A New Universal Simplified Adhesive: 6‐Month Clinical Evaluation

• DOI: 10.1111/jerd.12005
• Publication Date: 2012-11-16T05:11:09Z
• Authors: Alexandra Mena‐Se...; Carlos Kose; Eloisa Andrade De...; Lidia Yileng Tay; Alessandra Reis; Alessandro D. Log...; Jorge Perdigão
• Keywords: Adult; Male; Dental Bonding; Color; Dental Caries; Dental Marginal Adaptation; Dentin Sensitivity; Middle Aged; Composite Resins; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Acid Etching, Dental; Double-Blind Method; Dentin-Bonding Agents; Dentin; Humans; Methacrylates; Female; Dental Restoration Failure; Dental Enamel; Dental Restoration, Permanent; Follow-Up Studies

Statement of the ProblemMultimode adhesives, which can be used as etch‐and‐rinse or as self‐etch adhesives, have been recently introduced without clinical data to back their use.Purpose of the StudyTo evaluate the 6‐month clinical performance of Scotchbond Universal Adhesive (SU; 3M ESPE, St. Paul, MN, USA) in noncarious cervical lesions (NCCLs) using two evaluation criteria.Methods/MaterialsThirty‐nine patients participated in this study. Two hundred restorations were assigned to four groups: SU‐TEm: etch‐and‐rinse + moist dentin; SU‐TEd: etch‐and‐rinse + dry dentin; SU‐SEet: selective enamel etching; and SU‐SE: self‐etch. The composite resin Filtek Supreme Ultra (3M ESPE) was placed incrementally. The restorations were evaluated at baseline and after 6 months using both the World Dental Federation (FDI) and the United States Public Health Service (USPHS) criteria. Statistical analyses were performed with Friedman repeated measures analysis of variance by rank and McNemar test for significance in each pair (α = 0.05).ResultsOnly four restorations (SU‐SE: 3 and SU‐TEm: 1) were lost after 6 months (p > 0.05 for either criteria). Marginal discoloration occurred in one restoration in the SU‐SE group (p > 0.05 for either criteria). Only 2/200 restorations were scored as bravo for marginal adaptation using the USPHS criteria (one for SU‐SE and one for SU‐SEet, p > 0.05). However, when using the FDI criteria, the percentage of bravo scores for marginal adaptation at 6 months were 32%, 36%, 42%, and 46% for groups SU‐TEm, SU‐TEd, SU‐SEet, and SU‐SE, respectively (p > 0.05).ConclusionsThe clinical behavior of the multimode adhesive does not depend on the bonding strategy at 6 months. The FDI evaluation criteria are more sensitive than the USPHS criteria.Clinical SignificanceAt 6 months, the clinical behavior of the new multimode adhesive Scotchbond Universal was found to be reliable when used in noncarious cervical lesions and may not depend on the bonding strategy employed.