Impact of head and neck radiotherapy on the mechanical behavior of composite resins and adhesive systems: A systematic review
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Citações na Scopus
24
Tipo de produção
article
Data de publicação
2017
Editora
ELSEVIER SCI LTD
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Título do Volume
Autores
TROCONIS, Cristhian Camilo Madrid
SANTOS-SILVA, Alan Roger
LOPES, Marcio Ajudarte
GOES, Mario Fernando de
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Citação
DENTAL MATERIALS, v.33, n.11, p.1229-1243, 2017
Resumo
Objective. To analyze the evidence regarding the impact of head and neck radiotherapy (HNRT) on the mechanical behavior of composite resins and adhesive systems. Methods. Searches were conducted on PubMed, Embase, Scopus and ISI Web of Science databases using ""Radiotherapy"", "" Composite resins"" and ""Adhesivesystems"" as keywords. Selected studies were written in English and assessed the mechanical behavior of composite resins and/or adhesive systems when bonding procedure was conducted before and/or after a maximum radiation dose >= 50 Gy, applied under in vitro or in vivo conditions. Results. In total, 115 studies were found but only 16 were included, from which five evaluated the effect of in vitro HNRT on microhardness, wear resistance, diametral tensile and flexural strength of composite resins, showing no significant negative effect in most of reports. Regarding bond strength of adhesive systems, 11 studies were included from which five reported no meaningful negative effect when bonding procedure was conducted before simulated HNRT. Conversely, five studies showed that bond strength diminished when adhesive procedure was done after in vitro radiation therapy. Only two studies about dental adhesion were conducted after in vivo radiotherapy but the results were not conclusive. Significance. The mechanical behavior of composite resins and adhesive systems seems not to be affected when in vitro HNRT is applied after bonding procedure. However, bond strength of adhesive systems tends to decrease when simulated radiotherapy is used immediately before bonding procedure. Studies assessing dentin bond strength after in-vivo HNRT were limited and controversial.
Palavras-chave
Radiotherapy, Composite resins, Adhesive systems, Head and neck neoplasms, Review
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