SIMATS), Chennai, Tamil Nadu India
| | - Pradeep Solete
- grid.412431.10000 0004 0444 045XDepartment of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical And Technical Sciences (SIMATS), Chennai, Tamil Nadu India
| | - Delphine Pricilla Antony S
- grid.412431.10000 0004 0444 045XDepartment of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical And Technical Sciences (SIMATS), Chennai, Tamil Nadu India
| | - Arthi Balasubramaniam
- grid.412431.10000 0004 0444 045XDepartment of Public Health Dentistry, Saveetha Dental College, Saveetha University, Chennai, India
| | - Benoy Jacob
- grid.412431.10000 0004 0444 045XDepartment of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical And Technical Sciences (SIMATS), Chennai, Tamil Nadu India
| | - Riluwan Siddique
- Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical And Technical Sciences (SIMATS), Chennai, Tamil Nadu, India.
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BARCELEIRO MDO, TARDEM C, ALBUQUERQUE EG, LOPES LDS, MARINS SS, POUBEL LA, BARCELOS R, ÑAUPARI-VILLASANTE R, LOGUERCIO AD, CALAZANS FS. Can composite packaging and selective enamel etching affect the clinical behavior of bulk-fill composite resin in posterior restorations? 24-month results of a randomized clinical trial. J Appl Oral Sci 2023; 31:e20220323. [PMID: 36790298 PMCID: PMC9972856 DOI: 10.1590/1678-7757-2022-0323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 12/27/2022] [Indexed: 02/16/2023] Open
Abstract
OBJECTIVES This is a double-blind, split-mouth, randomized clinical study that aims to evaluate the influence of bulk-fill composite packaging presented in syringes (BSy) and capsules (BCa), and the effect of selective enamel etching (SEE) on the clinical performance of class I and II bulk-fill resin composite restorations after 24 months. METHODOLOGY A total of 295 class I or class II restorations were performed on 70 patients. One universal adhesive was applied in all restorations. SEE was used in 148 restorations and self-etching mode (SET) in 147 restorations. After the adhesive application, cavities were restored with Filtek Bulk-fill Posterior Restorative in syringes (BSy), Filtek One Bulk-fill in capsules (BCa), or Filtek Supreme Ultra in syringes with the incremental technique (In). All restorations were evaluated using the FDI criteria after one week and after six, 12, and 24 months. Kaplan-Meier survival analysis and Pearson's Chi-square test were used (α=0.05) for statistical analysis. RESULTS After 24 months, 62 patients were evaluated and four restorations were lost due to fracture (one for SEEBSy, two for SEEIn, and one for SETIn). No significant differences in the fracture and retention rate were found between groups (p>0.05). SEE showed significantly fewer marginal adaptation defects than SET (p<0.05). BCa and BSy groups showed fewer marginal discrepancies compared to In (p<0.05). Restorations performed with BCa showed less color mismatch than BSy or In (p<0.05). CONCLUSION Although all restorations exhibited satisfactory clinical performance after 24 months of clinical service, the clinical behavior of class I and II restorations' improved when performed with a bulk-fill composite in capsules, mainly when associated with a universal adhesive applied with SEE.
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Affiliation(s)
- Marcos de Oliveira BARCELEIRO
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNova FriburgoRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Nova Friburgo, Rio de Janeiro, Brasil.
| | - Chane TARDEM
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNiteróiRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Niterói, Rio de Janeiro, Brasil.
| | - Elisa Gomes ALBUQUERQUE
- Universidade Federal de Juiz de ForaDepartamento de Odontologia RestauradoraJuiz de Fora,Minas GeraisBrasilUniversidade Federal de Juiz de Fora, Departamento de Odontologia Restauradora, Juiz de Fora, Minas Gerais, Brasil.
| | - Leticia de Souza LOPES
- Universidade Estadual de Rio de JaneiroDepartamento de Odontologia RestauradoraRio de JaneiroRio de JaneiroBrasilUniversidade Estadual de Rio de Janeiro, Departamento de Odontologia Restauradora, Rio de Janeiro, Rio de Janeiro, Brasil.
| | - Stella Soares MARINS
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNova FriburgoRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Nova Friburgo, Rio de Janeiro, Brasil.
| | - Luiz Augusto POUBEL
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNova FriburgoRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Nova Friburgo, Rio de Janeiro, Brasil.
