ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Effectiveness of Simplified Adhesive Systems
Clinical Question In the restoration of cervical non-carious class 5 lesions are adhesives with a simplified application procedure as effective as traditional three step etch and rinse adhesives?
Clinical Bottom Line Effectiveness is lost as the steps in an adhesive system become more simplified. S(See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 16009415Peumans/2005Review of many different patient groups with non-carious Class V lesions.Systematic Review
Key resultsFor treating cervical non-carious class 5 restorations, the three step etch and rinse adhesive system shows the best clinical effectiveness as opposed to adhesive systems with simplified application procedures. The two-step self-etch adhesives approach the gold standard (three-step etch-and-rinse) regarding clinical effectiveness. The two step etch and rinse adhesive was less favorable than three step etch and rinse and the two step self etch. The one-step self-etch adhesives showed an insufficient clinical performance.
Evidence Search #11 Search #9 Limits: Systematic Reviews 12:11:29 79#9 Search "Dental Cements"[Mesh] 12:10:24 17267
Comments on
The Evidence
The best available evidence was a systematic review which examined the literature from January 1998 through May 2004 for university-centered clinical trials which tested the clinical effectiveness of adhesives in non-carious class-V lesions.
Applicability For the restoration of cervical non-carious class 5 restorations the three step etch and rinse adhesive system shows the best clinical effectiveness as opposed to adhesive systems with simplified application procedures. Both the three-step etch-and-rinse adhesives and two-step self-etch adhesives showed a clinically reliable and predictably good clinical performance.
Specialty/Discipline (General Dentistry) (Restorative Dentistry)
Keywords adhesive, Class V lesions, dental cements, etchant, caries
ID# 485
Date of submission: 01/07/2010spacer
E-mail hogans@uthscsa.edu
Author Daniel C. Brawley
Co-author(s) Steven Hogan
Co-author(s) e-mail
Faculty mentor/Co-author Barry K. Norling, MS, PhD
Faculty mentor/Co-author e-mail NORLING@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by Matthew Boothe (San Antonio,TX) on 04/09/2012
A PubMed search was conducted in April 2012, and the results of the published material in this CAT are consistent with recent clinical trials. It also appears to be the most recent systematic review available.
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