The journal of adhesive dentistry最新文献

{"title":"Hydrofluoric Acid in Dentistry: An Investigation of Isolation and Neutralizing Agents and Precipitates on IPS e.max CAD.","authors":"Lisa Türp, Lucas Nehrke, Philipp Schadte, Leonard Siebert, Matthias Kern","doi":"10.3290/j.jad.b5883893","DOIUrl":"https://doi.org/10.3290/j.jad.b5883893","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this laboratory study was to evaluate common materials for isolation and neutralizing agents for hydrofluoric acid (HF). Additionally, surfaces of lithium disilicate ceramic were examined for precipitates after the etching and neutralizing process.</p><p><strong>Materials and methods: </strong>The HF permeability of the following isolation agents (n=8) was investigated by positioning them over pH indicator paper under airtight conditions and applying 9% HF: latex rubber dam; elastic plastomer rubber dam; nitrile gloves; latex gloves; liquid rubber dam; Teflon; AZ strip. Four neutralizing agents were tested (n = 8): calcium carbonate plus chlorhexidine gel; calcium hydroxide; calcium D-gluconate monohydrate plus chlorhexidine gel; IPS neutralizing powder plus water. Each agent was mixed with HF, according to a calculated ratio, followed by determining the pH value. Forty lithium disilicate ceramic specimens were divided into five groups (n=8), according to the etching and neutralizing protocol, and examined for precipitates by scanning electron microscopy (SEM) and energy-dispersive X-ray (EDX) analysis.</p><p><strong>Results: </strong>All isolation agents were impermeable to HF, except for Teflon. HF could be neutralized with neutralizing agents under laboratory conditions, with mean central pH values ranging from 6 to 11. Assessment with SEM showed precipitates on surfaces when neutralizing with calcium hydroxide only. EDX analysis confirmed residues of calcium fluoride among others.</p><p><strong>Conclusion: </strong>All tested isolation agents, except for Teflon, seem suitable for clinical use. When using calcium hydroxide for neutralizing, precipitates could remain on the surface of lithium disilicate ceramic.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"26 ","pages":"283-292"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Operator, Tool, Dental Loupes, and Tooth Position on Enamel Loss and Composite Remnants After Removal of Composite Attachments for Orthodontic Clear Aligners: An Experimental Study Using 3D Profilometry.","authors":"Juliette Vandeloise, Adelin Albert, Raphael Herman, Maher Eldafrawy, Christelle Sanchez, Laurence Seidel, Annick Bruwier, Amélie Mainjot","doi":"10.3290/j.jad.b5876265","DOIUrl":"https://doi.org/10.3290/j.jad.b5876265","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the influence of operator, tool, dental loupes, and tooth position on enamel loss and composite remnants after removal of composite attachments (CA) for orthodontic clear aligners. Procedure duration was also analyzed.</p><p><strong>Materials and methods: </strong>Eight maxillary resin dental arches with four natural teeth were placed in the right posterior sector in dental simulators, and CA was realized. The dental arches were randomly distributed according to three experimental factors: operator (junior, senior), tool (tungsten carbide bur and silicone polisher, only silicone polishers), and use of dental loupes. Dental arches were scanned with 3D profilometry before and after CA removal to measure enamel surface height variation (ESHV), particularly enamel loss in the CA area. Digital microscopy was used to detect composite remnants.</p><p><strong>Results: </strong>The mean enamel loss was -22.7 ± 29.4 µm (range -132 to 0 µm). It was not significantly influenced by experimental factors or tooth position. Composite remnants were found in 34.4% of teeth, significantly more in senior than in junior operators (p = 0.038). They were more frequent with silicone polishers than with tungsten carbide burs (p = 0.0005) and were reduced using dental loupes (p = 0.0090). Junior operators worked faster than senior operators (p = 0.031), but the latter were quicker when using the dental loupes (p = 0.012).</p><p><strong>Conclusion: </strong>Aligner CA removal induces enamel damage or leaves composite remnants on its surface. The presence of composite remnants is influenced by the type of tool and can be reduced by using dental loupes, which also lowers working time.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"26 ","pages":"275-282"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term Survival Rate and Clinical Quality of Individually Layered Indirect Composite Restorations in Adolescents and Young Adults.","authors":"Britta Hahn, Alina-Kathrin Holst, Annette Ilse, Imme Haubitz, Karl Halbleib, Norbert Krämer, Gabriel Krastl, Sebastian Soliman","doi":"10.3290/j.jad.b5825410","DOIUrl":"https://doi.org/10.3290/j.jad.b5825410","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the survival and clinical quality of individually layered indirect composite restorations (ICRs) in the mixed and permanent dentition at two study centers.