Non-Cochrane · intervention · PM42042267

Comparison of Adhesive Strategies with Different Etching Approaches on the Clinical Performance of Restorations in Non-Carious Cervical Lesions: A Systematic Review and Network Meta-Analysis.

Chaple Gil Alain Manuel, Pereda Vázquez Laura, Santiesteban Velázquez Meylin, et al. · Journal of functional biomaterials · 2026 · PubMed · doi:10.3390/jfb17040160

Findings

Population Patients with non-carious cervical lesions in permanent teeth restored with direct materials

59 findings

SelE|2U|CR_NANO: selective enamel etch, 2-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.619 [0.059, 6.496]
GRADE not reported
Studies not reported
SelE|2U|CR_NANO: selective enamel etch, 2-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 0.096 [0.012, 0.771]
GRADE not reported
Studies not reported
SelE|1U|CR_NANO: selective enamel etch, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 0.232 [0.076, 0.707]
High
1 study
SelE|1U|CR_NANO: selective enamel etch, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.600 [0.232, 1.551]
Low
Downgraded: risk of bias, imprecision, indirectness
1 study
EARm|1U|CR_NANO: etch-and-rinse with moist dentin, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 0.750 [0.371, 1.513]
GRADE not reported
Studies not reported
EARm|1U|CR_NANO: etch-and-rinse with moist dentin, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.165 [0.056, 0.482]
GRADE not reported
Studies not reported
EAR|2U|CR_NANO: etch-and-rinse, 2-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.474 [0.138, 1.626]
GRADE not reported
Studies not reported
EAR|2U|CR_NANO: etch-and-rinse, 2-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 0.775 [0.330, 1.820]
GRADE not reported
Studies not reported
EARd|1U|CR_NANO: etch-and-rinse on dry dentin, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.073 [0.020, 0.270]
GRADE not reported
Studies not reported
EARd|1U|CR_NANO: etch-and-rinse on dry dentin, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 0.782 [0.356, 1.717]
GRADE not reported
Studies not reported
SelEse|1U|CR_NANO: selective enamel etch with self-etch on dentin, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.261 [0.105, 0.646]
GRADE not reported
Studies not reported
SelEse|1U|CR_NANO: selective enamel etch with self-etch on dentin, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 0.840 [0.479, 1.473]
GRADE not reported
Studies not reported
SE|2NU|SIL: self-etch, 2-step non-universal adhesive, silorane compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 0.854 [0.224, 3.250]
GRADE not reported
Studies not reported
SE|2NU|SIL: self-etch, 2-step non-universal adhesive, silorane compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.227 [0.021, 2.484]
GRADE not reported
Studies not reported
EAR|1U|CR_NANO: etch-and-rinse, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.184 [0.073, 0.460]
GRADE not reported
Studies not reported
EAR|1U|CR_NANO: etch-and-rinse, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 0.908 [0.527, 1.566]
GRADE not reported
Studies not reported
SelEse|2NU|CR_CH: selective enamel etch with self-etch on dentin, 2-step non-universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 3.848 [0.773, 19.172]
GRADE not reported
Studies not reported
SelEse|2NU|CR_CH: selective enamel etch with self-etch on dentin, 2-step non-universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.059 [0.287, 3.904]
GRADE not reported
Studies not reported
EAR|2NU|CR_NANO: etch-and-rinse, 2-step non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.607 [0.254, 1.450]
Low
Downgraded: risk of bias, imprecision, indirectness
1 study
EAR|2NU|CR_NANO: etch-and-rinse, 2-step non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.111 [0.641, 1.927]
High
1 study
EAR|3NU|CR_NANO: etch-and-rinse, 3-step or more non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 1.011 [0.613, 1.666]
Low
Downgraded: risk of bias, imprecision, indirectness
1 study
EAR|3NU|CR_NANO: etch-and-rinse, 3-step or more non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.132 [0.730, 1.753]
High
1 study
SE|2NU|CR_CH: self-etch, 2-step non-universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.286 [0.354, 4.675]
GRADE not reported
Studies not reported
SE|2NU|CR_CH: self-etch, 2-step non-universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 3.775 [1.596, 8.927]
Moderate
Downgraded: risk of bias, indirectness
1 study
SelEse|1NU|CR_NANO: selective enamel etch with self-etch on dentin, 1-step non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.318 [0.651, 2.667]
GRADE not reported
Studies not reported
SelEse|1NU|CR_NANO: selective enamel etch with self-etch on dentin, 1-step non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.349 [0.035, 3.433]
GRADE not reported
Studies not reported
EAR|3NU|CR_CH: etch-and-rinse, 3-step or more non-universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 1.439 [0.656, 3.157]
Moderate
Downgraded: risk of bias, imprecision
1 study
EAR|3NU|CR_CH: etch-and-rinse, 3-step or more non-universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.329 [0.433, 4.078]
GRADE not reported
Studies not reported
SE|2NU|CR_NANO: self-etch, 2-step non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.368 [0.779, 2.402]
