Perdigão Jorge, Dutra-Corrêa Maristela, Castilhos Natália, Carmo André R P, Anauate-Netto Camillo, Cordeiro Hiram J D, Amore Ricardo, Lewgoy Hugo R
Division of Operative Dentistry, Department of Restorative Sciences, University of Minnesota, 8-450 Moos Tower, 515 SE Delaware St., Minneapolis, MN 55455, USA.
Am J Dent. 2007 Apr;20(2):125-33.
To evaluate the 1-year clinical performance of three self-etching adhesives (Adper Prompt L-Pop, Clearfil S3 Bond, iBond) in posterior composite restorations using one etch&rinse adhesive (One-Step Plus) as control.
Upon approval by the Institutional Review Board, 121 restorations were inserted in 38 subjects. The adhesives were applied as per manufacturers' instructions. Preparations were restored with a nanofilled resin composite (Filtek Supreme) and evaluated at baseline, 6 months, and 1 year. Statistical analyses included the Chi-square distribution with the McNemar non-parametric test (P < 0.05).
At 1 year, 111 restorations in 35 subjects were evaluated using the USPHS modified criteria. No significant changes were observed for the etch&rinse adhesive One-Step Plus. At 1 year the number of Alfa ratings decreased significantly for Clearfil S3 Bond and for iBond in the categories color match, marginal staining, and marginal adaptation. For Adper Prompt L-Pop, marginal adaptation at 1 year was significantly worse than at baseline. Postoperative sensitivity to air improved significantly for Adper Prompt L-Pop, Clearfil S3 Bond, and iBond. When the evaluation criteria were paired at 1 year, iBond resulted in a significantly lower number of Alfa ratings than any of the other adhesives for color match, marginal staining, and marginal adaptation. One-Step Plus resulted in a greater number of Alfa ratings for marginal adaptation than either Adper Prompt L-Pop or Clearfil S3 Bond. Marginal adaptation was significantly better for Clearfil S3 Bond than for Adper Prompt L-Pop. The post-operative sensitivity measured at 1 year for Adper Prompt L-Pop was statistically better than that for One-Step Plus.
以一种酸蚀冲洗粘结剂（一步到位加强型）作为对照，评估三种自酸蚀粘结剂（Adper Prompt L-Pop、Clearfil S3 Bond、iBond）在后牙复合树脂修复体中的1年临床性能。
经机构审查委员会批准，在38名受试者中植入了121个修复体。按照制造商的说明使用粘结剂。用纳米填充树脂复合材料（Filtek Supreme）修复制备体，并在基线、6个月和1年时进行评估。统计分析包括采用McNemar非参数检验的卡方分布（P < 0.05）。
1年后，使用美国公共卫生服务部修改后的标准对35名受试者中的111个修复体进行了评估。酸蚀冲洗粘结剂一步到位加强型未观察到显著变化。1年后，Clearfil S3 Bond和iBond在颜色匹配、边缘染色和边缘适应性类别中的Alfa评级数量显著减少。对于Adper Prompt L-Pop，1年时的边缘适应性明显比基线时差。Adper Prompt L-Pop、Clearfil S3 Bond和iBond对空气的术后敏感性显著改善。当在1年时对评估标准进行配对时，iBond在颜色匹配、边缘染色和边缘适应性方面的Alfa评级数量明显低于其他任何一种粘结剂。一步到位加强型在边缘适应性方面的Alfa评级数量比Adper Prompt L-Pop或Clearfil S3 Bond都多。Clearfil S3 Bond的边缘适应性明显优于Adper Prompt L-Pop。Adper Prompt L-Pop在1年时测得的术后敏感性在统计学上优于一步到位加强型。
