
Resumen Los sistemas adhesivos tienden a ser cada vez más simplificados y versátiles. Hasta el presente, el clínico todavía debe elegir entre adhesivos autoacondicionantes o convencionales. Objetivo: Mostrar la aplicación clínica de un nuevo sistema adhesivo considerado universal, debido a que puede ser usado como un adhesivo autoacondicionante o como uno convencional. Caso clínico: Fueron realizadas restauraciones cervicales en lesiones no cariosas con varias posibilidades de utilización de un nuevo adhesivo (Scotchbond™ Universal - 3M ESPE): aplicando el ácido fosfórico en toda la cavidad y dejando la dentina seca o húmeda, o aplicando el ácido fosfórico solamente en el esmalte, o aplicando sólo el adhesivo, sin grabado previo con ácido fosfórico. Después de restaurar con resina compuesta, todos los casos fueron evaluados clínicamente, en el inicio del tratamiento y a los 6 meses. Conclusión: Los resultados demostraron un excelente desempeño clínico de este nuevo sistema adhesivo, utilizado con cualquiera de las distintas técnicas clínicas propuestas. No obstante, deben realizarse estudios de larga duración, en un mayor número de casos clínicos, a fin de comprobar los resultados aquí presentados. Abstract Although current adhesive systems intent to be easier to use and more versatile, the clinician must choose between a self-etch or total-etch adhesive system. Aim: To present the clinical application of a new adhesive system considered universal because it can be used with the self-etch or total-etch approach. Case report: Restorations were built-up in non-carious cervical lesions with various application possibilities Scotchbond Universal, i.e. by applying phosphoric acid throughout the cavity and by allowing the dentin to be kept dry or wet; applying phosphoric acid only on the enamel or by applying only the adhesive without the use of phosphoric acid. After restoration with composite resin, each case was clinically evaluated at baseline and after 6 months. Conclusion: The results showed an excellent clinical performance when this new adhesive system was used in any proposed clinical strategy. Long-term studies with a larger number of clinical cases should be performed to confirm these results presented here.
Medicine (General), R5-920, Dentistry, RK1-715
Medicine (General), R5-920, Dentistry, RK1-715
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