Mohamed M Awad1, Feras Alhalabi1, Abdullah Alshehri1, Zaid Aljeaidi1, Ali Alrahlah2,3, Mutlu Özcan4, Hamdi Hosni Hamama5. 1. Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia. 2. Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia. 3. Engineer Abdullah Bugshan Research Chair for Dental and Oral Rehabilitation, King Saud University, Riyadh 11545, Saudi Arabia. 4. Division of Dental Biomaterials, Center for Dental and Oral Medicine, University of Zürich, 8032 Zürich, Switzerland. 5. Department of Operative Dentistry, Faculty of Dentistry, Mansoura University, Mansoura 35516, Egypt.
Abstract
OBJECTIVE: The objective of this review was to evaluate the effect of non-thermal atmospheric plasma (NTAP) on adhesives resin-dentin micro-tensile bond strength (μTBS) in previously published studies. METHODS: Electronic search was conducted using the Medline, Cochrane library, and Scopus databases. The included studies were laboratory studies that investigated the effect of NTAP on adhesives μTBS to coronal dentin. Studies that evaluated the effect of NTAP on bond strength to indirect substrates, enamel or root dentin, were excluded. The methodological quality of included studies was assessed. RESULTS: Thirteen studies were included in this systematic review. All the included studies were considered to have a medium risk of bias. NTAP significantly improved μTBS at 24 h or after short-term aging in five studies (38.5%) and both immediate and after long-term aging in 5 studies (38.5%). In two studies (15.4%), NTAP resulted in a short-term material-dependent effect that was not stable after long-term aging. Interestingly, in one study (7.7%), NTAP had a positive effect only in the etch-and-rinse (ER) mode after long-term aging. CONCLUSION: Within the limitations of this systematic review, NTAP application could enhance resin-dentin μTBS of ER adhesives or universal adhesives (UAs) applied in the ER mode. In the ER mode, the rewetting step after NTAP seems to be unnecessary. Because of the limited information currently available in the literature, further studies are required to evaluate the effect of the NTAP application on self-etch (SE) adhesives or UAs applied in the SE mode.
OBJECTIVE: The objective of this review was to evaluate the effect of non-thermal atmospheric plasma (NTAP) on adhesives resin-dentin micro-tensile bond strength (μTBS) in previously published studies. METHODS: Electronic search was conducted using the Medline, Cochrane library, and Scopus databases. The included studies were laboratory studies that investigated the effect of NTAP on adhesives μTBS to coronal dentin. Studies that evaluated the effect of NTAP on bond strength to indirect substrates, enamel or root dentin, were excluded. The methodological quality of included studies was assessed. RESULTS: Thirteen studies were included in this systematic review. All the included studies were considered to have a medium risk of bias. NTAP significantly improved μTBS at 24 h or after short-term aging in five studies (38.5%) and both immediate and after long-term aging in 5 studies (38.5%). In two studies (15.4%), NTAP resulted in a short-term material-dependent effect that was not stable after long-term aging. Interestingly, in one study (7.7%), NTAP had a positive effect only in the etch-and-rinse (ER) mode after long-term aging. CONCLUSION: Within the limitations of this systematic review, NTAP application could enhance resin-dentin μTBS of ER adhesives or universal adhesives (UAs) applied in the ER mode. In the ER mode, the rewetting step after NTAP seems to be unnecessary. Because of the limited information currently available in the literature, further studies are required to evaluate the effect of the NTAP application on self-etch (SE) adhesives or UAs applied in the SE mode.
Entities:
Keywords:
adhesives; micro-tensile bond strength; non-thermal atmospheric plasma; resin–dentin bonding