Does Adhesive Luting Reinforce the Mechanical Properties of Dental Ceramics Used as Restorative Materials? A Systematic Review and Meta-Analysis.

IF 2.6 3区 化学 Q2 CHEMISTRY, INORGANIC & NUCLEAR Polyhedron Pub Date : 2022-04-13 DOI:10.3290/j.jad.b2916469
Lucas Saldanha da Rosa, Kiara Serafini Dapieve, Fernanda Dalla-Nora, Marília Pivetta Rippe, Luiz Felipe Valandro, Rafael Sarkis-Onofre, Gabriel Kalil Rocha Pereira
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Abstract

Purpose: This systematic review aims to explore and compile the effect of adhesive luting on the mechanical properties of dental ceramics used as restorative materials.

Materials and methods: The PubMed/MEDLINE, Web of Science and Scopus databases were searched on January 31st, 2021 to select laboratory studies written in English, without publishing-date restrictions, which compared the mechanical properties of commercially available dental ceramics as restorative materials luted using adhesive vs non-adhesive strategies. A total of 20 (out of 2039) studies were eligible and included in the analysis. Two authors independently selected the studies, extracted the data and assessed the risk of bias. Mean differences (RevMan5.1, random effects model, α = 0.05) were obtained by comparing resistance values of adhesive and non-adhesive conditions (global analysis). Subgroup analyses were performed considering ceramic composition and aging.

Results: In the global analysis, adhesive luting induced higher mechanical resistance values compared to non-adhesive luting (p ≤ 0.01). The same effect was observed for glass and alumina ceramics (p ≤ 0.01), but not for zirconia polycrystals (p = 0.83). Adhesive luting was favorable in both the aged and non-aged subgroup analysis (p ≤ 0.01). High heterogeneity was found in all meta-analyses. All analyzed studies in the systematic review scored negatively for risk of bias in most of the factors considered.

Conclusions: Adhesive luting reinforces the mechanical properties of dental ceramics used as restorative materials, with the exception of zirconia polycrystals.

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粘合剂涂敷是否能增强用作修复材料的牙科陶瓷的机械性能?系统回顾与元分析》。
目的:这篇系统性综述旨在探讨和汇编粘接剂衬垫对用作修复材料的牙科陶瓷的机械性能的影响:于 2021 年 1 月 31 日在 PubMed/MEDLINE、Web of Science 和 Scopus 数据库中进行检索,选择用英文撰写的、不受出版日期限制的实验室研究,这些研究比较了市售牙科陶瓷作为修复材料使用粘接剂与非粘接剂策略粘结的机械性能。共有 20 项研究(共 2039 项)符合条件并纳入分析。两位作者独立选择研究、提取数据并评估偏倚风险。通过比较粘附和非粘附条件下的阻力值(总体分析),得出平均差异(RevMan5.1,随机效应模型,α = 0.05)。根据陶瓷成分和老化情况进行了分组分析:结果:在总体分析中,粘合剂上胶比非粘合剂上胶产生的机械阻力值更高(p ≤ 0.01)。玻璃和氧化铝陶瓷也有同样的效果(p ≤ 0.01),但氧化锆多晶体没有这种效果(p = 0.83)。在老化和非老化亚组分析中,粘合剂衬垫都是有利的(p ≤ 0.01)。所有荟萃分析都发现了高度异质性。系统综述中的所有分析研究在大多数考虑因素的偏倚风险方面均为负分:结论:粘接剂敷贴可增强作为修复材料的牙科陶瓷的机械性能,但氧化锆多晶体除外。
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来源期刊
Polyhedron
Polyhedron 化学-晶体学
CiteScore
4.90
自引率
7.70%
发文量
515
审稿时长
2 months
期刊介绍: Polyhedron publishes original, fundamental, experimental and theoretical work of the highest quality in all the major areas of inorganic chemistry. This includes synthetic chemistry, coordination chemistry, organometallic chemistry, bioinorganic chemistry, and solid-state and materials chemistry. Papers should be significant pieces of work, and all new compounds must be appropriately characterized. The inclusion of single-crystal X-ray structural data is strongly encouraged, but papers reporting only the X-ray structure determination of a single compound will usually not be considered. Papers on solid-state or materials chemistry will be expected to have a significant molecular chemistry component (such as the synthesis and characterization of the molecular precursors and/or a systematic study of the use of different precursors or reaction conditions) or demonstrate a cutting-edge application (for example inorganic materials for energy applications). Papers dealing only with stability constants are not considered.
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