Two-year Clinical Performance of Self-etching Adhesive Systems in Composite Restorations of Anterior Teeth

SUMMARY Objective The aim of this study was to evaluate the two-year clinical performance of Class III, IV, and V composite restorations using a two-step etch-and-rinse adhesive system (2-ERA) and three one-step self-etching adhesive systems (1-SEAs). Material and Methods Two hundred Class III, IV, and V composite restorations were placed into 50 patients. Each patient received four composite restorations (Amaris, Voco), and these restorations were bonded with one of three 1-SEAs (Futurabond M, Voco; Clearfil S3 Bond, Kuraray; and Optibond All-in-One, Kerr) or one 2-ERA (Adper Single Bond 2/3M ESPE). The four adhesive systems were evaluated at baseline and after 24 months using the following criteria: restoration retention, marginal integrity, marginal discoloration, caries occurrence, postoperative sensitivity and preservation of tooth vitality. After two years, 162 restorations were evaluated in 41 patients. Data were analyzed using the χ2 test (p<0.05). Results There were no statistically significant differences between the 2-ERA and the 1-SEAs regarding the evaluated parameters (p>0.05). Conclusion The 1-SEAs showed good clinical performance at the end of 24 months.

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Randomized Clinical Trial of Composite Restorations in Primary Teeth: Effect of Adhesive System after Three Years

BioMed Research International ◽

10.1155/2016/5409392 ◽

2016 ◽

Vol 2016 ◽

pp. 1-11 ◽

Cited By ~ 1

Author(s):

Secil Bektaş Donmez ◽

Melek D. Turgut ◽

Serdar Uysal ◽

Pinar Ozdemir ◽

Meryem Tekcicek ◽

...

Keyword(s):

Primary Teeth ◽

Clinical Performance ◽

Adhesive System ◽

The Self ◽

Marginal Adaptation ◽

Adhesive Systems ◽

Composite Restorations ◽

Etch And Rinse ◽

Significant Difference ◽

Self Etch

The purpose of this study was to assess the clinical performance of composite restorations placed with different adhesive systems in primary teeth. In 32 patients, 128 composite restorations were placed using a split-mouth design as follows (4 groups/patient): three-step etch-and-rinse (Group 1), two-step etch-and-rinse (Group 2), two-step self-etch (Group 3), and one-step self-etch (Group 4). The restorations were clinically evaluated at baseline and at 6, 18, and 36 months according to the FDI criteria. There was no significant difference between the adhesive systems in retention of the restorations (p>0.05). Over time, there was a statistically significant decrease in marginal adaptation in all groups, whereas surface and marginal staining significantly increased in Groups 3 and 4 (p<0.05). The etch-and-rinse adhesive systems resulted in better marginal adaptation than the self-etch adhesive systems (p<0.05). It was concluded that preetching of the primary enamel might help improve the clinical performance of the self-etch adhesive systems in primary teeth.

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Adhesives Doped with Bioactive Niobophosphate Micro-Filler: Degree of Conversion and Microtensile Bond Strength

Brazilian Dental Journal ◽

10.1590/0103-6440201601110 ◽

2016 ◽

Vol 27 (6) ◽

pp. 705-711 ◽

Cited By ~ 9

Author(s):

Karina Kato Carneiro ◽

Marcia Margarete Meier ◽

Clenilton Costa dos Santos ◽

Adeilton Pereira Maciel ◽

Ceci Nunes Carvalho ◽

...

Keyword(s):

