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

2016 ◽  
Vol 41 (3) ◽  
pp. 249-257 ◽  
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.

scholarly journals Conversion of a one-step self-etch adhesive into a two-step self-etch adhesive: six-months clinical results in non-carious cervical lesions

2013 ◽  
Vol 1 (1) ◽  
pp. 28
Author(s):  
Neimar Sartori ◽  
Renan Belli ◽  
Jackeline Coutinho Guimarães ◽  
Silvana Batalha ◽  
Sylvio Monteiro Jr ◽  
...  
Keyword(s):  
Clinical Performance ◽  
Clinical Success ◽  
Clinical Effectiveness ◽  
Adhesive System ◽  
Clinical Results ◽  
Controlled Clinical Trial ◽  
Cervical Lesions ◽  
Randomized Controlled ◽  
One Step ◽  
Self Etch

PURPOSE: The purpose of this randomized controlled clinical trial was to evaluate the clinical performance of a one-step self-etch adhesive system in non-carious cervical lesions with and without the application of an additional hydrophobic resin coat. MATERIALS AND METHODS: Sixty-four non-carious cervical lesions were selected and randomly assigned to one of the two bonding technique: 1) a one-step self-etch adhesive (Adper Easy Bond, 3M ESPE) was applied following manufacturer´s instructions; 2) a hydrophobic resin coat (Scotchbond Multipurpose Bonding Agent, 3M ESPE) was applied over the uncured Adper Easy Bond adhesive. All lessons were restored using a microhybrid composite resin (Filtek Z250, 3M ESPE). Clinical effectiveness was recorded at baseline and after 6-months of clinical service. RESULTS: Two restorations of each group debonded after a 6-months period. The overall clinical success was 93.8%, and no statistical significant differences could be detected for all evaluated criteria within this period. CONCLUSION: The applications of a hydrophobic resin coat over Easy Bond did not increase bonding effectiveness over a 6-months period.

Clinical Effectiveness of a Resin-modified Glass Ionomer Cement and a Mild One-step Self-etch Adhesive Applied Actively and Passively in Noncarious Cervical Lesions: An 18-Month Clinical Trial

2018 ◽  
Vol 43 (6) ◽  
pp. 581-592
Author(s):  
M Jassal ◽  
S Mittal ◽  
S Tewari
Keyword(s):  
Composite Resin ◽  
Glass Ionomer Cement ◽  
Clinical Effectiveness ◽  
Retention Rates ◽  
Cervical Lesions ◽  
Significant Difference ◽  
Resin Modified Glass Ionomer ◽  
One Step ◽  
Self Etch ◽  
Postoperative Sensitivity

SUMMARY Objectives: To evaluate the clinical effectiveness of two methods of application of a mild one-step self-etch adhesive and composite resin as compared with a resin-modified glass ionomer cement (RMGIC) control restoration in noncarious cervical lesions (NCCLs). Methods: A total of 294 restorations were placed in 56 patients, 98 in each one of the following groups: 1) G-Bond active application combined with Solare-X composite resin (A-1SEA), 2) G-Bond passive application combined with Solare-X composite resin (P-1SEA), and 3) GC II LC RMGIC. The restorations were evaluated at baseline and after six, 12, and 18 months according to the FDI criteria for fractures/retention, marginal adaptation, marginal staining, postoperative sensitivity, and secondary caries. Cumulative failure rates were calculated for each criterion at each recall period. The effect of adhesive, method of application, and recall period were assessed. The Kruskal-Wallis test for intergroup comparison and Friedman and Wilcoxon signed ranks tests for intragroup comparison were used for each criterion (α=0.05). Results: The retention rates at 18 months were 93.26% for the A-1SEA group, 86.21% for the P-1SEA group, and 90.91% for the RMGIC group. The active application improved the retention rates compared with the passive application of mild one-step self-etch adhesive; however, no statistically significant difference was observed between the groups. Marginal staining was observed in 13 restorations (1 in A-1SEA, 4 in P-1SEA, and 8 in RMGIC) with no significant difference between the groups. The RMGIC group showed a significant increase in marginal staining at 12 and 18 months from the baseline. There was no significant difference between the groups for marginal adaptation, secondary caries, or postoperative sensitivity. Conclusion: Within the limitations of the study, we can conclude that mild one-step self-etch adhesive followed by a resin composite restoration can be an alternative to RMGIC with similar retention and improved esthetics in restoration of NCCLs. Agitation could possibly benefit the clinical performance of mild one-step self-etch adhesives, but this study did not confirm that the observed benefit was statistically significant.

