Clinical Performance of CentionTM Alkasite Restorative Material vs. Glass Ionomer Cement Used in Deciduous Teeth: One-Year Evaluation

Derchi, Giacomo; Marchio, Vincenzo; Giuca, Maria Rita; Lardani, L

doi:10.3390/app122110845

Cited by 7 publications

(6 citation statements)

References 21 publications

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“…The ability of alkasite to meet the ISO requirement for minimum FS even under such unfavorable conditions indicates its optimal mechanical stability and potential for use in load-bearing areas. This is consistent with reports of alkasite’s good performance under clinical conditions, albeit with short follow-up times of only 1–2 years [ 13 , 14 , 15 , 16 , 17 ].…”

Section: Discussionsupporting

confidence: 92%

“…Some compositional differences among these material versions are likely but have not been explicitly stated by the manufacturer. Regardless of the material version, there is a reasonable amount of evidence for the good performance of the alkasite under in vitro conditions [ 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 ], as well as in randomized clinical trials [ 13 , 14 , 15 , 16 , 17 ], as summarized below.…”

Section: Introductionmentioning

confidence: 99%

“…In an RCT on non-carious cervical lesions, the alkasite showed better retention, marginal integrity, anatomic form, and color stability than a resin-modified glass ionomer after 1 year [ 14 ]. Other RCTs reported that the alkasite used to restore Class II restorations in deciduous molars performed similarly to a glass ionomer cement, according to the standardized FDI criteria after 1 year [ 15 ], as well as similar performance to a nanofilled composite in permanent molars in children after one year [ 16 ]. In Class II restorations evaluated according to the United States Public Health Service (USPHS) criteria, after 1 year, the alkasite showed similar performance to a conventional composite [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Mechanical Properties of Alkasite Material with Different Curing Modes and Simulated Aging Conditions

Negovetic Mandic,

Plancak,

Marovic

et al. 2024

Materials

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This study aimed to evaluate the micro-mechanical and macro-mechanical properties of self-cured and light-cured alkasite and to investigate how accelerated degradation in acidic, alkaline, and ethanol solutions affects the macro-mechanical properties of self-cured and light-cured alkasite. The specimens of the alkasite material (Cention Forte, Ivoclar Vivadent) were prepared according to the following three curing modes: (1) light-cured immediately, (2) light-cured after a 5-min delay, and (3) self-cured. Microhardness was tested before and after immersion in absolute ethanol to indirectly determine crosslink density, while flexural strength and flexural modulus were measured using a three-point bending test after accelerated aging in the following solutions: (1) lactic acid solution (pH = 4.0), (2) NaOH solution (pH = 13.0), (3) phosphate-buffered saline solution (pH = 7.4), and (4) 75% ethanol solution. The data were statistically analyzed using a two-way ANOVA and Tukey post hoc test. The results showed that the microhardness, flexural strength, and flexural modulus were significantly lower in self-cured specimens compared to light-cured specimens. A 5-min delay between the extrusion of the material from the capsule and light curing had no significant effect on any of the measured properties. A significant effect of the accelerated aging solutions on macro-mechanical properties was observed, with ethanol and alkaline solutions having a particularly detrimental effect. In conclusion, light curing was preferable to self-curing, as it resulted in significantly better micro- and macro-mechanical properties, while a 5-min delay between mixing the capsule and light curing had no negative effects.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mechanical Properties of Alkasite Material with Different Curing Modes and Simulated Aging Conditions

Negovetic Mandic,

Plancak,

Marovic

et al. 2024

Materials

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“…Another clinical study in pediatric dentistry compared the biological, functional, and aesthetic properties of Cention N to glass ionomer cement (GIC) for direct restorations of primary dentition. According to data from their study, both CN materials and GIC showed the same performance after one year [ 30 ]. Therefore, the present study corroborates their findings, suggesting the importance of proper curing and handling, as well as the ions’ activity, in controlling biochemical phenomena.…”

Section: Discussionmentioning

confidence: 99%

Fluoride and Calcium Release from Alkasite and Glass Ionomer Restorative Dental Materials: In Vitro Study