Bond Strength ◽

Bioactive Glass ◽

Adhesive System ◽

Degree Of Conversion ◽

Adhesive Systems ◽

Microtensile Bond Strength ◽

Glass Addition ◽

Etch And Rinse ◽

One Step ◽

Niobium Phosphate

Abstract To evaluate the effect of incorporating niobium phosphate bioactive glass (NbG) into commercial etch-and-rinse adhesive systems, with and without silane, on their degree of conversion (DC) (%) and microtensile bond strength (μTBS). The NbG micro-filler was added to two etch-and-rinse adhesive systems: One Step (OS) and Prime & Bond (PB) at 40% concentration. The following groups were formed: control without glass addition OS; addition of unsilanized NbG (OSNbG); addition of silanized NbG (OSNbGS); control without glass PB; addition of unsilanized NbG (PBNbG); addition of silanized NbG (PBNbGS). The DC was determined using total Fourier spectroscopy reflection (FTIR/ATR). For μTBS testing, 48 human third molars (n=8) were restored and sliced to obtain specimens (0.8 mm2) and they were tested at two different time intervals: immediately and after 6 months. The fracture mode was evaluated with a stereoscopic loupe (40×) and by scanning electron microscopy (SEM). The data were subjected to ANOVA and Tukey tests (a=0.05). NbG addition did not compromise the adhesive system DC values (p>0.05). Furthermore, the NbG added to the adhesive systems did not affect μTBS values (p>0.05). Fracture occurred predominantly at the dentin-adhesive interface. NbG bioactive glass did not affect the DC or microtensile bond strength results.

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Clinical Protocol for Esthetic Restoration using a Self-etching Adhesive

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1232 ◽

2013 ◽

Vol 4 (3) ◽

pp. 202-207

Author(s):

Mateus Rodrigues Tonetto ◽

Alvaro Henrique Borges ◽

Matheus Coelho Bandeca ◽

Fausto Frizzera Borges ◽

Lucas Fontanari ◽

...

Keyword(s):

Dental Materials ◽

Adhesive System ◽

Clinical Protocols ◽

Central Incisor ◽

Adhesive Systems ◽

Clinical Protocol ◽

Present Case Report ◽

Tooth Structure ◽

Anterior Teeth ◽

Postoperative Sensitivity

ABSTRACT The advent of new adhesive systems is making techniques and clinical protocols to become faster and simpler, however it does not reduce the importance of knowledge of the properties, characteristics and interaction of dental materials with the tooth structure. Among the adhesives that have recently emerged, highlight the self-etching systems, especially the two-step selfetching, in which the acid primer is available in a separate bottle from the adhesive. These adhesives have shown good results for bond strength, microleakage and postoperative sensitivity, being an option for direct adhesive restorations in anterior teeth. This way, the present case report describes the step-by-step making of a class IV restoration in an upper right central incisor using atwo-step adhesive system, obtaining satisfactory results. How to cite this article Tonetto MR, Borges FF, Fontanari L, Borges AH, Bandeca MC, de Andrade MF. Clinical Protocol for Esthetic Restoration using a Self-etching Adhesive. World J Dent 2013;4(3):202-207.

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Evaluation of Post-Operative Sensitivity of Bulk Fill Resin Composite versus Nano Resin Composite: A Randomized Controlled Clinical Study

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.656 ◽

2019 ◽

Vol 7 (14) ◽

pp. 2335-2342 ◽

Cited By ~ 1

Author(s):

Sarah Mahmoud Hussien Afifi ◽

Mohamed Fouad Haridy ◽

Mohamed Riad Farid

Keyword(s):

Resin Composite ◽

Visual Analog Scale Score ◽

Pain Tolerance ◽

Adhesive Systems ◽

Composite Restorations ◽

Etch And Rinse ◽

Significant Disagreement ◽

Restoration Failure ◽

Self Etch ◽

Postoperative Sensitivity

BACKGROUND: Despite recent advances in restorative dentistry adhesive restorations may cause postoperative sensitivity which leads to restoration failure. AIM: This study aimed to compare and evaluate the incremental and bulk fill resin Composite postoperative sensitivity in class II posterior restorations bonded with two adhesive systems (self-etch and etch-and-rinse). METHODS: Sixty patients were randomly selected, their age range from twenty-five to forty years old, divided into two groups according to the packing technique of resin composite material; incremental Tetric Evoceram and Tetric Evoceram bulk-fill resin composite. Thirty patients (n = 30) for incremental Tetric Evoceram resin composite restorations and according to the adhesive systems used they were equally divided (n = 15 teeth).Thirty patients (n = 30) for Tetric Evoceram bulk-fill resin composite restorations and according to the adhesive systems used (etch and rinse or self-etch), they were equally divided (n = 15 teeth). Post-operative pain assessed at 24 hours, 1 week and 1 month using the Visual Analog Scale Score (VAS). Each patient was instructed to put a mark on the VAS line at home to point out the intensity of pain at each assessment period. The problem of measuring the pain that pain tolerance of individuals may be different from the others. This may be due to different reasons, and it is not always because of a problem in the restoration RESULTS: After 1 day, 1 week as well as 1 month, no statistically significant disagreement between the two resin composite types using self-etch adhesive strategy and total-etch adhesive strategy. Also, when the two adhesive systems were compared using Bulk Fill resin composite and incremental Nano resin composite no statistically significant disagreement between the two adhesive systems after 1 day, 1 week as well as 1 month. CONCLUSION: The post-operative hypersensitivity is related to many factors as the procedure of cavity preparation, adhesive approach, and type of resin composite used and placement technique of the resin composite.

