DOI: 10.3290/j.jad.a45175, PubMed ID (PMID): 33073776Pages 443-453, Language: EnglishMendes, Laura Teixeira / Loomans, Bas A. C. / Opdam, Niek J. M. / Silva, Carolina Lopes da / Casagrande, Luciano / Lenzi, Tathiane LarissaPurpose: To systematically review the literature to determine whether silane combined with adhesive application improves the repair bond strength of direct methacrylate-based resin composites in comparison to the use of an adhesive alone.
Materials and Methods: The literature up to December 2019 was searched through PubMed/MEDLINE, Scopus, and Lilacs databases with no publication year or language limits. From 676 potentially eligible studies, 81 were selected for full-text analysis, and 19 were included in the systematic review. Two reviewers independently selected the studies, extracted data, and assessed the risk of bias. Meta-analyses were conducted using a random effects model to calculate pooled mean differences between adhesive- vs silane-plus-adhesive surface treatments (global meta-analysis) and considering subgroup analyses (immediate and aged repair bond strengths and type of silane – hydrolyzed or nonhydrolyzed). Statistical analyses were performed using RevMan5.3 at a significance level of 5%.
Results: Global meta-analysis showed that the use of silane prior to adhesive application produced significantly higher repair bond strengths (p=0.003). A higher mean difference (effect size: 7.30, 95% CI: 2.91-17.51) between groups was found when nonhydrolyzed silanes were used. The heterogeneity was high. Studies scored between medium and high risk of bias.
Conclusion: An additional silane application step could increase the repair bond strength of methacrylate-based resin composites.
Keywords: methacrylate functional silane, bond strength, repair, resin-based composites
