Influence of adhesive strategy on clinical parameters in cervical restorations: A systematic review and meta-analysis

Journal of Dentistry
Marcos SchroederAlessandra Reis

Abstract

We aimed to answer the following PICO question: "Is the risk of postoperative sensitivity (POS), retention rates and marginal discoloration of composite restorations [CR] bonded with self-etch (SE) in non-carious cervical lesions (NCCLs) of adults equals to etch-and-rinse (ER) adhesives?". A comprehensive search was performed in May 2016 in the MEDLINE, Scopus, Web of Science, LILACS, BBO and Cochrane Library and SIGLE, abstracts of IADR, unpublished and ongoing trials registries, dissertations and theses without restrictions. Only randomized clinical trials that compared composite resin restorations placed with self-etch and etch-and-rinse in NCCLs were included. After removal of duplicates and non-eligible articles, 50 articles from 42 studies (follow-ups of the same study were merged) remained for synthesis of the risk of bias (Cochrane Risk of bias tool). Thirteen studies were at "high" risk of bias, yielding 29 studies for meta-analysis. No difference on the POS after restoration placement (risk ratio [RR] 1.04; 95% CI 0.81 to 1.34) as well as in the retention rates for all follow-up periods was observed. The etch-and-rinse approach produced less marginal discoloration at 18 months to 2 years (RR 1.51; 95% CI 1.21 to 1.90)...Continue Reading

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Citations

Aug 15, 2019·Journal of Applied Oral Science : Revista FOB·José MondelliAdilson Yoshio Furuse
Jan 28, 2021·Dental Materials : Official Publication of the Academy of Dental Materials·Ashley KarczewskiSabrina Feitosa
Mar 5, 2021·Clinical Oral Investigations·Fabiana Dias Simas DreweckAlessandra Reis
Jul 10, 2021·Journal of Dental Research·R AlkattanS Deb
Sep 11, 2021·European Journal of Dentistry·Puleio FrancescoRoberto Lo Giudice

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