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. 2021 Feb 15;8(1):24–38. doi: 10.1080/26415275.2021.1884558

Table 1.

Laboratory adhesion studies in eroded substrates included in the scoping review.

Author Country Substrate Sample size Adhesive Intervention Test Statistical
Significance*
Conclusion
Siqueira et al.
[32]
Brazil Dentin n = 7 Prime&Bond Elect
Scotchbond U
AdheSE U
Use of primers containing MMP inhibitors RFV and PAA µTBS
(24h and 24 months)
Nanoleakage
Nanohardness
Significant The inclusion of cross-linking agents contributed to improving the immediate properties and stabilized the adhesive interface long-term.
Ferreti et al.
[33]
Brazil Dentin n = 10 Clearfil SE Cigarette smoke exposure and erosive protocol on bond strength and nanohardness µSBS
(24h)
SEM
Microhardness
Not significant The erosive protocol studied did not alter the bond strength of the self-etch, when compared to sound dentin.
Krithi et al.
[34]
India Dentin n = 15 Adper SB 2
Clearfil SE
Effect of remineralization of NaF, CPP-AP and NovaMin µSBS
(24h)
Significant The type of adhesive influences bond strength to eroded dentin. Sodium fluoride and NovaMin showed improvement in bond strength results.
Murase et al.
[35]
Japan Enamel
Dentin
n = 10 Fusio Liquid Dentin
LLB-CR6
Clearfil SE Bond
Test a new bond strength setup and self-adhesive composites to eroded enamel/dentin TBS
(24h)
Microhardness
Significant Self-adhesive flowable composites show no differences between eroded and non-eroded substrates and may be a viable strategy clinically.
Costa et al.
[36]
Brazil Dentin n = 6 Clearfil SE Pretreatment with MMP inhibitors epigallocatechin-3-gallate and 2% CHX µTBS
(24h and 6 months)
Significant The use of 2% chlorhexidine digluconate negatively affected eroded and non-eroded substrates, while epigallocatechin showed no difference.
Yabuki et al.
[37]
Japan Enamel n = 10 AdheSE U
All Bond U
Scotchbond U
Different universal adhesives in eroded enamel SBS
(24h)
CLSM
Significant Bond strength to eroded enamel, in all adhesives, is higher than to sound enamel.
Zumstein et al.
[38]
Switzerland Dentin n = 23 Clearfil SE
Scotchbond U
Pretreatment with SnCl2/AmF µTBS
(24h and 12 months)
Significant Bonding to eroded dentin is significantly lower than to sound. The pretreatment was not signifcant. No differences among adhesives, but aging was significantly lower.
Siqueira et al.
[39]
Brazil Dentin n = 8 Adper SB 2
Scotchbond U
Effect of deproteinization (5.2% NaOCl) µTBS
(24h and 36 months)
Nanoleakage
Significant
Deproteinization influences the stability of a resin-eroded dentin interface in the tested adhesives.
Moda et al.
[40]
Brazil Dentin n = 9 RelyX U200 Effect of 3 surface treatments: EDTA, 20% polyacrylic acid and 2% CHX µTBS
(24h and 8 months)
Significant In general, the surface pretreatments promoted an increase in bond strength to the eroded substrate, immediate and long-term.
Augusto et al.
[41]
Brazil Dentin n = 10 FuturaBond M+ The effect of different application modes of a universal adhesive to eroded, deproteinized and abraded dentin µTBS
(24h and 6 months)
Significant NaOCl at 10% as a deproteinizing agent increased the bond strength results and maintained stability to eroded dentin. Differences were found regarding the application mode.
Siqueira et al.
[42]
Brazil Dentin n = 5 AdheSE U
AllBond Universal
Ambar Universal
Clearfil Universal
Futurabond U
One Coat 7 U
Peak Universal B
Prime & Bond Elect
Scotchbond U
Xeno Select
Effect of different universal adhesives on eroded dentin µTBS
(24h)
Significant MDP-containing adhesives showed better results in both application modes in sound and eroded substrates.
Deari et al.
[43]
Switzerland Dentin n = 6 Optibond FL Effect of different pretreatments: bur abrasion, 10% NaOCl, 2% CHX and prolonged application of the primer (60 s) µTBS
(24h)
Significant Bur abrasion and pretreatment with NaOCl achieved higher bond strengths to eroded dentin.
Forgerini et al.
[44]
Brazil Dentin n = 10 Adper SB Plus
Clearfil SE
Scotchbond U
Immediate and long-term performance of a universal adhesive µSBS
(24h and 6 months)
Significant The performance is irrespective of application mode, however it is less effective in eroded dentin.
Flury et al.
[45]
Switzerland Dentin n = 16 Scotchbond 1 XT
Optibond FL
Artificially eroded samples with or without 1% BAC incorporation SBS
(24h and 12 months)
SEM
Significant BAC increased the 24 h SBS to eroded dentin and had no effect on the 12 month results.
Frattes et al.
[46]
Brazil Enamel Dentin n = 22 Scotchbond U Erosive conditions and acid-etching µTBS
(24h)
SEM
Significant Erosive challenge increased µTBS for the adhesive to enamel but not to dentin.