</p><p><strong>Materials and methods: </strong>A total of 155 adhesively cemented ICRs in 34 participants (aged 6 to 50 years and treated between 2008 and 2018) were evaluated for survival and clinical quality. All were individually layered restorations fabricated from laboratory sculptable composites by a specialized dental technician. Two calibrated independent investigators examined and graded each restoration as success, survival with repair, or failure based on the FDI criteria. The marginal quality and gap width of the restorations were analyzed by scanning electron microscopy. The periodontal health of treated teeth (TT) was evaluated in comparison with that of unrestored control teeth (CT) by measuring the pocket depth (PD), clinical attachment level (CAL), sulcus bleeding index (SBI), and the modified Turesky Plaque Index (TPI). A serial t-test (p 0.05) was used for statistical analysis of periodontal parameters. Success and functional survival rates were calculated using the Kaplan-Meier method.</p><p><strong>Results: </strong>Molar incisor hypomineralization (MIH) was the most common indication for treatment (41%). The median age at treatment was 14.9 years (68%-CI: 7.7-29.5). The median service time of the restorations was 5.7 ± 3.4 years. 132 restorations were classified as a success, 21 as survival with repair, and 1 as a failure. The success rates at 1, 5, and 10 years were 95.4%, 87.4%, and 78.8%, respectively, and the corresponding functional survival rates were 100.0%, 98.9%, and 98.9%. The clinical quality, encompassing esthetic, functional, and biological criteria, was rated as excellent or good in over 90%. Periodontal response, however, was the only criterion showing worse results since restored teeth (TPI = 1.9) had significantly more plaque than CT (TPI = 1.7; p = 0.0001). No significant differences were observed in PD, CAL, or SBI. The mean marginal gap width was 135.7 µm and 63.8% of the restorations had perfect margins.</p><p><strong>Conclusion: </strong>ICRs are suitable for minimally invasive restoration of large tooth structure defects in the developing dentition of children and adolescents and for long-term temporary restoration of the adult dentition.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"26 ","pages":"263-274"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Graphite Fluoride/Bioactive Glass-containing Orthodontic Primer with Antibacterial and Remineralization Properties: An In-vitro Study.","authors":"Afaf H Hussein, Yassir A Yassir","doi":"10.3290/j.jad.b5793278","DOIUrl":"https://doi.org/10.3290/j.jad.b5793278","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to develop a novel orthodontic primer that incorporated graphite fluoride (GF) and Bioactive glass (BAG) and to investigate its cell viability, bonding strength, and enamel damage, as well as its antibacterial and remineralization properties.</p><p><strong>Materials and methods: </strong>Nine groups were prepared by adding different concentrations of GF (1, 2, and 4 wt.%) and BAG (1, 3, and 5 wt.%) to Transbond™ XT orthodontic primer. The prepared primers were compared to the control primer in terms of cell viability, shear bond strength (SBS), adhesive remnant index (ARI), enamel damage index (EDI), and antibacterial test. Then, the groups with better antibacterial properties (GFBAG 1-1, GFBAG 4-1, GFBAG 4-3, GFBAG 4-5) were evaluated for the remineralization properties.</p><p><strong>Results: </strong>All the prepared orthodontic primers with different concentrations of GF/BAG revealed acceptable cell viability levels, with comparable SBS and ARI values to the control primer (p>0.05). Simultaneously, the EDI was reduced, while the antibacterial properties were significantly enhanced when compared to the control group (p0.05). The result of remineralization properties revealed that the selected groups had significantly higher remineralization ability than the control group; this was most pronounced in the GFBAG 4-3 group.</p><p><strong>Conclusions: </strong>All the prepared GF/BAG orthodontic primers are biologically safe with adequate SBS, ARI, and EDI values for clinical application with enhanced antibacterial properties. The GFBAG 4-3 experimental primer reveals the best antibacterial and remineralization properties which require further in-vitro and in-vivo investigations as a preventive measure of white spot lesions.