Effect of a hydrophobic bonding resin on the 36-month performance of a universal adhesive—a randomized clinical trial

Perdigão, Jorge; Ceballos, Laura; Giráldez, Isabel; Baracco, Bruno; Fuentes, Ma Victoria

doi:10.1007/s00784-019-02940-x

Cited by 42 publications

(37 citation statements)

References 48 publications

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“…For universal adhesives, the in vitro data also suggest that an extra hydrophobic bonding layer is important for stable adhesion 81‐83 . However, the current clinical evidence does not corroborate the in vitro findings 84 . More clinical studies are definitely needed to clarify this apparent paradox.…”

Section: Universal Adhesivesmentioning

confidence: 81%

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Adhesive dentistry: Current concepts and clinical considerations

Perdigão

Araújo

Ramos

et al. 2020

J Esthet Restor Dent

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140

110

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Objectives To address contemporary concepts in adhesive dental materials with emphasis on the evidence behind their clinical use. Overview Adhesive dentistry has undergone major transformations within the last 20 years. New dental adhesives and composite resins have been launched with special focus on their user‐friendliness by reducing the number of components and/or clinical steps. The latest examples are universal adhesives and universal composite resins. While clinicians prefer multipurpose materials with shorter application times, the simplification of clinical procedures does not always result in the best clinical outcomes. This review summarizes the current evidence on adhesive restorative materials with focus on universal adhesives and universal composite resins. Conclusions (a) Although the clinical behavior of universal adhesives has exceeded expectations, dentists still need to etch enamel to achieve durable restorations; (b) there is no clinical evidence to back some of the popular adjunct techniques used with dental adhesives, including glutaraldehyde‐based desensitizers and matrix metalloproteinase inhibitors; and (c) the color adaptation potential of new universal composite resins has simplified their clinical application by combining multiple shades without using different translucencies of the same shade. Clinical Significance New adhesive restorative materials are easier to use than their predecessors, while providing excellent clinical outcomes without compromising the esthetic quality of the restorations.

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Section: Universal Adhesivesmentioning

confidence: 81%

“…[81][82][83] However, the current clinical evidence does not corroborate the in vitro findings. 84 More clinical studies are definitely needed to clarify this apparent paradox.…”

Section: Is An Extra Hydrophobic Bonding Resin Needed With Universamentioning

confidence: 99%

Adhesive dentistry: Current concepts and clinical considerations

Perdigão

Araújo

Ramos

et al. 2020

J Esthet Restor Dent

Self Cite

140

110

View full text Add to dashboard Cite

show abstract

“…However, this improvement does not seem to extrapolate to clinical behavior. A recent randomized clinical trial [ 110 ] resulted in lower retention rates in NCCLs when the hydrophobic bond resin was used with Scotchbond Universal Adhesive (3 M). This clinical outcome was unexpected, as the addition of a hydrophobic bonding resin to classical 1-step SE adhesives improved their clinical behavior in a clinical study at two years [ 88 ].…”

Section: Current Dental Adhesivesmentioning

confidence: 99%

Current perspectives on dental adhesion: (1) Dentin adhesion – not there yet

Perdigão

2020

Japanese Dental Science Review

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159

154

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The essential goal of any adhesive restoration is to achieve a tight and long-lasting adaptation of the restorative material to enamel and dentin. The key challenge for new dental adhesives is to be simultaneously effective on two dental substrates of conflicting nature. Some barriers must be overcome to accomplish this objective. While bonding to enamel by micromechanical interlocking of resin tags within the array of microporosities in acid-etched enamel can be reliably achieved and can effectively seal the restoration margins against leakage, bonding effectively and durably to organic and humid dentin is the most puzzling task in adhesive dentistry. Much of the research and development of dental adhesives has focused on making the clinical procedure more user-friendly by reducing the number of bottles and/or steps. Although clinicians certainly prefer less complicated and more versatile adhesive materials, there is a trade-off between simplification of dental adhesives and clinical outcomes. Likewise, new materials are launched with claims of being novel and having special properties without much supporting evidence. This review article discusses dental adhesion acknowledging pioneer work in the field, highlights the substrate as a major challenge to obtain durable adhesive restorations, as well as analyzes the three adhesion strategies and their shortcomings. It also reviews the potential of chemical/ionic dental adhesion, discusses the issue of extensively published laboratory research that does not translate to clinical relevance, and leaves a few thoughts in regard to recent research that may have implications for future adhesive materials.

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“…Three studies did not report the clinical evaluation results for postoperative sensitivity (17)(18)(19)(20)(21)(22)(24)(25)(26)(27)(28)(29)(30). Data Figure 4 Forest plot for marginal staining showed a lower rate of unfavourable events in the etch-and-rinse groups compared to the selfetch groups.…”

Section: Meta-analysismentioning

confidence: 99%

“…Atalay et al reported that a less satisfying performance of marginal adaptation and marginal staining was observed when using the self-etch mode (18). Perdigão et al showed improved clinical performance of universal adhesives when using the etch-and-rinse strategy, regardless of whether the three-step or two-step etchand-rinse strategy was employed (19). Nevertheless, some studies showed no statistically significant differences in clinical performance between the etch-and-rinse and selfetch modes (20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

Clinical effects of different etching modes for universal adhesives: a systematic review and meta-analysis

Hong¹,

Huang²,

Tong³

et al. 2021

Ann Palliat Med

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Background: To evaluate the clinical performance of universal adhesives in etch-and-rinse or self-etch application modes through meta-analysis.Methods: A literature search was performed by two reviewers in the PubMed, Cochrane Library, and Embase databases (from January 2000 to March 2020). A total of 2,516 non-replicated records were identified and filtered. Studies that evaluated the clinical performance of universal adhesives using etch-andrinse or self-etch mode were included. RevMan 5.3.5 (Cochrane, London, UK) was used to perform the meta-analysis.Results: A total of 13 studies were included in the meta-analysis. The retention rates were higher in etchand-rinse groups compared with self-etch groups [odds ratio (OR) =0.35, 95% confidence interval (CI): 0.18-0.71, P=0.003]. The etch-and-rinse approach also had better performance in marginal adaptation (OR =0.49, 95% CI: 0.36-0.67, P<0.001) and marginal staining (OR =0.49, 95% CI: 0.36-0.66, P<0.001). The current data showed a very low incidence rate of secondary caries or postoperative sensitivity, and there were no significant differences in the incidence rates between the etch-and-rinse groups and self-etch groups.Discussion: The current evidence shows that, compared with self-etch approach, the etch-and-rinse approach for universal adhesives provides improved clinical outcomes in terms of retention rates, marginal adaptation, and marginal staining.

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Effect of a hydrophobic bonding resin on the 36-month performance of a universal adhesive—a randomized clinical trial

Cited by 42 publications

References 48 publications

Adhesive dentistry: Current concepts and clinical considerations

Adhesive dentistry: Current concepts and clinical considerations

Current perspectives on dental adhesion: (1) Dentin adhesion – not there yet

Clinical effects of different etching modes for universal adhesives: a systematic review and meta-analysis

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