Influence of the Use of Irrigation Solution Inhibitors in Improving Dentine Adhesion: A Systematic Review and Meta-Analysis.

IF 1.1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

European Journal of Prosthodontics and Restorative Dentistry Pub Date : 2024-02-29 DOI:10.1922/EJPRD_2526Pierre17

F Z Pierre, L C L Gomes, G B Minhoto, M C Valera, R M de Melo, E Bresciani

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引用次数: 0

Abstract

Introduction: This systematic review examined the effect of neutralizing agents on bond strength after irrigation with sodium hypochlorite and their existing protocols in literature.

Methods: This present study adhered to the PRISMA guidelines and was registered at PROSPERO. Five electronic databases were searched (sept-2020/jan-2021) in English, Spanish, and Portuguese, without any restrictions on publication date. Cases reports, editorials and literature reviews were not included. The risk of bias was assessed using the Cochrane Collaboration tool. From the initial 7,147 studies, 2,745 were removed as duplicates and 4,382 were excluded after a title/abstract screen.

Results: Seventeen in vitro studies were included. The results showed that the higher the concentration of sodium hypochlorite, the lower the bond strength at dentine/restoration interface (p⟨0.01). Among the studies, sodium ascorbate was the most widely used neutralizer and showed the most significant results in increasing bond strength (p⟨0.01). The bond strength values were found to increase with longer application time of the neutralizing substances (p⟨0.01).

Conclusions: The use of sodium ascorbate as a neutralizing agent can reverse the negative effects of the sodium hypochlorite and improve the bond strength between dentine and resin cement, however, it isn't possible to determine the best protocol for use.

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使用冲洗液抑制剂对改善牙本质附着力的影响：系统回顾与元分析》。

导言：本系统性综述研究了中和剂对次氯酸钠灌洗后粘接强度的影响以及文献中的现有方案：本研究遵循 PRISMA 指南，并在 PROSPERO 网站注册。检索了五个电子数据库（2020 年 9 月/2021 年 1 月），语言包括英语、西班牙语和葡萄牙语，对出版日期没有任何限制。不包括病例报告、社论和文献综述。使用 Cochrane 协作工具对偏倚风险进行了评估。在最初的 7,147 项研究中，2,745 项因重复而被删除，4,382 项在标题/摘要筛选后被排除：结果：共纳入 17 项体外研究。结果显示，次氯酸钠浓度越高，牙本质/修复界面的粘接强度越低（p⟨0.01）。在这些研究中，抗坏血酸钠是使用最广泛的中和剂，在增加粘接强度方面显示出最显著的效果（p⟨0.01）。随着中和剂使用时间的延长，粘接强度值也会增加（p⟨0.01）：使用抗坏血酸钠作为中和剂可以逆转次氯酸钠的负面影响，提高牙本质和树脂粘结剂之间的粘结强度，但目前还无法确定最佳的使用方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Prosthodontics and Restorative Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： The European Journal of Prosthodontics and Restorative Dentistry is published quarterly and includes clinical and research articles in subjects such as prosthodontics, operative dentistry, implantology, endodontics, periodontics and dental materials.