Saini Ravinder S, Vyas Rajesh, Vaddamanu Sunil Kumar, Quadri Syed Altafuddin, Mosaddad Seyed Ali, Heboyan Artak
Department of Allied Dental Health Sciences, COAMS, King Khalid University, Abha, Saudi Arabia.
Department of Research Analytics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.
Evid Based Dent. 2025 Jan 8. doi: 10.1038/s41432-024-01095-3.
This study aimed to identify and evaluate scholarly research on the efficacy, durability, and long-term stability of various adhesive systems used for bonding direct resin composite restorations and to identify factors influencing bonding performance, such as adhesive composition, application protocol, substrate type, and etching technique.
An all-inclusive electronic database search for peer-reviewed scholarly journal articles was conducted using PubMed, ScienceDirect, Google Scholar, Dimensions, and the Cochrane Library for research articles investigating the effectiveness of different adhesive systems in direct resin composite restorations, excluding reviews, meta-analyses, opinion pieces, and case reports. The risk of bias was assessed using the Cochrane tool (Robvis 2.0). Data were extracted and thematically analyzed, and quantitative data were statistically analyzed using Review Manager software. Dichotomous data were evaluated using the Mantel-Haenszel method, applying a random effects model and 95% confidence interval.
The database search yielded 1632 potential articles, of which 14 were included in this study. Several adhesive systems exhibit excellent tensile bond strength. In addition, the type of resin composite, adhesive system, and artificial aging significantly influenced the bonding performance of resin composite restorations. However, the failure rates were low in the different adhesive systems, showing comparable results between the two-step etch-and-rinse and one-step self-etch adhesive systems (p = 0.71). The results showed an overall trend of high bonding effectiveness with a low incidence of adverse events, such as postoperative sensitivity, adhesive failure, and fractures.
The study results emphasize the importance of selecting appropriate adhesive systems based on clinical case requirements, restoration characteristics, and patient factors to enhance bonding efficacy, durability, and long-term stability.
本研究旨在识别和评估有关用于粘结直接树脂复合材料修复体的各种粘结系统的疗效、耐久性和长期稳定性的学术研究，并识别影响粘结性能的因素，如粘结剂成分、应用方案、基底类型和酸蚀技术。
使用PubMed、ScienceDirect、谷歌学术、Dimensions和考科蓝图书馆对同行评审的学术期刊文章进行全面的电子数据库搜索，以查找研究不同粘结系统在直接树脂复合材料修复体中有效性的研究文章，排除综述、荟萃分析、观点文章和病例报告。使用考科蓝工具（Robvis 2.0）评估偏倚风险。提取数据并进行主题分析，定量数据使用Review Manager软件进行统计分析。使用Mantel-Haenszel方法评估二分数据，应用随机效应模型和95%置信区间。
数据库搜索产生了1632篇潜在文章，其中14篇纳入本研究。几种粘结系统表现出优异的拉伸粘结强度。此外，树脂复合材料的类型、粘结系统和人工老化显著影响树脂复合材料修复体的粘结性能。然而，不同粘结系统的失败率较低，两步酸蚀冲洗粘结系统和一步自酸蚀粘结系统之间的结果相当（p = 0.71）。结果显示出总体趋势，即粘结有效性高，术后敏感、粘结失败和骨折等不良事件发生率低。
研究结果强调了根据临床病例需求、修复体特征和患者因素选择合适的粘结系统以提高粘结疗效、耐久性和长期稳定性的重要性。