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Clinical Performance of Different Solvent-based Dentin Adhesives With Nanofill or Nanohybrid Composites in Class III Restorations: Five Year Results

Operative Dentistry ◽

10.2341/16-326-c ◽

2017 ◽

Vol 42 (4) ◽

pp. E111-E120 ◽

Cited By ~ 1

Author(s):

M Demirci ◽

S Tuncer ◽

HS Sancaklı ◽

N Tekçe ◽

C Baydemir

Keyword(s):

Clinical Performance ◽

Survival Rates ◽

Long Term Results ◽

Wear Loss ◽

Class Iii ◽

Adhesive Systems ◽

Water Solvent ◽

Dentin Adhesives ◽

Etch And Rinse ◽

Dentin Adhesive

SUMMARY Purpose: To evaluate the clinical performance of water, acetone, ethanol, and ethanol-water solvent-based dentin adhesives with nanofill or nanohybrid composites in Class III restorations. Methods and Materials: A total of 22 patients aged between 14 and 48 years (mean age: 25.2 years) participated in the study. Each patient received four Class III restorations, which were performed using water (Scotchbond Multipurpose), acetone (Prime&Bond NT), ethanol (XP Bond) and ethanol-water (Xeno V) solvent-based dentin adhesive systems with a nanofill (Filtek Supreme XT) or nanohybrid composite (CeramX Duo). Two experienced examiners evaluated the restorations with regard to retention, color match, marginal discoloration, wear/loss of anatomic form, caries formation, marginal adaptation, and surface texture at baseline and at one-, two-, three-, four-, and five-year recalls. Results: The five-year survival rates were 100% for Scotchbond Multipurpose, Prime&Bond NT, and XP Bond and 81.2% for Xeno V–bonded restorations. Only three Xeno V–bonded restorations failed. With the exception of marginal discoloration, there were no statistically significant differences among the four adhesive-bonded restorations in any of the evaluation periods in terms of the evaluation criteria. Conclusions: With the exception of marginal discoloration and marginal integrity deterioration of Xeno V–bonded restorations, all four adhesive-bonded restorations exhibited good long-term results. However, adhesion strategy (such as self-etch or etch-and-rinse) is more important than the solvent content of dentin adhesive systems in the success of Class III restorations.

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Laser Therapy Evaluation in Complications of Restorations by Total-Etch Technique

Revista de Chimie ◽

10.37358/rc.18.4.6228 ◽

2018 ◽

Vol 69 (4) ◽

pp. 921-925

Author(s):

Cristina Angela Ghiorghe ◽

Andra Claudia Gamen ◽

Tiberiu Tirca ◽

Sorin Andrian ◽

Anca Melian ◽

...

Keyword(s):

Laser Treatment ◽

Laser Therapy ◽

Hybrid Composite ◽

Study Groups ◽

Composite Resins ◽

Single Bond ◽

Class Iii ◽

Anterior Teeth ◽

Carious Lesions ◽

Etch And Rinse

The aim of this study was to evaluate the efficiency of laser therapy in post-operative sensitivity by Visual Analogue Scale (VAS) to the 57 patients after restoration with two different resins composite. In the first group (28 patients, 30 teeth) it was restored the cavity class I Black with micro-hybrid composite Filtek Z250 - Adper Single Bond (3M/ESPE). In the second group (29 patients, 30 teeth) it was restored the cavity class III Black with nano-hybrid composite Ceram X One Sphere Tec-Prime and Bond One (Etch&Rinse) (Dentsply). The restorative treatments were performed by the same practitioner on posterior and anterior teeth diagnosed with mid-sized chronic carious lesions. Total etch (etch and rinse) strategy of adhesion was used for both composite resins. The laser treatment was performed in 2 sessions at 48 hours and after 7 days, for both study groups using laser Whitening Lase II (DMC Dental). Mean scores for VAS indices decreased significantly at 48 hours and 7 days, following laser treatment for all the investigated parameters (materials, sex, age) (p [ 0.05).

