Elkaffas Ali A, Hamama Hamdi H H, Mahmoud Salah H
Department of Operative Dentistry, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
Operative Dentistry Discipline, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
Restor Dent Endod. 2018 Jun 18;43(3):e29. doi: 10.5395/rde.2018.43.e29. eCollection 2018 Aug.
The aims of this study were to conduct a systematic review of the microtensile bond strength (µTBS) of multi-mode adhesives to dentin and to perform a meta-analysis to assess the significance of differences in the µTBS of one of the most commonly used universal adhesives (Scotchbond Universal, 3M ESPE) depending on whether the etch-and-rinse or self-etch mode was used.
An electronic search was performed of MEDLINE/PubMed, ScienceDirect, and EBSCOhost. Laboratory studies that evaluated the µTBS of multi-mode adhesives to dentin using either the etch-and-rinse or self-etch mode were selected. A meta-analysis was conducted of the reviewed studies to quantify the differences in the µTBS of Scotchbond Universal adhesive.
Only 10 studies fulfilled the inclusion criteria for the systematic review. Extensive variation was found in the restorative materials, testing methodologies, and failure mode in the reviewed articles. Furthermore, variation was also observed in the dimensions of the microtensile testing beams. The meta-analysis showed no statistically significant difference between the etch-and-rinse and self-etch modes for Scotchbond Universal adhesive ( > 0.05).
Multi-mode 'universal' adhesives can achieve substantial bonding to dentin, regardless of the used modes (either etch-and-rinse or self-etch).
本研究旨在对多模式粘结剂与牙本质的微拉伸粘结强度（µTBS）进行系统评价，并进行荟萃分析，以评估最常用的通用粘结剂之一（3M ESPE公司的Scotchbond Universal）在采用酸蚀冲洗或自酸蚀模式时µTBS差异的显著性。
对MEDLINE/PubMed、ScienceDirect和EBSCOhost进行电子检索。选择使用酸蚀冲洗或自酸蚀模式评估多模式粘结剂与牙本质µTBS的实验室研究。对纳入研究进行荟萃分析，以量化Scotchbond Universal粘结剂µTBS的差异。
仅10项研究符合系统评价的纳入标准。纳入文章中的修复材料、测试方法和失败模式存在广泛差异。此外，在微拉伸测试梁的尺寸方面也观察到差异。荟萃分析表明，Scotchbond Universal粘结剂在酸蚀冲洗和自酸蚀模式之间无统计学显著差异（>0.05）。
多模式“通用”粘结剂无论采用酸蚀冲洗还是自酸蚀模式，均可与牙本质实现充分粘结。
