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Effect of a hydrophobic bonding resin on the 36-month performance of a universal adhesive—a randomized clinical trial

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Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

To evaluate if the addition of a layer of a hydrophobic bonding resin to the recommended application sequence of a universal adhesive improves the respective clinical behavior in non-carious cervical lesions (NCCLs) after 36 months.

Materials and methods

Scotchbond Universal Adhesive (SBU, 3M Oral Care) was applied in NCCLs of 39 subjects using four adhesion strategies: (1) three-step ER (etch-and-rinse), (2) two-step ER, (3) two-step SE (self-etch), and (4) one-step SE. An extra layer of a hydrophobic bonding resin was applied for strategies three-step ER and two-step SE. The same composite resin (Filtek Supreme XTE, 3M Oral Care) was used for all strategies. Restorations were evaluated at baseline and 18 and 36 months using the modified United States Public Health Service (USPHS) criteria. Kruskal–Wallis, Mann–Whitney U, Friedman, and Wilcoxon non-parametric tests were computed.

Results

The cumulative failure rate was 8.6%. The 36-month retention rates were 100% for both 3-ER and 2-ER, 76.0% for 2-SE, and 86.2% for 1-SE. A lower retention rate was observed for two-step SE at 36 months compared with both three-ER (p < 0.01) and two-ER (p < 0.01). Identical retention rates were measured for the two SE groups. When retention rate was compared at baseline versus 36 months for each adhesion strategy, a significant decrease was observed for 2-SE. The restorations performed with 3-ER, 2-SE, and 1-SE had a significant deterioration in marginal discoloration at the 18-month recall.

Conclusions

The 36-month clinical performance of Scotchbond Universal Adhesive improved for both etch-and-rinse strategies.

Clinical relevance

Phosphoric acid etching is still recommended to provide retention to composite restorations in NCCLs.

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Notes

  1. Same as Filtek Supreme Ultra or Filtek Supreme Z350 XT in other parts of the world.

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Acknowledgments

The authors thank 3M Oral Care for supplying the materials for this study.

Author information

Authors and Affiliations

  1. Department of Restorative Sciences, University of Minnesota School of Dentistry, 8-450 Moos Tower, 515 Delaware St. SE, Minneapolis, MN, 55455, USA

    Jorge Perdigão

  2. Area of Stomatology, Health Sciences Faculty, Rey Juan Carlos University, Alcorcon, Madrid, Spain

    Laura Ceballos, Isabel Giráldez, Bruno Baracco & Ma Victoria Fuentes

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  1. Jorge Perdigão
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  2. Laura Ceballos
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  3. Isabel Giráldez
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  4. Bruno Baracco
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  5. Ma Victoria Fuentes
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Corresponding author

Correspondence to Jorge Perdigão.

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A University Institutional Review Board (Ethics Committee) evaluated and approved the protocol and consent form for this study.

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The authors declare that they have no conflict of interest.

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All procedures performed in this study involving human participants were in accordance with the ethical standards of the Rey Juan Carlos University and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all study participants.

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Perdigão, J., Ceballos, L., Giráldez, I. et al. Effect of a hydrophobic bonding resin on the 36-month performance of a universal adhesive—a randomized clinical trial. Clin Oral Invest 24, 765–776 (2020). https://doi.org/10.1007/s00784-019-02940-x

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