| | - Roberta BARCELOS
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNova FriburgoRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Nova Friburgo, Rio de Janeiro, Brasil.
| | - Romina ÑAUPARI-VILLASANTE
- Universidade Estadual de Ponta GrossaDepartamento de Odontologia RestauradoraPonta GrossaParanáBrasilUniversidade Estadual de Ponta Grossa, Departamento de Odontologia Restauradora, Ponta Grossa, Paraná, Brasil.
| | - Alessandro Dourado LOGUERCIO
- Universidade Estadual de Ponta GrossaDepartamento de Odontologia RestauradoraPonta GrossaParanáBrasilUniversidade Estadual de Ponta Grossa, Departamento de Odontologia Restauradora, Ponta Grossa, Paraná, Brasil.
| | - Fernanda Signorelli CALAZANS
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNova FriburgoRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Nova Friburgo, Rio de Janeiro, Brasil.
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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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de Almeida RAM, Lima SNL, Nassif MV, Mattos NHR, de Matos TP, de Jesus Tavarez RR, Cardenas AFM, Bandeca MC, Loguercio AD. Eighteen-month clinical evaluation of a new universal adhesive applied in the "no-waiting" technique: a randomized clinical trial. Clin Oral Investig 2023; 27:151-163. [PMID: 36068369 PMCID: PMC9447982 DOI: 10.1007/s00784-022-04703-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 08/25/2022] [Indexed: 01/28/2023]
Abstract
OBJECTIVE The aim of this double-blind, randomized clinical trial was to evaluate the 6- and 18-month clinical performances of a new universal adhesive applied in the "no-waiting" (NW) technique to non-carious cervical lesions (NCCLs) using two evaluation criteria. MATERIALS AND METHODS One hundred and seventy-six restorations were assigned to four groups according to the adhesive system, adhesive strategy, and application mode: Prime&Bond Active (PB) applied using the etch-and-rinse (ER) and self-etch (SE) strategies with 20 s applications and Clearfil Universal Bond Quick (CQ) applied using the ER and SE strategies with the NW technique. The composite resin restorations were evaluated at baseline and after 6 and 18 months using the World Dental Federation (FDI) and US Public Health Service (USPHS) criteria. The Friedman repeated measures analysis of variance and Wilcoxon test were used for statistical analyses (α = 0.05). RESULTS No significant differences were observed among any of the groups or criteria after 6 months (p > 0.05). After 18 months, 10 restorations were lost (p > 0.05) (2 with PB-ER [95.5%; 95%CI: 92-100%], 4 with PB-SE [90.9%; 95%CI: 82-98%], 0 with CQ-ER [100%; 95%CI: 92-100%], and 4 with CQ-SE [90.9%; 82-98%]). The restorations performed with the SE strategy showed more marginal discrepancies than those performed with the ER strategy, mainly when the FDI criteria were used (p < 0.05). Those that used the PB-SE showed fewer marginal discrepancies than those that used the CQ-SE (FDI; p < 0.05). A few restorations showed marginal discrepancies after the USPHS analysis (p > 0.05). CONCLUSIONS The results when using the CQ-SE and -ER strategies with the NW technique were similar to those when using the PB-SE and -ER strategies in standard applications to non-carious cervical lesions after 6 and 18 months of clinical evaluation. CLINICAL RELEVANCE After 6 and 18 months, the application of Clearfil Universal Bond Quick with the "no-waiting" technique showed similar clinical performance compared to the standard application of Prime & Bond Active applied using the standard application time (20 s). TRIAL REGISTRATION ClinicalTrials.gov identifier RBR-5f9gps.
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Affiliation(s)
| | | | - Maria Vitória Nassif
- Department of Restorative Dentistry, School of Dentistry, Tuiuti University of Parana, Curitiba, Parana, Brazil
| | | | - Thalita Paris de Matos
- Department of Restorative Dentistry, School of Dentistry, Tuiuti University of Parana, Curitiba, Parana, Brazil
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Parana, Brazil
| | | | | | - Matheus Coelho Bandeca
- Department of Postgraduate Program in Dentistry, CEUMA University, Sao Luis, Maranhao, Brazil
- Department of Restorative Dentistry, School of Dentistry, Tuiuti University of Parana, Curitiba, Parana, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Parana, Brazil.
