de Paris Matos Thalita, Perdigão Jorge, de Paula Eloisa, Coppla Fabiana, Hass Viviane, Scheffer Rafael F, Reis Alessandra, Loguercio Alessandro D
School of Dentistry, Department of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil.
University of Minnesota, School of Dentistry, Department of Restorative Sciences, Minneapolis, MN, USA.
Dent Mater. 2020 Nov;36(11):1474-1485. doi: 10.1016/j.dental.2020.08.007. Epub 2020 Sep 12.
To evaluate the five-year clinical performance of Scotchbond Universal Adhesive (SU; 3M Oral Care, St. Paul, MN, USA) in non-carious cervical lesions (NCCLs) using two evaluation criteria.
Thirty-nine patients participated in this study. Two hundred restorations were assigned to four groups: SU-ERm: etch-and-rinse + moist dentin; SU-ERd: etch-and-rinse + dry dentin; SU-Set: selective enamel etching; and SU-SE: self-etch. A nanofilled composite resin was placed incrementally. The restorations were evaluated at baseline and after 5 years using both the World Dental Federation (FDI) and the United States Public Health Service (USPHS) criteria. The survival rates (retention/fractures) were calculated with the Kaplan-Meier and the log-rank test. For the secondary outcomes, Friedman repeated measures analysis of variance by rank was applied (α = 0.05).
After 5 years the recall rate was 86%. The retention/fracture rates were 93% for Erm and ERd, 88.4% for SEet and 81.4% for SE. A significant difference was observed for SE vs. ERd and SE vs. ERm (p = 0.01). Also, marginal discoloration and adaptation showed significant differences with ERm and ERd resulting in fewer marginal discrepancies than SE (p < 0.05).
After 5 years, the clinical behavior of the universal adhesive in the etch-and-rinse strategy was better when compared to the self-etch strategy. The use of selective enamel etching is highly recommended for the self-etch strategy. The FDI and USPHS evaluation criteria showed similar results after 5 years.
使用两种评估标准评估3M通用粘结剂（Scotchbond Universal Adhesive，SU；美国明尼苏达州圣保罗市3M口腔护理公司）在非龋性颈部病变（NCCLs）中的五年临床性能。
39名患者参与了本研究。200个修复体被分为四组：SU-ERm：酸蚀冲洗+湿润牙本质；SU-ERd：酸蚀冲洗+干燥牙本质；SU-Set：选择性釉质酸蚀；以及SU-SE：自酸蚀。采用分层法填入纳米填料复合树脂。使用世界牙科联盟（FDI）和美国公共卫生服务（USPHS）标准在基线和5年后对修复体进行评估。采用Kaplan-Meier法和对数秩检验计算生存率（保留/折断）。对于次要结果，应用Friedman秩次重复测量方差分析（α = 0.05）。
5年后召回率为86%。ERm组和ERd组的保留/折断率为93%，SEet组为88.4%，SE组为81.4%。SE组与ERd组以及SE组与ERm组之间观察到显著差异（p = 0.01）。此外，边缘变色和贴合性方面，ERm组和ERd组存在显著差异，导致边缘差异少于SE组（p < 0.05）。
5年后，与自酸蚀策略相比，通用粘结剂在酸蚀冲洗策略中的临床性能更好。对于自酸蚀策略，强烈建议采用选择性釉质酸蚀。5年后，FDI和USPHS评估标准显示出相似的结果。
