Evidence map›Paper›PMID 41128356›Full record

ReviewJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2026

Self-Adhesive Flowable Resin Composites-Are We Going Somewhere?

António H S Delgado, Miguel Alves, Inês Pires, Marta Nunes Ferreira, Carlos Enrique Cuevas-Suárez

Abstract readReview
In one paragraph

Review in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Self-Adhesive Flowable Resin Composites-Are We Going Somewhere?Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Review
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

5 authors.

António H S DelgadoEgas Moniz Center for Interdisciplinary Research (CiiEM), Almada, Portugal.ORCID https://orcid.org/0000-0001-7902-6104
Miguel AlvesEgas Moniz Center for Interdisciplinary Research (CiiEM), Almada, Portugal.
Inês PiresEgas Moniz Center for Interdisciplinary Research (CiiEM), Almada, Portugal.
Marta Nunes FerreiraEgas Moniz Center for Interdisciplinary Research (CiiEM), Almada, Portugal.
Carlos Enrique Cuevas-SuárezDental Materials Laboratory, Academic Area of Dentistry, Autonomous University of Hidalgo State, San Agustín Tlaxiaca, Hidalgo, Mexico.ORCID https://orcid.org/0000-0002-2759-8984

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo map laboratory/clinical evidence on self-adhesive flowable resin composites (SAFRCs), tracing their chemical evolution, performance, and behavior, and to identify gaps that must be addressed to drive their optimization. OVERVIEW: A comprehensive literature search was performed in PubMed/MEDLINE, Scopus, and LILACS without language restrictions. To date, 11 commercial SAFRCs are available. These contain 5wt%-10 wt% hydrophilic monomers and ≤ 55 vol% fillers, as a flowable option, although susceptible to water sorption and color changes. Functional monomer trends shift from 4-META/GPDM to 10-MDP or phosphate-amide hybrids; meta-analytical and recent laboratory data confirm that μTBS to dentin is extremely low (rarely > 10 MPa). Inefficacy to bond/seal is the main reason for failure. Clinical evidence is scarce and short-term: RCTs suggest that small Class-I restorations survive comparably to controls at ≤ 24 months, but failures are frequent. Emerging strategies such as alternative conditioning, collagen depletion, or incorporation of bio-interactive fillers may improve outcomes.

conclusionsCurrent SAFRCs simplify placement and reduce technique sensitivity but are constrained by very low bond strengths, poor sealing, and high hygroscopicity. Until chemistry, paste acidity, and smear-layer interaction are co-optimized, their use should remain limited. Future research must couple novel chemical formulations and low-water-uptake matrices while validating performance in adequately powered RCTs.

Indexed as

Composite ResinsComposite Resinsflowable hybrid compositedental adhesiondentinflowable resin compositefunctional monomerresin compositesself‐adhesive compositeself‐ahesive flowable composite

Identifiers

PMID41128356
PMCPMC12946690

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.