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Castro AS, Maran BM, Gutierrez MF, Chemin K, Mendez-Bauer ML, Bermúdez JP, Reis A, Loguercio AD. Effect of Dentin Moisture in Posterior Restorations Performed with Universal Adhesive: A Randomized Clinical Trial. Oper Dent 2022; 47:E91-E105. [PMID: 35405005 DOI: 10.2341/20-215-c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVES This double-blind, randomized clinical trial evaluated the influence of dentin moisture on postoperative sensitivity (POS), as well as, on clinical performance in posterior bulk-fill composite restorations, using a universal adhesive, until 12 months after clinical service. METHODS AND MATERIALS In accordance with a split-mouth design, 45 patients received posterior restorations, restored with a bulk-fill resin composite (Filtek Bulk Fill, 3M Oral Care) and a universal adhesive used in etch-and-rinse mode (SBU; Single Bond Universal Adhesive), which were applied on dry or moist dentin, with a cavity depth of at least 3 mm. Three operators placed 90 Class I/Class II restorations. Patients were evaluated for spontaneous and stimulated POS in the baseline, and after 48 hours, 7 days, and at 6 and 12 months. In addition, secondary parameters (marginal discoloration, marginal adaptation, fracture, and recurrent caries) were evaluated by World Dental Federation (FDI) criteria after 7 days and at 6 and 12 months. Statistical analyzes were performed using the Chi-square, Fisher exact, Friedman, Kruskall-Wallis, and Mann-Whitney tests (α=0.05). RESULTS No significant spontaneous and stimulated POS was observed when SBU was applied in dry and moist dentin (p>0.05). A significant and higher risk of spontaneous POS (20.0%; 95%CI 10.9-33.82 for dry dentin and 22.22%; 95%CI 12.54-36.27 for moist dentin) occurred up to 48 hours after restoration placement for the dry and moist dentin groups (p<0.02). However, the POS intensity was mild up to 48 hours with no significant difference between dry and moist dentin groups (p>0.79). When secondary parameters were evaluated, no significant differences between the groups were observed. CONCLUSION Dentin moisture did not influence POS in posterior bulk-fill composite restorations when associated with a universal adhesive applied in etch-and-rinse mode.
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Affiliation(s)
- A S Castro
- Andrea S Castro, DDS, MS, assistante professor, School of Dentistry, Tuiuti University, Curitiba, PR, Brazil
| | - B M Maran
- Bianca M Maran, DDS, MS, PhD, Department of Restorative Dentistry, School of Dentistry, State University of Western Paraná, Cascavel, PR, Brazil
| | - M F Gutierrez
- Mario F Gutierrez, DDS, MS, PhD, assistant professor, University de los Andes, Chile; assistant professor, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - K Chemin
- Kaprice Chemin, DDS, MS, PhD, assistant professor, School of Dentistry, Department of Health Sciences, School Unicesumar, Ponta Grossa, PR, Brazil
| | - M L Mendez-Bauer
- Maria L Mendez-Bauer, DDS, MSc, PhD, associate professor, Research Department, School of Dentistry, University Francisco Marroquin, Guatemala City, Guatemala
| | - J P Bermúdez
- Jorge P Bermúdez, DDS, MS, PhD student, Department of Prosthodontics, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - A Reis
- Alessandra Reis, DDS, PhD, associate professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - A D Loguercio
- *Alessandro D Loguercio, DDS, MS, PhD, associate professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
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de Albuquerque EG, Warol F, Tardem C, Calazans FS, Poubel LA, Matos TP, Souza JJ, Reis A, Barceleiro MO, Loguercio AD. A New Dual-Cure Universal Simplified Adhesive: 36-month Randomized Multicentre Clinical Trial. J Dent 2022; 122:104120. [DOI: 10.1016/j.jdent.2022.104120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 02/25/2022] [Accepted: 04/02/2022] [Indexed: 12/01/2022] Open