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Effect of Proteolytic Agents on Microleakage of Etch and Rinse Adhesive Systems

Brazilian Journal of Oral Sciences ◽

10.20396/bjos.v16i0.8651051 ◽

2017 ◽

Vol 16 ◽

pp. 1-11

Author(s):

Shahin Kasraei ◽

Ebrahim Yarmohammadi ◽

Maryam Farhadian ◽

Mona Malek

Keyword(s):

Phosphoric Acid ◽

Nd:Yag Laser ◽

Control Group ◽

Single Bond ◽

Adhesive Systems ◽

Class V ◽

Dentin Surface ◽

Composite Restorations ◽

Etch And Rinse ◽

Significant Difference

Objective: this study aimed to assess the effect of treatment of phosphoric acid etched dentin surface with 5% bromelain enzyme and Nd:YAG laser prior to the use of etch and rinse adhesive systems on microleakage margins of class V composite restorations. Materials and Methods: sixty sound premolar teeth were selected. Standard class V cavities were prepared in the buccal and lingual surfaces of each teeth. Preparation in that way 1 mm of the cavity was above and 1 mm of it was below the cementoenamel junction. The teeth were then randomly divided into three groups including 20 teeth(40cavities in each gorup). Two ethanol base etch and rinse system (Adper Single Bond and OptiBond Solo) was applied in each group. In the control group, cavities were etched with 37% phosphoric acid. Adper Single Bond was applied to 20 and OptiBond Solo was applied to the remaining 20 cavities and they were restored with Z250 composite (n=40). The same procedures were performed in bromelain and Nd:YAG laser groups with the difference that prior to the application of adhesive, aqueous 5% bromelain was applied in bromelain group while Nd:YAG laser was irradiated in laser group. All teeth were thermocycled and their apices were sealed with sticky wax. The tooth surfaces were coated with nail varnish except for 1 mm around the restoration margins, and the teeth were then immersed in fuchsine and sectioned by a diamond disc into mesial and distal halves. Marginal microleakage at both sides was determined and scored under a stereomicroscope at x40 magnification. Then data were analyzed using the Kruskal Wallis and Mann Whitney tests (α=0.05). Results: according the result of Mann Whitney test, Cervical margins showed significantly higher microleakage than the occlusal margins (P=0.000) but no significant difference was noted in microleakage of occlusal (P=0.362) or gingival (P=0.147) margins among the three groups by Kruskal Wallis test. Conclusion: in conclusion, application of proteolytic agents(5% bromelain solution and Nd:YAG laser) on acid-etched dentin surface prior to the application of adhesive has no significant effect on marginal microleakage of class V composite restorations.

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Two-year Randomized Clinical Trial of Self-etching Adhesives and Selective Enamel Etching

Operative Dentistry ◽

10.2341/15-130-c ◽

2016 ◽

Vol 41 (3) ◽

pp. 249-257 ◽

Cited By ~ 6

Author(s):

CE Pena ◽

JA Rodrigues ◽

C Ely ◽

M Giannini ◽

AF Reis

Keyword(s):

Clinical Trial ◽

United States Public Health ◽

Clinical Effectiveness ◽

Adhesive System ◽

Single Step ◽

Cervical Lesions ◽

Randomized Controlled ◽

One Step ◽

Nanohybrid Composite ◽

Postoperative Sensitivity

SUMMARY Objective: The aim of this randomized, controlled prospective clinical trial was to evaluate the clinical effectiveness of restoring noncarious cervical lesions with two self-etching adhesive systems applied with or without selective enamel etching. Methods: A one-step self-etching adhesive (Xeno V+) and a two-step self-etching system (Clearfil SE Bond) were used. The effectiveness of phosphoric acid selective etching of enamel margins was also evaluated. Fifty-six cavities were restored with each adhesive system and divided into two subgroups (n=28; etch and non-etch). All 112 cavities were restored with the nanohybrid composite Esthet.X HD. The clinical effectiveness of restorations was recorded in terms of retention, marginal integrity, marginal staining, caries recurrence, and postoperative sensitivity after 3, 6, 12, 18, and 24 months (modified United States Public Health Service). Results: The Friedman test detected significant differences only after 18 months for marginal staining in the groups Clearfil SE non-etch (p=0.009) and Xeno V+ etch (p=0.004). One restoration was lost during the trial (Xeno V+ etch; p>0.05). Conclusions: Although an increase in marginal staining was recorded for groups Clearfil SE non-etch and Xeno V+ etch, the clinical effectiveness of restorations was considered acceptable for the single-step and two-step self-etching systems with or without selective enamel etching in this 24-month clinical trial.

