Six-year clinical performance of etch-and-rinse and self-etch adhesives

Lee W. Boushell, Harald O. Heymann, Andre V. Ritter, John R. Sturdevant, Edward J. Swift, Aldridge D. Wilder, Yunro Chung, Cynthia A. Lambert, Ricardo Walter

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective To evaluate the 6-year clinical performance of Xeno IV, Xeno III, and XP Bond adhesives in the restoration of non-carious cervical lesions (NCCLs). Methods This was a randomized controlled clinical trial where 39 participants met the inclusion/exclusion criteria and were enrolled. Lesions restored were notch-shaped NCCLs. Prior to adhesive procedures, NCCLs were roughened. No enamel bevel was placed and no mechanical retention was created. Adhesive systems were applied following manufacturer's instructions and the NCCLs were restored with composite resin (TPH3). Restorations were finished immediately after placement and scored with regard to retention, marginal discoloration, marginal adaptation, sensitivity, and secondary caries using modified USPHS criteria. Descriptive statistics were performed. Logistic regression models were performed for each outcome separately with compound symmetry correlation structure where teeth were clustered by participants. All analyses were conducted using SAS 9.2. Results The 6-year recall rate was 77.5% of the restorations (76.9% of the participants). No statistical differences were found between adhesives for retention, marginal discoloration, and marginal adaptation. Restorations failed by loss of retention (16.7%, 27.6%, and 11.8% of Xeno IV, Xeno III, and XP Bond restorations, respectively) and marginal discoloration (7.4% of Xeno IV restorations). For every unit increase in restoration volume it was 1.31 (95% C.I. 1.05, 1.63, P = 0.01) times more likely that the restoration retention would be maintained. Significance The tested adhesive systems presented similar clinical performance after six years of service, with annual failure rates of 2.8%, 4.6%, and 2.0% for Xeno IV, Xeno III, and XP Bond, respectively.

Original languageEnglish (US)
Pages (from-to)1065-1072
Number of pages8
JournalDental Materials
Volume32
Issue number9
DOIs
StatePublished - Sep 1 2016
Externally publishedYes

Fingerprint

Adhesives
Restoration
Discoloration
Logistic Models
United States Public Health Service
Composite Resins
Dental Enamel
Tooth
Randomized Controlled Trials
Enamels
Logistics
Resins
Statistics
XP-Bond
Xeno III
Composite materials

Keywords

  • Bonding
  • Clinical trial
  • Non-carious cervical lesion

ASJC Scopus subject areas

  • Materials Science(all)
  • Dentistry(all)
  • Mechanics of Materials

Cite this

Boushell, L. W., Heymann, H. O., Ritter, A. V., Sturdevant, J. R., Swift, E. J., Wilder, A. D., ... Walter, R. (2016). Six-year clinical performance of etch-and-rinse and self-etch adhesives. Dental Materials, 32(9), 1065-1072. https://doi.org/10.1016/j.dental.2016.06.003

Six-year clinical performance of etch-and-rinse and self-etch adhesives. / Boushell, Lee W.; Heymann, Harald O.; Ritter, Andre V.; Sturdevant, John R.; Swift, Edward J.; Wilder, Aldridge D.; Chung, Yunro; Lambert, Cynthia A.; Walter, Ricardo.

In: Dental Materials, Vol. 32, No. 9, 01.09.2016, p. 1065-1072.

Research output: Contribution to journalArticle

Boushell, LW, Heymann, HO, Ritter, AV, Sturdevant, JR, Swift, EJ, Wilder, AD, Chung, Y, Lambert, CA & Walter, R 2016, 'Six-year clinical performance of etch-and-rinse and self-etch adhesives', Dental Materials, vol. 32, no. 9, pp. 1065-1072. https://doi.org/10.1016/j.dental.2016.06.003
Boushell LW, Heymann HO, Ritter AV, Sturdevant JR, Swift EJ, Wilder AD et al. Six-year clinical performance of etch-and-rinse and self-etch adhesives. Dental Materials. 2016 Sep 1;32(9):1065-1072. https://doi.org/10.1016/j.dental.2016.06.003
Boushell, Lee W. ; Heymann, Harald O. ; Ritter, Andre V. ; Sturdevant, John R. ; Swift, Edward J. ; Wilder, Aldridge D. ; Chung, Yunro ; Lambert, Cynthia A. ; Walter, Ricardo. / Six-year clinical performance of etch-and-rinse and self-etch adhesives. In: Dental Materials. 2016 ; Vol. 32, No. 9. pp. 1065-1072.
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abstract = "Objective To evaluate the 6-year clinical performance of Xeno IV, Xeno III, and XP Bond adhesives in the restoration of non-carious cervical lesions (NCCLs). Methods This was a randomized controlled clinical trial where 39 participants met the inclusion/exclusion criteria and were enrolled. Lesions restored were notch-shaped NCCLs. Prior to adhesive procedures, NCCLs were roughened. No enamel bevel was placed and no mechanical retention was created. Adhesive systems were applied following manufacturer's instructions and the NCCLs were restored with composite resin (TPH3). Restorations were finished immediately after placement and scored with regard to retention, marginal discoloration, marginal adaptation, sensitivity, and secondary caries using modified USPHS criteria. Descriptive statistics were performed. Logistic regression models were performed for each outcome separately with compound symmetry correlation structure where teeth were clustered by participants. All analyses were conducted using SAS 9.2. Results The 6-year recall rate was 77.5{\%} of the restorations (76.9{\%} of the participants). No statistical differences were found between adhesives for retention, marginal discoloration, and marginal adaptation. Restorations failed by loss of retention (16.7{\%}, 27.6{\%}, and 11.8{\%} of Xeno IV, Xeno III, and XP Bond restorations, respectively) and marginal discoloration (7.4{\%} of Xeno IV restorations). For every unit increase in restoration volume it was 1.31 (95{\%} C.I. 1.05, 1.63, P = 0.01) times more likely that the restoration retention would be maintained. Significance The tested adhesive systems presented similar clinical performance after six years of service, with annual failure rates of 2.8{\%}, 4.6{\%}, and 2.0{\%} for Xeno IV, Xeno III, and XP Bond, respectively.",
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AU - Heymann, Harald O.