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"26 ","pages":"253-262"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-Dimensional Internal Voids and Marginal Adaptation in Deep Margin Elevation Technique: Efficiency of Highly Filled Flowable Composites.","authors":"Allegra Baldi, Tommaso Rossi, Allegra Comba, Luca Monticone, Gaetano Paolone, Isabella Sannino, Alessandro Vichi, Cecilia Goracci, Nicola Scotti","doi":"10.3290/j.jad.b5759489","DOIUrl":"https://doi.org/10.3290/j.jad.b5759489","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate interfacial three-dimensional adaptation and internal voids of different flowable materials before and after cyclic fatigue in a simulated deep-margin elevation scenario.</p><p><strong>Methods: </strong>Eighty (n &#61; 80) extracted premolars were selected and two Class II cavities were prepared. The mesial one with cervical margin 1 mm above the cementum-enamel junction (CEJ) and the distal one with cervical margin 1 mm below the CEJ. After performing adhesive procedures, specimens were divided into four groups according to the employed materials for 2 mm horizontal deep-margin relocation: nanohybrid composite (Clearfil ES2, Kuraray); conventional viscosity flowable composite (Tetric Flow, Ivoclar); medium viscosity flowable composite (Majesty ES2 Low Flow, Kuraray); high viscosity flowable composite (Majesty ES2 Super Low Flow, Kuraray). All restorations were finalized by oblique layering with nanohybrid composite (Clearfil ES2, Kuraray). To reveal interfacial and internal gap progression, specimens were scanned with a micro-CT (SkyScan 1172), before and after 500,000 cycles of mechanical chewing simulation (50 N, 1 Hz). Data were imported into Mimics software after smoothing and region growing. Only the 2 mm margin relocation volumes were considered. Obtained masks were analyzed for noise removal and volume calculation. At baseline, interfacial gap progression and internal voids, expressed in mm3, were collected and statistically analyzed with two-way ANOVA (α 0.05) for the variables substrate and restorative materials followed by Tukey post-hoc test. An additional two-way ANOVA test, followed by Tukey post-hoc test, was performed to evaluate variation in interfacial gap progression after mechanical aging.</p><p><strong>Results: </strong>At baseline, the ANOVA test showed a significant difference for the variable restorative materials (p &#61; 0.01). More specifically, the Tukey post-hoc test revealed that the highly filled medium viscosity composite performed better than the conventional viscosity composite at baseline for the interfacial gap. The internal voids ANOVA test at baseline reported no significant differences for the variable tested. Analysis of variance for internal gap progression after thermocycling showed no differences for both substrate and restorative material employed.</p><p><strong>Conclusions: </strong>Highly filled medium viscosity composite performed significantly better than the conventional viscosity flowable composite for what concern baseline interfacial gaps. Artificial aging with a chewing simulator and thermocycling did not affect interfacial gap progression on enamel and dentin. The tested restorative materials performed equally after aging.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"26 ","pages":"223-230"},"PeriodicalIF":0.0,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed Orthodontic Treatment? A Systematic Review.","authors":"Marwan El Helou, Sandra Chakar, Emmanuel Nicolas, Elias Estephan, Frederic Cuisinier, Stéphane Barthélemi","doi":"10.3290/j.jad.b5781299","DOIUrl":"https://doi.org/10.3290/j.jad.b5781299","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to assess whether orthodontic bonding systems prevent orthodontic-induced white spot lesions (OIWSLs), exploring efficacy and identifying associated factors through a comprehensive systematic review of existing evidence.</p><p><strong>Materials and methods: </strong>The study complied to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two evaluators screened records, and data were extracted on orthodontic bonding systems, outcomes, and participant characteristics from PubMed/MEDLINE, Cochrane Library, and EM Premium. The search equation focused on white spot lesions and orthodontic bonding. Only in-vivo studies and clinical trials on humans were included, while in-vitro studies were excluded. The risk of bias was assessed using Cochrane's RoB2 tool for RCTs and ROBINS-I tool for non-randomized studies, evaluating key domains related to bias.</p><p><strong>Results: </strong>The systematic review, including 12 articles with 550 participants and 2,000 teeth, revealed that bonding with nanoparticles of nCaF2-primer and amorphous calcium phosphate-containing adhesives effectively reduced WSLs. In contrast, one-step adhesive without primer (GC Ortho Connect™) was associated with higher and more severe WSLs. Fluoride-releasing primers (Opal Seal™ and Clearfil™) did not exhibit an advantage in demineralization reduction. The inclusion of TiO2 nanoparticles in two studies yielded conflicting results on antibacterial effects.