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Publication
Adesivos universais ou multi-mode: revisão narrativa de sistemas
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_23153 | 1.21 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
Os adesivos Universais (SAU) ou Multi-mode são dispositivos recentemente lançados
no mercado que visam oferecer ao Médico Dentista a livre escolha da estratégia de
adesão (ER e SE) a usar consoante o tipo de condição clínica. Estes adesivos são
categorizados como Universais por serem versáteis quanto ás suas instruções de uso e
áreas de aplicação. Na realidade, os SAU são uma extensão melhorada e adaptada, dos
adesivos SE. O presente trabalho consiste numa revisão narrativa sobre os conceitos de
adesão aos diferentes substratos dentários (esmalte e dentina) e particularmente sobre as
características e composição, áreas de aplicação e instruções de uso , pH e toxicidade
associada, advertências e medidas de emergência, bem como quais as vantagens e
desvantagens dos SAU e a sua aplicação técnica na prática clínica, comparativamente
com os adesivos SE e ER. A pesquisa bibliográfica foi efetuada recorrendo aos motores
de busca PubMed, Scielo, Elsevier, B-On, Science Direct e Research Gate, com as
palavra-chave: “adhesives”, “adhesion”, “universal”, “multi-mode”, “adhesives
system”, “all-in-one”, “self-etch” e “etch & rinse”. A metodologia de pesquisa incluiu
publicações entre os anos 2001 e 2015 sendo selecionados artigos maioritariamente em
Inglês, mas também em Português e Espanhol. Foram incluídas publicações de metaanálise,
revisão sistemática, revisão narrativa, ensaios In-Vitro, ensaios clínicos (In-
Vivo). Para efeitos de descrição de base dos princípios de adesão e de comparação entre
SAU foram usados artigos sobre ER e SE. As principais vantagens do uso de SAU
revelam que esta estratégia é positiva quanto ao uso na dentina, se usado na técnica SE e
com o passo de condicionamento químico para um melhor padrão de penetração; boa
adesão em ambos os substratos dentários (esmalte e dentina) e sem formação de lacunas
na interface adesiva; aumento do grau de conversão da substância adesiva, resistência
de união mais estável e redução de nano infiltração. São necessários mais ensaios,
sobretudo quanto a avaliação de desempenho destes sistemas a longo prazo.
The Universal Adhesives (UA) or Multi-mode (MM) are devices recently released in the market that are intended to offer the Dentists a free choice regarding adhesion strategy (ER and SE) and to use them according to the medical condition. These adhesives are categorized as Universal because they are versatile as ace its operating instructions and application areas. Indeed, UA systems are an improved and adapted extension of SE adhesives. This work is a narrative review regarding adhesion concepts to different dental substrate (enamel and dentin) and particularly has as propose to describe the characteristics and composition, application fields and usage instructions, pH values and associated toxicity, warnings and emergency measures as well as the advantages and disadvantages of UA systems and theirs technical application in clinical practice compared to the SE and ER adhesives. A literature search was performed using the search engine PubMed, Scielo, Elsevier, B-On, Science Direct and Research Gate, with the keywords: “adhesives”, “adhesion”, “universal”, “multi-mode”, “adhesives system”, “all-in-one”, “self-etch” e “etch & rinse”. Research methodology included publications between 2001 and 2015 years; Mostly were selected articles written in English language but also in Spanish and Portuguese. Publications of meta-analysis, systematic review, narrative review, In-Vitro trials, clinical trials (In-Vivo) were included. For the basic description of the adhesion principles and comparison between UA systems, were also used articles regarding ER and SE adhesives. The main advantages of using UA systems show that this is a positive strategy to aply in the dentin; when used in the SE mode and with preetching chemical conditioning a better standard of adhesion is performed; good adhesion in both dental substrate (enamel and dentin) and no formation of gaps in the adhesive interface; increase the degree of conversion of the adhesive, more stable bond strength and reduced nanoinfiltration. More trials are needed, especially to get long-term outputs on their clinical performance.
The Universal Adhesives (UA) or Multi-mode (MM) are devices recently released in the market that are intended to offer the Dentists a free choice regarding adhesion strategy (ER and SE) and to use them according to the medical condition. These adhesives are categorized as Universal because they are versatile as ace its operating instructions and application areas. Indeed, UA systems are an improved and adapted extension of SE adhesives. This work is a narrative review regarding adhesion concepts to different dental substrate (enamel and dentin) and particularly has as propose to describe the characteristics and composition, application fields and usage instructions, pH values and associated toxicity, warnings and emergency measures as well as the advantages and disadvantages of UA systems and theirs technical application in clinical practice compared to the SE and ER adhesives. A literature search was performed using the search engine PubMed, Scielo, Elsevier, B-On, Science Direct and Research Gate, with the keywords: “adhesives”, “adhesion”, “universal”, “multi-mode”, “adhesives system”, “all-in-one”, “self-etch” e “etch & rinse”. Research methodology included publications between 2001 and 2015 years; Mostly were selected articles written in English language but also in Spanish and Portuguese. Publications of meta-analysis, systematic review, narrative review, In-Vitro trials, clinical trials (In-Vivo) were included. For the basic description of the adhesion principles and comparison between UA systems, were also used articles regarding ER and SE adhesives. The main advantages of using UA systems show that this is a positive strategy to aply in the dentin; when used in the SE mode and with preetching chemical conditioning a better standard of adhesion is performed; good adhesion in both dental substrate (enamel and dentin) and no formation of gaps in the adhesive interface; increase the degree of conversion of the adhesive, more stable bond strength and reduced nanoinfiltration. More trials are needed, especially to get long-term outputs on their clinical performance.
Description
Keywords
Adhesives Adhesion Universal Multi-mode Adhesives system All-in-one Self-etch Etch & rinse