Impact of Irradiation on the Adhesive Performance of Resin-Based Dental Biomaterials: A Systematic Review of Laboratory Studies
Head and neck cancers are a significant global health burden, with radiation therapy being a frequently utilized treatment. The aim of this systematic review was to provide a critical appraisal of laboratory studies that assessed the effect of irradiation on the adhesive performance of resin-based b...
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| Veröffentlicht in: | Materials 2023-03, Vol.16 (7), p.2580 |
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| description | Head and neck cancers are a significant global health burden, with radiation therapy being a frequently utilized treatment. The aim of this systematic review was to provide a critical appraisal of laboratory studies that assessed the effect of irradiation on the adhesive performance of resin-based biomaterials. The analysis included 23 laboratory studies obtained from five databases, with most studies using human enamel, dentin, or both, and bonding procedures involving the fabrication of direct restorations, standardized specimens, bonding of orthodontic brackets, and luting of endodontic fiber posts. The protocols used for irradiation varied, with most studies exposing specimens made from extracted teeth to irradiation using cabinet irradiators to simulate treatment of head and neck cancer. The findings indicate that irradiation reduces the bond strength of dental adhesives and resin-based composites on flat, ground enamel and dentin specimens, with different adhesives and timing of irradiation having a significant impact on adhesive performance. Irradiation also increased microleakage in most studies. The effect of irradiation on marginal adaptation of direct resin-based composite restorations was inconclusive. This systematic review indicates that irradiation has detrimental effects on the adhesive performance of resin-based biomaterials and highlights the need for further clinical and laboratory studies evaluating the performance of adhesive materials and approaches to improve it. |
| doi_str_mv | 10.3390/ma16072580 |
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The aim of this systematic review was to provide a critical appraisal of laboratory studies that assessed the effect of irradiation on the adhesive performance of resin-based biomaterials. The analysis included 23 laboratory studies obtained from five databases, with most studies using human enamel, dentin, or both, and bonding procedures involving the fabrication of direct restorations, standardized specimens, bonding of orthodontic brackets, and luting of endodontic fiber posts. The protocols used for irradiation varied, with most studies exposing specimens made from extracted teeth to irradiation using cabinet irradiators to simulate treatment of head and neck cancer. The findings indicate that irradiation reduces the bond strength of dental adhesives and resin-based composites on flat, ground enamel and dentin specimens, with different adhesives and timing of irradiation having a significant impact on adhesive performance. Irradiation also increased microleakage in most studies. The effect of irradiation on marginal adaptation of direct resin-based composite restorations was inconclusive. This systematic review indicates that irradiation has detrimental effects on the adhesive performance of resin-based biomaterials and highlights the need for further clinical and laboratory studies evaluating the performance of adhesive materials and approaches to improve it.</description><identifier>ISSN: 1996-1944</identifier><identifier>EISSN: 1996-1944</identifier><identifier>DOI: 10.3390/ma16072580</identifier><identifier>PMID: 37048873</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adhesives ; Analysis ; Biological products ; Biomedical materials ; Bond strength ; Bonding strength ; Cancer ; Cancer therapies ; Dentin ; Enamel ; Head & neck cancer ; Irradiation ; Laboratories ; Mucositis ; Orthodontics ; Performance evaluation ; Public health ; Radiation ; Radiation therapy ; Radiotherapy ; Resins ; Systematic Review ; Teeth</subject><ispartof>Materials, 2023-03, Vol.16 (7), p.2580</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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The aim of this systematic review was to provide a critical appraisal of laboratory studies that assessed the effect of irradiation on the adhesive performance of resin-based biomaterials. The analysis included 23 laboratory studies obtained from five databases, with most studies using human enamel, dentin, or both, and bonding procedures involving the fabrication of direct restorations, standardized specimens, bonding of orthodontic brackets, and luting of endodontic fiber posts. The protocols used for irradiation varied, with most studies exposing specimens made from extracted teeth to irradiation using cabinet irradiators to simulate treatment of head and neck cancer. The findings indicate that irradiation reduces the bond strength of dental adhesives and resin-based composites on flat, ground enamel and dentin specimens, with different adhesives and timing of irradiation having a significant impact on adhesive performance. Irradiation also increased microleakage in most studies. The effect of irradiation on marginal adaptation of direct resin-based composite restorations was inconclusive. This systematic review indicates that irradiation has detrimental effects on the adhesive performance of resin-based biomaterials and highlights the need for further clinical and laboratory studies evaluating the performance of adhesive materials and approaches to improve it.</description><subject>Adhesives</subject><subject>Analysis</subject><subject>Biological products</subject><subject>Biomedical materials</subject><subject>Bond strength</subject><subject>Bonding strength</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Dentin</subject><subject>Enamel</subject><subject>Head & neck cancer</subject><subject>Irradiation</subject><subject>Laboratories</subject><subject>Mucositis</subject><subject>Orthodontics</subject><subject>Performance evaluation</subject><subject>Public health</subject><subject>Radiation</subject><subject>Radiation therapy</subject><subject>Radiotherapy</subject><subject>Resins</subject><subject>Systematic Review</subject><subject>Teeth</subject><issn>1996-1944</issn><issn>1996-1944</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkl1vFCEUhidGY5vaG3-AIfHGmEyFYWYAb8y2fm2yicbqNTkLhy7NzLACu2av-tfLprUfRiCBHJ73hQOnql4yesK5ou9GYD0VTSfpk-qQKdXXTLXt0wfrg-o4pUtaGudMNup5dcAFbaUU_LC6mo9rMJkER-YxgvWQfZhIGXmFZGZXmPwWyXeMLsQRJoN79EeJTvUpJLTkI04ZBnLqwwgZo4chvSczcr5LGUvEm0JvPf7Z6xawDBFyiDtynjfWY3pRPXNFgce381H16_Onn2df68W3L_Oz2aI2LW1z7bBzznYMpOloT10rrXJUCutQKMutAjToGiHAIhOKC0aXTQ9LaXuunHP8qPpw47veLEe0plw6wqDX0Y8QdzqA1493Jr_SF2GrGaWqY50oDm9uHWL4vcGU9eiTwWGACcMm6UZS2je8vGpBX_-DXoZNnEp-uhHlW1pJG3FPXcCA2k8ulIPN3lTPRNurtm-6vlAn_6FKtzh6EyZ0vsQfCd7eCEwMKUV0d0kyqvclo-9LpsCvHj7LHfq3QPg1L1e8YA</recordid><startdate>20230324</startdate><enddate>20230324</enddate><creator>Eggmann, Florin</creator><creator>Hwang, Jonathan D</creator><creator>Ayub, Jose M</creator><creator>Mante, Francis K</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SR</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>HCIFZ</scope><scope>JG9</scope><scope>KB.</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9656-9784</orcidid><orcidid>https://orcid.org/0000-0001-6185-1480</orcidid></search><sort><creationdate>20230324</creationdate><title>Impact of Irradiation on the Adhesive Performance of Resin-Based Dental Biomaterials: A Systematic Review of Laboratory Studies</title><author>Eggmann, Florin ; 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| subjects | Adhesives Analysis Biological products Biomedical materials Bond strength Bonding strength Cancer Cancer therapies Dentin Enamel Head & neck cancer Irradiation Laboratories Mucositis Orthodontics Performance evaluation Public health Radiation Radiation therapy Radiotherapy Resins Systematic Review Teeth |
| title | Impact of Irradiation on the Adhesive Performance of Resin-Based Dental Biomaterials: A Systematic Review of Laboratory Studies |
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