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THE JOURNAL OF - Dentsply

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Blunck/Zaslansky<br />

0<br />

20<br />

40<br />

60<br />

80<br />

100 %<br />

+<br />

Syntac<br />

OptiBond FL<br />

Clearfil SE Bond<br />

a.<br />

MQ1<br />

results after<br />

2 nd TC<br />

enamel<br />

+<br />

+<br />

*<br />

*<br />

*<br />

Prompt L-Pop 1999<br />

Prompt L-Pop 2000<br />

Adper Prompt L-Pop / Tetric Ceram<br />

Adper Prompt L-Pop / Filtek Z250<br />

Xeno III / Quixfil<br />

Xeno III / Tetric Ceram<br />

Xeno III / Dyract eXtra<br />

Futurabond NR<br />

One-up Bond F Plus<br />

AQ Bond<br />

iBond<br />

G-Bond<br />

Hybrid Bond<br />

tri-S bond<br />

+<br />

Syntac<br />

OptiBond FL<br />

Clearfil SE Bond<br />

b.<br />

MQ1<br />

results after<br />

3 rd TC<br />

enamel<br />

+<br />

Prompt L-Pop 1999<br />

Prompt L-Pop 2000<br />

Adper Prompt L-Pop / Tetric Ceram<br />

Adper Prompt L-Pop / Filtek Z250<br />

0<br />

20<br />

40<br />

6<br />

0<br />

80<br />

*<br />

100 %<br />

Xeno III / Tetric Ceram<br />

Xeno III / Dyract eXtra<br />

AQ Bond<br />

iBond<br />

Fig 1 Results of marginal quality<br />

1 in % relative to the enamel margin<br />

length in Class V cavities for<br />

self-etching adhesive systems<br />

after (a) 1-year water storage and<br />

a 2nd TC and (b) after after 3-<br />

year water storage and a 3rd TC<br />

(o and + = outliers, * = statistically<br />

significantly different compared<br />

to Syntac, Opti Bond FL,<br />

and Clearfil SE Bond, p < 0.05).<br />

weighted by the SE) through the six MQ1 data points for every<br />

product. The slopes of these regression lines, as well as the<br />

95% confidence intervals and r 2 values are also shown in<br />

Table 3 (columns I to L), and they provide an overall estimate<br />

of the trend for the deterioration of the MQ1 results for each<br />

product. A general linear deterioration was observed for all<br />

groups (see example plots in Fig 3), which shows that the deterioration<br />

rate is not consistent over time. Furthermore, for<br />

all the products, the overall trend (column I) only occasionally<br />

corresponds to the trend of the intermediate segments<br />

(columns A, C, E, and G in Table 3).<br />

Finally, to better understand how well the data from the<br />

first year can be used to predict the trend in the performance<br />

of each product over a period of 3 years, the trends of T1 -<br />

T4 were calculated and used to derive a percent deviation<br />

estimate relative to the regressed overall trend (the difference<br />

divided by the slope of the overall trend as %, shown in<br />

Table 3, column M). Note that for some of the products (Opti-<br />

Bond FL, AQ Bond, Prompt L Pop 2000, Adper Prompt L Pop,<br />

and Xeno III) a reasonable (≤ 10%) prediction was found,<br />

while for others, deviations of 20%, 30% or even 40% exist.<br />

DISCUSSION<br />

Effectiveness of adhesive systems can be generally judged<br />

by the marginal adaptation of composite resin restorations<br />

at the interface with the tooth substrate. Marginal adaptation<br />

is affected by many different parameters. These might<br />

be greatly influenced by the inherent properties of the<br />

restorative material, such as shrinkage and shrinkage<br />

stress, 24 the chemistry of the adhesive system used, the size<br />

234 The Journal of Adhesive Dentistry

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