GÜNÜMÜZ ADEZİVLERİNİN ÇÜRÜKSÜZ SERVİKAL LEZYON RESTORASYONLARINDAKİ ETKİNLİĞİNİN İNCELENMESİ: SİSTEMATİK DERLEME

OZET Bu derlemenin amaci, gunumuz adeziv sistemlerin curuksuz servikal lezyonlardaki etkinligini inceleyen klinik degerlendirme calismalarini derlemek ve bu calismalarda uygulanan arastirma metotlari, hasta ve restorasyon secim kriterleri ile klinik degerlendirme kriterlerini incelemektir. 2004-2014 yillari arasinda Pubmed’de yayinlanmis olan ve curuksuz servikal lezyonlarda adezivlerin etkinligini inceleyen 46 arastirma incelenmistir. Bu derlemede incelenen 46 calismada, uc asamali ‘etch and rinse’ adeziv sistemler ile iki asamali ‘self etch’ adeziv sistemlerin kinik basari oranlarinin iki asamali ‘etch and rinse’ sistemlerden daha yuksek oldugu saptandi. Ayrica, guncel ‘all-in-one’ dentin bonding ajanlarin, altin standart olarak kullanilan bonding ajanlar (uc asamali total-etch Optibond FL, iki asamali self-etch Clearfil SE Bond) kadar basarili oldugu gosterilmistir. Incelenen calismalarda, hasta ve restorasyon sayilarinin cok farkli araliklarda oldugu belirlenmistir. Ayrica calismalarda uygulanan arastirma yontemlerinin her calismada degiskenlik gosterdigi ve bununla ilgili standart bir protokolun olmadigi gozlemlenmistir. Anahtar kelimeler: Adeziv sistemler, sistematik derleme, curuksuz servikal lezyonlar. ANALYZING CLINICAL RESEARCHES THAT EVALUATING EFFECTIVENESS OF CONTEMPORARY ADHESIVES ON NON-CARIOUS CERVICAL LESION RESTORATION: A SYSTEMATIC REVIEW ABSTRACT The purpose of this paper was to review the clinical assessment researches which reviewed by clinical effectiveness of contemporary adhesives at non-carious cervical lesions and also to analyze the clinical investigation methods, patient and restoration selection and evaluation criterias. 46 clinical researches which analyzed of effectiveness of adhesives on non-carious cervical lesions and also published on Pubmed between 2004-2014 years, were examinated. In the 46 studies that analyzed in this review were determined three-step etch and rinse adhesives and two-step self-etch adhesives exhibited successful clinical effectiveness, whereas two-step etch and rinse adhesives displayed relatively low clinical effectiveness. Also, the contemporary all-in-one dentin bonding adhesives showed good clinical effectiveness as much as gold standard (Optibond FL and Clearfil SE Bond) dentin bonding agents. The number of restorations and patients was found very different from each other in every study. Also, the investigation methods that used in researches demonstrated variability and a standard protocol was not observed associated this. Keywords: Adhesive systems, systematic review, non-carious cervical lesions.