GRADE not reported
Studies not reported
SE|2NU|CR_NANO: self-etch, 2-step non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.716 [0.328, 1.564]
GRADE not reported
Studies not reported
SE|2U|CR_NANO: self-etch, 2-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.410 [0.056, 35.645]
GRADE not reported
Studies not reported
SE|2U|CR_NANO: self-etch, 2-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 1.165 [0.308, 4.400]
GRADE not reported
Studies not reported
EARhb|1U|CR_NANO: etch-and-rinse with extra hydrophobic bonding resin, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.108 [0.005, 2.320]
GRADE not reported
Studies not reported
EARhb|1U|CR_NANO: etch-and-rinse with extra hydrophobic bonding resin, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.468 [0.171, 12.605]
GRADE not reported
Studies not reported
SE|1U|CR_NANO: self-etch, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.543 [0.231, 1.275]
GRADE not reported
Studies not reported
SE|1U|CR_NANO: self-etch, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.476 [0.872, 2.498]
GRADE not reported
Studies not reported
EAR|1U|CR_CH: etch-and-rinse, 1-step universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.600 [0.012, 29.116]
GRADE not reported
Studies not reported
EAR|1U|CR_CH: etch-and-rinse, 1-step universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.519 [0.149, 15.507]
GRADE not reported
Studies not reported
SE|1NU|CR_NANO: self-etch, 1-step non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 1.187 [0.484, 2.914]
GRADE not reported
Studies not reported
SE|1NU|CR_NANO: self-etch, 1-step non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.641 [0.909, 2.960]
GRADE not reported
Studies not reported
SE|1U|CR_CH: self-etch, 1-step universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 4.318 [0.162, 114.767]
GRADE not reported
Studies not reported
SE|1U|CR_CH: self-etch, 1-step universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.659 [0.497, 5.546]
GRADE not reported
Studies not reported
SelEse|2NU|CR_NANO: selective enamel etch with self-etch on dentin, 2-step non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.681 [0.232, 12.192]
GRADE not reported
Studies not reported
SelEse|2NU|CR_NANO: selective enamel etch with self-etch on dentin, 2-step non-universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.424 [0.018, 9.809]
GRADE not reported
Studies not reported
SE|1NU|CR_CH: self-etch, 1-step non-universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.774 [0.581, 5.421]
Moderate
Downgraded: risk of bias, imprecision
1 study
SE|1NU|CR_CH: self-etch, 1-step non-universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 1.484 [0.765, 2.882]
Moderate
Downgraded: risk of bias, imprecision
1 study
EAR|2U|CR_CH: etch-and-rinse, 2-step universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.793 [0.231, 2.717]
GRADE not reported
Studies not reported
EAR|2U|CR_CH: etch-and-rinse, 2-step universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 1.892 [0.353, 10.139]
GRADE not reported
Studies not reported
EAR|2NU|CR_CH: etch-and-rinse, 2-step non-universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 4.535 [2.115, 9.722]
High
3 studies
EAR|2NU|CR_CH: etch-and-rinse, 2-step non-universal adhesive, conventional/hybrid compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 2.057 [0.741, 5.709]
Low
Downgraded: risk of bias, imprecision, indirectness
3 studies
SEhb|1U|CR_NANO: self-etch with extra hydrophobic bonding resin, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 2.663 [0.320, 22.201]
GRADE not reported
Studies not reported
SEhb|1U|CR_NANO: self-etch with extra hydrophobic bonding resin, 1-step universal adhesive, nanofilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.513 [0.066, 3.969]
GRADE not reported
Studies not reported
SE|1U|CMP: self-etch, 1-step universal adhesive, compomerRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 3.000 [0.353, 25.460]
High
1 study
SE|1U|CMP: self-etch, 1-step universal adhesive, compomerRMGI: resin-modified glass-ionomer cement (reference)Marginal adaptation failure
Longest available follow-up · Clinical trials in dental clinics
RR 4.136 [1.005, 17.027]
High
1 study
EAR|2NU|CMP: etch-and-rinse, 2-step non-universal adhesive, compomerRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 0.382 [0.016, 9.375]
GRADE not reported
Studies not reported
SE|2NU|CMP: self-etch, 2-step non-universal adhesive, compomerRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 1.589 [0.561, 4.497]
Low
Downgraded: risk of bias, imprecision, indirectness
1 study
SE|1NU|CMP: self-etch, 1-step non-universal adhesive, compomerRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 1.631 [0.577, 4.605]
Low
Downgraded: risk of bias, imprecision, indirectness
1 study
EAR|2NU|CR_MF: etch-and-rinse, 2-step non-universal adhesive, microfilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 2.380 [0.412, 13.757]
Moderate
Downgraded: risk of bias, imprecision
1 study
SE|1NU|CR_MF: self-etch, 1-step non-universal adhesive, microfilled compositeRMGI: resin-modified glass-ionomer cement (reference)Retention loss
Longest available follow-up · Clinical trials in dental clinics
RR 11.902 [1.026, 138.090]
GRADE not reported
Studies not reported

