An 18-month clinical evaluation of prolonged polymerization of a universal adhesive in non-carious cervical lesions: A double-blind randomized clinical trial

Viviane Hass; Thalita P. Matos; Sibelli O. Parreiras; Anna Luiza Szesz; Jullian J. de Souza; Mario F. Gutiérrez; Alessandra Reis; Alessandro D. Loguercio

doi:10.1016/j.dental.2021.10.012

An 18-month clinical evaluation of prolonged polymerization of a universal adhesive in non-carious cervical lesions: A double-blind randomized clinical trial

Viviane Hass, Thalita P. Matos, Sibelli O. Parreiras, Anna Luiza Szesz, Jullian J. de Souza, Mario F. Gutiérrez, Alessandra Reis, Alessandro D. Loguercio^*

^*Corresponding author for this work

Facultad de Odontología

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Objective: This study aimed to evaluate the effect of prolonging polymerization time on the 18 months clinical performance of a universal adhesive system used as etch-and-rinse (ER) and self-etch (SE). Methods: 140 restorations were randomly placed in 35 subjects according to the following groups: ER10 (light-curing for 10 s); ER40 (light-curing for 40 s); SE10 (light-curing for 10 s) and; SE40 (light-curing for 40 s/1200 mW/cm²). A resin composite was placed incrementally. The restorations were evaluated at baseline and after 18 months by using the FDI criteria. The following outcomes were evaluated: marginal staining, marginal adaptation, spontaneous post-operative sensitivity and recurrence of caries. The differences among the groups were calculated using Friedman repeated measures analysis of variance rank (α = 0.05). Results: After 18 months the retention/fracture rates were 88.9% (95%CI 74.1–95.6%) for ER10, 94.3% (95%CI 91.4–98.5%) for ER40, 77.2% (95%CI 60.1–87.9) for SE10 and 97.2% (95%CI 85.5–99.9%) for SE40. A significant difference was detected in the retention rate when SE10 was compared to the SE40 (p = 0.01). Also, ER40 showed a significant improvement of the marginal adaptation when compared to ER10 (p = 0.01). Significance: This is the first study that demonstrates an improvement in the clinical performance of universal adhesive systems in non-carious cervical lesions when prolonged light-cured was applied.

Original language	English
Pages (from-to)	68-78
Number of pages	11
Journal	Dental Materials
Volume	38
Issue number	1
DOIs	https://doi.org/10.1016/j.dental.2021.10.012
State	Published - 2021

Bibliographical note

Funding Information:
This study was partially supported by the National Council for Scientific and Technological Development (CNPq) under grants 303332/2017–4 and 308286/2019–7 and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001. The authors are grateful for the technical support of the interdisciplinary laboratory CLABMU of State University of Ponta Grossa.

Funding Information:
This study was partially supported by the National Council for Scientific and Technological Development (CNPq) under grants 303332/2017?4 and 308286/2019?7 and Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - Brasil (CAPES) - Finance Code 001. The authors are grateful for the technical support of the interdisciplinary laboratory CLABMU of State University of Ponta Grossa.

Publisher Copyright:
© 2021 Elsevier Inc.

Keywords

Clinical trial
Non-carious cervical lesion
Polymerization time
Universal adhesive system

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10.1016/j.dental.2021.10.012

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@article{34182f8df5de42bdb4be581f0a74d24c,

title = "An 18-month clinical evaluation of prolonged polymerization of a universal adhesive in non-carious cervical lesions: A double-blind randomized clinical trial",

abstract = "Objective: This study aimed to evaluate the effect of prolonging polymerization time on the 18 months clinical performance of a universal adhesive system used as etch-and-rinse (ER) and self-etch (SE). Methods: 140 restorations were randomly placed in 35 subjects according to the following groups: ER10 (light-curing for 10 s); ER40 (light-curing for 40 s); SE10 (light-curing for 10 s) and; SE40 (light-curing for 40 s/1200 mW/cm2). A resin composite was placed incrementally. The restorations were evaluated at baseline and after 18 months by using the FDI criteria. The following outcomes were evaluated: marginal staining, marginal adaptation, spontaneous post-operative sensitivity and recurrence of caries. The differences among the groups were calculated using Friedman repeated measures analysis of variance rank (α = 0.05). Results: After 18 months the retention/fracture rates were 88.9% (95%CI 74.1–95.6%) for ER10, 94.3% (95%CI 91.4–98.5%) for ER40, 77.2% (95%CI 60.1–87.9) for SE10 and 97.2% (95%CI 85.5–99.9%) for SE40. A significant difference was detected in the retention rate when SE10 was compared to the SE40 (p = 0.01). Also, ER40 showed a significant improvement of the marginal adaptation when compared to ER10 (p = 0.01). Significance: This is the first study that demonstrates an improvement in the clinical performance of universal adhesive systems in non-carious cervical lesions when prolonged light-cured was applied.",

keywords = "Clinical trial, Non-carious cervical lesion, Polymerization time, Universal adhesive system",

author = "Viviane Hass and Matos, {Thalita P.} and Parreiras, {Sibelli O.} and Szesz, {Anna Luiza} and {de Souza}, {Jullian J.} and Guti{\'e}rrez, {Mario F.} and Alessandra Reis and Loguercio, {Alessandro D.}",

