A 12-Year Clinical Evaluation of a Three-Step Dentin Adhesive in Noncarious Cervical Lesions
Section snippets
Subject selection
We selected 53 subjects on the basis of their need for restoration of noncarious cervical lesions. We randomly assigned them to two groups on the basis of the etching method used; this led to the placement of 26 subjects in group A (etching of enamel only) and of 27 subjects in group B (etching of both enamel and dentin). We excluded subjects who had fewer than 20 teeth. We randomized the sample to exclude possible bias caused by factors of age, sex, race or national origin.
We recruited
RESULTS
We noted no statistically significant differences between groups A and B in terms of subjects' age and sex, overall lesion characteristics and operators (P = .05). As stated earlier, operators placed the 50 restorations in group A in 26 subjects and the 50 restorations in group B in 27 subjects. They placed 35 percent of the baseline restorations in anterior teeth and 65 percent in posterior teeth. Male and female subjects received approximately equal numbers of restorations. Although operators
DISCUSSION
Investigators have published a review of the five-year clinical performance of 11 three-step etch-and-rinse adhesive systems in noncarious cervical lesions.16 At five years, the three-step etch-and-rinse adhesives (including OptiBond Dual Cure) and the two-step self-etch adhesives exhibited the highest retention rates (76 percent and 77 percent, respectively). The retention rate at five years was lower among the two-step etch-and-rinse adhesives (69 percent) and lowest among the one-step
CONCLUSIONS
At 12 years, the retention rate of Class V composite restorations bonded by using the three-step adhesive system OptiBond Dual Cure was nearly 90 percent and not affected by dentin acid-etching. Marginal discoloration was fairly common in both groups, but we generally rated other restoration characteristics as Alfa, the highest rating possible under the evaluation system used.
References (52)
- et al.
Dentine permeability and dentine adhesion
J Dent
(1997) - et al.
Predictions of restoration deterioration
J Dent
(1992) - et al.
The clinical performance of adhesives
J Dent
(1998) - et al.
Clinical effectiveness of contemporary adhesives: a systematic review of current clinical trials
Dent Mater
(2005) - et al.
A three-year clinical evaluation of two-bottle versus one-bottle dentin adhesives
JADA
(2005) - et al.
A 36-month evaluation of self-etch and etch-and-rinse adhesives in noncarious cervical lesions
JADA
(2007) - et al.
Restoring cervical lesions with flexible composites
Dent Mater
(2007) - et al.
Long-term dentin retention of etch-and-rinse and self-etch adhesives and a resin-modified glass ionomer cement in non-carious cervical lesions
Dent Mater
(2008) - et al.
Attrition, abrasion, corrosion and abfraction revisited: a new perspective on tooth surface lesions (published correction appears in JADA 2004;135[10]:136)
JADA
(2004) - et al.
Non-carious cervical lesions in adults: prevalence and occlusal aspects (published correction appears in JADA 2006;137[4]:447)
JADA
(2005)
Twelve-month clinical study of dentinal adhesives in class V cervical lesions
JADA
Current concepts in dentin bonding: focusing on dentinal adhesion factors
JADA
Clinical evaluation of three adhesive systems in class V non-carious lesions
Dent Mater
Polymerization shrinkage and polymerization shrinkage stress in polymer-based restoratives
J Dent
Effect of resin hydrophilicity and water storage on resin strength
Biomaterials
Micro-rotary fatigue of tooth-biomaterial interfaces
Biomaterials
Bonding to enamel and dentin: a brief history and state of the art, 1995
Quintessence Int
Collagen degradation by host-derived enzymes during aging
J Dent Res
Placement and replacement of restorations in general dental practice in Iceland
Oper Dent
Placement and longevity of tooth-colored restorations in Denmark
Acta Odontol Scand
Degradation of resin-bonded human dentin after 3 years of storage
Am J Dent
Two-year composite/dentin bond stability
Am J Dent
In vivo degradation of resin-dentin bonds in humans over 1 to 3 years
J Dent Res
Placement and replacement of resin-based composite restorations in Italy
Oper Dent
Restoration deterioration related to later failure
Oper Dent
A critical review of the durability of adhesion to tooth tissue: methods and results
J Dent Res
Cited by (48)
Fundamental concepts of enamel and dentin adhesion
2018, Sturdevant’s Art and Science of Operative DentistryDentin bonding agents. an update.
2014, Esthetic Dentistry: A Clinical Approach to Techniques and MaterialsDentin bonding agents
2014, Esthetic Dentistry: A Clinical Approach to Techniques and Materials, Third EditionClinical effectiveness of contemporary adhesives for the restoration of non-carious cervical lesions. A systematic review
2014, Dental MaterialsCitation Excerpt :The lower 13-year retention rate (59%) for Optibond FL in the study of van Dijken et al. [33] is probably also due to fact that the restorations were only bonded to dentin and not to the incisal enamel (no enamel involvement). High retention rates (93–97%) were noticed for Optibond FL in 3 other long-term clinical trials [34–36]. Two of these studies were excluded from this review because the recall rate was too low [36] or because only 1 adhesive was tested [34].
Disclosures. Dr. Swift holds a research contract with 3M ESPE (St. Paul, Minn.) and has received honoraria for consultation and continuing education from Dentsply (Milford, Del.), Kerr, a subsidiary of Sybron Dental Specialties (Orange, Calif.) and Clinician's Choice (New Milford, Conn.). In the past, Dr. Heymann has been a paid consultant for Procter and Gamble (Cincinnati), Colgate (New York City) and Clinician's Choice, and his son works for Kerr. None of the other authors reported any disclosures.
Portions of the article were presented as an abstract at the 86th General Session and Exhibition of the International Association for Dental Research, held July 2–5, 2008, in Toronto.
- 1
Dr. Wilder is a professor, Department of Operative Dentistry, School of Dentistry, University of North Carolina, 439 Brauer Hall, Chapel Hill, N.C. 27599-7450
- 2
Dr. Swift is professor and the chair, Department of Operative Dentistry, School of Dentistry, University of North Carolina at Chapel Hill.
- 3
Dr. Heymann is a professor, Department of Operative Dentistry, School of Dentistry, University of North Carolina at Chapel Hill.
- 4
Dr. Ritter is an associate professor, Department of Operative Dentistry, School of Dentistry, University of North Carolina at Chapel Hill.
- 5
Dr. Sturdevant is an associate professor, Department of Operative Dentistry, School of Dentistry, University of North Carolina at Chapel Hill.
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Dr. Bayne is professor and the chair, Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor.