Efecto de la remoción de caries con agentes químico-mecánicos sobre la fuerza de unión microtensil de diferentes sistemas adhesivos. Scoping Review
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Fecha
2020
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Facultad/escuela
Idioma
es
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Universidad Andrés Bello
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Licencia CC
Licencia CC
Resumen
Objetivo: Exponer y resumir en cuanto a la literatura las diferencias que existen en la fuerza de unión microtensil (μTBS) y cambios histológicos en la capa híbrida entre diferentes sistemas adhesivos, al utilizar los removedores de caries químico-mecánico Carie-care, Carisolv, Papacarie y Brix 3000. Además de reportar el desempeño de los sistemas adhesivos e identificar qué factores influyen en la adhesión sobre la dentina tratada con estos removedores de caries.
Método: Se realizó un scoping review con la lista de verificación PRISMA-ScR 2018, utilizando las bases de datos PubMed, ScienceDirect, EBSCO y Scielo, desde el año 2010 al 30 de junio del 2020, identificando y analizando los cambios histológicos producidos por los RCQM Carie-care, Carisolv, Papacarie, Brix 3000 y la fuerza de unión microtensil de los sistemas adhesivos utilizados en los estudios.
Resultados: De un total de 892 artículos encontrados. Se seleccionaron 18 artículos, todos en inglés, de los cuales 1 corresponde a un ensayo clínico aleatorizado y 17 estudios in vitro.
Conclusión: Los métodos químico-mecánicos no afectan la μTBS en la adhesión a dentina afectada. El análisis con MEB mostró superficies irregulares con poco o nulo barro dentinario que puede afectar los valores de adhesión dependiendo del sistema adhesivo. El desempeño de los sistemas adhesivos demostró que el adhesivo de grabado y lavado y el sistema de autograbado de dos pasos reportaron una μTBS significativamente mayor que el sistema de autograbado de un paso, sin diferencia entre los dos sistemas adhesivos anteriores. Los factores que pueden afectar la μTBS se encontró que la cantidad y calidad de barro dentinario residual; el grabado con ácido fosfórico, el pH del sistema adhesivo de autograbado, la calidad de la dentina afectada remanente y los subproductos de los agentes químico-mecánicos, podrían aumentar o disminuir la μTBS a dentina afectada.
Objective: To expose and summarize in the literature the differences that exist in the microtensile bonding strength (μTBS) and histological changes in the hybrid layer between different adhesive systems, when using the chemical-mechanical caries removers Carie-care, Carisolv, Papacarie and Brix 3000. In addition to reporting the performance of the adhesive systems and identifying what factors influence the adhesion on the dentin treated with these caries removers. Method: A scoping review was carried out with the PRISMA-ScR 2018 checklist, using the PubMed, ScienceDirect, EBSCO and Scielo databases, from 2010 to June 30, 2020, identifying and analyzing the histological changes produced by the RCQM Carie-care, Carisolv, Papacarie, Brix 3000 and the microtensile bond strength of the adhesive systems used in the studies. Results: From a total of 892 articles found. 18 articles were selected, all in English, of which 1 corresponds to a randomized clinical trial and 17 in vitro studies. Conclusion: Chemical-mechanical methods do not affect μTBS in adhesion to affected dentin. SEM analysis showed uneven surfaces with little or no smear sludge that can affect adhesion values depending on the adhesive system. The performance of the adhesive systems demonstrated that the etch and wash adhesive and the two-step self-etch system reported significantly higher μTBS than the one-step self-etch system, with no difference between the two previous adhesive systems. The factors that can affect the μTBS were found to be the quantity and quality of residual dentin mud; etching with phosphoric acid, the pH of the self-etching adhesive system, the quality of the remaining affected dentin and the by-products of chemical-mechanical agents, could increase or decrease the μTBS to affected dentin.
Objective: To expose and summarize in the literature the differences that exist in the microtensile bonding strength (μTBS) and histological changes in the hybrid layer between different adhesive systems, when using the chemical-mechanical caries removers Carie-care, Carisolv, Papacarie and Brix 3000. In addition to reporting the performance of the adhesive systems and identifying what factors influence the adhesion on the dentin treated with these caries removers. Method: A scoping review was carried out with the PRISMA-ScR 2018 checklist, using the PubMed, ScienceDirect, EBSCO and Scielo databases, from 2010 to June 30, 2020, identifying and analyzing the histological changes produced by the RCQM Carie-care, Carisolv, Papacarie, Brix 3000 and the microtensile bond strength of the adhesive systems used in the studies. Results: From a total of 892 articles found. 18 articles were selected, all in English, of which 1 corresponds to a randomized clinical trial and 17 in vitro studies. Conclusion: Chemical-mechanical methods do not affect μTBS in adhesion to affected dentin. SEM analysis showed uneven surfaces with little or no smear sludge that can affect adhesion values depending on the adhesive system. The performance of the adhesive systems demonstrated that the etch and wash adhesive and the two-step self-etch system reported significantly higher μTBS than the one-step self-etch system, with no difference between the two previous adhesive systems. The factors that can affect the μTBS were found to be the quantity and quality of residual dentin mud; etching with phosphoric acid, the pH of the self-etching adhesive system, the quality of the remaining affected dentin and the by-products of chemical-mechanical agents, could increase or decrease the μTBS to affected dentin.
Notas
Trabajo de Titulación (Cirujano Dentista, Licenciado en Odontología)
Palabras clave
Caries dental, Métodos de remoción químico-mecánica, Sistemas adhesivos, Fuerza de unión, Control y prevención, Chile