Universidade Estadual de Ponta Grossa, Restorative Dentistry, Ponta Grossa, Paraná, Brazil.
J Esthet Restor Dent. 2013 Feb;25(1):55-69. doi: 10.1111/jerd.12005. Epub 2012 Nov 15.
Multimode adhesives, which can be used as etch-and-rinse or as self-etch adhesives, have been recently introduced without clinical data to back their use.
To evaluate the 6-month clinical performance of Scotchbond Universal Adhesive (SU; 3M ESPE, St. Paul, MN, USA) in noncarious cervical lesions (NCCLs) using two evaluation criteria.
METHODS/MATERIALS: Thirty-nine patients participated in this study. Two hundred restorations were assigned to four groups: SU-TEm: etch-and-rinse + moist dentin; SU-TEd: etch-and-rinse + dry dentin; SU-SEet: selective enamel etching; and SU-SE: self-etch. The composite resin Filtek Supreme Ultra (3M ESPE) was placed incrementally. The restorations were evaluated at baseline and after 6 months using both the World Dental Federation (FDI) and the United States Public Health Service (USPHS) criteria. Statistical analyses were performed with Friedman repeated measures analysis of variance by rank and McNemar test for significance in each pair (α = 0.05).
Only four restorations (SU-SE: 3 and SU-TEm: 1) were lost after 6 months (p > 0.05 for either criteria). Marginal discoloration occurred in one restoration in the SU-SE group (p > 0.05 for either criteria). Only 2/200 restorations were scored as bravo for marginal adaptation using the USPHS criteria (one for SU-SE and one for SU-SEet, p > 0.05). However, when using the FDI criteria, the percentage of bravo scores for marginal adaptation at 6 months were 32%, 36%, 42%, and 46% for groups SU-TEm, SU-TEd, SU-SEet, and SU-SE, respectively (p > 0.05).
The clinical behavior of the multimode adhesive does not depend on the bonding strategy at 6 months. The FDI evaluation criteria are more sensitive than the USPHS criteria.
At 6 months, the clinical behavior of the new multimode adhesive Scotchbond Universal was found to be reliable when used in noncarious cervical lesions and may not depend on the bonding strategy employed.
最近推出了多模态胶粘剂，可以作为酸蚀冲洗型或自酸蚀型胶粘剂使用，但没有临床数据支持其使用。
使用两种评估标准评估 Scotchbond Universal 胶粘剂（SU；3M ESPE，圣保罗，明尼苏达州，美国）在非龋性颈面缺损（NCCLs）中的 6 个月临床性能。
方法/材料：39 名患者参与了这项研究。共有 200 个修复体被分为四组：SU-TEm：酸蚀冲洗+湿润牙本质；SU-TEd：酸蚀冲洗+干燥牙本质；SU-SEet：选择性釉质酸蚀；SU-SE：自酸蚀。逐步放置 Filtek Supreme Ultra 复合树脂（3M ESPE）。使用世界牙科联合会（FDI）和美国公共卫生服务（USPHS）标准在基线和 6 个月时对修复体进行评估。采用 Friedman 重复测量方差分析和 Mcnemar 检验对每对数据进行统计学分析（α=0.05）。
仅在 6 个月后有 4 个修复体（SU-SE：3 个和 SU-TEm：1 个）丢失（两种标准均无统计学意义，p>0.05）。SU-SE 组有 1 个修复体出现边缘变色（两种标准均无统计学意义，p>0.05）。仅在 USPHS 标准下，有 2/200 个修复体的边缘适应性评为 Bravo（SU-SE 1 个，SU-SEet 1 个，p>0.05）。然而，使用 FDI 标准时，6 个月时边缘适应性 Bravo 评分的百分比分别为 SU-TEm 组 32%、SU-TEd 组 36%、SU-SEet 组 42%和 SU-SE 组 46%（p>0.05）。
多模态胶粘剂的临床性能在 6 个月内并不取决于粘结策略。FDI 评估标准比 USPHS 标准更敏感。
6 个月时，新型多模态胶粘剂 Scotchbond Universal 在非龋性颈面缺损中的临床性能可靠，其临床性能可能不依赖于所采用的粘结策略。
