A Randomized Double-blind Clinical Trial of Dentin Surface Treatments for Composite Restorations in Noncarious Cervical Lesions: A 36-month Evaluation

2019 ◽  
Vol 44 (2) ◽  
pp. 114-126
Author(s):  
AC Rocha ◽  
MM Suca Salas ◽  
AS Masotti ◽  
WLO da Rosa ◽  
CH Zanchi ◽  
...  
Keyword(s):  
Clinical Performance ◽  
Surface Treatments ◽  
Acid Etching ◽  
Cervical Lesions ◽  
Double Blind ◽  
Class V ◽  
Dentin Surface ◽  
Double Blind Clinical Trial ◽  
Postoperative Sensitivity ◽  
Phosphoric Acid Etching

SUMMARY Objective: This randomized, double-blind clinical trial aimed to evaluate the influence of different dentin surface treatments in noncarious cervical lesions (NCCLs). Methods and Materials: Twenty-nine patients participated in this study. One hundred sixty-five NCCLs were selected and randomly assigned to three groups: G0 (control group) with phosphoric acid etching for 15 seconds; G1: phosphoric acid etching for 30 seconds; and G2: ultrasound probe applied for 30 seconds on the dentin surface. Class V composite resin restorations were performed (Z350, 3M ESPE, St Paul, MN, USA). The restorations were evaluated at baseline and at six, 12, 24, and 36 months according to the World Dental Federation criteria. Survival curves were obtained using the Kaplan-Meier method and the log-rank test. Comparisons between groups and times were performed using the McNemar and Chi-square tests (α=0.05). Results: The presence of failures due to retention was statistically different among the groups (p=0.012), and G0 and G2 showed better clinical performance than did G1. Sensitivity decreased over time in all groups. Marginal discoloration, postoperative sensitivity, and marginal adaptation were not different among the groups (p>0.05). Conclusions: The studied dentin surface treatments showed similar clinical performance to the conventional technique at 36 months in terms of marginal discoloration, marginal adaptation, and postoperative sensitivity. In contrast, increased acid-etching time resulted in a higher risk of failure due to retention over time in composite Class V restorations.

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.

Influence of Surface Treatment on Composite Adhesion in Noncarious Cervical Lesions: Systematic Review and Meta-analysis

2018 ◽  
Vol 43 (5) ◽  
pp. 508-519 ◽  
Author(s):  
AC Rocha ◽  
WLO Da Rosa ◽  
AR Cocco ◽  
AF Da Silva ◽  
E Piva ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Retention Rate ◽  
Resin Composite ◽  
Adhesive System ◽  
Surface Treatments ◽  
Retention Rates ◽  
Cervical Lesions ◽  
Dentin Surface ◽  
Composite Restorations ◽  
Mechanical Removal

SUMMARY The purpose of this study was to analyze the influence of dentin surface treatments on the retention rate of resin composite restorations in non-carious cervical lesions (NCCLs). Seven randomized clinical trials were included in this review. Data regarding retention rate, type of surface treatment, and the main characteristics of studies were analyzed. Two reviewers performed a literature search up to December 2016 in eight databases: PubMed (Medline), Lilacs, Ibecs, Web of Science, BBO, Scopus, Scielo and The Cochrane Library. Only clinical trials evaluating dentin surface treatments in resin composite restoration in NCCLs were included. Noncontrolled clinical trials, reviews, editorial letters, case reports, case series and studies published in a language other than English, Portuguese, or Spanish were not included. The included studies evaluated different surface treatments, such as using an adhesive system with a frictional technique, drying the dentin, and removing sclerotic dentin by using a bur and applying EDTA before primer use. The analysis considering the mechanical removal of dentin surface with a bur and the application of an adhesive system in a frictional mode showed these treatments improved retention rates of the resin composite restorations in NCCLs (p&lt;0.05). There is evidence in the literature suggesting that the mechanical removal of dentin surface with a bur and the application of an adhesive system in a frictional mode could improve the retention rates of resin composite restorations in NCCLs. However, the studies showed high heterogeneity, and additional clinical trials are needed to determine the best dentin treatment option in NCCLs.

