Retrospective analysis of adverse reactions and related factors of resin cement dentin adhesive
10.12016/j.issn.2096-1456.2022.07.005
- Author:
FU Xinliang
1
;
SUN Jiyu
1
;
ZHU Zhuoli
1
;
GAN Xueqi
1
Author Information
1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University
- Publication Type:Journal Article
- Keywords:
resin cement;
dentin bonding;
tooth defect;
compound resin restoration;
crown restoration;
adverse reactions;
dental pulp lesions;
soft tissue adverse reactions;
restoration loosening;
univariate analysis;
multivariate analysis;
retrospective study
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2022;30(7):491-498
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the adverse reactions of resin cement used for dentin bonding and its influencing factors.
Methods: Patients with dental defects treated with resin cement dentin adhesive for direct composite resin repair or full crown indirect repair were selected as the research objects. The occurrence and causes of adverse reactions, such as dental pulp lesions, soft tissue adverse reactions, and restoration loosening and falling off 7 days, 1 month, 3 months, 6 months, and 1 year after treatment, were analyzed retrospectively.
Results : Among the 14 776 teeth of 5 971 patients who used resin cement dentin adhesive, 580 cases (3.93%) had adverse reactions. Univariate analysis showed that the incidence of adverse events was highest in teeth with the "full crowns (fixed partial dentures)" restoration type at 7 days, 1 month, and 12 months after treatment. At 7 days after treatment, the incidence of adverse events was the highest in teeth with a preparation depth of "near pulp after preparation". At 7 days and 3 months after treatment, the incidence of adverse events was the highest in teeth with " dentin conditioner-adhesive-resin" treatment of the bonding surface. Multivariate analysis indicated that pulp perforation and pulp capping after tooth preparation were risk factors for adverse events 7 days after treatment (OR=2.610), and the “dentin primer-adhesive-resin” bonding surface treatment method was a protective factor for adverse events 7 days and 3 months after treatment (OR<1).
Conclusion:affect the occurrence of adverse events. pulp perforation, and pulp capping after tooth preparation, and self-etching bonding may contribute to adverse reactions.
- Full text:树脂水门汀类牙本质粘接剂的不良反应及其相关因素回顾性分析.pdf
