Sistemas adesivos universais – há 10 anos no Brasil: revisão de literatura
DOI:
https://doi.org/10.5335/rfo.v26i2.13257Palavras-chave:
Adesivos Dentinários, Esmalte Dental, DentinaResumo
Objetivo: analisar, a partir da literatura publicada, os sistemas adesivos universais, conceituando sobre seu
desempenho nos diferentes substratos, assim como potenciais estudos executados com eles após 10 anos no
Brasil. Materiais e métodos: para esta revisão narrativa, foram pesquisados artigos na língua inglesa nas bases
de dados eletrônicas PubMed/Medline, SciELO e Scopus, publicados de 2012 a 2022, período considerado
por ser a última década, além dos 10 anos da chegada do sistema adesivo universal ao Brasil. Utilizaram-se
os seguintes descritores: universal adhesives (adesivos universais) OR universal adhesive system (sistemas
adesivos universais). Realizou-se a inclusão de estudos laboratoriais (in vitro), ensaios clínicos, revisões de
literatura e sistemáticas com meta-análise. Resultados: após análise meticulosa, foram selecionados 56 estudos. Os adesivos universais são considerados mais “amigáveis” ao usuário, pois permitem ao clínico a
utilização no modo condicione e lave e autocondicionante, principalmente devido à inclusão do monômero
MDP ou de monômeros similares. No esmalte, o condicionamento ácido seletivo antes da aplicação do
adesivo é recomendado. Permite ser utilizado com uma diversidade de substratos, a aplicação de forma ativa
do adesivo melhora a resistência de união. Conclusão: os sistemas adesivos universais foram lançados para
tornar os procedimentos de adesão mais simples. Entretanto, mais ensaios clínicos com maiores tempos de
acompanhamento são necessários, para avaliar adequadamente a efetividade desse material.
Palavras-chave: adesivos dentinários; esmalte dental; dentina.
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