Clinical benefits of immediate dentin sealing: A systematic review and meta-analysis

Alghauli, Mohammed Ahmed; Alqutaibi, Ahmed Yaseen; Borzangy, Sary

doi:10.1016/j.prosdent.2024.03.014

Cited by 2 publications

(1 citation statement)

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“…To optimize clinical outcomes, it is suggested to select either the 1 mm or 2 mm ferrule designs in combination with silica coating or Zirco‐E etching of the zirconia endocrown's intaglio surfaces, or to combine air‐particle abrasion with etching (Sokolowski et al, 2023 ). Additionally, to ensure long‐term survival and reliable bonding of the endocrown to the tooth substrate, the use of composite luting resins with 10‐MDP monomers or combining luting resin with an adhesive containing phosphate monomers is recommended (Buyukerkmen et al, 2022 ), and considering special treatment when bonding restorations to dentin such as immediate dentin sealing is beneficial for long term survival of both vital and endodontically treated teeth as in case of endocrowns (Alghauli et al, 2024 ).…”

Section: Discussionmentioning

confidence: 99%

The influence of Zircos‐E® etchant, silica coating, and alumina air‐particle abrasion on the debonding resistance of endocrowns with three different preparation designs

Alqutaibi,

Alghauli,

Dewedar

et al. 2024

Clinical & Exp Dental Res

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ObjectivesThe study aimed to evaluate the debonding resistance of three different endocrown designs on molar teeth, using three different zirconia surface pretreatments.Material and MethodNinety human mandibular first molars were divided into three main groups: endocrowns without ferrule, with 1 mm ferrule, and with 2 mm ferrule. The subgroups were defined by their surface pretreatment method used (n = 15): 50 μm alumina air‐particle abrasion, silica coating using 30 μm Cojet™ particles, and Zircos‐E® etching. The endocrowns were fabricated using multilayer zirconia ceramic, cemented with self‐adhesive resin cement, and subjected to 5000 thermocycles (5–55°C) before debonding. The data obtained were analyzed using a two‐way ANOVA.ResultsAll test specimens survived the thermocyclic aging. The results indicated that both the preparation design and the surface treatment had a significant impact on the resistance to debonding of the endocrowns (p < .001). The 2 mm ferrule followed by the 1 mm ferrule designs exhibited the highest debonding resistance, both were superior to the endocrown without ferrule. Zircos‐E® etching and silica coating yielded comparable debonding resistance, which were significantly higher than alumina air‐particle abrasion. All endocrowns demonstrated a favorable failure mode.ConclusionsAll designs and surface treatments showed high debonding resistance for a single restoration. However, ferrule designs with Zircos‐E® etching or silica coating may represent better clinical options compared to the nonferrule design or alumina airborne‐particle abrasion. Nonetheless, further research, including fatigue testing and evaluations with different luting agents is recommended.

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Section: Discussionmentioning

confidence: 99%