Performance of self-cured versus light-cured universal adhesive in patients with non-carious cervical lesions: 18-month randomized clinical trial

IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE BDJ Open Pub Date : 2024-03-19 DOI:10.1038/s41405-024-00204-9
Aya Gamal Ashour, Rawda Hesham Abd ElAziz, Asmaa Ali Yassen
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Abstract

Objective

To evaluate the clinical performance of self versus light-cured universal adhesive in non-carious cervical lesions (NCCLs) after 18 months.

Materials and methods

Sixty-eight NCCLs in 28 patients were divided into two equal groups; G1: self-cured universal adhesive (Palfique,Tokuyama,Japan) and G2: light-cured universal adhesive (Single Bond Universal,3 M ESPE,USA). Nanohybrid resin composite (Z350XT, 3 M ESPE, USA) was used as a final restoration. Evaluation for fracture, loss of retention, marginal adaptation and discoloration were done after 1 week, 6,12, and 18 months using FDI criteria. Postoperative sensitivity was assessed after 1 week. Chi-Square and Mann-Whitney tests with statistical significance at (P ≤ 0.05) were used for intergroup comparison,while the intragroup one was performed using the Cochran’s Q and Friedman’s tests. Survival rate was analyzed using Kaplan-meier and Log-rank test.

Results

Both groups exhibited fracture and retention loss, however, there was statistically significant difference favoring the control group at 6 months (p = 0.0114,0.0016). For secondary outcomes, marginal adaptation and discoloration revealed no significant differences. For postoperative sensitivity, there was a significant difference favoring the control group (p = 0.0007, 0.0011). Palfique had 1.5 Relative-Risk (RR) after 6 months (95% CI 0.5659–4.2617; P = 0.3928) and 20% less risk of failure after 18 months (RR 0.8) (95% CI 0.4618–1.3858; P = 0.4260). Tested adhesives showed equal survival rate (P = 0.5685).

Conclusions

Both adhesives revealed similar clinical performance in restoring the NCCLs after 18 m, however, the early failure was more frequent in the self-cured universal adhesive.

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自固化万能胶与光固化万能胶在非龋齿性宫颈病变患者中的应用效果:为期 18 个月的随机临床试验
材料和方法将 28 名患者的 68 个非龋性颈椎病(NCCL)分为两组:G1:自固化万能粘接剂(Palfique,日本德山);G2:光固化万能粘接剂(Single Bond Universal,美国 3 M ESPE)。纳米杂化树脂复合材料(Z350XT,3 M ESPE,美国)用作最终修复体。根据 FDI 标准,在 1 周、6、12 和 18 个月后对断裂、固位丧失、边缘适应和变色进行评估。术后敏感度在 1 周后进行评估。组间比较采用 Chi-Square 检验和 Mann-Whitney 检验,统计学意义为(P ≤ 0.05),组内比较采用 Cochran's Q 检验和 Friedman's 检验。结果 两组均有骨折和潴留损失,但对照组在 6 个月时的差异有统计学意义(P = 0.0114,0.0016)。在次要结果方面,边缘适应性和变色无明显差异。在术后敏感度方面,对照组有显著差异(p = 0.0007,0.0011)。Palfique 6 个月后的相对风险 (RR) 为 1.5(95% CI 0.5659-4.2617;P = 0.3928),18 个月后的失败风险降低 20%(RR 0.8)(95% CI 0.4618-1.3858;P = 0.4260)。结论两种粘合剂在 18 个月后恢复 NCCL 的临床表现相似,但自固化通用粘合剂的早期失败率更高。
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
BDJ Open
BDJ Open Dentistry-Dentistry (all)
CiteScore
3.70
自引率
3.30%
发文量
34
审稿时长
30 weeks
期刊最新文献
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