Evidence map›Paper›PMID 21112620›Full record

ReviewDental materials : official publication of the Academy of Dental Materials2011

State of the art etch-and-rinse adhesives.

David H Pashley, Franklin R Tay, Lorenzo Breschi, Leo Tjäderhane, Ricardo M Carvalho, Marcela Carrilho, Arzu Tezvergil-Mutluay

Open access · greenAbstract readReview
In one paragraph

Review in Dental materials : official publication of the Academy of Dental Materials, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 360 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
360citing papers in PubMed, 12 pooled it
32.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

360 citing papers in PubMed, 12 syntheses or guidelines pooled it, 1,063 citations in OpenAlex.

  1. Impact of Phosphoric Acid Etching Duration on the Bonding Performance of Universal Adhesives on Enamel: A Systematic Review of Laboratory Studies.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
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  8. Does immediate dentin sealing influence postoperative sensitivity in teeth restored with indirect restorations? A systematic review and meta-analysis.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2022
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  10. Does the etching strategy influence the bonding of universal adhesive systems to primary teeth? A systematic review and meta-analysis of in vitro studies.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021
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  13. 6-Month Clinical Evaluation of Reduced Dentin Etching Time Using Universal Adhesives in Noncarious Cervical Lesions: A Double-Blind Randomized Clinical Trial.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
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300 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

David H PashleyDepartment of Oral Biology, Medical College of Georgia, School of Dentistry, Augusta, GA, USA. dpashley@mail.mcg.edu
Franklin R Tay
Lorenzo Breschi
Leo Tjäderhane
Ricardo M Carvalho
Marcela Carrilho
Arzu Tezvergil-Mutluay
Augusta University · USUniversidade de São Paulo · BRUniversity of Oulu · FIUniversity of Trieste · ITUniversity of Turku · FI

Funding

Reasons for poor durability of resin-dentin bondsR01DE015306 · NIDCR · MEDICAL COLLEGE OF GEORGIA (MCG) · PI PASHLEY, DAVID H · 2004 to 2013
$4.4M
Biomimetic remineralization of resin-dentin bondsR21DE019213 · NIDCR · AUGUSTA UNIVERSITY · PI TAY, FRANKLIN CHI MENG · 2009 to 2010
$362k
NIDCR NIH HHS R01 DE015306NIDCR NIH HHS R01 DE 015306-06NIDCR NIH HHS R21 DE019213NIDCR NIH HHS R21 DE 019213-01
6 · The paper itself

Abstract

objectivesThe aim of this study was to explore the therapeutic opportunities of each step of 3-step etch-and-rinse adhesives.

methodsEtch-and-rinse adhesive systems are the oldest of the multi-generation evolution of resin bonding systems. In the 3-step version, they involve acid-etching, priming and application of a separate adhesive. Each step can accomplish multiple goals. Acid-etching, using 32-37% phosphoric acid (pH 0.1-0.4) not only simultaneously etches enamel and dentin, but the low pH kills many residual bacteria.

resultsSome etchants include anti-microbial compounds such as benzalkonium chloride that also inhibits matrix metalloproteinases (MMPs) in dentin. Primers are usually water and HEMA-rich solutions that ensure complete expansion of the collagen fibril meshwork and wet the collagen with hydrophilic monomers. However, water alone can re-expand dried dentin and can also serve as a vehicle for protease inhibitors or protein cross-linking agents that may increase the durability of resin-dentin bonds. In the future, ethanol or other water-free solvents may serve as dehydrating primers that may also contain antibacterial quaternary ammonium methacrylates to inhibit dentin MMPs and increase the durability of resin-dentin bonds. The complete evaporation of solvents is nearly impossible. SIGNIFICANCE: Manufacturers may need to optimize solvent concentrations. Solvent-free adhesives can seal resin-dentin interfaces with hydrophobic resins that may also contain fluoride and antimicrobial compounds. Etch-and-rinse adhesives produce higher resin-dentin bonds that are more durable than most 1 and 2-step adhesives. Incorporation of protease inhibitors in etchants and/or cross-linking agents in primers may increase the durability of resin-dentin bonds. The therapeutic potential of etch-and-rinse adhesives has yet to be fully exploited.

Indexed as

Acid Etching, DentalAnti-Infective AgentsDental BondingDentinDentin-Bonding AgentsEnzyme InhibitorsHumansResin CementsSolventsWaterAnti-Infective AgentsDentin-Bonding AgentsEnzyme InhibitorsResin CementsSolventsWater

Identifiers

PMID21112620
PMCPMC3857593
OpenAlexW2172076806

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.