Bonding Efficacy of Universal Resin Adhesives to Zirconia Substrates: Systematic Review and Meta-Analysis.

IF 2.5 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Adhesive Dentistry Pub Date : 2023-02-06 DOI:10.3290/j.jad.b3868649

Renally Bezerra Wanderley Lima, Aline Fedoce Silva, Wellington Luiz de Oliveira da Rosa, Evandro Piva, Rosângela Marques Duarte, Grace Mendonça De Souza

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Abstract

Purpose: To provide an overview of the in-vitro bond strength of universal adhesives to zirconia and analyze whether these adhesives are a reliable alternative to conventional zirconia primers.

Materials and methods: A systematic search was conducted in PubMed/Medline, Scopus, and ISI Web of Science databases up to August 2021. Investigations published in English, assessing resin-mediated bond to zirconia using universal adhesives compared to phosphate/silane-based primer or phosphate-based primer were included. After study selection and data extraction, risk of bias analysis was performed. Statistical analyses were performed using RevMan 5.4, with a random effects model, at a significance level of 0.05.

Results: In total, 23 studies were included for qualitative and quantitative analysis. Universal adhesives showed higher bond strengths than did phosphate-based primers (p < 0.00001) to aged zirconia without airborne alumina-particle abrasion. Similar results were observed when the zirconia surface was airborne-particle abraded at baseline and after dynamic aging (p < 0.0001). When universal adhesives and phosphate-silane based primers were compared, similar bond strengths (p ≥ 0.001) were observed after surface abrasion, regardless of storage condition.

Conclusion: The results showed that universal adhesives generate higher bond strengths when compared to conventional zirconia primers.

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通用树脂粘合剂与氧化锆基底的粘合功效：系统回顾与元分析。

目的：概述通用粘合剂与氧化锆的体外粘接强度，并分析这些粘合剂是否是传统氧化锆底漆的可靠替代品：在截至 2021 年 8 月的 PubMed/Medline、Scopus 和 ISI Web of Science 数据库中进行了系统检索。纳入的研究均以英文发表，评估了使用通用粘合剂与磷酸盐/硅烷基底涂剂或磷酸盐基底涂剂相比，以树脂为介质粘接氧化锆的情况。在对研究进行筛选和数据提取后，进行了偏倚风险分析。统计分析使用 RevMan 5.4 进行，采用随机效应模型，显著性水平为 0.05：共有 23 项研究被纳入进行定性和定量分析。在无空气中氧化铝颗粒磨损的情况下，通用粘合剂与老化氧化锆的粘接强度高于磷酸盐底漆（p < 0.00001）。当氧化锆表面在基线和动态老化后受到气载氧化铝颗粒磨损时，也观察到了类似的结果（p < 0.0001）。在比较通用粘合剂和基于磷酸盐硅烷的底漆时，无论储存条件如何，表面磨损后都观察到了相似的粘接强度（p ≥ 0.001）：结果表明，与传统的氧化锆底漆相比，通用粘合剂能产生更高的粘接强度。

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

Journal of Adhesive Dentistry 医学-牙科与口腔外科

CiteScore

5.20

自引率

6.10%

发文量

审稿时长

6-12 weeks

期刊介绍： New materials and applications for adhesion are profoundly changing the way dentistry is delivered. Bonding techniques, which have long been restricted to the tooth hard tissues, enamel, and dentin, have obvious applications in operative and preventive dentistry, as well as in esthetic and pediatric dentistry, prosthodontics, and orthodontics. The current development of adhesive techniques for soft tissues and slow-releasing agents will expand applications to include periodontics and oral surgery. Scientifically sound, peer-reviewed articles explore the latest innovations in these emerging fields.