Three-year clinical evaluation of universal adhesives in non-carious cervical lesions

Vanessa C. Ruschel, Sheila C. Stolf, Shizuma Shibata, Yunro Chung, Lee W. Boushell, Luiz N. Baratieri, Ricardo Walter

Research output: Contribution to journalArticle

Abstract

PURPOSE: To compare the performance of universal adhesives containing different monomers, namely 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) and dipentaerythritol penta-acrylate monophosphate (PENTA), in the restoration of non-carious cervical lesions (NCCLs). METHODS: This was a randomized controlled clinical trial involving 63 subjects in need of restorations of 203 NCCLs. Notch-shaped lesions were restored with Kalore (GC Corporation) after application of Scotchbond Universal (SU) or Prime&Bond Elect (PBE) following the etch-and-rinse (ER) or self-etch (SE) technique. Restorations were assessed after 1 week, 18 and 36 months. Logistic regression was performed for each outcome separately with compound symmetric variance-covariance structure assumed to consider a correlation of restorations within subjects. All analyses were conducted using SAS 9.4 (SAS). RESULTS: 150 teeth in 41 subjects were assessed at 36 months. Three restorations in the PBE_SE group failed the retention criterium. Statistically significant differences were reached for the following comparisons: restorations with SU_SE were 75% less likely to maintain a score of Alfa for marginal discoloration than PBE_SE; restorations with PBE_SE were 83% less likely to maintain a score of Alfa for marginal adaptation than PBE_ER. CLINICAL SIGNIFICANCE: More than 20% of restorations restored with universal adhesives developed marginal degradation after 36 months. The impact of phosphoric acid on the restoration seems to be material-dependent.

Original languageEnglish (US)
Pages (from-to)223-228
Number of pages6
JournalAmerican journal of dentistry
Volume32
Issue number5
StatePublished - Oct 1 2019

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Adhesives
Rubiaceae
Tooth
Randomized Controlled Trials
Logistic Models
Scotchbond
phosphoric acid
PENTA
methacryloyloxydecyl dihydrogen phosphate
acrylic acid

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Ruschel, V. C., Stolf, S. C., Shibata, S., Chung, Y., Boushell, L. W., Baratieri, L. N., & Walter, R. (2019). Three-year clinical evaluation of universal adhesives in non-carious cervical lesions. American journal of dentistry, 32(5), 223-228.

Three-year clinical evaluation of universal adhesives in non-carious cervical lesions. / Ruschel, Vanessa C.; Stolf, Sheila C.; Shibata, Shizuma; Chung, Yunro; Boushell, Lee W.; Baratieri, Luiz N.; Walter, Ricardo.

In: American journal of dentistry, Vol. 32, No. 5, 01.10.2019, p. 223-228.

Research output: Contribution to journalArticle

Ruschel, VC, Stolf, SC, Shibata, S, Chung, Y, Boushell, LW, Baratieri, LN & Walter, R 2019, 'Three-year clinical evaluation of universal adhesives in non-carious cervical lesions', American journal of dentistry, vol. 32, no. 5, pp. 223-228.
Ruschel VC, Stolf SC, Shibata S, Chung Y, Boushell LW, Baratieri LN et al. Three-year clinical evaluation of universal adhesives in non-carious cervical lesions. American journal of dentistry. 2019 Oct 1;32(5):223-228.
Ruschel, Vanessa C. ; Stolf, Sheila C. ; Shibata, Shizuma ; Chung, Yunro ; Boushell, Lee W. ; Baratieri, Luiz N. ; Walter, Ricardo. / Three-year clinical evaluation of universal adhesives in non-carious cervical lesions. In: American journal of dentistry. 2019 ; Vol. 32, No. 5. pp. 223-228.
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