Laser Etching Effect on Application Mode of Universal Adhesive
25 mars 2021 uppdaterad av: A Ruya Yazici, Hacettepe University
Clinical Evaluation of Cervical Composite Restorations Placed Using Universal Adhesive in Different Modes and Different Etching Methods
To evaluate the clinical performance of the restorations by applying the universal adhesive in different modes under the influence of different surface treatments, with Erbium Chromium:Yttrium-Scandium-Gallium-Garnet (Er,Cr:YSGG) laser and acid etching in non-carious cervical lesions.
Studieöversikt
Status
Aktiv, inte rekryterande
Betingelser
Intervention / Behandling
- Procedur: Total-etch mode with 35% phosphoric acid (K-ETCHANT) (TE-A group)
- Procedur: Selective-etch mode with 35% phosphoric acid (K-ETCHANT) (SE-A group)
- Procedur: Total-etch mode with Er, Cr: YSGG laser (Waterlase MD) (TE-L group)
- Procedur: Selective-etch mode with Er, Cr: YSGG laser (Waterlase MD) (SE-L group).
- Procedur: Self-etch mode Clearfil Universal Bond Quick (Kuraray, Japan) (SE group)
Detaljerad beskrivning
Forty-one patients (at least five non-carious cervical lesions) have participated in this study.
The non-carious cervical lesions in each patient were divided into five groups (total-etch mode with phosphoric acid, selective-etch mode with phosphoric acid, total-etch mode with laser, selective-etch mode with laser and self-etch mode) according to different modes and application methods of universal adhesive (Clearfil Universal Bond Quick, Kuraray).
Lesions were restored with a resin composite, Clearfil Majesty ES-2 (Kuraray).
All restorative procedures were performed by a single operator.
Restorations were evaluated at one week (baseline), at 6-, 12-, 18- and 24-month according to modified USPHS criteria (retention, marginal discoloration, marginal adaptation, color match, postoperative sensitivity, and secondary caries) by two experienced and calibrated investigators.
Studietyp
Interventionell
Inskrivning (Faktisk)
41
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
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Ankara, Kalkon, 06100
- Hacettepe University Faculty of Dentistry
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år till 75 år (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Ja
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:
- Participants were 18 years of age or older,
- no possible health problems (such as allergies) related to resin-based restorations,
- good general health,
- having at least five non-carious cervical lesions.
- The depth of the lesions were at least 1 mm, without carious, not previously restored, having teeth with vital, enamel and dentin tissue.
Exclusion Criteria
- Participant had fewer than 20 teeth,
- having poor oral hygiene,
- uncontrolled periodontal disease,
- xerostomia,
- pregnancy or breastfeeding possible health problems (such as allergy) related to resin-based restorations,
- having bleaching treatment or orthodontic treatment.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Övrig: Group I
Total-etch mode with 35% phosphoric acid
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35% phosphoric acid was applied to enamel and dentin for 10 s, washed and dried for 5 s.
The universal adhesive, Clearfil Universal Bond Quick (CBQ) was applied to enamel and dentin surfaces with a single-use applicator, then gently air-dried for 5 s without waiting, and light-cured for 10 s.
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Övrig: Group II
Selective-etch mode with 35% phosphoric acid
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35% phosphoric acid was used only on enamel for 10 s, then washed and dried for 5 seconds.
Subsequently, the adhesive was applied in a similar manner to the TE-A group.
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Övrig: Group III
Total-etch mode with laser (Er,Cr:YSGG)
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the enamel margin and dentin surfaces of lesions were irradiated with an Er,Cr:YSGG laser (2780 nm, Waterlase MD, BioLase Technology, Inc., San Clemente, CA).
Then the adhesive was applied in a similar manner to the TE-A group.
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Övrig: Group IV
Selective-etch mode with laser (Er,Cr:YSGG)
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The laser system was applied in the same way as described in the TE-L group only on enamel surface.
Subsequently, the adhesive was applied in the same way as described in the TE-A group.
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Övrig: Group V
Self-etch mode
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Universal adhesive system (CBQ) was applied to enamel and dentin surfaces without any previous etching.
Then gently air-dried for 5 s without waiting, and light-cured for 10 s.
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Retention,
Tidsram: From baseline to 2 year the change of restorations was evaluated
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The retention criterion determines how long a restorative material functions in the oral environment, it is the most important criterion that shows the success of the material. Alpha: The restoration is present. Charlie: The restoration is absent. |
From baseline to 2 year the change of restorations was evaluated
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Marginal Discoloration
Tidsram: From baseline to 2 year the change of restorations was evaluated
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The marginal discoloration that occur at the edge staining restoration boundaries are generally thought to be due to microleakage. Alpha: No discoloration at margins. Bravo: Shallow discoloration, clinically acceptable. Charlie: Deep discoloration clinically unacceptable. |
From baseline to 2 year the change of restorations was evaluated
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Marginal Adaptation
Tidsram: From baseline to 2 year the change of restorations was evaluated
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Marginal adaptation is achieved by fully ensuring the integrity of the tooth-restoration joint border. Alpha: Restoration is closely adapted to the tooth. Bravo: Visible evidence of a crevice along the margin, dentin not exposed, clinically acceptable. Charlie: Explorer penetrates into crevice, dentin is exposed; clinically unacceptable. |
From baseline to 2 year the change of restorations was evaluated
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Color match
Tidsram: From baseline to 2 year the change of restorations was evaluated
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Color match is the evaluation of the restoration according to the darkening or lightening of the color, taking into account the tooth tissue surrounding restoration. Alpha:Matches tooth. Bravo: Acceptable mismatch. Charlie:Unacceptable mismatch. |
From baseline to 2 year the change of restorations was evaluated
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Post-op Hypersensitivity
Tidsram: From baseline to 2 year the change of restorations was evaluated
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Determination of sensitivity after restorations are placed.
Alpha: Absent.
Charlie: Present; clinically unacceptable.
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From baseline to 2 year the change of restorations was evaluated
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Secondary Caries
Tidsram: From baseline to 2 year the change of restorations was evaluated
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Secondary caries is the progression of caries in the tooth tissue adjacent to the restorations. Caries formation means restoration failure. Alpha: Absent. Charlie: Present; clinically unacceptable. |
From baseline to 2 year the change of restorations was evaluated
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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Huvudutredare: A. Ruya Yazici, Hacettepe University Faculty of Dentistry
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- Atalay C, Uslu A, Yazici AR. Does laser etching have an effect on application mode of a universal adhesive?-A microleakage and scanning electron microscopy evaluation. Microsc Res Tech. 2021 Jan;84(1):125-132. doi: 10.1002/jemt.23573. Epub 2020 Aug 27.
- Atalay C, Ozgunaltay G, Yazici AR. Thirty-six-month clinical evaluation of different adhesive strategies of a universal adhesive. Clin Oral Investig. 2020 Apr;24(4):1569-1578. doi: 10.1007/s00784-019-03052-2. Epub 2019 Aug 30.
Användbara länkar
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
10 juli 2019
Primärt slutförande (Faktisk)
10 januari 2021
Avslutad studie (Förväntat)
25 mars 2025
Studieregistreringsdatum
Först inskickad
11 mars 2021
Först inskickad som uppfyllde QC-kriterierna
23 mars 2021
Första postat (Faktisk)
24 mars 2021
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
26 mars 2021
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
25 mars 2021
Senast verifierad
1 mars 2021
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- KA180076
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