Santos Maria Jacinta Moraes Coelho, Ari Nilgun, Steele Shawn, Costella John, Banting David
Schulich Medicine & Dentistry, Western University, London, ON, Canada,
Clin Oral Investig. 2014;18(5):1369-81. doi: 10.1007/s00784-014-1220-7. Epub 2014 Mar 27.
The aim of this review was to assess the effect of different adhesive systems and tooth preparation on the retention of tooth-colored restorative materials placed in non-carious cervical lesions (NCCLs).
Randomized clinical trials with a minimum of 3 years of follow-up that evaluated the effectiveness of tooth-colored materials, adhesive systems, and preparation techniques for the restoration of NCCLs were selected. The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE (OVID), the Latin American and Caribbean Health Sciences Literature database (LILACS), and Medline (OVID) electronic databases were searched from 1990 to 2013.
Twenty-seven randomized clinical trials were included and reviewed. Meta-analysis was used to determine the relative risk of loss of tooth-colored NCCL restorations between different categories of adhesive systems. The effect of tooth preparation could not be similarly analyzed.
The current best evidence indicates that a glass ionomer cement has a significantly lower risk of loss of a NCCL restoration compared to either a three-step etch-and-rinse or a two-step etch-and-rinse adhesive system; a three-step etch-and-rinse adhesive system has a significantly lower risk of loss of a NCCL restoration compared to a two-step etch-and-rinse adhesive system. No significant difference could be observed in the risk of loss of a tooth-colored NCCL restoration between a three-step etch-and-rinse adhesive system and either a two-step self-etch or a one-step self-etch adhesive system.
本综述旨在评估不同粘结系统和牙体预备对非龋性颈部病变（NCCLs）中使用的牙齿颜色修复材料固位的影响。
选择随访至少3年的随机临床试验，这些试验评估了牙齿颜色材料、粘结系统和牙体预备技术对NCCLs修复的有效性。检索了1990年至2013年的Cochrane对照试验中心注册库（CENTRAL）、EMBASE（OVID）、拉丁美洲和加勒比健康科学文献数据库（LILACS）以及Medline（OVID）电子数据库。
纳入并审查了27项随机临床试验。采用荟萃分析来确定不同类别的粘结系统之间牙齿颜色的NCCL修复体脱落的相对风险。牙体预备的效果无法进行类似分析。
目前的最佳证据表明，与三步酸蚀冲洗或两步酸蚀冲洗粘结系统相比，玻璃离子水门汀用于NCCL修复体脱落的风险显著更低；与两步酸蚀冲洗粘结系统相比，三步酸蚀冲洗粘结系统用于NCCL修复体脱落的风险显著更低。在三步酸蚀冲洗粘结系统与两步自酸蚀或一步自酸蚀粘结系统之间，牙齿颜色的NCCL修复体脱落风险未观察到显著差异。