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AU - Sturdevant, John R.

AU - Swift, Edward J.

AU - Wilder, Aldridge D.

AU - Chung, Yunro

AU - Lambert, Cynthia A.

AU - Walter, Ricardo

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N2 - Objective To evaluate the 6-year clinical performance of Xeno IV, Xeno III, and XP Bond adhesives in the restoration of non-carious cervical lesions (NCCLs). Methods This was a randomized controlled clinical trial where 39 participants met the inclusion/exclusion criteria and were enrolled. Lesions restored were notch-shaped NCCLs. Prior to adhesive procedures, NCCLs were roughened. No enamel bevel was placed and no mechanical retention was created. Adhesive systems were applied following manufacturer's instructions and the NCCLs were restored with composite resin (TPH3). Restorations were finished immediately after placement and scored with regard to retention, marginal discoloration, marginal adaptation, sensitivity, and secondary caries using modified USPHS criteria. Descriptive statistics were performed. Logistic regression models were performed for each outcome separately with compound symmetry correlation structure where teeth were clustered by participants. All analyses were conducted using SAS 9.2. Results The 6-year recall rate was 77.5% of the restorations (76.9% of the participants). No statistical differences were found between adhesives for retention, marginal discoloration, and marginal adaptation. Restorations failed by loss of retention (16.7%, 27.6%, and 11.8% of Xeno IV, Xeno III, and XP Bond restorations, respectively) and marginal discoloration (7.4% of Xeno IV restorations). For every unit increase in restoration volume it was 1.31 (95% C.I. 1.05, 1.63, P = 0.01) times more likely that the restoration retention would be maintained. Significance The tested adhesive systems presented similar clinical performance after six years of service, with annual failure rates of 2.8%, 4.6%, and 2.0% for Xeno IV, Xeno III, and XP Bond, respectively.

AB - Objective To evaluate the 6-year clinical performance of Xeno IV, Xeno III, and XP Bond adhesives in the restoration of non-carious cervical lesions (NCCLs). Methods This was a randomized controlled clinical trial where 39 participants met the inclusion/exclusion criteria and were enrolled. Lesions restored were notch-shaped NCCLs. Prior to adhesive procedures, NCCLs were roughened. No enamel bevel was placed and no mechanical retention was created. Adhesive systems were applied following manufacturer's instructions and the NCCLs were restored with composite resin (TPH3). Restorations were finished immediately after placement and scored with regard to retention, marginal discoloration, marginal adaptation, sensitivity, and secondary caries using modified USPHS criteria. Descriptive statistics were performed. Logistic regression models were performed for each outcome separately with compound symmetry correlation structure where teeth were clustered by participants. All analyses were conducted using SAS 9.2. Results The 6-year recall rate was 77.5% of the restorations (76.9% of the participants). No statistical differences were found between adhesives for retention, marginal discoloration, and marginal adaptation. Restorations failed by loss of retention (16.7%, 27.6%, and 11.8% of Xeno IV, Xeno III, and XP Bond restorations, respectively) and marginal discoloration (7.4% of Xeno IV restorations). For every unit increase in restoration volume it was 1.31 (95% C.I. 1.05, 1.63, P = 0.01) times more likely that the restoration retention would be maintained. Significance The tested adhesive systems presented similar clinical performance after six years of service, with annual failure rates of 2.8%, 4.6%, and 2.0% for Xeno IV, Xeno III, and XP Bond, respectively.

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