The clinical effectiveness of various adhesive systems: an 18-month evaluation.
The clinical effectiveness of various adhesive systems: an 18-month evaluation.
复制标题
各种粘合剂系统的临床效果：18 个月的评估。
作者：
H. Moosavi;S. Kimyai;M. Forghani;R. Khodadadi
该临床试验的目的是比较三种不同粘合系统在 18 个月内治疗非龋性宫颈病变 (NCCL) 的临床表现。三十名至少患有三处非龋性宫颈病变的患者参加了这项研究。一名操作员用树脂复合材料 (Herculite XRV) 随机修复了总共 90 个病变。修复体采用 Optibond FL (OF)、三步全蚀刻； Optibond Solo Plus (OS)，两步全蚀刻；或 Optibond 一体式 (OA)，一步自蚀刻。使用八项美国公共卫生服务标准在基线以及 6、12 和 18 个月后对修复体进行临床评估。使用 Friedman 和 Wilcoxon 符号秩检验分析数据（p<0.05）。 18 个月后，保留率为 (OF) 96.5%、(OS) 93.1% 和 (OA) 89.7%。在平均阿尔法分数百分比的比较中，没有观察到评估标准的三种粘合剂系统之间的差异。 18 个月后，与基线相比，(OA) 粘合剂的边缘变色显着增加 (p=0.011)。其他修复标准在三种粘合剂之间没有统计学上的显着差异（p>0.05）。除边缘变色外，三种类型的粘合剂系统在 NCCL 中的临床效果在 18 个月后是可以接受的。然而，使用一步式自蚀刻粘合剂可能会导致一些边缘变色。
The aim of this clinical trial was to compare the clinical performance of three different adhesive systems over 18 months in noncarious cervical lesions (NCCLs). Thirty patients, with at least three noncarious cervical lesions, were enrolled in the study. One operator randomly restored a total of 90 lesions with resin composite (Herculite XRV). The restorations were bonded with either Optibond FL (OF), three-step total-etch; Optibond Solo Plus (OS), two-step total-etch; or Optibond All-In-One (OA), one step self-etch. The restorations were clinically evaluated at baseline and after six, 12, and 18 months using the eight United States Public Health Services criteria. Data were analyzed using Friedman and Wilcoxon signed ranks tests (p<0.05). After 18 months, the retention rate was (OF) 96.5%, (OS) 93.1%, and (OA) 89.7%. Differences among the three adhesive systems for evaluated criteria were not observed in comparison of the mean Alfa score percentages. There was a significant increase in marginal discoloration for (OA) adhesive after 18 months compared with baseline (p=0.011). Other restoration criteria had no statistically significant differences among the three adhesives (p>0.05). With the exception of marginal discoloration, the clinical effectiveness of three types of adhesive systems in NCCLs was acceptable after 18 months. However, using the one-step self-etch adhesive may lead to some marginal discolorations.