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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Dental bond strength improves with enamel etching

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This review of 10 in-vitro studies suggests that bond strength is improved by the use of multi-mode adhesives with prior acid etching only for enamel. This improvement was not seen with mild universal adhesives in dentine.

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Direct anterior restorations have good survival rates

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This review of direct anterior restorative materials included 21 studies and covered a wide range of materials and adhesive systems. Overall the failure rates were low for both class III and class IV restorations.

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1-step bonding technique for orthodontic appliances provides modest time saving compared with 2-stage techniques

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The application of dental bonding to orthodontics had had a significant impact on with  bonded appliances replacing multi-banded systems.  With the development of bonding systems there is increasing interest in 1-step systems.  These self-etch systems (SEPs) are used by about 30% of American practitioners and are thought to reduce chair-side time.   The aim of this [read the full story…]