DENTAL ADHESIVE MATERIALS

Abstract

Background: Deep, uncleanable carious cavities are formed when the tooth structure is severely destroyed by the ongoing mineral loss from the caries process. Resin-modified glass ionomer cements (RMGICs) are the most widely utilized pulp protection compounds.

Aim: to boost the integrity of the tooth/composite restorative contact and the efficiency of dental adhesives.

Patients and Methods: This research complied with the Cochrane Handbook for Systematic Reviews of Interventions and the Preferred Items for Reporting for Systematic Reviews and Meta-analyses (PRISMA) recommendations. Comprehensive literature search from the databases' establishment to January 2022 was done using PubMed/Medline, Scopus, and Embase. From our literature search, we were able to locate 430 records.

Results: Neither the self-etch nor the etch-and-rinse methods showed any variations. The etch-and-rinse method is significantly better than self-itch in Intermediately strong universal adhesives with the corresponding MD and 95%CI=9.27(5,13.5), p-value<0.0001. heterogeneity was observed among the pooled studies with chi-p<0.00001, and I2=92%. The dentin micro tensile strength of bond for ultra-mild universal adhesives with pooled MD and 95%CI=12.1(7.6, 16.6), p-value=0.00001, was enhanced by the etch-and-rinse method. Our pooled research showed chi-p=0.00001 and I2=94% heterogeneity.

Conclusion: We found that There were no distinctions between the self-etch and etch-and-rinse methods, indicating that both can form strong enough bonds to effectively block the water diffusion pathway via the restoration-tooth interface and prevent hydrolysis-induced component degradation.