</p><p><strong>Discussion: </strong>Various nanoparticles incorporated into adhesives or primers exhibit promise in preventing white spot lesions in fixed orthodontic treatment. However, the used evaluation methods, such as clinical examinations or advanced imaging, significantly impact result interpretation. The effectiveness of orthodontic adhesives in preventing WSLs should balance between biocompatibility, bond strength and demineralization control tailored to patient-specific needs.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"26 ","pages":"241-252"},"PeriodicalIF":0.0,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Morphological Analysis and Bond Strength to Root Canal Dentin of Endodontically Treated and Retreated Teeth: An Ex Vivo Study.","authors":"Mario Alovisi, Pietro Palopoli, Allegra Comba, Leandro Allais, Andrea Roggia, Andrea Baldi, Damiano Pasqualini, Elio Berutti, Nicola Scotti","doi":"10.3290/j.jad.b5780319","DOIUrl":"https://doi.org/10.3290/j.jad.b5780319","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the bond strength and the hybrid layer (HL) micro-morphological characteristics at the cement-dentin interface (CD-i) between root canal walls and two adhesive resin cements [self-etch (SERc) and self-adhesive (SARc)] in root-canal-treated (RCT) and naturally aged retreated teeth (RCR-T).</p><p><strong>Materials and methods: </strong>Vital (n &#61; 16) and RCT (n &#61; 16) teeth were, respectively, endodontically treated or retreated. Fiber posts were luted either with SERc (Clearfil Universal Bond Quick &#43; DC Core Plus) or SARc (iCEM). Samples were then sectioned into 1 mm thick slices perpendicular to the fiber post and submitted to push-out bond strength test. Vital (n &#61; 4) and RCT (n &#61; 4) first maxillary molars were also selected and prepared to evaluate CD-i morphology through confocal laser scanning microscopy (CLSM). Three-way analysis of variance (ANOVA) and Tukey post-hoc tests were assessed to statistically analyze the obtained data (p 0.05).</p><p><strong>Results: </strong>Bond strength was significantly jeopardized in retreated teeth and in the root apical half, while the cements had no significant influence. Most failures occurred between dentin and resin cement. HL thickness was also hindered in retreated teeth. iCEM produced a thinner HL compared to SERc. Resin tag formation was significantly hampered in the root apical half.</p><p><strong>Conclusions: </strong>SARc performed as well as SERc on aged RCT radicular dentin. Clinicians can rely on simplified one-step luting systems when adhesion is required in unfavorable substrates such as the root canal post space of aged RCT teeth.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"26 ","pages":"231-240"},"PeriodicalIF":0.0,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Direct Composite Restorations on Permanent Teeth in the Anterior and Posterior Region - An Evidence-Based Clinical Practice Guideline - Part 1: Indications for Composite Restorations.","authors":"Diana Wolff, Cornelia Frese, Roland Frankenberger, Rainer Haak, Andreas Braun, Norbert Krämer, Gabriel Krastl, Falk Schwendicke, Esra Kosan, Eva Langowski, Caroline Sekundo","doi":"10.3290/j.jad.b5748881","DOIUrl":"https://doi.org/10.3290/j.jad.b5748881","url":null,"abstract":"<p><strong>Purpose: </strong>This German S3 clinical practice guideline offers evidence-based recommendations for the use of composite materials in direct restorations of permanent teeth. Outcomes considered were the survival rates and restoration quality and process quality of the manufacturing process. Part 1 of this two-part presentation deals with the indication classes.</p><p><strong>Materials and methods: </strong>A systematic literature search was conducted by two methodologists using MEDLINE and the Cochrane Library via the OVID platform, including studies up to December 2021. Six PICO questions were developed to guide the search. Recommendations were formulated by a panel of dental professionals from 20 national societies and organizations based on the collected evidence.</p><p><strong>Results: </strong>Composite materials are a viable option for the direct restoration of cavity Classes I-V and may also be used for restorations with cusp replacement, and tooth shape corrections. In the posterior region, direct composite restorations should be preferred over indirect composite inlays. For Class V restorations, composite materials can be used if adequate contamination control and adhesive technique are ensured.