Objectives: To evaluate the clinical performance of universal adhesives with self-etch
mode regarding their functional monomer and HEMA contents. Methods: The study
involved 27 patients (108 restorations) aged between 34 and 69 (mean age: 53.8).
Each restoration contained one of four different universal adhesives applied in self-etch
mode: G-Premio Bond (HEMA-free, MDP and 4-MET containing), Xeno Select (HEMA and
MDP-free), Tetric-n-Bond Universal (HEMA and MDP-containing) and Clearfil Universal
Bond Quick (HEMA, MDP and amide monomers containing). The restorations were
evaluated according to the FDI criteria at baseline, 6, and 12 months. The data were
statistically analyzed using Friedman’s and Kruskal-Wallis tests for significance in each
pair (p<0.05). Results: After 12 months, one restoration was lost in each of the G-Premio
Bond and Clearfil Bond Quick groups. The success rate was 96.3% for both adhesives and
100% for Xeno Select and Tetric-n-Bond adhesives. There was no statistically significant
difference between the four dentin adhesive groups among all the evaluation periods
regarding any evaluation criteria. However, four universal adhesives showed clinically
acceptable marginal discoloration and marginal deterioration in a few restorations.
Conclusion: Monomer contents of universal adhesives with self-etch mode had no
significant effect on the success of restorations.
Keywords
Clinical Performance
Self-etch
Monomer
Universal Adhesive
HEMA
Ferda Karabay, Mustafa Demirci, Safa Tuncer, Neslihan Tekçe, Meriç Berkman, Canan Baydemir