Included primary studies 77

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Jassal 2018
Clinical Effectiveness of a Resin-modified Glass Ionomer Cement and a Mild One-step Self-etch Adhesive Applied Actively and Passively in…
DOI:10.2341/17-147-c
20181 other reviewnot statednot extracted yet
Onal 2005
The two-year clinical performance of esthetic restorative materials in noncarious cervical lesions
DOI:10.14219/jada.archive.2005.0085
20051 other reviewnot statednot extracted yet
Perdigão 2012
Randomized Clinical Trial of Two Resin-Modified Glass Ionomer Materials: 1-year Results
DOI:10.2341/11-415-c
20121 other reviewnot statednot extracted yet
Santiago 2010
Two-year clinical evaluation of resinous restorative systems in non-carious cervical lesions
DOI:10.1590/s0103-64402010000300010
20101 other reviewnot statednot extracted yet
Vural 2020
Twenty-four-month clinical performance of a glass hybrid restorative in non-carious cervical lesions of patients with bruxism: a…
DOI:10.1007/s00784-019-02986-x
20191 other reviewnot statednot extracted yet
Abdalla 2006
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Atalay 2020
Thirty-six-month clinical evaluation of different adhesive strategies of a universal adhesive
DOI:10.1007/s00784-019-03052-2
2019this review onlynot statednot extracted yet
Barceleiro 2022
Thirty-six-month follow-up of cervical composite restorations placed with an MDP-free universal adhesive system using different adhesive…
DOI:10.1007/s00784-022-04397-x
2022this review onlynot statednot extracted yet
Bhat 2024
Evaluation of Efficacy of Self-etch Adhesives in the Restoration of Noncarious Cervical Lesions: A Controlled Clinical Trial
DOI:10.5005/jp-journals-10015-2376
2024this review onlynot statednot extracted yet
Boushell 2016
Six-year clinical performance of etch-and-rinse and self-etch adhesives
DOI:10.1016/j.dental.2016.06.003
2016this review onlynot statednot extracted yet
Brackett 2003
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Brackett 2005
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Burgess 2013
Clinical Evaluation of Self-etch and Total-etch Adhesive Systems in Noncarious Cervical Lesions: A Two-year Report
DOI:10.2341/12-355-cr
2013this review onlynot statednot extracted yet
Burrow 2007
Clinical Evaluation of Three Adhesive Systems for the Restoration of Non-carious Cervical Lesions
DOI:10.2341/06-50
2007this review onlynot statednot extracted yet
Çelik 2015
DOI:10.3290/j.jad.a34556
NRthis review onlynot statednot extracted yet
Cruz 2021
DOI:10.3290/j.jad.b2000173
NRthis review onlynot statednot extracted yet
Dalton 2005
An 18-months' evaluation of self-etch and etch & rinse adhesive in non-carious cervical lesions
DOI:10.1080/00016350510019874
2005this review onlynot statednot extracted yet
de Albuquerque 2020
A New Dual-cure Universal Simplified Adhesive: 18-month Randomized Multicenter Clinical Trial
DOI:10.2341/19-144-c
2020this review onlynot statednot extracted yet
de Albuquerque 2022
Universal Simplified Adhesive applied under different bonding technique's: 36-month Randomized Multicentre Clinical Trial
DOI:10.1016/j.jdent.2022.104120
2022this review onlynot statednot extracted yet
de Almeida 2023
Eighteen-month clinical evaluation of a new universal adhesive applied in the “no-waiting” technique: a randomized clinical trial
DOI:10.1007/s00784-022-04703-7
2022this review onlynot statednot extracted yet
de Almeida 2026
Thirty-six months of clinical evaluation of a new universal adhesive applied in the “no waiting” technique: A randomized clinical trial
DOI:10.1016/j.jdent.2025.106222
2026this review onlynot statednot extracted yet
de Carvalho 2015
DOI:10.3290/j.jad.a35009
NRthis review onlynot statednot extracted yet
de Paris 2020
Five-year clinical evaluation of a universal adhesive: A randomized double-blind trial
DOI:10.1016/j.dental.2020.08.007
2020this review onlynot statednot extracted yet
Digole 2020
Comparative evaluation of clinical performance of two self-etch adhesive systems with total-etch adhesive system in noncarious cervical…
PMID:33384494
2020this review onlynot statednot extracted yet
Dutra-Correa 2019
Randomized clinical trial of four adhesion strategies: A 42 month study
DOI:10.4103/ijdr.ijdr_466_16
2019this review onlynot statednot extracted yet
Ermis 2012
Clinical effectiveness of a one-step self-etch adhesive in non-carious cervical lesions at 2 years
DOI:10.1007/s00784-011-0565-4
2011this review onlynot statednot extracted yet
Ermis 2012
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Follak 2021
Clinical behavior of universal adhesives in non-carious cervical lesions: A randomized clinical trial
DOI:10.1016/j.jdent.2021.103747
2021this review onlynot statednot extracted yet
Franco 2006
