title: Meta-analytical review of parameters involved in dentin bonding.
abstract: Bond-strength testing is the method most used for the assessment of bonding effectiveness to enamel and dentin. We aimed to disclose general trends in adhesive performance by collecting dentin bond-strength data systematically. The PubMed and EMBASE databases were used to identify 2,157 bond-strength tests in 298 papers. Most used was the micro-tensile test, which appeared to have a larger discriminative power than the traditional macro-shear test. Because of the huge variability in dentin bond-strength data and the high number of co-variables, a neural network statistical model was constructed. Variables like 'research group' and 'adhesive brand' appeared most determining. Weighted means derived from this analysis confirmed the high sensitivity of current adhesive approaches (especially of all-in-one adhesives) to long-term water-storage and substrate variability.
authors.affiliation: Department of Conservative Dentistry, School of Dentistry, Oral Pathology and Maxillo-Facial Surgery, Catholic University of Leuven, Kapucijnenvoer 7, 3000 Leuven, Belgium. jan.demunck@med.kuleuven.be
authors.forename: J
authors.initials: J
authors.lastname: De Munck
authors.forename: A
authors.initials: A
authors.lastname: Mine
authors.forename: A
authors.initials: A
authors.lastname: Poitevin
authors.forename: A
authors.initials: A
authors.lastname: Van Ende
authors.forename: M Vivan
authors.initials: MV
authors.lastname: Cardoso
authors.forename: K L
authors.initials: KL
authors.lastname: Van Landuyt
authors.forename: M
authors.initials: M
authors.lastname: Peumans
authors.forename: B
authors.initials: B
authors.lastname: Van Meerbeek
mesh_terms: D001840:Dental Bonding; D003804:Dentin / Q000648:ultrastructure*; D017220:Dentin-Bonding Agents / Q000737:chemistry* / Q000145:classification; D006801:Humans; D015233:Models, Statistical; D016571:Neural Networks, Computer; D012680:Sensitivity and Specificity; D033081:Shear Strength; D013314:Stress, Mechanical; D013718:Tensile Strength; D013997:Time Factors; D014867:Water / Q000737:chemistry
chemical_list: D017220:Dentin-Bonding Agents; D014867:Water