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Deep proximal margin rebuilding with direct esthetic restorations: a systematic review of marginal adaptation and bond strength

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This review aimed to characterize the effect of direct restorative material types and adhesive protocols on marginal adaptation and the bond strength of the interface between the material and the proximal dentin/cementum. An electronic search of 3 databases (the National Library of Medicine [MEDLINE/PubMed], Scopus, and ScienceDirect) was conducted. Studies were included if they evaluated marginal adaptation or bond strength tests for proximal restorations under the cementoenamel junction. Only 16 studies met the inclusion criteria and were included in this review. These studies presented a high degree of heterogeneity in terms of the materials used and the methodologies and evaluation criteria of each test; therefore, only a descriptive analysis could be conducted. The included studies were individually evaluated for the risk of bias following predetermined criteria. To summarize the results of the included studies, the type of restorative material affected the test results, whereas the use of different adhesive protocols had an insignificant effect on the results. It could be concluded that various categories of resin-based composites could be a suitable choice for clinicians to elevate proximal dentin/cementum margins, rather than the open sandwich technique with resin-modified glass ionomers. Despite challenges in bonding to proximal dentin/cementum margins, different adhesive protocols provided comparable outcomes.

Abstract

This review aimed to characterize the effect of direct restorative material types and adhesive protocols on marginal adaptation and the bond strength of the interface between the material and the proximal dentin/cementum. An electronic search of 3 databases (the National Library of Medicine [MEDLINE/PubMed], Scopus, and ScienceDirect) was conducted. Studies were included if they evaluated marginal adaptation or bond strength tests for proximal restorations under the cementoenamel junction. Only 16 studies met the inclusion criteria and were included in this review. These studies presented a high degree of heterogeneity in terms of the materials used and the methodologies and evaluation criteria of each test; therefore, only a descriptive analysis could be conducted. The included studies were individually evaluated for the risk of bias following predetermined criteria. To summarize the results of the included studies, the type of restorative material affected the test results, whereas the use of different adhesive protocols had an insignificant effect on the results. It could be concluded that various categories of resin-based composites could be a suitable choice for clinicians to elevate proximal dentin/cementum margins, rather than the open sandwich technique with resin-modified glass ionomers. Despite challenges in bonding to proximal dentin/cementum margins, different adhesive protocols provided comparable outcomes.

참고문헌 (55)

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Correlation between different methodologies used to evaluate the marginal adaptation of proximal dentin gingival margins elevated using a glass hybridAli Ashraf I., Garcia-Godoy Franklin, Ismail Hoda S., Mahmoud Salah H., Mehesen Rabab El., Morrow Brian R.대한치과보존학회 · Restorative Dentistry and Endodontics2022 · 제47권 제4호Effect of surface treatment on glass ionomers in sandwich restorations: a systematic review and meta-analysis of laboratory studiesAli Ashraf Ibrahim, Garcia-Godoy Franklin, Ismail Hoda Saleh대한치과보존학회 · Restorative Dentistry and Endodontics2025 · 제50권 제2호Marginal microleakage of cervical composite resin restorations bonded using etch-and-rinse and self-etch adhesives: two dimensional vs. three dimensional methodsAilin Ehteshami, Maryam Khoroushi대한치과보존학회 · Restorative Dentistry and Endodontics2016 · 제41권 제2호Effect of dentin roughening and type of composite material on the restoration of non-carious cervical lesions: an in vivo study with 18 months of follow-upGill Gurdeep Singh, Jain Namita, Singla Rakesh, Verma Sanjana대한치과보존학회 · Restorative Dentistry and Endodontics2023 · 제48권 제4호Do universal adhesives promote bonding to dentin? A systematic review and meta-analysisAli. A. Elkaffas, Hamdi H. H. Hamama, Salah H. Mahmoud대한치과보존학회 · Restorative Dentistry and Endodontics2018 · 제43권 제3호Evaluation of shear bond strengths of gingiva-colored composite resin to porcelain, metal and zirconia substrates박은진, 박지만, 안홍석대한치과보철학회 · The Journal of Advanced of Prosthodontics2011 · 제3권 제3호

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