Objective

To evaluate the five-year clinical performance of Scotchbond Universal Adhesive (SU; 3M Oral Care, St. Paul, MN, USA) in non-carious cervical lesions (NCCLs) using two evaluation criteria.

Methods

Thirty-nine patients participated in this study. Two hundred restorations were assigned to four groups: SU-ERm: etch-and-rinse + moist dentin; SU-ERd: etch-and-rinse + dry dentin; SU-Set: selective enamel etching; and SU-SE: self-etch. A nanofilled composite resin was placed incrementally. The restorations were evaluated at baseline and after 5 years using both the World Dental Federation (FDI) and the United States Public Health Service (USPHS) criteria. The survival rates (retention/fractures) were calculated with the Kaplan-Meier and the log-rank test. For the secondary outcomes, Friedman repeated measures analysis of variance by rank was applied (α = 0.05).

Results

After 5 years the recall rate was 86%. The retention/fracture rates were 93% for Erm and ERd, 88.4% for SEet and 81.4% for SE. A significant difference was observed for SE vs. ERd and SE vs. ERm (p = 0.01). Also, marginal discoloration and adaptation showed significant differences with ERm and ERd resulting in fewer marginal discrepancies than SE (p < 0.05).

Significance

After 5 years, the clinical behavior of the universal adhesive in the etch-and-rinse strategy was better when compared to the self-etch strategy. The use of selective enamel etching is highly recommended for the self-etch strategy. The FDI and USPHS evaluation criteria showed similar results after 5 years.

中文翻译：

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通用粘合剂的五年临床评估：一项随机双盲试验。

目的

使用两个评估标准评估Scotchbond通用胶粘剂（SU； 3M口腔护理，美国明尼苏达州圣保罗）在非龋齿性宫颈病变（NCCL）中的五年临床表现。

方法

三十九名患者参加了这项研究。200个修复体分为四个组：SU-ERm：蚀刻和冲洗+湿润牙本质；SU-ERd：蚀刻漂洗+干燥牙本质；SU-Set：选择性搪瓷蚀刻；SU-SE：自蚀刻。将纳米填充的复合树脂逐渐放置。使用世界牙科联合会（FDI）和美国公共卫生服务（USPHS）标准在基线和5年后评估修复体。用Kaplan-Meier和对数秩检验计算存活率（保留/骨折）。对于次要结局，应用了Friedman重复测量的方差分析（α = 0.05）。

结果

5年后，召回率达到86％。Er m和ER d的保留/断裂率分别为93 ％，SE等的88.4％和SE的81.4％。观察到SE与ER d以及SE与ER m的显着差异（p = 0.01）。另外，边缘变色和适应性与ER m和ERd表现出显着差异，导致边缘差异小于SE（p <0.05）。

意义

5年后，与自蚀刻策略相比，通用粘合剂在蚀刻和冲洗策略中的临床表现更好。强烈建议将选择性搪瓷蚀刻用于自蚀刻策略。FDI和USPHS评估标准在5年后显示出相似的结果。