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Thirty-six-month follow-up of cervical composite restorations placed with an MDP-free universal adhesive system using different adhesive protocols: a randomized clinical trial. Clin Oral Investig 2022; 26:4337-4350. [PMID: 35142923 DOI: 10.1007/s00784-022-04397-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 02/03/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVES To evaluate the influence of different application strategies on the clinical behavior of an MDP-free universal adhesive placed in non-carious cervical lesions (NCCLs) over the course of 36 months. MATERIALS AND METHODS Thirty-one patients participated in this study (N = 31). One hundred twenty-four restorations were assigned to four groups: We used the self-etch strategy on groups with (SE-et) and without (SET) selective enamel etching, and the etch-and-rinse strategy on groups with dry (ER-D) and moist (ER-M) dentin. After applying the MDP-free universal adhesive (Xeno Select universal adhesive, Dentsply Sirona), cavities were filled using EvoluX composite resin (Dentsply Sirona). The restorations were evaluated at baseline and after 36 months according to World Dental Federation (FDI) and US Public Health Service (USPHS) criteria. Friedman's repeated-measures analysis of variance rank (α = 0.05) was used for statistical analysis. RESULTS We evaluated the 31 patients after 36 months. Forty-two restorations were lost (ER-D = 5, ER-M = 7, SE-et = 14, SET = 16). The 36-month retention/fracture rates (95% confidence interval) were 83.9% for ER-D, 77.4% for ER-M, 54.9% for SE-et, and 48.4% for SET. ER strategy showed better retention rate than SE strategy (p < 0.05). Thirty-four restorations (ER-D = 6, ER-M = 10, SE-et = 10, SET = 8) showed marginal staining per FDI criteria and 15 restorations (ER-D = 1, ER-M = 2, SE-et = 6, SET = 6) showed marginal staining per USPHS criteria. No restorations showed postoperative sensitivity or recurrence of caries. CONCLUSION The retention rate of Xeno Select universal adhesive was poor, mainly in the self-etch strategy. TRIAL REGISTRATION REBEC clinical registry under protocol RBR-4wh4sh. CLINICAL RELEVANCE MDP-free universal adhesive behavior depends on the bonding strategy used.
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Josic U, Mazzitelli C, Maravic T, Radovic I, Jacimovic J, Mancuso E, Florenzano F, Breschi L, Mazzoni A. The influence of selective enamel etch and self-etch mode of universal adhesives’ application on clinical behavior of composite restorations placed on non-carious cervical lesions: A systematic review and meta-analysis. Dent Mater 2022; 38:472-488. [DOI: 10.1016/j.dental.2022.01.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 01/05/2022] [Accepted: 01/19/2022] [Indexed: 12/16/2022]
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Is clinical behavior of composite restorations placed in non-carious cervical lesions influenced by the application mode of universal adhesives? A systematic review and meta-analysis. Dent Mater 2021; 37:e503-e521. [PMID: 34481667 DOI: 10.1016/j.dental.2021.08.017] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Revised: 08/08/2021] [Accepted: 08/17/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To answer the following PICOS question: "Is the risk of retention loss, marginal discoloration, marginal adaptation and postoperative sensitivity (POS) equal for etch-and-rinse (EAR) compared to self-etch (SE) or selective-enamel etch (SEE) mode when restoring non carious cervical lesions (NCCLs) with universal adhesives?". METHODS PubMed, Scopus, Web of Science, Cochrane Central Register of Controlled Trials, Scientific Electronic Library Online, LILACS, OpenGrey and Google Scholar™ were searched. Randomized controlled clinical trials in which resin composites and universal adhesives were used for restoration of NCCLs were considered. Cochrane Risk of Bias Tool was used to assess the risk of bias. Meta-analyses were performed using Revman; random-effects models were applied, and heterogeneity was tested using the I2 index. The significance level was set at p < 0.05. Certainty of evidence was assessed by GRADE tool. RESULTS After screening, 20 articles were included in qualitative, while 14 articles were used for quantitative synthesis. Twelve studies ranked as "low", while 8 studies scored as "unclear" for risk of bias. At 12- and 18/24-months the risk for retention loss was higher for SE than for EAR groups (p = 0.005; RR = 0.22, 95% CI [0.08, 0.63],[moderate certainty of evidence and p = 0.0002; RR = 0.32, 95% CI [0.17, 0.58], moderate certainty of evidence, respectively). No significant differences were observed for marginal discoloration and adaptation (p > 0.05). The probability of POS occurrence was less in SE than in EAR groups (RR = 2.12, 95% CI [1.23, 3.64], moderate certainty of evidence). The certainty of evidence for other outcomes was scored as "low" or "moderate", depending on the follow-up period. SIGNIFICANCE Using universal adhesives in EAR or SEE mode provides more predictable retention, while SE strategy reduces the risk of POS occurrence.
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