ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title OptiBond SOLO Adhesive Has Less Microleakage Than Amalgambond Plus
Clinical Question In a healthy adult molar restoration, will the use of Amalgambond Plus or OptiBond SOLO better minimize microleakage?
Clinical Bottom Line OptiBond SOLO adhesive has less microleakage compared to Amalgambond Plus. (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) 15798822Arias/ 200460 extracted human teeth, proximal box preparationsLaboratory study
Key resultsBased on a dye penetration test, Optibond SOLO adhesive controlled microleakage more efficiently than Amalgambond Plus (p<0.05)
Evidence Search microleakage AND ((amalgambond AND optibond) OR (”Amalgambond” [Substance Name] AND “Dentin-Bonding Agents”[Mesh])) ...view in PubMed
Comments on
The Evidence
This was a small laboratory study on extracted human teeth.
Applicability Patients receiving restorations where microleakage is a concern.
Specialty/Discipline (General Dentistry) (Restorative Dentistry)
Keywords amalgam, adhesive system, Amalgambond, OptiBond Solo, microleakage
ID# 820
Date of submission: 03/30/2011spacer
E-mail riggsc@livemail.uthscsa.edu
Author Chad Riggs
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author S. Thomas Deahl, II, DMD, PhD
Faculty mentor/Co-author e-mail DEAHL@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 Kyle Poupart (San Antonio, TX) on 04/24/2013
Found a more recent study Lombard et. al., PMID: 17624174 had been performed comparing AmalgamBond Plus to 4 other groups (Calibra, Duo Cement Plus, RelyX ARC and their effectiveness of controlling microleakage on thermo- and non-thermocycled amalgams. The study showed that the microleakage was not significantly different among the bonded amalgams was not significantly different except that DuoCement allowed more microleakage as opposed to Calibra (p<0.0001), RelyX (p<0.0001), and AmalgamBond (p<0.0001). Also AmalgamBond allowed more microleakage as opposed to Calibra (p=0.0433) and RelyX (p=0.0433). The Lombard et. al., study appears to agree with the Arias et. al., study that different bonding agents have different effects on the amount of microleakage that occurs in bonded amalgam restorations. It must be noted however that OptiBond SOLO was not used in the Lombard et. al., study so it is difficult to compare the two studies effectively.
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