Performance of universal adhesive in primary molars after selective removal of carious tissue: An 18-month randomized clinical trial

Lenzi, T. L., Pires, C. W., Soares, F. Z. M., Raggio, D. P. ORCID: https://orcid.org/0000-0002-0048-2068, Ardenghi, T. M. and De Oliveira Rocha, R. 2017. Performance of universal adhesive in primary molars after selective removal of carious tissue: An 18-month randomized clinical trial. Pediatric Dentistry 39 (5) , pp. 371-376.

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Abstract

Purpose: To evaluate the 18-month clinical performance of a universal adhesive, applied under different adhesion strategies, after selective carious tissue removal in primary molars. Methods: Forty-four subjects (five to 10 years old) contributed with 90 primary molars presenting moderately deep dentin carious lesions on occlusal or occluso-proximal surfaces, which were randomly assigned following either self-etch or etch-and-rinse protocol of Scotchbond Universal Adhesive (3M ESPE). Resin composite was incrementally inserted for all restorations. Restorations were evaluated at one, six, 12, and 18 months using the modified United States Public Health Service criteria. Survival estimates for restorations' longevity were evaluated using the Kaplan-Meier method. Multivariate Cox regression analysis with shared frailty to assess the factors associated with failures (P<0.05). Results: Estimated survival rates of the restorations were 100 percent, 100 percent, 90.6 percent, and 81.4 percent at one, six, 12, and 18 months, respectively. The adhesion strategy did not influence the restorations' longevity (P=0.06; 72.2 percent and 89.7 percent with etch-and-rinse and self-etch mode, respectively). Conclusion: Self-etch and etch-and-rinse strategies did not influence the clinical behavior of universal adhesive used in primary molars after selective carious tissue removal; although there was a tendency for better outcome of the self-etch strategy.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Publisher:	American Academy of Pediatric Dentistry
ISSN:	0164-1263
Last Modified:	10 Nov 2022 10:58
URI:	https://orca.cardiff.ac.uk/id/eprint/148861

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