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Nawaf Fahad alsudairi
Khalid Mohammed Faqihi
Khaled Rasheed Alssum
Abdurahman Suliman Alhissan
Tariq othman alothman
Huda Mohammad Aba Hussein
Laila Hamad Ahmad Almakrami
Saud Fahad Abdulaziz Al Abdulwahed
Mohammed AlMughmis
Abdulrahman Saleh Alissa


Dental Adhesive Materials, Deep caries lesions, Etch-and-rinse approach, Resin-modified glass ionomer cements (RMGICs)


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.

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