The Clinical Effectiveness of Various Adhesive Systems: An 18-Month Evaluation

2013 ◽  
Vol 38 (2) ◽  
pp. 134-141 ◽  
Author(s):  
H Moosavi ◽  
S Kimyai ◽  
M Forghani ◽  
R Khodadadi
Keyword(s):  
Clinical Performance ◽  
Retention Rate ◽  
Resin Composite ◽  
United States Public Health ◽  
Clinical Effectiveness ◽  
Adhesive Systems ◽  
Public Health Services ◽  
Cervical Lesions ◽  
One Step ◽  
Self Etch

SUMMARY The aim of this clinical trial was to compare the clinical performance of three different adhesive systems over 18 months in noncarious cervical lesions (NCCLs). Thirty patients, with at least three noncarious cervical lesions, were enrolled in the study. One operator randomly restored a total of 90 lesions with resin composite (Herculite XRV). The restorations were bonded with either Optibond FL (OF), three-step total-etch; Optibond Solo Plus (OS), two-step total-etch; or Optibond All-In-One (OA), one step self-etch. The restorations were clinically evaluated at baseline and after six, 12, and 18 months using the eight United States Public Health Services criteria. Data were analyzed using Friedman and Wilcoxon signed ranks tests (p<0.05). After 18 months, the retention rate was (OF) 96.5%, (OS) 93.1%, and (OA) 89.7%. Differences among the three adhesive systems for evaluated criteria were not observed in comparison of the mean Alfa score percentages. There was a significant increase in marginal discoloration for (OA) adhesive after 18 months compared with baseline (p=0.011). Other restoration criteria had no statistically significant differences among the three adhesives (p>0.05). With the exception of marginal discoloration, the clinical effectiveness of three types of adhesive systems in NCCLs was acceptable after 18 months. However, using the one-step self-etch adhesive may lead to some marginal discolorations.

scholarly journals One-year clinical evaluation of compomer restorations in cervical lesions of different aetiology

2012 ◽  
Vol 65 (3-4) ◽  
pp. 115-121
Author(s):  
Milica Premovic ◽  
Bojana Ramic ◽  
Igor Stojanac ◽  
Milan Drobac ◽  
Ljubomir Petrovic
Keyword(s):  
Clinical Performance ◽  
United States Public Health ◽  
Single Step ◽  
Lesion Group ◽  
Prospective Clinical Study ◽  
Cervical Lesions ◽  
Class V ◽  
Dental Adhesive ◽  
Carious Lesions ◽  
One Year

Introduction. The aim of this one-year prospective clinical study was to evaluate the treatment results of compomer restorations (Dyract? eXtra/ Dentsply/De Trey, Konstanz, Germany) with a single step self-etching dental adhesive (Xeno? III Dentsply/De Trey, Konstanz, Germany) used for restoring class V lesions (non-carious and primary carious cervical lesions). Material and Methods. A total number of 62 class V restorations (n = 62) were placed by one dentist in 30 patients on incisors, canines and premolars. The fillings were placed due to different indications: non-carious cervical defects (n = 32) and primary carious lesions (n = 30). The restorations were evaluated by a single-blind design, according to the Modified United States Public Health Service system 6 and 12 months following the placement. The following were evaluated: retention, marginal integrity, marginal discoloration, wear, postoperative sensitivity and secondary caries. The statistical analysis compared the ratings of each criteria between materials using the Pearson chi-square or Fisher?s exact test at a level of significance of 5% (p<0.05). Results. Two restorations of the non-carious lesion group were lost after 6 months, and after 12 months one restoration was lost in the group of primary carious lesions. There were no statistically significant differences between restorations for all evaluated criteria in both groups. Conclusion. The compomer restorations in combination with a single step self-etching dental adhesive showed acceptable clinical performance in Class V lesions after one year of clinical service.

3-year clinical effectiveness of one-step adhesives in non-carious cervical lesions

2013 ◽  
Vol 41 (8) ◽  
pp. 675-682 ◽  
Author(s):  
S.G. Moretto ◽  
E.M.A. Russo ◽  
R.C.R. Carvalho ◽  
J. De Munck ◽  
K. Van Landuyt ◽  
...  
Keyword(s):  
Clinical Effectiveness ◽  
Cervical Lesions ◽  
One Step

A randomized controlled clinical trial of a HEMA-free all-in-one adhesive in non-carious cervical lesions at 1 year

2008 ◽  
Vol 36 (10) ◽  
pp. 847-855 ◽  
Author(s):  
K.L. Van Landuyt ◽  
M. Peumans ◽  
S. Fieuws ◽  
J. De Munck ◽  
M.V. Cardoso ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Cervical Lesions ◽  
Randomized Controlled

scholarly journals Short-term effect of adhesive system on clinical performance of bulk fill composite

2021 ◽  
Vol 21 ◽  
pp. e225042
Author(s):  
Vanessa Cristiane Araújo Oliveira ◽  
Fernanda Piana Santos Lima de Oliveira ◽  
Claudia Silami Magalhães ◽  
Fabíola Belkiss Santos de Oliveira ◽  
Isabella Pereira Marques ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Clinical Performance ◽  
Adhesive System ◽  
High Viscosity ◽  
Conventional Technique ◽  
Class I ◽  
Low Viscosity ◽  
Group 5 ◽  
Postoperative Sensitivity ◽  
Group 1

