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BioMed Central, Brazilian Dental Journal, 3(24), p. 267-272

DOI: 10.1590/0103-6440201302128

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One-Year Evaluation of a Simplified Ethanol-Wet Bonding Technique: A Randomized Clinical Trial

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Data provided by SHERPA/RoMEO

Abstract

O objetivo deste ensaio cl?nico randomizado foi avaliar o comportamento cl?nico das restaura??es adesivas, usando um adesivo convencional de tr?s passos (CTP), um adesivo autocondicionante de um passo (AUP) e uma t?cnica simplificada da ades?o ?mida por etanol (AUET) antes da aplica??o de uma resina composta em les?es cervicais n?o-cariosas. Noventa e tr?s restaura??es (31 para cada grupo) foram realizadas em 17 pacientes por um ?nico operador. Nenhum preparo cavit?rio foi realizado. Depois de 6 e 12 meses, as restaura??es foram avaliadas por 2 examinadores previamente treinados, utilizando crit?rios de Ryge modificados para reten??o (kappa=1,00) e adapta??o/manchamento marginal (kappa=0,81), e os resultados foram analisados pelos testes Exato de Fisher e Kruskal-Wallis, respectivamente. N?o foram observadas diferen?as significativas entre os grupos aos 6 e 12 meses para qualquer um dos crit?rios avaliados (p?0,05). A an?lise intra-grupo feita pelos testes Q de Cochran (para reten??o) e Wilcoxon (para adapta??o/manchamento marginal) revelou diferen?as significativas entre os intervalos de tempo baseline/12 meses para a adapta??o marginal no AUP (p=0,0180) e manchamento marginal no CTP (p=0,0117). A an?lise de sobreviv?ncia para o crit?rio reten??o realizada utilizando o teste de log-rank n?o apresentou diferen?as significantes (p?0,05). As restaura??es feitas utilizando a t?cnica simplificada da ades?o ?mida por etanol comportaram-se igualmente ?s outras estrat?gias adesivas empregadas. ; ABSTRACT: The objective of this randomized clinical trial was to evaluate the clinical performance of adhesive restorations using a three-step etch-and-rinse adhesive (TSER), a one-step self-etching adhesive (OSSE), and a simplified ethanol-wet bonding technique (EWBT) prior to the application of a composite resin in non-carious cervical lesions. Ninety-three restorations (31 for each group) were placed in 17 patients by a single operator. No cavity preparation was performed. After 6 and 12 months, the restorations were assessed by two previously trained examiners using modified Ryge criteria for retention (kappa=1.00) and marginal adaptation/staining (kappa=0.81), and the results were analyzed by Fisher's exact and Kruskal-Wallis tests, respectively. No significant differences were observed among groups at the 6- and 12-month time points for any of the assessed criteria (p?0.05). The intra-group analysis performed by Cochran's test (for retention) and Wilcoxon test (for marginal adaptation/staining) revealed significant differences between the baseline/12-month time intervals in marginal adaptation in OSSE (p=0.0180) and in marginal staining in TSER (p=0.0117). The survival analysis for retention criteria performed using a log-rank test did not show significant differences (p>0.05). The restorations placed using the simplified EWBT performed equally well as the other adhesive strategies employed.