Effect of contamination and decontamination methods on the bond strength of adhesive systems to dentin: A systematic review.
blood
dentin
hemostatic agent
saliva
Journal
Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]
ISSN: 1708-8240
Titre abrégé: J Esthet Restor Dent
Pays: England
ID NLM: 101096515
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
revised:
11
06
2023
received:
14
04
2023
accepted:
13
06
2023
pubmed:
3
7
2023
medline:
3
7
2023
entrez:
3
7
2023
Statut:
ppublish
Résumé
In a suitable condition, it is important to perform any dental restorative procedure using an operatory field isolated. Then, the aim of this study was to compare the bond strength of composite restorations to dentin affected by any contamination agent through a systematic review. This systematic review was performed following the PRISMA 2020 guidelines. The literature search was conducted until September 2022 by scanning the following databases: Embase, PubMed, Scielo, Scopus, and Web of Science. Manuscripts evaluated the bond strength of resin-based materials to permanent human dentin contaminated with blood or saliva were selected for full-text review. The risk of bias was assessed by the RoBDEMAT tool. A total of 3750 papers resulted from the search from all databases. After the full-text reading, a total of 62 articles remained for the qualitative analysis. The contamination agents used were blood, saliva, and hemostatic agents. A great variety of protocols were used to contaminate the dentin surface, and the contamination process occurred in several steps of the bonding process, including before and after the etching process, after the primer application and after the adhesive application. Also, several decontamination procedures were tested, including reapplication of the etching material, rinsing with water, chlorhexidine or sodium hypochlorite and reapplication of the adhesive system. Any contamination with blood or saliva impaired the bond strength of resin-based materials to dentin. Decontamination procedures including water-spray and reapplication of the bonding system could revert the impairment produced by the saliva or blood contamination. The use of hemostatic agents as a method of blood decontamination is not recommended. Clinicians should avoid contamination during a bonding procedure, otherwise, a reduction in the bond quality is expected.
Types de publication
Journal Article
Review
Langues
eng
Pagination
1218-1238Informations de copyright
© 2023 Wiley Periodicals LLC.
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