Restorative Dentistry & Endodontics

Hamdi H. H. Hamama

2 Articles

Do universal adhesives promote bonding to dentin? A systematic review and meta-analysis: Ali A. Elkaffas, Hamdi H. H. Hamama, Salah H. Mahmoud; Restor Dent Endod 2018;43(3):e29. Published online June 18, 2018; DOI: https://doi.org/10.5395/rde.2018.43.e29

Objectives

The aims of this study were to conduct a systematic review of the microtensile bond strength (µTBS) of multi-mode adhesives to dentin and to perform a meta-analysis to assess the significance of differences in the µTBS of one of the most commonly used universal adhesives (Scotchbond Universal, 3M ESPE) depending on whether the etch-and-rinse or self-etch mode was used.

Materials and Methods

An electronic search was performed of MEDLINE/PubMed, ScienceDirect, and EBSCOhost. Laboratory studies that evaluated the µTBS of multi-mode adhesives to dentin using either the etch-and-rinse or self-etch mode were selected. A meta-analysis was conducted of the reviewed studies to quantify the differences in the µTBS of Scotchbond Universal adhesive.

Results

Only 10 studies fulfilled the inclusion criteria for the systematic review. Extensive variation was found in the restorative materials, testing methodologies, and failure mode in the reviewed articles. Furthermore, variation was also observed in the dimensions of the microtensile testing beams. The meta-analysis showed no statistically significant difference between the etch-and-rinse and self-etch modes for Scotchbond Universal adhesive (p > 0.05).

Conclusions

Multi-mode ‘universal’ adhesives can achieve substantial bonding to dentin, regardless of the used modes (either etch-and-rinse or self-etch).

Citations

Citations to this article as recorded by

Influence of Proximal-Cervical Undermined Enamel Areas on Marginal Quality and Enamel Integrity of Laboratory and CAD/CAM Ceramic Inlays and Partial Crowns
Roland Frankenberger, Katharina Friedrich, Marie-Christine Dudek, Julia Winter, Norbert Krämer, Matthias J. Roggendorf
Journal of Functional Biomaterials.2025; 16(3): 82. CrossRef
Tooth-composite bond failure with a universal and an etch-and-rinse adhesive depending on mode and frequency of application
Ellen Schulz-Kornas, Mathilde Tittel, Hartmut Schneider, Maximilian Bemmann, Marco Pellino, Tobias Meissner, Florian Fuchs, Christian Hannig, Florian Tetschke, Kyung-Jin Park, Michaela Strumpski, Rainer Haak
Dental Materials.2024; 40(2): 359. CrossRef
Comparison of postoperative hypersensitivity between Total-etch and Universal adhesive system: a randomized clinical trial
Kiran Javed, Nouman Noor, Muhammad Zubair Nasir, Manzoor Ahmed Manzoor
Scientific Reports.2024;[Epub] CrossRef
Adhesion and sealing of different universal adhesive systems associated with bulk‐fill resins after using endodontic irrigation solutions: An in vitro study
Érika Mayumi Omoto, Anderson Catelan, Paulo Henrique dos Santos, Luciano Tavares Angelo Cintra, Fernanda de Souza e Silva Ramos, Caio César Pavani, André Luiz Fraga Briso, Ticiane Cestari Fagundes
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Sina Broscheit, Dirk Vordermark, Reinhard Gerlach, Christian Ralf Gernhardt
Applied Sciences.2023; 13(13): 7873. CrossRef
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Frontiers in Dental Medicine.2021;[Epub] CrossRef
Adhesion strategy and curing mode of a universal adhesive influence the bonding of dual-cured core build-up resin composite to dentin
Ahmed Eid Elsayed, Mohamed Amr Kamel, Farid Sabry El-Askary
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Influence of etching mode and composite resin type on bond strength to dentin using universal adhesive system
Stefan Dačić, Milan Miljković, Aleksandar Mitić, Goran Radenković, Marija Anđelković‐Apostolović, Milica Jovanović
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Effect of Over-Etching and Prolonged Application Time of a Universal Adhesive on Dentin Bond Strength
Phoebe Burrer, Hoang Dang, Matej Par, Thomas Attin, Tobias T. Tauböck
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Sanket Nagarkar, Nicole Theis‐Mahon, Jorge Perdigão
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Effect of smear layer deproteinization on bonding of self-etch adhesives to dentin: a systematic review and meta-analysis: Khaldoan H. Alshaikh, Hamdi H. H. Hamama, Salah H. Mahmoud; Restor Dent Endod 2018;43(2):e14. Published online March 6, 2018; DOI: https://doi.org/10.5395/rde.2018.43.e14

Abstract PDF PubReader ePub

Objectives

The aim of this systematic review was to critically analyze previously published studies of the effects of dentin surface pretreatment with deproteinizing agents on the bonding of self-etch (SE) adhesives to dentin. Additionally, a meta-analysis was conducted to quantify the effects of the above-mentioned surface pretreatment methods on the bonding of SE adhesives to dentin.

Materials and Methods

An electronic search was performed using the following databases: Scopus, PubMed and ScienceDirect. The online search was performed using the following keywords: ‘dentin’ or ‘hypochlorous acid’ or ‘sodium hypochlorite’ and ‘self-etch adhesive.’ The following categories were excluded during the assessment process: non-English articles, randomized clinical trials, case reports, animal studies, and review articles. The reviewed studies were subjected to meta-analysis to quantify the effect of the application time and concentration of sodium hypochlorite (NaOCl) and hypochlorous acid (HOCl) deproteinizing agents on bonding to dentin.

Results

Only 9 laboratory studies fit the inclusion criteria of this systematic review. The results of the meta-analysis revealed that the pooled average microtensile bond strength values to dentin pre-treated with deproteinizing agents (15.71 MPa) was significantly lower than those of the non-treated control group (20.94 MPa).

Conclusions

In light of the currently available scientific evidence, dentin surface pretreatment with deproteinizing agents does not enhance the bonding of SE adhesives to dentin. The HOCl deproteinizing agent exhibited minimal adverse effects on bonding to dentin in comparison with NaOCl solutions.

Citations

Citations to this article as recorded by

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Comparison of Different Dentin Deproteinizing Agents on Bond Strength and Microleakage of Universal Adhesive to Dentin
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Addition of metal chlorides to a HOCl conditioner can enhance bond strength to smear layer deproteinized dentin
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A novel prime-&-rinse mode using MDP and MMPs inhibitors improves the dentin bond durability of self-etch adhesive
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