IADR Abstract Archives
Clinical effectiveness of self-etch adhesives in non-carious cervical lesions. A systematic review and meta-analisys.
Objectives: To compare the survival rates of one-step self-etch adhesives (1SE) and conventional three-step adhesives (3ER) in non-carious cervical lesions. Also, other secondary outcomes (marginal discoloration and marginal adaptation) were evaluated in a systematic review and meta-analysis.
Methods: A comprehensive search was performed in PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library and Grey literature, only randomized clinical trials were included. Quality assessment followed the guidelines from the risk of bias tool from the Cochrane Collaboration. Meta-analysis was performed on studies considered at low and unclear risk of bias.
Results: From 3304 articles identified, 7 remained in the qualitative synthesis. The one-step self-etch adhesives (1SE) and conventional three-step adhesives (3ER) showed no difference for retention rate in all follow- ups. At 12 to 18 month follow-up was 0.88 (95% confidence interval [CI] = 0.24 to 3.22; p = 0.85), at 24 to 36 month follow-up was 2.21 (95% CI = 0.23 to 21.24; p = 0.49), and at 48 to 60 month follow-up was 3.14 (95% CI = 0.37 to 26.82; p = 0.30). No difference was observed for marginal discoloration in all follow-ups (12 to 18 m: p= 0.53; 24 to 36 m: p= 0.10; 48 to 60 m: p=0.41) and the same was observed for marginal adaptation in all follow-ups (12 to 18 m: p= 0.65; 24 to 36 m: p= 0.65; 48 to 60 m: p=0.39).
Conclusions: One may conclude that there is no difference in the clinical performance of self-etch and etch-and-rinse adhesives in non-carious cervical lesions.
Methods: A comprehensive search was performed in PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library and Grey literature, only randomized clinical trials were included. Quality assessment followed the guidelines from the risk of bias tool from the Cochrane Collaboration. Meta-analysis was performed on studies considered at low and unclear risk of bias.
Results: From 3304 articles identified, 7 remained in the qualitative synthesis. The one-step self-etch adhesives (1SE) and conventional three-step adhesives (3ER) showed no difference for retention rate in all follow- ups. At 12 to 18 month follow-up was 0.88 (95% confidence interval [CI] = 0.24 to 3.22; p = 0.85), at 24 to 36 month follow-up was 2.21 (95% CI = 0.23 to 21.24; p = 0.49), and at 48 to 60 month follow-up was 3.14 (95% CI = 0.37 to 26.82; p = 0.30). No difference was observed for marginal discoloration in all follow-ups (12 to 18 m: p= 0.53; 24 to 36 m: p= 0.10; 48 to 60 m: p=0.41) and the same was observed for marginal adaptation in all follow-ups (12 to 18 m: p= 0.65; 24 to 36 m: p= 0.65; 48 to 60 m: p=0.39).
Conclusions: One may conclude that there is no difference in the clinical performance of self-etch and etch-and-rinse adhesives in non-carious cervical lesions.