Do universal adhesives promote bonding to dentin? A systematic review and meta-analysis
Elkaffas Ali A., Hamama Hamdi H. H., Mahmoud Salah H.,
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( Elkaffas Ali A. ) - Mansoura University Faculty of Dentistry Department of Operative Dentistry
( Hamama Hamdi H. H. ) - Mansoura University Faculty of Dentistry Department of Operative Dentistry
( Mahmoud Salah H. ) - Mansoura University Faculty of Dentistry Department of Operative Dentistry
Abstract
Objectives: The aims of this study were to conduct a systematic review of the microtensile bond strength (μTBS) of multi-mode adhesives to dentin and to perform a meta-analysis to assess the significance of differences in the μTBS of one of the most commonly used universal adhesives (Scotchbond Universal, 3M ESPE) depending on whether the etch-and-rinse or self-etch mode was used.
Materials and Methods: An electronic search was performed of MEDLINE/PubMed, ScienceDirect, and EBSCOhost. Laboratory studies that evaluated the μTBS of multi-mode adhesives to dentin using either the etch-and-rinse or self-etch mode were selected. A meta-analysis was conducted of the reviewed studies to quantify the differences in the μTBS of Scotchbond Universal adhesive.
Results: Only 10 studies fulfilled the inclusion criteria for the systematic review. Extensive variation was found in the restorative materials, testing methodologies, and failure mode in the reviewed articles. Furthermore, variation was also observed in the dimensions of the microtensile testing beams. The meta-analysis showed no statistically significant difference between the etch-and-rinse and self-etch modes for Scotchbond Universal adhesive (p > 0.05).
Conclusions: Multi-mode ‘universal’ adhesives can achieve substantial bonding to dentin, regardless of the used modes (either etch-and-rinse or self-etch).
키워드
Dentin bonding agents; Multi-mode adhesives; Systematic review; Universal adhesives
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