银氨溶液处理对牙本质与黏结剂和玻璃离子水门汀黏结强度影响的系统评价。
Effect of silver diamine fluoride solution application on the bond strength of dentine to adhesives and to glass ionomer cements: a systematic review.
机构信息
Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong, China.
Faculty of Dentistry, The University of Otago, 310 Great King Street, Dunedin, 9016, New Zealand.
出版信息
BMC Oral Health. 2020 Feb 5;20(1):40. doi: 10.1186/s12903-020-1030-z.
BACKGROUND
Silver diamine fluoride (SDF) solution gains increasing popularity in arresting dentine caries in clinical practice. The aim of this systematic review was to summarize the findings from laboratory studies on the influence of SDF application on the bond strength of dentine to various adhesives and to glass ionomer cements (GICs).
METHODS
Two independent reviewers conducted a literature search in the databases Medline, Ovid, PubMed and Web of Science until 15th August 2019 using the search keywords ['bond strength'] AND ['silver diamine fluoride' OR 'silver diammine fluoride' OR 'SDF' OR 'silver fluoride' OR 'diamine silver fluoride']. Articles investigating the effect of SDF application on the bond strength of dentine to various adhesives and to GICs were included in this review. Information on how SDF application influenced the bond strength was extracted from the included articles. Besides, related information, e.g. test method of bond strength, concentration and brand of SDF, type of adhesive system and GIC, testing dental substrate, protocol of specimen preparation, and failure mode was also reviewed.
RESULTS
A total of 13 articles were included in this review, with 8 and 6 studies investigating the effect of SDF application on the bond strength of dentine to various adhesives and to GICs, respectively. Sound dentine as well as demineralized dentine created by chemical methods, e.g. immersing in a demineralizing solution, was commonly adopted as the testing dental substrate. The microtensile bond strength (mTBS) test was the predominant method employed. However, the bond strength values had large variations among studies, ranging from <10 to 162 Mpa. Regarding the bond strength to different adhesives, 4 studies indicated that SDF application followed by rinsing with water had no significant influence. However, another 4 studies reported reduced bond strength after SDF application. Regarding the bond strength to GICs, 4 studies concluded that SDF application had no adverse impact on the bond strength.
CONCLUSIONS
No solid conclusion can be drawn on the effect of SDF application on the bond strength of dentine to adhesives and to GICs due to the high degree of variation of the included studies.
背景
银胺氟化物（SDF）溶液在临床实践中越来越受欢迎，可以阻止牙本质龋的进展。本系统评价的目的是总结实验室研究的结果，即在各种黏结剂和玻璃离子水门汀（GIC）上应用 SDF 对牙本质黏结强度的影响。
方法
两位独立的审查员使用搜索关键字['黏结强度']和['银胺氟化物'或'银二胺氟化物'或'SDF'或'氟化银'或'二胺氟化银']在 Medline、Ovid、PubMed 和 Web of Science 数据库中进行文献检索，检索时间截至 2019 年 8 月 15 日。本综述纳入了研究 SDF 应用对各种黏结剂和 GIC 牙本质黏结强度影响的文章。从纳入的文章中提取了关于 SDF 应用如何影响黏结强度的信息。此外，还回顾了相关信息，如黏结强度的测试方法、SDF 的浓度和品牌、黏结系统和 GIC 的类型、测试牙本质基底、标本制备方案和失效模式。
结果
本综述共纳入 13 篇文章，其中 8 篇和 6 篇研究分别探讨了 SDF 应用对各种黏结剂和 GIC 牙本质黏结强度的影响。常用的测试牙本质基底是健康牙本质和通过化学方法（如浸泡在脱矿溶液中）脱矿的牙本质。微拉伸黏结强度（mTBS）测试是最常用的方法。然而，研究之间的黏结强度值差异很大，范围从<10 到 162 Mpa。关于不同黏结剂的黏结强度，4 项研究表明 SDF 应用后用清水冲洗没有显著影响。然而，另外 4 项研究报告 SDF 应用后黏结强度降低。关于 GIC 的黏结强度，4 项研究的结论是 SDF 应用对黏结强度没有不利影响。
结论
由于纳入研究的高度变异性，不能对 SDF 应用对黏结剂和 GIC 牙本质黏结强度的影响得出确凿的结论。
Zotero 插件