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范围综述:表面处理对树脂复合修复体粘结强度的影响。

Scoping review: Effect of surface treatments on bond strength of resin composite repair.

机构信息

Nova Esperança School (Facene), João Pessoa, Paraíba, Brazil.

Federal University of Paraiba (UFPB), João Pessoa, Paraíba, Brazil.

出版信息

J Dent. 2024 Jan;140:104737. doi: 10.1016/j.jdent.2023.104737. Epub 2023 Oct 8.

DOI:10.1016/j.jdent.2023.104737
PMID:37816488
Abstract

OBJECTIVE

to evaluate the existing evidence on surface treatment techniques employed in resin composite repair and their effect on the repair short- and long-term bond strength.

DATA AND SOURCE

This scoping review was performed under the PRISMA-ScR guidelines for scoping reviews and registered on the Open Science Framework platform.

STUDY SELECTION

A systematic search was conducted in PubMed, Embase, and Scopus and grey literature up to September 2022 without language or date restriction. In vitro studies comparing mechanical surface and/or chemical treatments on repair bond strength of resin composite were included. Studies evaluating experimental adhesive systems or resin composites were excluded. Selection of studies and data extraction were performed. Data from selected studies was qualitatively analyzed.

RESULTS

A total of 76 studies were included in the qualitative analysis. Among the mechanical treatments, alumina blasting was the most frequently used, followed by silica coating and diamond bur. As for chemical treatments, dentin bonding systems were the most frequently evaluated, followed by universal adhesive systems and silane/ceramic primer. The combination of mechanical and chemical pre-treatments increased the repair bond strength of resin composite in both short- and long-term simulated aging scenarios. The evidence obtained from the included studies was classified as moderate quality, mainly due to the medium risk of bias observed across most of the studies.

CONCLUSION

The techniques used to treat the surface of resin composites for repair are diverse. Incorporating a combination of mechanical and chemical pre-treatments resulted in superior repair bond strength of resin composite materials under both short- and long-term simulated aging conditions.

CLINICAL SIGNIFICANCE

The analysis of evidence revealed significant variability among protocols for repairing resin composites. Utilizing both mechanical and chemical pre-treatment methods is important for enhancing the bond strength of resin composites during both short- and long-term simulated aging situations.

摘要

目的

评估用于树脂复合材料修复的表面处理技术的现有证据及其对修复短期和长期粘结强度的影响。

资料和来源

本范围综述根据 PRISMA-ScR 范围综述指南进行,并在开放科学框架平台上注册。

研究选择

系统检索了 PubMed、Embase 和 Scopus 以及截至 2022 年 9 月的灰色文献,没有语言或日期限制。纳入了比较树脂复合材料修复粘结强度的机械表面和/或化学处理的体外研究。排除了评估实验性粘接系统或树脂复合材料的研究。进行了研究选择和数据提取。对选定研究的数据进行定性分析。

结果

定性分析共纳入 76 项研究。在机械处理中,氧化铝喷砂是最常用的,其次是硅涂层和金刚石钻头。至于化学处理,牙本质粘接系统是最常评估的,其次是通用粘接系统和硅烷/陶瓷底漆。机械和化学预处理的组合在短期和长期模拟老化情况下均能提高树脂复合材料的修复粘结强度。从纳入的研究中获得的证据被归类为中等质量,主要是由于大多数研究观察到的偏倚风险中等。

结论

用于修复树脂复合材料表面的技术多种多样。在短期和长期模拟老化条件下,结合使用机械和化学预处理方法可获得更好的树脂复合材料修复粘结强度。

临床意义

证据分析显示,树脂复合材料修复的方案存在显著差异。在短期和长期模拟老化情况下,同时使用机械和化学预处理方法对于提高树脂复合材料的粘结强度很重要。

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