| Autor: |
Teixeira Mendes, Laura, Loomans, Bas A. C., Opdam, Niek J. M., Lopes da Silva, Carolina, Casagrande, Luciano, Larissa Lenzi, Tathiane |
| Předmět: |
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| Zdroj: |
Journal of Adhesive Dentistry; 2020, Vol. 22 Issue 5, p443-453, 11p, 1 Diagram, 3 Charts, 3 Graphs |
| Abstrakt: |
Purpose: To systematically review the literature to determine whether silane combined with adhesive application improves the repair bond strength of direct methacrylate-based resin composites in comparison to the use of an adhesive alone. Materials and Methods: The literature up to December 2019 was searched through PubMed/MEDLINE, Scopus, and Lilacs databases with no publication year or language limits. From 676 potentially eligible studies, 81 were selected for full-text analysis, and 19 were included in the systematic review. Two reviewers independently selected the studies, extracted data, and assessed the risk of bias. Meta-analyses were conducted using a random effects model to calculate pooled mean differences between adhesive- vs silane-plus-adhesive surface treatments (global meta-analysis) and considering subgroup analyses (immediate and aged repair bond strengths and type of silane - hydrolyzed or nonhydrolyzed). Statistical analyses were performed using RevMan5.3 at a significance level of 5%. Results: Global meta-analysis showed that the use of silane prior to adhesive application produced significantly higher repair bond strengths (p=0.003). A higher mean difference (effect size: 7.30, 95% CI: 2.91-17.51) between groups was found when nonhydrolyzed silanes were used. The heterogeneity was high. Studies scored between medium and high risk of bias. Conclusion: An additional silane application step could increase the repair bond strength of methacrylate-based resin composites. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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