5-year Clinical Performance of Resin Composite Versus Resin Modified Glass Ionomer Restorative System in Non-carious Cervical Lesions
DOI:10.2341/05-87
2006this review onlynot statednot extracted yet
Fron 2011
Effectiveness of a new one-step self-etch adhesive in the restoration of non-carious cervical lesions: 2-Year results of a randomized…
DOI:10.1016/j.dental.2010.11.006
2011this review onlynot statednot extracted yet
Fuentes 2023
Effect of an additional bonding resin on the 5-year performance of a universal adhesive: a randomized clinical trial
DOI:10.1007/s00784-022-04613-8
2022this review onlynot statednot extracted yet
Gallo 2005
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Haak 2019
Clinical and OCT outcomes of a universal adhesive in a randomized clinical trial after 12 months
DOI:10.1016/j.jdent.2019.103200
2019this review onlynot statednot extracted yet
Haak 2022
Clinical Outcomes and Quantitative Margin Analysis of a Universal Adhesive Using a Randomized Clinical Trial over Three Years
DOI:10.3390/jcm11236910
2022this review onlynot statednot extracted yet
Häfer 2015
A three-year clinical evaluation of a one-step self-etch and a two-step etch-and-rinse adhesive in non-carious cervical lesions
DOI:10.1016/j.jdent.2014.12.009
2015this review onlynot statednot extracted yet
Kemaloğlu 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Kubo 2006
Five-year clinical evaluation of two adhesive systems in non-carious cervical lesions
DOI:10.1016/j.jdent.2005.04.003
2006this review onlynot statednot extracted yet
Lawson 2015
Two-year clinical trial of a universal adhesive in total-etch and self-etch mode in non-carious cervical lesions
DOI:10.1016/j.jdent.2015.07.009
2015this review onlynot statednot extracted yet
Loguercio 2003
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Loguercio 2007
A 36-month evaluation of self-etch and etch-and-rinse adhesives in noncarious cervical lesions
DOI:10.14219/jada.archive.2007.0204
2007this review onlynot statednot extracted yet
Loguercio 2008
Application of a Dental Adhesive Using the Self-Etch and Etch-and-Rinse Approaches
DOI:10.14219/jada.archive.2008.0021
2008this review onlynot statednot extracted yet
Loguercio 2015
A new universal simplified adhesive: 36-Month randomized double-blind clinical trial
DOI:10.1016/j.jdent.2015.07.005
2015this review onlynot statednot extracted yet
Lopes 2016
Six-month Follow-up of Cervical Composite Restorations Placed With a New Universal Adhesive System: A Randomized Clinical Trial
DOI:10.2341/15-309-c
2016this review onlynot statednot extracted yet
Manarte-Monteiro 2022
Universal Adhesives and Adhesion Modes in Non-Carious Cervical Restorations: 2-Year Randomised Clinical Trial.
PMID:35012056
2021this review onlynot statednot extracted yet
Merle 2022
Clinical and OCT assessment of application modes of a universal adhesive in a 12-month RCT
DOI:10.1016/j.jdent.2022.104068
2022this review onlynot statednot extracted yet
Moosavi 2013
The Clinical Effectiveness of Various Adhesive Systems: An 18-Month Evaluation
DOI:10.2341/12-110-cr
2013this review onlynot statednot extracted yet
Ñaupari-Villasante 2023
Five-year clinical evaluation of universal adhesive applied following different bonding techniques: A randomized multicenter clinical trial
DOI:10.1016/j.dental.2023.04.007
2023this review onlynot statednot extracted yet
Ñaupari-Villasante 2025
Longevity of a single-dose, dual-cure universal adhesive: A 7.5-year double-blind split-mouth two-center randomized trial
DOI:10.1016/j.dental.2025.11.015
2026this review onlynot statednot extracted yet
Oz 2019
Twenty-four-month clinical performance of different universal adhesives in etch-and-rinse, selective etching and self-etch application…
DOI:10.1590/1678-7757-2018-0358
2019this review onlynot statednot extracted yet
Oz 2022
DOI:10.3290/j.jad.b3240675
NRthis review onlynot statednot extracted yet
Ozel 2010
One‐year clinical evaluation of a two‐step self‐etch adhesive with and without additional enamel etching technique in cervical lesions
DOI:10.1111/j.1834-7819.2010.01218.x
2010this review onlynot statednot extracted yet
Pappa 2024
A 2-Year Randomized Clinical Trial of Three Bonding Techniques in Non-Carious Cervical Lesions.
PMID:38929622
2024this review onlynot statednot extracted yet
Pena 2016
Two-year Randomized Clinical Trial of Self-etching Adhesives and Selective Enamel Etching
DOI:10.2341/15-130-c
2016this review onlynot statednot extracted yet
Perdigão 2005
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Perdigão 2012
Randomized Clinical Trial of Four Adhesion Strategies: 18-Month Results
DOI:10.2341/11-222-c
2012this review onlynot statednot extracted yet
Perdigão 2014
A New Universal Simplified Adhesive: 18-Month Clinical Evaluation
DOI:10.2341/13-045-c
2014this review onlynot statednot extracted yet
Perdigão 2020
