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Randomized Controlled Trial
. 2018 Jan 18:26:e20170129.
doi: 10.1590/1678-7757-2017-0129.

Randomized clinical trial of encapsulated and hand-mixed glass-ionomer ART restorations: one-year follow-up

Maria Cristina Carvalho de Almendra Freitas  1 , Ticiane Cestari Fagundes  2 , Karin Cristina da Silva Modena  3 , Guilherme Saintive Cardia  4 , Maria Fidela de Lima Navarro  5
Affiliations
Randomized Controlled Trial

Randomized clinical trial of encapsulated and hand-mixed glass-ionomer ART restorations: one-year follow-up

Maria Cristina Carvalho de Almendra Freitas et al. J Appl Oral Sci. .

Abstract

This prospective, randomized, split-mouth clinical trial evaluated the clinical performance of conventional glass ionomer cement (GIC; Riva Self-Cure, SDI), supplied in capsules or in powder/liquid kits and placed in Class I cavities in permanent molars by the Atraumatic Restorative Treatment (ART) approach. A total of 80 restorations were randomly placed in 40 patients aged 11-15 years. Each patient received one restoration with each type of GIC. The restorations were evaluated after periods of 15 days (baseline), 6 months, and 1 year, according to ART criteria. Wilcoxon matched pairs, multivariate logistic regression, and Gehan-Wilcoxon tests were used for statistical analysis. Patients were evaluated after 15 days (n=40), 6 months (n=34), and 1 year (n=29). Encapsulated GICs showed significantly superior clinical performance compared with hand-mixed GICs at baseline (p=0.017), 6 months (p=0.001), and 1 year (p=0.026). For hand-mixed GIC, a statistically significant difference was only observed over the period of baseline to 1 year (p=0.001). Encapsulated GIC presented statistically significant differences for the following periods: 6 months to 1 year (p=0.028) and baseline to 1 year (p=0.002). Encapsulated GIC presented superior cumulative survival rate than hand-mixed GIC over one year. Importantly, both GICs exhibited decreased survival over time. Encapsulated GIC promoted better ART performance, with an annual failure rate of 24%; in contrast, hand-mixed GIC demonstrated a failure rate of 42%.

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Figures

Figure 1
Figure 1. CONSORT participant flowchart. np=number of patients; nr=number of restorations
Figure 2
Figure 2. ART criteria according to Lo and Holmgren (2001)
Codes: 0, 1, 2 = successful; 3, 4, 5, 6 = failure; 7,8 = excluded
See this image and copyright information in PMC

References

    1. Amorim RG, Leal SC, Frencken JE. Survival of atraumatic restorative treatment (ART) sealants and restorations: a meta-analysis. Clin Oral Investig. 2012;16(2):429–441. - PMC - PubMed
    1. Arrow P, Klobas E. Minimum intervention dentistry approach to managing early childhood caries: a randomized control trial. Community Dent Oral Epidemiol. 2015;43(6):511–520. - PubMed
    1. Biazevic MG, Rissotto RR, Michel-Crosato E, Mendes LA, Mendes MO. Relationship between oral health and its impact on quality of life among adolescents. Braz Oral Res. 2008;22(1):36–42. - PubMed
    1. Billington RW, Williams JA, Pearson GJ. Variation in powder/liquid ratio of a restorative glass-ionomer cement used in dental practice. Br Dent J. 1990;169(6):164–167. - PubMed
    1. Bonifácio CC, Kleverlaan CJ, Raggio DP, Werner A, Carvalho RC, van Amerongen WE. Physical-mechanical properties of glass ionomer cements indicated for atraumatic restorative treatment. Aust Dent J. 2009;54(3):233–237. - PubMed

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