Three-year evaluation of different adhesion strategies in non-carious cervical lesion restorations: A randomized clinical trial*

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorCentro Universitário São Lucas-
Autor(es): dc.creatorGonçalves, Diego Felipe Mardegan-
Autor(es): dc.creatorShinohara, Mirela Sanae-
Autor(es): dc.creatorCarvalho, Paulo Roberto Marão De Andrade-
Autor(es): dc.creatorRamos, Fernanda De Souza e Silva-
Autor(es): dc.creatorOliveira, Laryssa De Castro-
Autor(es): dc.creatorOmoto, Érika Mayumi-
Autor(es): dc.creatorFagundes, Ticiane Cestari-
Data de aceite: dc.date.accessioned2025-08-21T20:41:56Z-
Data de disponibilização: dc.date.available2025-08-21T20:41:56Z-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2020-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1590/1678-7757-2021-0192-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/230059-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/230059-
Descrição: dc.descriptionObjective: To evaluate non-carious cervical lesions (NCCLs) restored with different adhesion strategies. Methodology: This is a prospective, randomized, double-blind, split-mouth study. An adhesive restorative system (Single Bond Universal/Filtek Z350XT – SBU) was evaluated both without and with selective enamel conditioning (E-SBU), resin-modified glass-ionomer cements (Vitremer; RMGIC), and ethylenediaminetetraacetic acid pretreatment (EDTA; E-RMGIC). In total, 200 restorations, placed in 50 patients, were evaluated at baseline and at a 3-year follow-up using the modified United States Public Health Service (USPHS) criteria. Data were analyzed using the two-proportion equality test, multinomial logistic regression, Wilcoxon test, and Kaplan-Meier survival curves. Results: In total, 42 (84%) patients returned for the 3-year follow-up. SBU showed restoration losses statistically different from RMGIC. Retention was also statistically different in SBU between baseline and the 3-year follow-up. Marginal defects and surface texture were statistically significant for all groups in the period studied, except for the surface texture of SBU and the marginal integrity in E-RMGIC. We observed no statistically significant difference in wear, secondary caries, anatomical form, surface staining, and color over time. Recession degree was the only factor to influence retention rates. Cumulative survival (%) was 89, 98, 98, and 95.3, for SBU, SE-SBU, RMGIC, and E-RMGIC, respectively, without significant differences among them. There was a statistically significant difference between survival curves; however, multiple comparison procedures found no statistical differences. Conclusion: Selective enamel etching affected the retention of non-carious cervical restorations. Adhesion using EDTA and resin-modified glass-ionomer cements delayed marginal defects over time. The degree of gingival recession influenced retention rates. Resin composite restorations showed initial marginal defects, and ionomer restorations, reduced surface luster. EDTA pre-treatment followed by resin-modified glass-ionomer cements may be a promising adhesion strategy for NCCL restorations.-
Descrição: dc.descriptionUniversidade Estadual Paulista (UNESP) Faculdade de Odontologia de Araçatuba Departamento de Odontologia Preventiva e Restauradora-
Descrição: dc.descriptionCentro Universitário São Lucas-
Descrição: dc.descriptionUniversidade Estadual Paulista (UNESP) Faculdade de Odontologia de Araçatuba Departamento de Odontologia Preventiva e Restauradora-
Idioma: dc.languageen-
Relação: dc.relationJournal of Applied Oral Science-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectAcid etching-
Palavras-chave: dc.subjectAdhesive systems-
Palavras-chave: dc.subjectGlass-ionomer cements-
Palavras-chave: dc.subjectNon-carious cervical lesion-
Título: dc.titleThree-year evaluation of different adhesion strategies in non-carious cervical lesion restorations: A randomized clinical trial*-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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