Effect of a hydrophobic bonding resin on the 36-month performance of a universal adhesive—a randomized clinical trial
DOI:10.1007/s00784-019-02940-x
2019this review onlynot statednot extracted yet
Perdigão 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Peumans 2005
Three‐year clinical effectiveness of a two‐step self‐etch adhesive in cervical lesions
DOI:10.1111/j.1600-0722.2005.00256.x
2005this review onlynot statednot extracted yet
Peumans 2010
Eight-year clinical evaluation of a 2-step self-etch adhesive with and without selective enamel etching
DOI:10.1016/j.dental.2010.08.190
2010this review onlynot statednot extracted yet
Peumans 2015
Thirteen-year randomized controlled clinical trial of a two-step self-etch adhesive in non-carious cervical lesions
DOI:10.1016/j.dental.2015.01.005
2015this review onlynot statednot extracted yet
Peumans 2018
DOI:10.3290/j.jad.a40630
NRthis review onlynot statednot extracted yet
Peumans 2021
DOI:10.3290/j.jad.b1367831
NRthis review onlynot statednot extracted yet
Peumans 2023
DOI:10.3290/j.jad.b4186751
NRthis review onlynot statednot extracted yet
Ranjitha 2020
Clinical efficacy of universal adhesives for the restoration of noncarious cervical lesions: A randomized clinical trial.
PMID:33551590
2020this review onlynot statednot extracted yet
Ruschel 2018
Eighteen-month Clinical Study of Universal Adhesives in Noncarious Cervical Lesions
DOI:10.2341/16-320-c
2018this review onlynot statednot extracted yet
Ruschel 2019
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Ruschel 2023
Five-year Clinical Evaluation of Universal Adhesives in Noncarious Cervical Lesions
DOI:10.2341/21-132-c
2023this review onlynot statednot extracted yet
Schwendicke 2021
Glass hybrid versus composite for non-carious cervical lesions: Survival, restoration quality and costs in randomized controlled trial…
DOI:10.1016/j.jdent.2021.103689
2021this review onlynot statednot extracted yet
Schwendicke 2021
An Updated Systematic Review With Meta-Analysis Of Randomized Trials On Topical Cyclosporin A For Dry-Eye Disease.
PMID:32021110
2020this review onlynot statednot extracted yet
Tian 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Tuncer 2013
Clinical evaluation of different adhesives used in the restoration of non‐carious cervical lesions: 24‐month results
DOI:10.1111/adj.12028
2013this review onlynot statednot extracted yet
van Dijken 2013
A randomized controlled 5-year prospective study of two HEMA-free adhesives, a 1-step self etching and a 3-step etch-and-rinse, in…
DOI:10.1016/j.dental.2013.08.203
2013this review onlynot statednot extracted yet
Van Landuyt 2011
Three-year clinical performance of a HEMA-free one-step self-etch adhesive in non-carious cervical lesions
DOI:10.1111/j.1600-0722.2011.00855.x
2011this review onlynot statednot extracted yet
van Meerbeek 2005
A randomized controlled study evaluating the effectiveness of a two-step self-etch adhesive with and without selective phosphoric-acid…
DOI:10.1016/j.dental.2004.05.008
2005this review onlynot statednot extracted yet
Yaman 2014
Three-year randomized clinical evaluation of a low-shrinkage silorane-based resin composite in non-carious cervical lesions
DOI:10.1007/s00784-013-1079-z
2013this review onlynot statednot extracted yet
Zanatta 2019
Bonding Performance of Simplified Adhesive Systems in Noncarious Cervical Lesions at 2-year Follow-up: A Double-blind Randomized Clinical…
DOI:10.2341/18-049-c
2019this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationHuman patients with non-carious cervical lesions in permanent teeth restored with direct adhesive composite or resin-modified glass ionomer restorationsPatients with non-carious cervical lesions in permanent teeth (74 trials)
InterventionEtch-and-rinse, self-etch and selective-etch adhesive strategies with a restorative material (composite resins, compomer, RMGI and others)Composite strategies combining etching approach, adhesive category and restorative material (28 interventions for marginal adaptation, 33 for retention loss)
ComparisonAlternative etching-based restorative strategies, including RMGI as reference comparatorResin-modified glass-ionomer cement (RMGI) as network reference
OutcomesPrimary: marginal adaptation and retention loss; secondary: fracture, anatomic form, marginal discoloration, postoperative sensitivity, secondary caries, surface textureMarginal adaptation failure (n=57 trials, 6798 patients, 1772 events); retention loss (n=61 trials, 7338 patients, 584 events); other outcomes described only narratively
Study designsRandomized clinical trials with at least two distinct etching-based strategiesRandomized clinical trials (n=74)
TimingLongest available follow-up used for primary analysis; earlier follow-ups for sensitivityFollow-up up to 72 months; longest follow-up analyzed