Lauro

Duca

Montuori

et al. 2023

JFB

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This study evaluated the effect of pH and temperature on the ion (F− and Ca2+) release of a resin-based material containing alkaline fillers and a self-setting high-viscous glass ionomer cement. Disks were prepared according to manufacturers’ instructions for both materials: the EF group (Equia Forte HT filling, GC) and the CN group (Cention N, Ivoclar). Specimens were immersed in 50 mL buffer solution with three different pHs (4.8, 6.8, and 8.8), and stored at 0°, 18°, 37°, and 44 °C. After 24 h, 7 d, and 28 d, cumulative F− and Ca2+ releases were analyzed by chromatography and mass spectrometry, and pH was measured. Both materials showed minimal changes in pH with final values after 28 d of 5.17 ± 0.56 for CN and 5.12 ± 0.24 for EF. In all experimental conditions, the percentages of ion release were higher for EF than for CF. In particular, both materials showed a significant difference in temperature in F− release. Regardless of the pH values, the highest Ca2+ ion release was after 28 days, with a significant difference in temperature for CN and EF. Within the limit of this study, the temperature storage influenced ion release and the high-viscous glass ionomer showed the maximum values.

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“…Recently, several studies have been conducted to assess the clinical performance of Cention N, investigating its effectiveness in restoring Class I, Class II, and Class V preparations in permanent and deciduous teeth. 7 – 9 The results of these clinical trials have demonstrated that Cention N produces outcomes that are clinically acceptable in terms of retention, postoperative sensitivity, and secondary caries, comparable with those achieved usingresin composite materials. Additionally, Cention N has better clinical performance than glass ionomer cement.…”

Section: Introductionmentioning

confidence: 95%

In vitro characterization of a novel resin-based restorative material containing alkaline fillers

Mederos,

León,

García

et al. 2024

J. Appl. Oral Sci.

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Objective: In this study, a comparative evaluation of the physicochemical properties of Cention N and other direct restorative materials was performed. Three restorative materials—a resin-modified glass ionomer (Fuji II LC), an alkasite-based resinous material (Cention N), and a resin composite (Tetric N Ceram)—were characterized in terms of degree of conversion, Knoop hardness number (KHN) ratio, flexural strength, elastic modulus, water sorption, water solubility, microshear bond strength to dentin, immediate microleakage, and radiopacity. Methodology: The microshear bond strength to dentin and microleakage of Cention N were evaluated with and without the application of an adhesive system (Tetric N Bond Universal). A one-way ANOVA test was used to analyze the data in terms of degree of conversion, KHN ratio, water sorption, water solubility, microshear bond strength to dentin, and radiopacity. A two-way ANOVA test (carried out considering the material type and ethanol aging as factors) was used to analyze the data in terms of flexural strength and elastic modulus. The Kruskal–Wallis test was used to statistically analyze the data on microleakage. A significance level of α=0.05 was used for all tests. Results: Fuji II LC was found to have the highest degree of conversion, water sorption, and microleakage, as well as the lowest flexural strength. Cention N had the highest solubility; when used with an adhesive system, it achieved bond strength and microleakage similar to those of the Tetric N Ceram composite. Tetric N Ceram had the highest degree of conversion, KHN ratio, and radiopacity. Conclusion: The properties of Cention N validate its efficacy as an alternative direct restorative material when used in conjunction with an adhesive system.

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Clinical Performance of CentionTM Alkasite Restorative Material vs. Glass Ionomer Cement Used in Deciduous Teeth: One-Year Evaluation

Cited by 7 publications

References 21 publications

Mechanical Properties of Alkasite Material with Different Curing Modes and Simulated Aging Conditions

Mechanical Properties of Alkasite Material with Different Curing Modes and Simulated Aging Conditions

Fluoride and Calcium Release from Alkasite and Glass Ionomer Restorative Dental Materials: In Vitro Study

In vitro characterization of a novel resin-based restorative material containing alkaline fillers

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