Dental adhesive systems: HEMA-free or HEMA-containing systems?

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22 RCTs were included in this review of the influence of the monomer HEMA in the formulation of dental adhesive systems suggests that HEMA-free adhesive systems do not have better clinical performance of the non-carious cervical lesion restorations than HEMA-containing systems.

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Fissure sealants – are self-etch sealants more effective?

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This review looked at whether self-etch adhesive sealants were as effective as traditional acid etching. 5 split-mouth studies were included and they found significantly lower failure rates in the acid etch group. Odds ratio 4.46 (95% CI 1.31, 15.20).

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EDTA conditioning improved cervical restoration retention

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This trial involving 48 patients found that EDTA conditioning improved the retention of restoration in non-carious cervical lesions at 18 months.

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Composite resin restorations- which adhesive system?

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This study compared Class II nanohybrid resin composite restorations bonded with a one-step self-etch or a two-step etch-and-rinse adhesive after 8 years, finding no difference between the two approaches.

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No good evidence available on treatment options for generalised tooth wear

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It has been estimated that about 25% of 10-40 year old European adults were affected by tooth wear (See Dental Elf 30th Sept 2013). The aim of this review was to identify similarities among treatment options for generalized tooth wear and to develop an approach to rehabilitation based on the best evidence available. Searches were [read the full story…]

Insufficient evidence for recommendations on best adhesive system or bonding strategy for non-carious cervical lesions

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Tooth coloured adhesive filling materials are in common use in dentistry providing good results. However, their success relies on the adhesive systems that provide this bond which has allowed a more conservative approach to cavity preparation.  The aim of this review was to assess the effectiveness of these systems in non-carious cervical lesions (NCCLs).   The [read the full story…]