Four-year randomized clinical trial of oxalic acid pretreatment in restorations of non-carious cervical lesions

Clin Oral Investig. 2016 Mar;20(2):199-205. doi: 10.1007/s00784-015-1521-5. Epub 2015 Jul 15.

Abstract

Objective: The aim of this study was to evaluate the efficiency of oxalic acid (BisBlock) on restorations of non-carious cervical lesions.

Materials and methods: One operator placed 90 restorations randomly divided into two groups in 20 patients under cotton rolls isolation: Control Group-two-step etch-and-rinse adhesive technique; and Experimental Group-two-step etch-and-rinse adhesive technique with oxalic acid pretreatment after acid-etched dentin. The restorative adhesive system used was XP Bond/Durafill. The restorations were directly assessed by two independent examiners, using the modified United States Public Health Service (USPHS) criteria at the baseline and 4 years. Data were statistically analyzed using the Fisher and McNemar tests (p < 0.05).

Results: Fifteen patients (75%) were available for recall after 4 years. The McNemar test detected significant differences within the Experimental Group between the baseline and 4-year evaluations for retention (p < 0.05). For the Control Group, there was no significant difference (p > 0.05) between the periods. The Fisher test showed no statistically significant difference between the groups for all other criteria (p > 0.05).

Conclusion: After 4 years of service, the use of oxalic acid did not influence the clinical performance of restorations when it was used under composite resin restorations.

Keywords: Adhesive; Clinical trial; Dentin hypersensitivity; Oxalates.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acid Etching, Dental
  • Adult
  • Composite Resins
  • Dental Restoration, Permanent / methods*
  • Dentin-Bonding Agents
  • Female
  • Humans
  • Male
  • Middle Aged
  • Oxalic Acid / therapeutic use*
  • Tooth Cervix / pathology
  • Treatment Outcome

Substances

  • BisBlock
  • Composite Resins
  • Dentin-Bonding Agents
  • XP-Bond
  • Durafill
  • Oxalic Acid