</p><p><strong>Conclusion: </strong>The guideline is the first to provide comprehensive evidence on the use of direct composite materials. However, further long-term clinical studies with comparators such as (modified) glass-ionomer cements are necessary. Regular updates will detail the future scope and limitations of direct composite restorations.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"26 ","pages":"185-200"},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive Evaluation of Long-Term Dentin Bond Strength, Water Sorption, Solubility, and Degree of Conversion of Self-Adhesive Resin Composites.","authors":"Ye Yao, Di Wu, Carolina Cecilia Cifuentes-Jimenez, Hidehiko Sano, Pedro Alvarez-Lloret, Monica Yamauti, Atsushi Tomokiyo","doi":"10.3290/j.jad.b5749506","DOIUrl":"https://doi.org/10.3290/j.jad.b5749506","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the long-term microtensile bond strength (µTBS) to dentin, water sorption (WSP) and solubility (WSL), and degree of conversion (DC) of self-adhesive resin composites (SACs).</p><p><strong>Materials and methods: </strong>The mid-coronal dentin of human molars was exposed, and teeth were randomly assigned to five groups according to the SACs (n = 10): 1. FIT SA F03 (FIT); 2. Experimental (EXP); 3. Fusio Liquid Dentin (FLD); 4. Vertise Flow (VER); 5. Constic (CON). The µTBS was evaluated after 24 hours (24 h) and 6 months (6 m) storage. A scanning electron microscope examined failure modes and resin-dentin interfaces. The WSP and WSL (n = 5) were evaluated following ISO 4049:2019 specifications, and DC (n = 3) was measured using Raman spectroscopy. The statistical analyses were performed accepting a significance level of p = 0.05.</p><p><strong>Results: </strong>FIT, EXP, and FLD produced significantly higher µTBS median values than VER and CON after 24 h and 6 m (p 0.05). After 6m, the µTBS median of FIT and EXP significantly decreased (p 0.05), while FLD, VER, and CON showed no significant difference (p > 0.05). FLD and CON exhibited lower WSP than FIT, EXP, and VER (p 0.05). FLD presented the lowest (p 0.05), and VER revealed the highest WSL (p 0.05). FIT and EXP showed the highest (p 0.05), and VER demonstrated the lowest DC (p 0.05).</p><p><strong>Conclusions: </strong>Following the present study's design, SACs' bonding performance and physical properties remained restricted. Therefore, the application should be considered cautiously, and further clinical trials are necessary to evaluate their long-term performance.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"26 ","pages":"213-222"},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Direct Composite Restorations on Permanent Teeth in the Anterior and Posterior Region - An Evidence-Based Clinical Practice Guideline - Part 2: Recommendations for Composite Processing.","authors":"Caroline Sekundo, Cornelia Frese, Roland Frankenberger, Rainer Haak, Andreas Braun, Norbert Krämer, Gabriel Krastl, Falk Schwendicke, Esra Kosan, Eva Langowski, Diana Wolff","doi":"10.3290/j.jad.b5749192","DOIUrl":"https://doi.org/10.3290/j.jad.b5749192","url":null,"abstract":"<p><strong>Purpose: </strong>Part 2 of this German S3 clinical practice guideline provides recommendations for the process of manufacturing composite restorations. It covers key aspects like caries removal, field isolation, matrix and adhesive techniques, as well as light curing and polishing. The outcomes of interest include survival rates and restoration quality.</p><p><strong>Materials and methods: </strong>A systematic literature search was conducted by two methodologists using MEDLINE and the Cochrane Library via the OVID platform, including studies up to December 2021. Additionally, the reference lists of relevant manuscripts were manually reviewed. Six PICO questions were developed to guide the search. Consensus-based recommendations were for- mulated by a panel of dental professionals from 20 national societies and organizations based on the collected evidence and ex- pert opinion.</p><p><strong>Results: </strong>The guideline advocates for one-stage selective caries removal near the pulp and underscores the effectiveness of various isolation techniques, adhesive systems, and the crucial role of light polymerization. The use of anatomically pre- formed sectional matrices and phosphoric acid etching is recommended to enhance restoration quality. Additionally, polish- ing composite restorations is advised to improve surface finish.</p><p><strong>Conclusion: </strong>This guideline provides comprehensive recommendations that inform clinicians on optimizing the composite restor- ation manufacturing processes. The adoption of these best practices can improve the quality and longevity of dental restorations.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"26 ","pages":"201-212"},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}