24-Month Clinical Evaluation of Cervical Restorations Bonded Using Radio-opaque Universal Adhesive Compared to Conventional Universal Adhesive in Carious Cervical Lesions: A Randomized Clinical Trial

Overview

Journal Sci Rep

Specialty Science

Date 2025 Feb 14

PMID 39952990

Authors

Basma Dawoud

Eman Abou-Auf

Omar Shaalan

Affiliations

Soon will be listed here.

Abstract

The aim of the current study was to evaluate the clinical performance of the novel radio-opaque universal adhesive "Scotchbond™ Universal Adhesive Plus" compared to conventional universal adhesive "Single Bond Universal" over 24 months in cervical carious lesions. Fifty participants with cervical carious lesions were randomly allocated into two groups (n = 25); either Scotchbond™ Universal Plus Adhesive (intervention) or Single Bond™ Universal Adhesive (control). Restorations were assessed at baseline, 12 and 24 months using the modified USPHS criteria. Data analysis was conducted using MedCalc software, version 22 for Windows. Intergroup comparisons at each follow-up were performed using the Chi-Square test (p ≤ 0.05). Intragroup comparisons within each intervention were conducted using Cochran's Q test (p ≤ 0.016). After 24 months, all restorations in Scotchbond™ Universal Plus scored alpha, while in Single Bond™ Universal group, three restorations scored bravo after 24 months in marginal adaptation and discoloration. There was no statistically significant difference between both adhesives (p > 0.05) at all follow-up periods. Intragroup comparison within both adhesives has shown no statistically significant change across follow-up periods regarding all tested outcomes (p > 0.016) except for marginal adaptation within Single Bond Universal, where there was statistically significant difference (p = 0.005). Both adhesives exhibited satisfactory clinical performance in cervical restorations after 24-months. The present study emphasizes the clinical significance of using a new radio-opaque universal adhesive for restoring carious cervical lesions, providing radio-opacity, low viscosity, excellent handling, eliminating misinterpretation of MDP-based adhesive layer and generating reliable bonding performance to support long-term success in restorative dentistry.

References

Namgung C, Rho Y, Jin B, Lim B, Cho B . A retrospective clinical study of cervical restorations: longevity and failure-prognostic variables. Oper Dent. 2012; 38(4):376-85. DOI: 10.2341/11-416-C. View

Kim J, Cho J, Lee Y, Cho B . The Survival of Class V Composite Restorations and Analysis of Marginal Discoloration. Oper Dent. 2017; 42(3):E93-E101. DOI: 10.2341/16-186-C. View

Fathpour K, Bazazzade A, Mirmohammadi H . A Comparative Study of Cervical Composite Restorations Microleakage Using Dental Universal Bonding and Two-step Self-etch Adhesive. J Contemp Dent Pract. 2022; 22(9):1035-1040. View

Tsujimoto A, Barkmeier W, Takamizawa T, Wilwerding T, Latta M, Miyazaki M . Interfacial Characteristics and Bond Durability of Universal Adhesive to Various Substrates. Oper Dent. 2017; 42(2):E59-E70. DOI: 10.2341/15-353-L. View

Josic U, Mazzitelli C, Maravic T, Radovic I, Jacimovic J, Mancuso E . The influence of selective enamel etch and self-etch mode of universal adhesives' application on clinical behavior of composite restorations placed on non-carious cervical lesions: A systematic review and meta-analysis. Dent Mater. 2022; 38(3):472-488. DOI: 10.1016/j.dental.2022.01.002. View

Perdigao J, Swift Jr E . Universal Adhesives. J Esthet Restor Dent. 2016; 27(6):331-4. DOI: 10.1111/jerd.12185. View

Cadenaro M, Josic U, Maravic T, Mazzitelli C, Marchesi G, Mancuso E . Progress in Dental Adhesive Materials. J Dent Res. 2023; 102(3):254-262. DOI: 10.1177/00220345221145673. View

Alam A, Yamauti M, Chowdhury A, Wang X, Alvarez-Lloret P, Zuniga-Heredia E . Evaluating the advancements in a recently introduced universal adhesive compared to its predecessor. J Dent Sci. 2024; 19(3):1609-1619. PMC: 11259734. DOI: 10.1016/j.jds.2023.12.004. View

Van Meerbeek B, Peumans M, Poitevin A, Mine A, Van Ende A, Neves A . Relationship between bond-strength tests and clinical outcomes. Dent Mater. 2009; 26(2):e100-21. DOI: 10.1016/j.dental.2009.11.148. View

Karaman E, Guler E . Marginal Adaptation of Class V Restorations with a New Universal Adhesive. Int J Periodontics Restorative Dent. 2015; 36(1):125-30. DOI: 10.11607/prd.2598. View

Bennett J . The Consolidated Standards of Reporting Trials (CONSORT): Guidelines for reporting randomized trials. Nurs Res. 2005; 54(2):128-32. DOI: 10.1097/00006199-200503000-00007. View

10.

Lawson N, Robles A, Fu C, Lin C, Sawlani K, Burgess J . Two-year clinical trial of a universal adhesive in total-etch and self-etch mode in non-carious cervical lesions. J Dent. 2015; 43(10):1229-34. PMC: 4871604. DOI: 10.1016/j.jdent.2015.07.009. View

11.

Gugnani N, Pandit I, Srivastava N, Gupta M, Sharma M . International Caries Detection and Assessment System (ICDAS): A New Concept. Int J Clin Pediatr Dent. 2016; 4(2):93-100. PMC: 5030492. DOI: 10.5005/jp-journals-10005-1089. View

11.

Hong X, Huang Z, Tong Z, Jiang H, Su M . Clinical effects of different etching modes for universal adhesives: a systematic review and meta-analysis. Ann Palliat Med. 2021; 10(5):5462-5473. DOI: 10.21037/apm-21-890. View

12.

Emir F, Ayyildiz S, Sahin C . What is the changing frequency of diamond burs?. J Adv Prosthodont. 2018; 10(2):93-100. PMC: 5917112. DOI: 10.4047/jap.2018.10.2.93. View

13.

Van Meerbeek B, Yoshihara K, van Landuyt K, Yoshida Y, Peumans M . From Buonocore's Pioneering Acid-Etch Technique to Self-Adhering Restoratives. A Status Perspective of Rapidly Advancing Dental Adhesive Technology. J Adhes Dent. 2020; 22(1):7-34. DOI: 10.3290/j.jad.a43994. View

14.

Ruschel V, Shibata S, Stolf S, Chung Y, Baratieri L, Heymann H . Eighteen-month Clinical Study of Universal Adhesives in Noncarious Cervical Lesions. Oper Dent. 2018; 43(3):241-249. DOI: 10.2341/16-320-C. View

15.

Assis P, Silva C, Nascimento A, Annibal H, Junior S, Soares N . Does Acid Etching Influence the Adhesion of Universal Adhesive Systems in Noncarious Cervical Lesions? A Systematic Review and Meta-analysis. Oper Dent. 2023; 48(4):373-390. DOI: 10.2341/22-067-LIT. View

16.

Carvalho R, Manso A, Geraldeli S, Tay F, Pashley D . Durability of bonds and clinical success of adhesive restorations. Dent Mater. 2011; 28(1):72-86. PMC: 3863938. DOI: 10.1016/j.dental.2011.09.011. View

17.

Perdigao J, Kose C, Mena-Serrano A, De Paula E, Tay L, Reis A . A new universal simplified adhesive: 18-month clinical evaluation. Oper Dent. 2013; 39(2):113-27. DOI: 10.2341/13-045-C. View