Mishra Lora, Khan Abdul Samad, Velo Marilia Mattar de Amoedo Campos, Panda Saurav, Zavattini Angelo, Rizzante Fabio Antonio Piola, Arbildo Vega Heber Isac, Sauro Salvatore, Lukomska-Szymanska Monika
Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan Univeristy, Bhubaneswar 751003, India.
Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia.
Materials (Basel). 2020 Apr 23;13(8):1967. doi: 10.3390/ma13081967.
The objective of this systematic review was to determine the influence of surface treatment of glass fiber posts on bond strength to dentine. Laboratory studies were searched in MEDLINE, PubMed, Embase, PubMed Central, Scopus, and Web of Science search engine. All authors interdependently screened all identified articles for eligibility. The included studies were assessed for bias. Because of the considerable heterogeneity of the studies, a meta-analysis was not possible. Twelve articles were found eligible and included in the review. An assessment of the risk of bias in the included studies provided a result that classified the studies as low, medium, and high risk of bias. The available evidence indicated that the coronal region of the root canal bonded better to the glass fiber post than apical regions. Phosphoric acid, hydrogen peroxide, and silane application enhance post's retentiveness. In light of the current evidence, surface treatment strategies increase the bond strength of glass fiber post to dentine. However, recommendations for standardized testing methods and reporting of future clinical studies are required to maintain clinically relevant information and to understand the effects of various surface treatment of glass fiber post and their bond strength with dentine walls of the root canal.
本系统评价的目的是确定玻璃纤维桩表面处理对其与牙本质粘结强度的影响。通过在MEDLINE、PubMed、Embase、PubMed Central、Scopus和Web of Science搜索引擎中检索实验室研究。所有作者独立筛选所有已识别的文章以确定其是否符合纳入标准。对纳入的研究进行偏倚评估。由于研究存在相当大的异质性，因此无法进行荟萃分析。共发现12篇文章符合纳入标准并纳入本评价。对纳入研究的偏倚风险评估结果显示，这些研究的偏倚风险分为低、中、高三个等级。现有证据表明，根管的冠部区域与玻璃纤维桩的粘结效果优于根尖区域。应用磷酸、过氧化氢和硅烷可提高桩的固位力。根据目前的证据，表面处理策略可提高玻璃纤维桩与牙本质的粘结强度。然而，需要对标准化测试方法及未来临床研究报告提出建议，以保留临床相关信息，并了解玻璃纤维桩各种表面处理的效果及其与根管牙本质壁的粘结强度。