AMSTAR 2 items

Two independent extractors rated each item. Their ratings are shown side by side because they have not been reconciled yet. The overall rating follows Shea et al. 2017: one critical flaw gives Low, more than one gives Critically Low.

ItemExtractor AExtractor BAgree
1Research question includes PICO componentsYesYesyes
2Protocol established before the reviewcriticalPartial YesPartial Yesyes
3Choice of study designs explainedYesNono
4Comprehensive literature searchcriticalPartial YesPartial Yesyes
5Study selection in duplicateYesYesyes
6Data extraction in duplicateYesYesyes
7List of excluded studies with reasonscriticalYesYesyes
8Included studies described in detailYesYesyes
9Risk of bias assessed satisfactorilycriticalRCT: Yes · NRSI: N/ANRSI: N/A · RCT: Yesno
10Funding of included studies reportedNoNoyes
11Appropriate meta-analysis methodscriticalRCT: Yes · NRSI: N/ANRSI: N/A · RCT: Yesno
12Impact of risk of bias on the pooled resultsNoYesno
13Risk of bias accounted for in interpretationcriticalYesYesyes
14Heterogeneity explainedYesYesyes
15Publication bias investigatedcriticalNoNoyes
16Conflicts of interest reportedYesYesyes
OverallLowLowyes