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One-Year Clinical Evaluation of Composite Restorations in Posterior Teeth: Effect of Adhesive Systems

Operative Dentistry ◽

10.2341/10-375-c ◽

2012 ◽

Vol 37 (6) ◽

pp. E30-E37 ◽

Cited By ~ 4

Author(s):

RH Sundfeld ◽

RS Scatolin ◽

FG Oliveira ◽

LS Machado ◽

RS Alexandre ◽

...

Keyword(s):

Composite Resin ◽

Clinical Performance ◽

Adhesive System ◽

Composite Resins ◽

Adhesive Systems ◽

Posterior Teeth ◽

Significance Level ◽

Marginal Integrity ◽

Composite Resin Restorations ◽

One Year

SUMMARY This clinical study assessed the performance of posterior composite resins applied with the Adper™ Single Bond Plus (SB) and Adper™ Scotchbond SE (SE) adhesive systems and Filtek™ Supreme Plus composite resin, using modified US Public Health Service criteria. A total of 97 restorations were placed in posterior teeth by two calibrated operators. Application of the materials followed manufacturers' instructions. The restorations were evaluated by two examiners at baseline and after one year. Statistical analyses were conducted using the proportion test at a significance level of 5% (p<0.05). All the restorations evaluated (ie, 100%) received an alpha rating for the criteria of marginal discoloration and marginal integrity at baseline. At one year, for marginal discoloration, 64.6% of SB and 61.2% of SE received an alpha rating. For marginal integrity, 72.9% of SB and 77.6% of SE received an alpha rating. The other restorations received bravo ratings for both criteria. None of the teeth that received the restorative systems presented caries lesions around the restorations. A total of eight teeth presented postoperative sensitivity one week after baseline, five with SB and three with SE; the symptom had disappeared one year later. One year later, composite resin restorations using either adhesive system showed satisfactory clinical performance.

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Bond Strength of Two-Step Etch-and-Rinse Adhesive Systems to the Dentin of Primary and Permanent Teeth

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.35.2.958893530534m503 ◽

2010 ◽

Vol 35 (2) ◽

pp. 163-168 ◽

Cited By ~ 6

Author(s):

Hérica Adad Ricci ◽

Mariane Emi Sanabe ◽

Carlos Alberto de Souza Costa ◽

Josimeri Hebling

Keyword(s):

Bond Strength ◽

Adhesive System ◽

Permanent Tooth ◽

Permanent Teeth ◽

Adhesive Systems ◽

Microtensile Bond Strength ◽

Human Teeth ◽

Cross Sectional ◽

Etch And Rinse ◽

The Mean

Objective: The purpose of this study was to compare the immediate microtensile bond strength (µTBS) of two-step etch-and-rinse adhesive systems to the dentin of primary and permanent teeth. Study Design: Non-carious human teeth (12 primary molars and 12 premolars) were assigned to 3 groups according to the adhesive system. The adhesive systems were applied to flat superficial coronal dentin surfaces etched with phosphoric acid and composite resin blocks were built up. The teeth were sectioned to produce beam-shaped specimens with 0.81 mm2 cross-sectional area subjected to µTBS testing. µTBS data were analyzed statistically by ANOVA and Tukey’s test (a= 0.05). Results: The adhesive systems produced statistically similar mean µTBS to each other (p>0.05) and no significant differences (p>0.05) were found when the same material was applied to primary or permanent tooth dentin. The mean µTBS values (MPa) obtained were: Prime& Bond NT: 41.7±14.4 (permanent) and 40.8±13.4 (primary); Single Bond: 42.9±8.6 (permanent) and 41.4±11.9 (primary); Excite DSC: 46.3±11.3 (permanent teeth) and 43.4±12.0 (primary). Conclusion:There was no difference in the immediate µTBS of two-step etch-and-rinse adhesive systems when applied to the dentin of primary and permanent teeth.

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