Clinical performance of one-step self-etch adhesives applied actively in cervical lesions: 24-month clinical trial

To evaluate the clinical performance of two one-step self-etch adhesives in noncarious cervical lesions (NCCL) under active or passive application mode.

Thirty-one patients with four NCCL were enrolled in this study. One hundred and twenty-four restorations were placed according to one of the following conditions: 1) Adper Prompt L-Pop (AP), active application (APA); 2) AP, passive application (APP); 3) Xeno III (XE), active application (XEA), or 4) XE, passive application (XEP). The restorations were evaluated by the FDI World Dental Federation criteria at baseline and after six, 12, and 24 months of clinical service. The effects of adhesive, mode of application, and recall period were assessed via mixed generalized linear model (α=0.05).

The adhesive AP and the passive application mode showed significantly higher marginal staining than did XE and active application, respectively (p<0.05). With regard to the retention rates, the active application mode yielded higher retention rates at the 24-month recall compared to the passive application, regardless of the material. The individual retention rates (95% confidence interval) of both adhesives in the active application mode were the same, 96.8% (83.8-99.4%), while in the passive application rates were 87.1% (71.2-94.9%) and 80.7% (63.7-90.8%) for XE and AP, respectively.

The active application improved the retention rates of both adhesives after 24 months and minimized the marginal staining at enamel margins.