Giacomini et al.
[47]
Brazil and USA Dentin n = 90 Adper SB Universal Erosive conditions, acid etching and pretreatment with 2% CHX µTBS
(24h)
Significant All tested factors were significant. Lower µTBS in artificial carious dentin and eroded dentin.
Bergamin et al.
[48]
Brazil Dentin n = 10 Adper SB 2
Clearfil SE
Pretreatment with an arginine-containing toothpaste followed by different adhesives µTBS
(24h)
Not significant No differences were found between toothpastes, adhesives or interaction between both in eroded dentin.
Maeda et al.
[49]
Brazil Dentin n = 10 Adper SB 2
Adper SE Plus
Nd:YAG laser irradiation and its effect on bond strength to eroded and non-eroded substrate SBS
(24h)
Significant Under erosive challenge, Nd:YAG laser seems to be beneficial in improving bond strength. An etch-and-rinse approach is preferred.
Giacomini et al.
[50]
Brazil Enamel n = 8 Adper Scotchbond
Adper SB 2
Clearfil SE
Effect of different adhesives on eroded and abraded enamel µTBS
(24h)
Significant Bond strength to eroded enamel is not affected, although it is material-dependent. Authors state phosphoric acid suffices in this substrate.
Francisconi-dos-Rios et al.
[51]
Brazil Dentin n = 7 Adper SB 2 Pretreatment with 2% CHX solution on bond strength to eroded dentin compared to sound dentin µTBS
(24h and 6 months)
CLSM
Significant Eroded dentin had lower µTBS.
2% CHX on bond strength conservation to both eroded and sound dentin was not effective except after 6 months aging.
Cruz et al.
[52]
Brazil Dentin n = 10 Adper Easy One
Adper SB 2
Clearfil SE
Effect of different adhesives and different time points on eroded and sound dentin µSBS
(24h and 6 months)
Not significant No differences in bonding performance of the adhesives tested.
Machado et al.
[53]
Brazil Dentin n = 10 Adper SB 2 Pretreatment with 2% CHX as an MMP inhibitor µSBS
(1 and 6 months)
Significant 2% CHX was not effective neither on sound nor eroded dentin at 1 and 6 months.
Wang et al.
[13]
Brazil Enamel n = 13 Adper SB 2 Simulating abrasion with toothbrushing, erosion and erosion + abrasion simultaneously µTBS
(24h)
Not significant Neither erosive nor abrasive lesions resulting from the in situ challenges affected the resin-enamel bonding.
Casas-Apayco et al.
[54]
Brazil Enamel n = 8 Adper SB 2 Effect of different cola drinks on the adhesion to eroded enamel µTBS
(24h)
Significant All cola drinks reduced the bond strength to enamel.
Flury et al.
[55]
Switzerland Dentin n = 20 Clearfil SE Pretreatment with NaF or SnF on eroded dentin µTBS
(24h)
and SEM
Significant Treatment of erosively demineralized dentin with a NaF solution or SnF mouth rinse increased bond strength of resin composite.
Lenzi et al.
[56]
Netherlands Enamel n = 12 Adper SB 2
Vitro fil LC
Comparison of an etch-and-rinse adhesive to a resin-modified glass ionomer cement in eroded enamel SBS
(24h)
Significant When bonding to eroded enamel, bond strength of the etch-and-rinse increases while the glass ionomer shows no difference.
Ramos et al.
[57]
Brazil and Germany Dentin n = 104 Clearfil SE
Scotchbond U
Pretreatment with Er,Cr:YSGG laser irradiation µTBS
(24h)
and SEM
Significant The surface treatment with Er,Cr:YSGG laser prior to bonding with a self-etching adhesive system improves bond strength to eroded dentin.
Zimmerli et al.
[58]
Switzerland Dentin n = 20 Clearfil SE
Optibond FL
Surface preparation techniques on eroded dentin µTBS
(24h and 12 months)
and SEM
Significant Erosion reduced bond strength in all groups but this effect was less prominent when eroded dentin was prepared by diamond bur.
Cruz et al.
[59]
Brazil Dentin n = 6 Adper SB 2
Ketac Molar Easy Mix
Vitremer
Comparison of an etch-and-rinse to glass ionomer cements in eroded dentin µSBS
(24h)
Not significant All materials behaved equally when comparing eroded to non-eroded substrates.

*Significance was considered if the null hypothesis of the study was rejected by statistical analysis. µSBS: microshear bond strength; µTBS: Microtensile bond strength; AmF: amide fluoride; BAC: benzalkonium chloride; CHX: chlorhexidine; CLSM: Confocal Laser Scanning Microscopy; CPP-AP: casein phosphopeptide-amorphous calcium phosphate nanocomplex; EDTA : ethylenediaminetetraacetic acid; Er,Cr:YSGG: erbium, chromium: yattrium-scandium-gallium-garnet laser; LLB-CR6: experimental adhesive; NaOCl: sodium hypochlorite; NaF: sodium fluoride Nd:YaG: neodymium-doped yttrium aluminium garnet; MMP: matrix metalloproteinases; PAA: Proanthrocyanidins; RFV: riboflavin; SBS: shear bond strength; SEM: Scanning electron microscopy; SnF: strontium fluoride; TBS: tensile bond strength.