Cargando…

Effect of smear layer deproteinization on bonding of self-etch adhesives to dentin: a systematic review and meta-analysis

OBJECTIVES: The aim of this systematic review was to critically analyze previously published studies of the effects of dentin surface pretreatment with deproteinizing agents on the bonding of self-etch (SE) adhesives to dentin. Additionally, a meta-analysis was conducted to quantify the effects of t...

Descripción completa

Detalles Bibliográficos
Autores principales: Alshaikh, Khaldoan H., Hamama, Hamdi H. H., Mahmoud, Salah H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Conservative Dentistry 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5952053/
https://www.ncbi.nlm.nih.gov/pubmed/29765895
http://dx.doi.org/10.5395/rde.2018.43.e14
_version_ 1783323120238592000
author Alshaikh, Khaldoan H.
Hamama, Hamdi H. H.
Mahmoud, Salah H.
author_facet Alshaikh, Khaldoan H.
Hamama, Hamdi H. H.
Mahmoud, Salah H.
author_sort Alshaikh, Khaldoan H.
collection PubMed
description OBJECTIVES: The aim of this systematic review was to critically analyze previously published studies of the effects of dentin surface pretreatment with deproteinizing agents on the bonding of self-etch (SE) adhesives to dentin. Additionally, a meta-analysis was conducted to quantify the effects of the above-mentioned surface pretreatment methods on the bonding of SE adhesives to dentin. MATERIALS AND METHODS: An electronic search was performed using the following databases: Scopus, PubMed and ScienceDirect. The online search was performed using the following keywords: ‘dentin’ or ‘hypochlorous acid’ or ‘sodium hypochlorite’ and ‘self-etch adhesive.’ The following categories were excluded during the assessment process: non-English articles, randomized clinical trials, case reports, animal studies, and review articles. The reviewed studies were subjected to meta-analysis to quantify the effect of the application time and concentration of sodium hypochlorite (NaOCl) and hypochlorous acid (HOCl) deproteinizing agents on bonding to dentin. RESULTS: Only 9 laboratory studies fit the inclusion criteria of this systematic review. The results of the meta-analysis revealed that the pooled average microtensile bond strength values to dentin pre-treated with deproteinizing agents (15.71 MPa) was significantly lower than those of the non-treated control group (20.94 MPa). CONCLUSIONS: In light of the currently available scientific evidence, dentin surface pretreatment with deproteinizing agents does not enhance the bonding of SE adhesives to dentin. The HOCl deproteinizing agent exhibited minimal adverse effects on bonding to dentin in comparison with NaOCl solutions.
format Online
Article
Text
id pubmed-5952053
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher The Korean Academy of Conservative Dentistry
record_format MEDLINE/PubMed
spelling pubmed-59520532018-05-15 Effect of smear layer deproteinization on bonding of self-etch adhesives to dentin: a systematic review and meta-analysis Alshaikh, Khaldoan H. Hamama, Hamdi H. H. Mahmoud, Salah H. Restor Dent Endod Research Article OBJECTIVES: The aim of this systematic review was to critically analyze previously published studies of the effects of dentin surface pretreatment with deproteinizing agents on the bonding of self-etch (SE) adhesives to dentin. Additionally, a meta-analysis was conducted to quantify the effects of the above-mentioned surface pretreatment methods on the bonding of SE adhesives to dentin. MATERIALS AND METHODS: An electronic search was performed using the following databases: Scopus, PubMed and ScienceDirect. The online search was performed using the following keywords: ‘dentin’ or ‘hypochlorous acid’ or ‘sodium hypochlorite’ and ‘self-etch adhesive.’ The following categories were excluded during the assessment process: non-English articles, randomized clinical trials, case reports, animal studies, and review articles. The reviewed studies were subjected to meta-analysis to quantify the effect of the application time and concentration of sodium hypochlorite (NaOCl) and hypochlorous acid (HOCl) deproteinizing agents on bonding to dentin. RESULTS: Only 9 laboratory studies fit the inclusion criteria of this systematic review. The results of the meta-analysis revealed that the pooled average microtensile bond strength values to dentin pre-treated with deproteinizing agents (15.71 MPa) was significantly lower than those of the non-treated control group (20.94 MPa). CONCLUSIONS: In light of the currently available scientific evidence, dentin surface pretreatment with deproteinizing agents does not enhance the bonding of SE adhesives to dentin. The HOCl deproteinizing agent exhibited minimal adverse effects on bonding to dentin in comparison with NaOCl solutions. The Korean Academy of Conservative Dentistry 2018-03-06 /pmc/articles/PMC5952053/ /pubmed/29765895 http://dx.doi.org/10.5395/rde.2018.43.e14 Text en Copyright © 2018. The Korean Academy of Conservative Dentistry https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Alshaikh, Khaldoan H.
Hamama, Hamdi H. H.
Mahmoud, Salah H.
Effect of smear layer deproteinization on bonding of self-etch adhesives to dentin: a systematic review and meta-analysis
title Effect of smear layer deproteinization on bonding of self-etch adhesives to dentin: a systematic review and meta-analysis
title_full Effect of smear layer deproteinization on bonding of self-etch adhesives to dentin: a systematic review and meta-analysis
title_fullStr Effect of smear layer deproteinization on bonding of self-etch adhesives to dentin: a systematic review and meta-analysis
title_full_unstemmed Effect of smear layer deproteinization on bonding of self-etch adhesives to dentin: a systematic review and meta-analysis
title_short Effect of smear layer deproteinization on bonding of self-etch adhesives to dentin: a systematic review and meta-analysis
title_sort effect of smear layer deproteinization on bonding of self-etch adhesives to dentin: a systematic review and meta-analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5952053/
https://www.ncbi.nlm.nih.gov/pubmed/29765895
http://dx.doi.org/10.5395/rde.2018.43.e14
work_keys_str_mv AT alshaikhkhaldoanh effectofsmearlayerdeproteinizationonbondingofselfetchadhesivestodentinasystematicreviewandmetaanalysis
AT hamamahamdihh effectofsmearlayerdeproteinizationonbondingofselfetchadhesivestodentinasystematicreviewandmetaanalysis
AT mahmoudsalahh effectofsmearlayerdeproteinizationonbondingofselfetchadhesivestodentinasystematicreviewandmetaanalysis