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Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis

Immediate dentin sealing (IDS) involves applying an adhesive system to dentin directly after tooth preparation, before impression. This was considered an alternate to delayed dentin sealing (DDS), a technique in which hybridization is performed following the provisional phase and just before the ind...

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Autores principales: Hardan, Louis, Devoto, Walter, Bourgi, Rim, Cuevas-Suárez, Carlos Enrique, Lukomska-Szymanska, Monika, Fernández-Barrera, Miguel Ángel, Cornejo-Ríos, Elizabeth, Monteiro, Paulo, Zarow, Maciej, Jakubowicz, Natalia, Mancino, Davide, Haikel, Youssef, Kharouf, Naji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8955250/
https://www.ncbi.nlm.nih.gov/pubmed/35323288
http://dx.doi.org/10.3390/gels8030175
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author Hardan, Louis
Devoto, Walter
Bourgi, Rim
Cuevas-Suárez, Carlos Enrique
Lukomska-Szymanska, Monika
Fernández-Barrera, Miguel Ángel
Cornejo-Ríos, Elizabeth
Monteiro, Paulo
Zarow, Maciej
Jakubowicz, Natalia
Mancino, Davide
Haikel, Youssef
Kharouf, Naji
author_facet Hardan, Louis
Devoto, Walter
Bourgi, Rim
Cuevas-Suárez, Carlos Enrique
Lukomska-Szymanska, Monika
Fernández-Barrera, Miguel Ángel
Cornejo-Ríos, Elizabeth
Monteiro, Paulo
Zarow, Maciej
Jakubowicz, Natalia
Mancino, Davide
Haikel, Youssef
Kharouf, Naji
author_sort Hardan, Louis
collection PubMed
description Immediate dentin sealing (IDS) involves applying an adhesive system to dentin directly after tooth preparation, before impression. This was considered an alternate to delayed dentin sealing (DDS), a technique in which hybridization is performed following the provisional phase and just before the indirect restoration luting procedure. This study aimed to compare the bond strength of restorations to dentin of the IDS and the DDS techniques throughout a systematic review and meta-analysis. The following PICOS framework was used: population, indirect restorations; intervention, IDS; control, DDS; outcomes, bond strength; and study design, in vitro studies. PubMed (MedLine), The Cochrane Library, ISI Web of Science, Scielo, Scopus, and Embase were screened up to January 2022 by two reviewers (L.H. and R.B.). In vitro papers studying the bond strength to human dentin of the IDS technique compared to the DDS technique were considered. Meta-analyses were carried out by using a software program (Review Manager v5.4.1; The Cochrane Collaboration). Comparisons were made by considering the adhesive used for bonding (two-step etch-and-rinse, three step etch-and-rinse, one-step self-etch, two-step self-etch, and universal adhesives). A total of 3717 papers were retrieved in all databases. After full-text assessment, 22 potentially eligible studies were examined for qualitative analysis, leaving a total of 21 articles for the meta-analysis. For the immediate bond strength, regardless of the adhesive strategy used, the IDS technique improved the bond strength of restorations to the dentin (p < 0.001). Taking into account the subgroup analysis, it seems that the use of the IDS technique with a two-step etch-and-rinse or a one-step self-etch adhesive system does not represent any advantage over the DDS technique (p = 0.07, p = 0.15). On the other hand, for the aged bond strength, regardless of the adhesive strategy used, the IDS technique improved the bond strength of restorations to the dentin (p = 0.001). The subgroups analysis shows that this improvement is observed only when a three-step etch-and-rinse adhesive system (p < 0.001) or when a combination of an adhesive system plus a layer of flowable resin (p = 0.01) is used. The in vitro evidence suggests that the use of the IDS technique improves the bond strength of dentin to resin-based restorations regardless of the adhesive strategy used. The use of a three-step etch-and-rinse adhesive system or the combination of an adhesive system plus a layer of flowable resin seems to considerably enhance the bond strength in the long term.
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spelling pubmed-89552502022-03-26 Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis Hardan, Louis Devoto, Walter Bourgi, Rim Cuevas-Suárez, Carlos Enrique Lukomska-Szymanska, Monika Fernández-Barrera, Miguel Ángel Cornejo-Ríos, Elizabeth Monteiro, Paulo Zarow, Maciej Jakubowicz, Natalia Mancino, Davide Haikel, Youssef Kharouf, Naji Gels Review Immediate dentin sealing (IDS) involves applying an adhesive system to dentin directly after tooth preparation, before impression. This was considered an alternate to delayed dentin sealing (DDS), a technique in which hybridization is performed following the provisional phase and just before the indirect restoration luting procedure. This study aimed to compare the bond strength of restorations to dentin of the IDS and the DDS techniques throughout a systematic review and meta-analysis. The following PICOS framework was used: population, indirect restorations; intervention, IDS; control, DDS; outcomes, bond strength; and study design, in vitro studies. PubMed (MedLine), The Cochrane Library, ISI Web of Science, Scielo, Scopus, and Embase were screened up to January 2022 by two reviewers (L.H. and R.B.). In vitro papers studying the bond strength to human dentin of the IDS technique compared to the DDS technique were considered. Meta-analyses were carried out by using a software program (Review Manager v5.4.1; The Cochrane Collaboration). Comparisons were made by considering the adhesive used for bonding (two-step etch-and-rinse, three step etch-and-rinse, one-step self-etch, two-step self-etch, and universal adhesives). A total of 3717 papers were retrieved in all databases. After full-text assessment, 22 potentially eligible studies were examined for qualitative analysis, leaving a total of 21 articles for the meta-analysis. For the immediate bond strength, regardless of the adhesive strategy used, the IDS technique improved the bond strength of restorations to the dentin (p < 0.001). Taking into account the subgroup analysis, it seems that the use of the IDS technique with a two-step etch-and-rinse or a one-step self-etch adhesive system does not represent any advantage over the DDS technique (p = 0.07, p = 0.15). On the other hand, for the aged bond strength, regardless of the adhesive strategy used, the IDS technique improved the bond strength of restorations to the dentin (p = 0.001). The subgroups analysis shows that this improvement is observed only when a three-step etch-and-rinse adhesive system (p < 0.001) or when a combination of an adhesive system plus a layer of flowable resin (p = 0.01) is used. The in vitro evidence suggests that the use of the IDS technique improves the bond strength of dentin to resin-based restorations regardless of the adhesive strategy used. The use of a three-step etch-and-rinse adhesive system or the combination of an adhesive system plus a layer of flowable resin seems to considerably enhance the bond strength in the long term. MDPI 2022-03-11 /pmc/articles/PMC8955250/ /pubmed/35323288 http://dx.doi.org/10.3390/gels8030175 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Hardan, Louis
Devoto, Walter
Bourgi, Rim
Cuevas-Suárez, Carlos Enrique
Lukomska-Szymanska, Monika
Fernández-Barrera, Miguel Ángel
Cornejo-Ríos, Elizabeth
Monteiro, Paulo
Zarow, Maciej
Jakubowicz, Natalia
Mancino, Davide
Haikel, Youssef
Kharouf, Naji
Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis
title Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis
title_full Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis
title_fullStr Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis
title_full_unstemmed Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis
title_short Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis
title_sort immediate dentin sealing for adhesive cementation of indirect restorations: a systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8955250/
https://www.ncbi.nlm.nih.gov/pubmed/35323288
http://dx.doi.org/10.3390/gels8030175
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