Aim: Although bulk fill composites have been widely used as restorative material, there is no consensus regarding the best clinical protocol in terms of composite technique and adhesive system. Therefore, this clinical trial evaluated the clinical performance of bulk fill composites for class I restorations under different protocols. Methods: A randomized clinical trial including 155 class I restorations was conducted using different adhesive systems: conventional technique (phosphoric acid + conventional three-step adhesive system) (Group 1, 2 and 3); or self-etching adhesive system (Groups 4, 5 and 6). Control groups 1 and 4 were restored with conventional composite; groups 2 and 5 with low viscosity bulk fill and conventional composite as occlusal coverage; groups 3 and 6 with high viscosity bulk fill. The FDI criteria was used for clinical evaluation at baseline and after 6 months. Results: All groups showed good clinical performance. At baseline, the adhesive system did not affect postoperative hypersensitivity. After 6 months, group 5 showed a significant reduction in color and translucency; group 6 a reduction in terms of anatomical form and for postoperative sensitivity and an improvement in patient satisfaction (p<0.05). Considering the same restorative technique, the use of the self-etching adhesive system showed a significant decrease in color and translucency (p<0.05). Conclusion: All groups showed favorable clinical performance, and promising results were found for the conventional adhesive system and high viscosity bulk fill protocol.

A 36-month Clinical Evaluation of Ethanol/Water and Acetone-based Etch-and-Rinse Adhesives in Non-carious Cervical Lesions

2009 ◽  
Vol 34 (4) ◽  
pp. 384-391 ◽  
Author(s):  
A. Reis ◽  
A. D. Loguercio
Keyword(s):  
Clinical Trial ◽  
Clinical Relevance ◽  
Clinical Decision ◽  
Single Bond ◽  
Cervical Lesions ◽  
Etch And Rinse ◽  
Water Based ◽  
One Step ◽  
Short And Long Term

Clinical Relevance Based on the findings of this clinical trial, one may conclude that non-carious cervical lesions should be restored with the ethanol/water-based two-step etch-and-rinse adhesive Single Bond, instead of the acetone-based One Step, as the latter presents a high number of debonded restorations after short- and long-term recalls. However, other literature findings should also be taken into account before reaching a clinical decision.

A New Dual-cure Universal Simplified Adhesive: 18-month Randomized Multicenter Clinical Trial

2020 ◽  
Vol 45 (5) ◽  
pp. E255-E270
Author(s):  
E Gomes de Albuquerque ◽  
F Warol ◽  
F Signorelli Calazans ◽  
L Augusto Poubel ◽  
S Soares Marins ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Clinical Evaluation ◽  
Clinical Performance ◽  
Retention Rates ◽  
Marginal Adaptation ◽  
Cervical Lesions ◽  
Universal Adhesive ◽  
Etch And Rinse ◽  
Self Etch ◽  
Postoperative Sensitivity

Clinical Relevance Non-carious cervical lesion restorations using a dual-cure universal adhesive in self-etch and etch-and-rinse mode showed satisfactory clinical performance after 18 months. SUMMARY Objectives: The objective of this multicenter, double-blind, split-mouth randomized clinical trial was to evaluate the clinical performance of a new dual-cure universal adhesive system (Futurabond U, Voco GmBH) when applied using different strategies over a period of 18 months. Methods and Materials: Fifty patients participated in this study. Two hundred non-carious cervical lesions were restored using the adhesive Futurabond U according to four adhesive strategies (n=50 per group): only self-etch (SEE), selective enamel etching + self-etch (SET), etch-and-rinse with dry dentin (ERDry), and etch-and-rinse with wet dentin (ERWet). After the adhesive application, cavities were restored using Admira Fusion composite resin. These restorations were evaluated according to FDI World Dental Federation criteria for the following characteristics: retention/fracture, marginal adaptation, marginal staining, postoperative sensitivity, and caries recurrence. Results: After 18 months, only four patients (12 months: one patient, n=4 restorations; and 18 months: three patients, n=12 restorations) were not evaluated. Fourteen restorations were lost after 18 months of clinical evaluation (four for SEE, three for SET, three for ERDry, and four for ERWet). The retention rates for 18 months (95% confidence interval) were 92% (81%–97%) for SEE, 94% (83%–97%) for SET, 94% (83%–97%) for ERDry, and 92% (81%–97%) for ERWet (p&gt;0.05). Thirty-eight restorations were considered to have minor discrepancies in marginal adaptation at the 18-month recall (13 for SEE, 13 for SET, six for ERDry, and six for ERWet; p&gt;0.05). Fourteen restorations were detected as a minor marginal discoloration at the 18-month recall (six for SEE, six for SET, one for ERDry, and one for ERWet; p&gt;0.05). However, all were considered clinically acceptable. No restorations showed postoperative sensitivity or caries recurrence at the time. Conclusion: The clinical performance of the Futurabond U did not depend on the bonding strategy used, and it was considered reliable after 18 months of clinical evaluation, although more marginal discrepancy was observed in the self-etch group.

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