Ismail Hoda S, Ali Ashraf I, Mehesen Rabab El, Juloski Jelena, Garcia-Godoy Franklin, Mahmoud Salah H
Operative Dentistry Department, Faculty of Dentistry, Mansoura University, Egypt.
Clinic for Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Serbia.
Restor Dent Endod. 2022 Mar 4;47(2):e15. doi: 10.5395/rde.2022.47.e15. eCollection 2022 May.
This review aimed to characterize the effect of direct restorative material types and adhesive protocols on marginal adaptation and the bond strength of the interface between the material and the proximal dentin/cementum. An electronic search of 3 databases (the National Library of Medicine [MEDLINE/PubMed], Scopus, and ScienceDirect) was conducted. Studies were included if they evaluated marginal adaptation or bond strength tests for proximal restorations under the cementoenamel junction. Only 16 studies met the inclusion criteria and were included in this review. These studies presented a high degree of heterogeneity in terms of the materials used and the methodologies and evaluation criteria of each test; therefore, only a descriptive analysis could be conducted. The included studies were individually evaluated for the risk of bias following predetermined criteria. To summarize the results of the included studies, the type of restorative material affected the test results, whereas the use of different adhesive protocols had an insignificant effect on the results. It could be concluded that various categories of resin-based composites could be a suitable choice for clinicians to elevate proximal dentin/cementum margins, rather than the open sandwich technique with resin-modified glass ionomers. Despite challenges in bonding to proximal dentin/cementum margins, different adhesive protocols provided comparable outcomes.
本综述旨在描述直接修复材料类型和粘结方案对边缘适应性以及材料与邻面牙本质/牙骨质之间界面粘结强度的影响。对3个数据库（美国国立医学图书馆[MEDLINE/PubMed]、Scopus和ScienceDirect）进行了电子检索。如果研究评估了釉牙骨质界以下邻面修复体的边缘适应性或粘结强度测试，则纳入该研究。只有16项研究符合纳入标准并被纳入本综述。这些研究在所用材料以及每项测试的方法和评估标准方面存在高度异质性；因此，只能进行描述性分析。根据预定标准对纳入的研究逐一评估偏倚风险。为总结纳入研究的结果，修复材料类型影响测试结果，而使用不同的粘结方案对结果影响不显著。可以得出结论，各类树脂基复合材料可能是临床医生提升邻面牙本质/牙骨质边缘的合适选择，而非使用树脂改性玻璃离子体的开放三明治技术。尽管在粘结至邻面牙本质/牙骨质边缘方面存在挑战，但不同的粘结方案提供了可比的结果。
