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

Josić, Uroš; Maravić, Tatjana; Mazzitelli, Claudia Alejandra; Radović, Ivana; Jaćimović, Jelena; Bianco, Federico Del; Florenzano, Federica; Breschi, Lorenzo; Mazzoni, Annalisa

doi:10.1016/j.dental.2021.08.017

Cited by 31 publications

(23 citation statements)

References 54 publications

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“…Despite the fact that all universal adhesives could be applied in the etch-and-rinse and self-etch mode, it is well-known that the self-etch strategy is preferred, mainly when eroded dentin is used as the substrate [39][40][41]. However, for both universal adhesives, higher bond strength and lower silver nitrate uptake values were observed for sound dentin than for eroded dentin.…”

Section: Discussionmentioning

confidence: 99%

Does the Application of Additional Hydrophobic Resin to Universal Adhesives Increase Bonding Longevity of Eroded Dentin?

et al. 2022

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This paper evaluates the effect of an additional hydrophobic resin coat (extra HL) associated with universal adhesives on sound and eroded dentin and evaluated immediately or after 2 years of water storage to improve the microtensile bond strength (μTBS) and nanoleakage (NL) when compared to the use of universal adhesives only. Sixty-four molars were assigned to eight groups using the following combinations: 1. dentin substrate, including sound and eroded dentin; 2. treatment, including the control and extra HL and storage time (immediately and after two-years of storage). Two universal adhesives (Prime & Bond Active or Scotchbond Universal) were evaluated. Before restoration, half of the teeth were subjected to soft-drink erosion. Composite buildups were bonded; specimens were stored (37 °C/24 h), sectioned into resin–dentin bonded sticks and tested for microtensile bond strength and nanoleakage using SEM (immediately and after two-years of storage). Three-way ANOVA and Tukey’s test (α = 0.05%) were used. In the immediate testing, the application of extra HL did not increase microtensile bond strength values compared with the control group in either substrate (p > 0.05). However, extra HL significantly decreased nanoleakage values when applied to eroded and sound dentin (p = 0.0001). After two years, the application of extra HL produced significantly higher microtensile bond strength and lower nanoleakage values than the control group for both adhesives (p = 0.0001). In all cases, sound dentin showed higher microtensile bond strength and lower nanoleakage values than eroded dentin (p = 0.000001). An extra HL increased the bond strength and reduced nanoleakage in eroded dentin after two-years of storage.

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Section: Discussionmentioning

confidence: 99%

Does the Application of Additional Hydrophobic Resin to Universal Adhesives Increase Bonding Longevity of Eroded Dentin?

et al. 2022

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“…The exclusion criteria were as follows: (1) (7) studies that compared outcomes between vital and non-vital teeth; (8) studies on primary dentition; and (9) experiments carried out with animal subjects. No follow-up period threshold was established for this systematic review and meta-analysis, since POS, which is very likely to occur in the first hours or days after the restorative procedure, 19 was the main outcome of interest.…”

Section: Eligibility Criteria and Search Strategymentioning

confidence: 99%

Does immediate dentin sealing influence postoperative sensitivity in teeth restored with indirect restorations? A systematic review and meta‐analysis

Josić

Sebold

Lins

et al. 2021

J Esthet Restor Dent

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Objective This study comprehensively reviewed clinical trials that investigated the effect of immediate dentin sealing (IDS) technique on postoperative sensitivity (POS) and clinical performance of indirect restorations. Materials and methods The systematic review was conducted according to the preferred reporting items for systematic reviews and meta‐analyses statement, and was guided by the PICOS strategy. Clinical trials in which adult patients received at least one indirect restoration cemented with IDS approach and one restoration cemented following the delayed dentin sealing (DDS) were considered. Results Following title screening and full‐text reading, four studies met the inclusion criteria and were included for qualitative synthesis, while two studies were selected for quantitative synthesis. According to Risk of bias‐2 tool, two studies were classified as “some concerns” for the outcome POS. No statistically significant differences were found between teeth restored with indirect restorations using the IDS and DDS approach for POS (p > 0.05), neither at the baseline (very low certainty of evidence according to GRADE) nor after 2 years of follow‐up (low certainty of evidence according to GRADE). Conclusion There is low‐certainty evidence that IDS does not reduce POS in teeth restored with indirect restorations. Clinical significance There is no clinical evidence to favor IDS over DDS when restoring teeth with indirect restorations.

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“…Restorative procedures, performed for therapeutic or esthetic purposes, fall with daily clinical practice, representing the most-performed dental treatment even in the early period of the COVID-19 pandemic when demand for the remaining dental services was substantially reduced [ 1 ]. Resin-based composites (RBCs) represent the material of choice for direct restorative procedures [ 2 , 3 , 4 ]. Adhesive dentistry has revolutionized restorative practice.…”

Section: Introductionmentioning

confidence: 99%

“…Hence, there has been a shift from etch-and-rinse (ER) systems (2- or 3-step systems) to self-etch (SE) systems (2- or 1-step systems) to the latest system in the market—the universal adhesive (UA) system. The latter has been enthusiastically received by clinicians because of their clinical versatility, being able to be applied in both etch-and-rinse, self-etch, and selective enamel etching modes, as well as possibilities for application to both dental tissues and different restorative materials in a simple and time-saving manner [ 4 ]. While the simplification of adhesive systems has brought unquestionable operational advantages, the chemical complexity they refer to in order to incorporate into a single product all the components necessary for conditioning and adhesion can create incompatibility phenomena and result in a deficit in restoration durability [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Modeling Liquids and Resin-Based Dental Composite Materials—A Scoping Review

et al. 2022

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Several lubricant materials can be used to model resin-based composites (RBCs) during restorative procedures. Clinically, instruments or brushes are wet with bonding agents (BAs) or modeling liquids (MLs) for sculpturing purposes. However, a knowledge gap exists on their effects on the mechanical properties of RBCs, requiring greater insight. Five databases were searched, including 295 in vitro studies on the use of lubricant materials for modeling RBCs during restorative procedures. Only articles in the English language were included, with no limits on the publication date. The last piece of research was dated 24 March 2022. In total, 16 studies were included in the review process, together with a paper retrieved after screening references. A total of 17 BAs and 7 MLs were investigated. Tensile (n = 5), flexural strength (n = 2), water sorption (n = 2), color stability (n = 8) and translucency (n = 3), micro-hardness (n = 4), roughness (n = 3), degree of conversion (n = 3), and monomer elution (n = 2) tests were carried out. In general, a maximum of 24 h of artificial storage was performed (n = 13), while four papers tested the specimens immediately. The present review identifies the possibilities and limitations of modeling lubricants used during restorative procedures on the mechanical, surface, and optical properties of RBCs. Clinicians should be aware that sculpturing RBCs with modeling resins might influence the composite surface properties in a way that is material-dependent.

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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

Cited by 31 publications

References 54 publications

Does the Application of Additional Hydrophobic Resin to Universal Adhesives Increase Bonding Longevity of Eroded Dentin?

Does the Application of Additional Hydrophobic Resin to Universal Adhesives Increase Bonding Longevity of Eroded Dentin?

Does immediate dentin sealing influence postoperative sensitivity in teeth restored with indirect restorations? A systematic review and meta‐analysis

Modeling Liquids and Resin-Based Dental Composite Materials—A Scoping Review

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