Adhesivos universales : efectividad de técnicas adhesivas en dentina de baja permeabilidad - Scoping Review
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Fecha
2020
Profesor/a Guía
Facultad/escuela
Idioma
es
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Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Los adhesivos universales (AU) son materiales versátiles que pueden ser usados para unir diversos tipos de restauraciones al diente, siendo la dentina de baja permeabilidad (DBP) un tipo de sustrato de manejo particular. OBJETIVO: Precisar las técnicas de uso de los AU en DBP existentes en la literatura. MATERIALES Y MÉTODOS: Se obtuvo resultados de las siguientes fuentes biomédicas: PubMed, EBSCO, Cochrane Library, SciELO, Web of Science, LILACS, BVS y GERION. Se realizó una búsqueda entre los años 2010 y 2020 de revisiones bibliográficas, ensayos clínicos aleatorizados y revisiones sistemáticas de estudios clínicos e in vitro realizados en dientes permanentes humanos, con período de seguimiento desde 6 años en el tratamiento de dientes con condiciones de DBP. RESULTADOS: La búsqueda resultó en artículos sobre lesiones cervicales no cariosas (LCNC) y cementación de postes de fibro-resina (CPFR). Los estudios sobre LCNC informaron efectos clínicos con y sin diferencias significativas entre las estrategias adhesivas empleadas. Las publicaciones sobre CPFR señalaron que el desempeño de los AU fue mejor en la modalidad autograbante bajo diferentes protocolos; sin embargo, la evidencia fue escasa. CONCLUSIONES: No existe consenso sobre si una técnica adhesiva es mejor que otra ante la limitada disponibilidad de publicaciones al respecto, debido a que estos materiales son relativamente nuevos y el sustrato de estudio es altamente específico y, además, debido a la alta variabilidad en la metodología y protocolos entre los estudios, revelando una necesidad de estandarización de estos y mayor exploración en la materia.
Universal adhesives (UA) are versatile materials that can be used to bond various types of restorations to the tooth, with low permeability dentin (LPD) being a particular type of handling substrate. OBJECTIVE: To specify the techniques for the use of UA in LPD existing in the literature. MATERIALS AND METHODS: Results were obtained from the following biomedical sources: PubMed, EBSCO, Cochrane Library, SciELO, Web of Science, LILACS, BVS and GERION. A search was carried out between 2010 and 2020 for bibliographic reviews, randomized clinical trials and systematic reviews of clinical and in vitro studies carried out in human permanent teeth, with a minimum follow-up period of 6 years in the treatment of teeth with LPD conditions. RESULTS: The search resulted in articles on non-carious cervical lesions (NCCL) and fibroresin post cementation (FRPC). The studies on NCCL reported clinical effects with and without significant differences between the adhesive strategies used. Publications on FRPC indicated that UA performance was better in the self-etching modality under different protocols; however, the evidence was scant. CONCLUSIONS: There is no consensus on whether one adhesive technique is better than another given the limited availability of publications in this regard, because these materials are relatively new and the study substrate is highly specific and, in addition, due to the high variability in the methodology and protocols between studies, revealing a need for standardization of these and further exploration in the matter.
Universal adhesives (UA) are versatile materials that can be used to bond various types of restorations to the tooth, with low permeability dentin (LPD) being a particular type of handling substrate. OBJECTIVE: To specify the techniques for the use of UA in LPD existing in the literature. MATERIALS AND METHODS: Results were obtained from the following biomedical sources: PubMed, EBSCO, Cochrane Library, SciELO, Web of Science, LILACS, BVS and GERION. A search was carried out between 2010 and 2020 for bibliographic reviews, randomized clinical trials and systematic reviews of clinical and in vitro studies carried out in human permanent teeth, with a minimum follow-up period of 6 years in the treatment of teeth with LPD conditions. RESULTS: The search resulted in articles on non-carious cervical lesions (NCCL) and fibroresin post cementation (FRPC). The studies on NCCL reported clinical effects with and without significant differences between the adhesive strategies used. Publications on FRPC indicated that UA performance was better in the self-etching modality under different protocols; however, the evidence was scant. CONCLUSIONS: There is no consensus on whether one adhesive technique is better than another given the limited availability of publications in this regard, because these materials are relatively new and the study substrate is highly specific and, in addition, due to the high variability in the methodology and protocols between studies, revealing a need for standardization of these and further exploration in the matter.
Notas
Trabajo de titulación (Licenciado en Odontología)
Palabras clave
Materiales Dentales, Adhesivos Dentales, Efectividad, Técnicas y Procedimientos de Laboratorio, Odontología Restauradora, Chile