J Adhes Dent. 2022 Mar 1;24:29-38. doi: 10.3290/j.jad.b2701679.
To evaluate through a systematic review and meta-analysis the bonding performance of adhesive materials to silver diamine fluoride (SDF)-treated dentin.
Studies located in PubMed, Web of Science, LILACS, and Scopus up to September 2020, which compared the bond strength of adhesives (AD) or glass-ionomer cement (GIC) to SDF-treated and untreated (control) dentin were included. Mean differences were estimated separately by material and dentin condition (sound or caries-affected), with a random-effects model, at a 5% significance level.
Twenty-two studies, including 11 new studies not included in our previous systematic review, met the eligibility criteria, and 21 studies were considered in the meta-analyses. SDF dentin pretreatment did not influence the bonding of GIC (Z = 0.53; p = 0.60), independent of dentin condition. SDF treatment significantly impaired the bonding of AD (Z = 2.43; p = 0.01). A rinsing step after SDF eliminated this effect in sound dentin (Z = 1.82; p = 0.07) and increased the bond strength to caries-affected dentin (Z = 2.14; p = 0.03).
SDF pretreatment does not influence the bond strength of GIC. A rinsing step after SDF application can improve the bond strength of AD to caries-affected dentin.
通过系统评价和荟萃分析评估黏结材料与银胺氟化物（SDF）处理牙本质的黏结性能。
在 PubMed、Web of Science、LILACS 和 Scopus 中检索截至 2020 年 9 月的研究，这些研究比较了黏结剂（AD）或玻璃离子水门汀（GIC）与 SDF 处理和未处理（对照）牙本质的黏结强度。根据材料和牙本质状况（健康或龋损）分别采用随机效应模型估计均值差异，显著性水平为 5%。
共纳入 22 项研究，其中包括我们之前系统评价中未包含的 11 项新研究，21 项研究纳入荟萃分析。SDF 牙本质预处理不影响 GIC 的黏结（Z = 0.53；p = 0.60），与牙本质状况无关。SDF 处理显著损害了 AD 的黏结（Z = 2.43；p = 0.01）。SDF 处理后进行冲洗步骤可消除健康牙本质中的这种影响（Z = 1.82；p = 0.07），并增加对龋损牙本质的黏结强度（Z = 2.14；p = 0.03）。
SDF 预处理不影响 GIC 的黏结强度。SDF 处理后进行冲洗步骤可改善 AD 对龋损牙本质的黏结强度。
