Publicação
Self-adhesive flowable resin composites—Are we going somewhere?
| datacite.subject.fos | Ciências Médicas::Ciências da Saúde | |
| datacite.subject.sdg | 03:Saúde de Qualidade | |
| dc.contributor.author | Delgado, António H. S. | |
| dc.contributor.author | Alves, Miguel | |
| dc.contributor.author | Pires, Inês | |
| dc.contributor.author | Ferreira, Marta Nunes | |
| dc.contributor.author | Cuevas-Suárez, Carlos Enrique | |
| dc.date.accessioned | 2026-07-06T09:52:35Z | |
| dc.date.available | 2026-07-06T09:52:35Z | |
| dc.date.issued | 2026-02 | |
| dc.description.abstract | Objective: To map laboratory/clinical evidence on self-adhesive flowable resin composites (SAFRCs), tracing their chemical evolution, performance, and behavior, and to identify gaps that must be addressed to drive their optimization. Overview: A comprehensive literature search was performed in PubMed/MEDLINE, Scopus, and LILACS without language restrictions. To date, 11 commercial SAFRCs are available. These contain 5wt%–10 wt% hydrophilic monomers and ≤ 55 vol% fillers, as a flowable option, although susceptible to water sorption and color changes. Functional monomer trends shift from 4-META/GPDM to 10-MDP or phosphate-amide hybrids; meta-analytical and recent laboratory data confirm that μTBS to dentin is extremely low (rarely > 10 MPa). Inefficacy to bond/seal is the main reason for failure. Clinical evidence is scarce and short-term: RCTs suggest that small Class-I restorations survive comparably to controls at ≤ 24 months, but failures are frequent. Emerging strategies such as alternative conditioning, collagen depletion, or incorporation of bio-interactive fillers may improve outcomes. Conclusions: Current SAFRCs simplify placement and reduce technique sensitivity but are constrained by very low bond strengths, poor sealing, and high hygroscopicity. Until chemistry, paste acidity, and smear-layer interaction are co-optimized, their use should remain limited. Future research must couple novel chemical formulations and low-water-uptake matrices while validating performance in adequately powered RCTs. | eng |
| dc.identifier.citation | Delgado, A. H. S., Alves, M., Pires, I., Nunes Ferreira, M., & Cuevas-Suárez, C. E. (2026). Self-Adhesive Flowable Resin Composites-Are We Going Somewhere?. Journal of esthetic and restorative dentistry, 38(2), 287–306. https://doi.org/10.1111/jerd.70048 | |
| dc.identifier.doi | 10.1111/jerd.70048 | |
| dc.identifier.issn | 1708-8240 | |
| dc.identifier.uri | http://hdl.handle.net/10400.26/63730 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | Wiley | |
| dc.relation.hasversion | https://doi.org/10.1111/jerd.70048 | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | dental adhesion | |
| dc.subject | dentin | |
| dc.subject | flowable resin composite | |
| dc.subject | functional monomer | |
| dc.subject | resin composites | |
| dc.subject | self-adhesive composite | |
| dc.subject | self-ahesive flowable composite | |
| dc.title | Self-adhesive flowable resin composites—Are we going somewhere? | eng |
| dc.type | contribution to journal | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 306 | |
| oaire.citation.issue | 2 | |
| oaire.citation.startPage | 287 | |
| oaire.citation.title | Journal of Esthetic and Restorative Dentistry | |
| oaire.citation.volume | 38 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 |