note = "Funding Information: This study was partially supported by the National Council for Scientific and Technological Development (CNPq) under grants 303332/2017–4 and 308286/2019–7 and Coordena{\c c}{\~a}o de Aperfei{\c c}oamento de Pessoal de N{\'i}vel Superior - Brasil (CAPES) - Finance Code 001. The authors are grateful for the technical support of the interdisciplinary laboratory CLABMU of State University of Ponta Grossa. Funding Information: This study was partially supported by the National Council for Scientific and Technological Development (CNPq) under grants 303332/2017?4 and 308286/2019?7 and Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - Brasil (CAPES) - Finance Code 001. The authors are grateful for the technical support of the interdisciplinary laboratory CLABMU of State University of Ponta Grossa. Publisher Copyright: {\textcopyright} 2021 Elsevier Inc.",

year = "2021",

doi = "10.1016/j.dental.2021.10.012",

language = "English",

volume = "38",

pages = "68--78",

journal = "Dental Materials",

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publisher = "Elsevier Science",

number = "1",

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TY - JOUR

T1 - An 18-month clinical evaluation of prolonged polymerization of a universal adhesive in non-carious cervical lesions

T2 - A double-blind randomized clinical trial

AU - Hass, Viviane

AU - Matos, Thalita P.

AU - Parreiras, Sibelli O.

AU - Szesz, Anna Luiza

AU - de Souza, Jullian J.

AU - Gutiérrez, Mario F.

AU - Reis, Alessandra

AU - Loguercio, Alessandro D.

N1 - Funding Information: This study was partially supported by the National Council for Scientific and Technological Development (CNPq) under grants 303332/2017–4 and 308286/2019–7 and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001. The authors are grateful for the technical support of the interdisciplinary laboratory CLABMU of State University of Ponta Grossa. Funding Information: This study was partially supported by the National Council for Scientific and Technological Development (CNPq) under grants 303332/2017?4 and 308286/2019?7 and Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - Brasil (CAPES) - Finance Code 001. The authors are grateful for the technical support of the interdisciplinary laboratory CLABMU of State University of Ponta Grossa. Publisher Copyright: © 2021 Elsevier Inc.

PY - 2021

Y1 - 2021

N2 - Objective: This study aimed to evaluate the effect of prolonging polymerization time on the 18 months clinical performance of a universal adhesive system used as etch-and-rinse (ER) and self-etch (SE). Methods: 140 restorations were randomly placed in 35 subjects according to the following groups: ER10 (light-curing for 10 s); ER40 (light-curing for 40 s); SE10 (light-curing for 10 s) and; SE40 (light-curing for 40 s/1200 mW/cm2). A resin composite was placed incrementally. The restorations were evaluated at baseline and after 18 months by using the FDI criteria. The following outcomes were evaluated: marginal staining, marginal adaptation, spontaneous post-operative sensitivity and recurrence of caries. The differences among the groups were calculated using Friedman repeated measures analysis of variance rank (α = 0.05). Results: After 18 months the retention/fracture rates were 88.9% (95%CI 74.1–95.6%) for ER10, 94.3% (95%CI 91.4–98.5%) for ER40, 77.2% (95%CI 60.1–87.9) for SE10 and 97.2% (95%CI 85.5–99.9%) for SE40. A significant difference was detected in the retention rate when SE10 was compared to the SE40 (p = 0.01). Also, ER40 showed a significant improvement of the marginal adaptation when compared to ER10 (p = 0.01). Significance: This is the first study that demonstrates an improvement in the clinical performance of universal adhesive systems in non-carious cervical lesions when prolonged light-cured was applied.

AB - Objective: This study aimed to evaluate the effect of prolonging polymerization time on the 18 months clinical performance of a universal adhesive system used as etch-and-rinse (ER) and self-etch (SE). Methods: 140 restorations were randomly placed in 35 subjects according to the following groups: ER10 (light-curing for 10 s); ER40 (light-curing for 40 s); SE10 (light-curing for 10 s) and; SE40 (light-curing for 40 s/1200 mW/cm2). A resin composite was placed incrementally. The restorations were evaluated at baseline and after 18 months by using the FDI criteria. The following outcomes were evaluated: marginal staining, marginal adaptation, spontaneous post-operative sensitivity and recurrence of caries. The differences among the groups were calculated using Friedman repeated measures analysis of variance rank (α = 0.05). Results: After 18 months the retention/fracture rates were 88.9% (95%CI 74.1–95.6%) for ER10, 94.3% (95%CI 91.4–98.5%) for ER40, 77.2% (95%CI 60.1–87.9) for SE10 and 97.2% (95%CI 85.5–99.9%) for SE40. A significant difference was detected in the retention rate when SE10 was compared to the SE40 (p = 0.01). Also, ER40 showed a significant improvement of the marginal adaptation when compared to ER10 (p = 0.01). Significance: This is the first study that demonstrates an improvement in the clinical performance of universal adhesive systems in non-carious cervical lesions when prolonged light-cured was applied.

KW - Clinical trial

KW - Non-carious cervical lesion

KW - Polymerization time

KW - Universal adhesive system

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U2 - 10.1016/j.dental.2021.10.012

DO - 10.1016/j.dental.2021.10.012

M3 - Article

AN - SCOPUS:85119897608

SN - 0109-5641

VL - 38

SP - 68

EP - 78

JO - Dental Materials

JF - Dental Materials

IS - 1

ER -

An 18-month clinical evaluation of prolonged polymerization of a universal adhesive in non-carious cervical lesions: A double-blind randomized clinical trial

Abstract

Bibliographical note

Keywords

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