5-year Clinical Performance of Resin Composite Versus Resin Modified Glass Ionomer Restorative System in Non-carious Cervical Lesions

10.2341/05-87 ◽  
2006 ◽  
Vol 31 (4) ◽  
pp. 403-408 ◽  
Author(s):  
E. B. Franco ◽  
A. R. Benetti ◽  
S. K. Ishikiriama ◽  
S. L. Santiago ◽  
J. R. P. Lauris ◽  
...  
Keyword(s):  
Clinical Relevance ◽  
Clinical Performance ◽  
Resin Composite ◽  
Glass Ionomer ◽  
Cervical Lesions ◽  
Class V ◽  
Resin Modified Glass Ionomer ◽  
Term Evaluation ◽  
Materials Behavior

Clinical Relevance A long-term evaluation of the materials' behavior is relevant for Class V restorations in which clinical performance is particularly challenging.

scholarly journals Marginal Adaptation of Class V Restorations with Current- Generation Dentin-Bonding Agents: Effect of Different Dentin Surface Treatments

2014 ◽  
Vol 15 (3) ◽  
pp. 331-335
Author(s):  
Marcelo Ferrarezi de Andrade ◽  
Alvaro Henrique Borges ◽  
Matheus Coelho Bandéca ◽  
José Roberto Cury Saad ◽  
Edson Alves de Campos ◽  
...  
Keyword(s):  
Mechanical Load ◽  
Surface Treatments ◽  
Wilcoxon Test ◽  
Marginal Adaptation ◽  
Class V ◽  
Current Generation ◽  
Bonding Agents ◽  
Dentin Bonding ◽  
Dentin Surface ◽  
Dentin Bonding Agents

Abstract This study sought to assess the use of chlorhexidine with several excipients as a dentin surface treatment and its effect on marginal adaptation of class V restorations with currentgeneration dentin bonding agents. A total of 120 human third molars were selected and allocated into 12 groups, with standardized buccal class V restorations randomly divided into preconditioned dentin rinsed with: water; water + chlorhexidine; ethanol; or ethanol + chlorhexidine. After rinsing of dentin (previously conditioned with 35% phosphoric acid) with the test solutions, the Adper single bond 2, prime and bond 2.1, and Excite bonding systems were applied randomly. Restorations were performed with Filtek™ Z350 XT composite resin. The resulting specimens were subjected to thermal and mechanical load cycling. Quantitative analysis of marginal adaptation was performed on epoxy replicas by means of scanning electron microscopy. Results were assessed by means of the Kruskal- Wallis test (percentages of continuous margins) and Wilcoxon test (differences between percentages of continuous margins before and after thermal cycling and mechanical loading), at a significance level of p < 0.05. Outcomes in the chlorhexidinetreated groups were not superior to those obtained with other treatments. How to cite this article Cavalheiro JP, Tonetto MR, Borges ÁH, Bandéca MC, dos Santos RSS, de Campos EA, Saad JRC, Dantas AAR, de Andrade MF. Marginal Adaptation of Class V Restorations with Current-Generation Dentin-Bonding Agents: Effect of Different Dentin Surface Treatments. J Contemp Dent Pract 2014;15(3):331-335.

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.

scholarly journals Evaluation of Flexural, Diametral Tensile, and Shear Bond Strength of Composite Repairs

2014 ◽  
Vol 39 (6) ◽  
pp. E250-E260 ◽  
Author(s):  
TA Imbery ◽  
T Gray ◽  
F DeLatour ◽  
C Boxx ◽  
AM Best ◽  
...  
Keyword(s):  
Phosphoric Acid ◽  
Bond Strength ◽  
Shear Bond Strength ◽  
Testing Machine ◽  
Surface Treatments ◽  
Bonding Agent ◽  
Acid Etching ◽  
Significant Difference ◽  
Phosphoric Acid Etching

