Randomized clinical trial of four adhesion strategies: A 42 month study
Article
| IMSEAR
| ID: sea-192291
ABSTRACT
Context The adhesives clinical effectiveness has been extensively reported for noncarious cervical lesions (NCCLs). However, there is a lack of information about the adhesive systems strategies and their effect on NCCL restoration longevity. Aims:
This study aims to evaluate a 42-month performance of four dentin adhesive systems used for the restorative treatment of NCCLs. Settings andDesign:
NCCLs were randomly divided into four groups (1) Scotchbond multi-purpose (MP); 2 Single bond plus (SB); 3 Scotchbond SE (SE); and 4 Easy bond (EB). Subjects andMethods:
NCCLs (125) were randomly distributed (1) MP; (2) SB; (3) SE; and (4) EB and were restored with a nanofilled resin-composite, evaluated along 18-36-42 months. Statistical Analysis Used Kruskal–Wallis test Comparison among the adhesive systems in each period. Friedmananalysis:
Comparison along the periods. Kaplan–Meier Survival analysis.Results:
Baseline and 42-month retention (RET) rates (%) were 100/100 for MP; 100/94.74 for SB; 100/87.5 for SE; and 100/100 for EB. The cumulative failure percentage was 9.52% for MP, 9.52% SB, 15.8% SE, and 10% EB. Restorations survival was not dependent on the used adhesive type. Marginal adaptation (MA) was similar to each group, but EB presented noticeable marginal deterioration. Wear was noticed in the 3-step etch-and-rinse (MP) restorations evaluated after 42 months. For the EB, baseline and 18-month wear evaluation were statistically similar. After 36 and 42 months, wear was also similar for EB.Conclusions:
Adhesive systems showed similar performance within most important adhesive bonding efficiency achievement parameters RET, MA, interfacial staining, recurrent caries, and postoperative sensitivity evaluated during 42 months.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Controlled clinical trial
Year:
2019
Type:
Article
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