SUMMARY Objective Repairing composite restorations may be a more conservative treatment than replacing the entire restoration. The objective of this in vitro study was to determine the best repair method by measuring flexural, diametral tensile, and shear bond strength of repaired composites in which the surfaces were treated with chemical primers (Add & Bond or Silane Bond Enhancer), a bonding agent (Optibond Solo Plus [OBSP]), or mechanical retention with a bonding agent. Methods Filtek Supreme Ultra shade B1B was placed in special molds to fabricate specimens that served to test the flexural, diametral tensile, or shear strength of the inherent resin substrate. The same molds were modified to make specimens for testing repair strength of the resin. Repairs were made immediately or after aging in deionized water at 37°C for seven days. All repair sites were finished with coarse Sof-Lex discs to simulate finishing new restorations or partially removing aged restorations. Repair surfaces were treated with one of the following: 1) phosphoric-acid etching and OBSP; 2) Add & Bond; 3) phosphoric-acid etching, Silane Bond Enhancer, and OBSP; or 4) quarter round bur, phosphoric-acid etching, and OBSP. Specimens were placed back in the original molds to fabricate specimens for diametral tensile or flexural testing or in an Ultradent jig to make specimens for shear bond testing. Composite resin in shade B5B was polymerized against the treated surfaces to make repairs. Two negative control groups for the three testing methods consisted of specimens in which repairs were made immediately or after aging without any surface treatments. Controls and experimental repairs were aged (water 37°C, 24 hours) before flexural, diametral tensile, or shear testing in an Instron Universal testing machine at a crosshead speed of 0.5 mm/min. Results Experimental flexural repair strengths ranged from 26.4% to 88.6% of the inherent substrate strength. Diametral tensile repair strengths ranged from 40% to 80% of the inherent substrate strength, and shear bond strength repairs ranged from 56% to 102%. Geometric means were statistically analyzed with two-way analysis of variance on their log-transformed values. Significant differences were determined using Tukey honestly significant difference (p&lt;0.05). Conclusions Depending on the mechanical property being tested, surface treatments produced different results. OBSP produced more consistent results than chemical primers.

A 24-month Follow-up of Flowable Resin Composite as an Intermediate Layer in Non-carious Cervical Lesions

2006 ◽  
Vol 31 (5) ◽  
pp. 523-529 ◽  
Author(s):  
A. Reis ◽  
A. D. Loguercio
Keyword(s):  
Intermediate Layer ◽  
Clinical Relevance ◽  
Clinical Performance ◽  
Resin Composite ◽  
Cervical Lesions ◽  
Class V

Clinical Relevance After 24 months of evaluation, the use of Filtek Flow as a liner under Filtek Z250 restorations did not improve the clinical performance of Class V restorations.

scholarly journals Influence of Artificial Aging in Marginal Adaptation of Mixed Class V Cavities

2013 ◽  
Vol 14 (2) ◽  
pp. 316-319 ◽  
Author(s):  
Mateus Rodrigues Tonetto ◽  
Marcelo Ferrarezi de Andrade ◽  
Shelon Cristina Souza Pinto ◽  
Alvaro Henrique Borges ◽  
Darlon Martins Lima ◽  
...  
Keyword(s):  
Thermal Cycling ◽  
Artificial Aging ◽  
Composite Resin ◽  
Acid Etching ◽  
Marginal Adaptation ◽  
Single Bond ◽  
Third Molars ◽  
Class V ◽  
Before And After ◽  
Phosphoric Acid Etching

ABSTRACT The aim of this study was to investigate whether the artificial aging by thermal cycling had influenced the marginal adaptation of class V restorations with/without chlorhexidine application in the bond process. Twelve intact human third molars were used. Class V cavity preparations were performed on the buccal surface and the teeth received 35% phosphoric acid-etching procedure (Ultradent Products Inc., South Jordan, Utah, USA). Subsequently, the samples were divided in two groups: Untreated acid-etched dentin and chlorhexidine application as an adjunct in the bond process. The adhesive Single Bond 2 (3M ESPE, St. Paul, MN, USA) was used after 2% chlorhexidine application, and the restorations were performed with FiltekTM Z350 XT (3M ESPE) composite resin. The specimens were submitted to artificial aging by thermal cycling with 3,000 cycles. Analyzes were performed on scanning electron microscopy using replicas of marginal adaptation in percentage of continuous margin before and after the artificial aging. The data were analyzed by paired test and the results showed statistically significant differences in the percentage of continuous margin with/without chlorhexidine treatment before and after thermal cycling. This study concluded that the artificial aging by thermal cycling influenced the marginal adaptation of mixed class V composite restorations. How to cite this article Tonetto MR, Bandéca MC, de Oliveira Barud HG, Pinto SCS, Lima DM, Borges AH, de Campos EA, de Andrade MF. Influence of Artificial Aging in Marginal Adaptation of Mixed Class V Cavities. J Contemp Dent Pract 2013;14(2):316-319.

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