One-Year Clinical Performance of Activa™ Bioactive-Restorative Composite in Primary Molars

Abstract

Restorative procedures for caries affecting primary molars are a daily challenge for pediatric dentistry, and one of the main factors influencing the results of these restorative procedures is the choice of dental material used: bioactive materials were recently introduced, combining the strength of composites and the benefits of glass ionomers. The present study’s objective is to clinically evaluate the aesthetic, functional and biological properties of Activa™ Bioactive composite in approximal and occlusal carious lesions for 1 year using the FDI criteria for evaluating direct dental restorations. Forty-five children with occlusal or approximal caries in first or second primary molars were included in the study: the cavities were then randomized to be restored with either Activa BioActive or SDR Bulk-fill and evaluated over time according to Federation Dentaire Internationale (FDI) criteria. Results showed that Activa BioActive composite has similar performance over time compared to Bulk-fill composite, for both functional and aesthetic properties. Thus, within the limitations of this study, including the short follow-up period, it can be concluded that bioactive materials might be the material of choice to restore primary molars. A longer follow-up period is desirable to confirm these findings.

Diagnostic Accuracy of Pulp Vitality Tests and Pulp Sensibility Tests for Assessing Pulpal Health in Permanent Teeth: A Systematic Review and Meta-Analysis

“…Biocompatible and bioactive materials have recently been consistently recommended for the protection of the dentin–pulp complex due to their capacity to induce healing and regeneration of dental tissue. Their bioactivity is amongst the most beneficial properties for the maintenance and preservation of pulp vitality, supporting the use of these materials in vital dental procedures [ 39 ].…”

Life Quality of Children Affected by Cleft Lip Palate and Alveolus (CLPA)

“…The complexity of the malformation itself requires a multidisciplinary approach to minimize complications and discomforts for the paediatric patients and the paediatric dentist must be part of the cleft-multidisciplinary team. Moreover, the often-severe malocclusions these patients present requires complex and early orthodontic treatment, for which tooth health is necessary, as they represent the support for any orthodontic appliance [6][7][8][9][10]. In addition, the higher prevalence of tooth anomalies in shape, number, and enamel composition in CLPA patients determine a higher risk for severe carious lesions, also in primary dentition [4,5].…”

“…Also, the dentist is involved in the treatment of cleft patients, as the prevalence of dental anomalies and subsequent malocclusion is much higher than in the general population [4,5]. Therefore, orthodontic and restorative treatments are often necessary [6][7][8][9][10].…”

Viability and Adhesion of Periodontal Ligament Fibroblasts on a Hydroxyapatite Scaffold Combined with Collagen, Polylactic Acid–Polyglycolic Acid Copolymer and Platelet-Rich Fibrin: A Preclinical Pilot Study

“…Biomaterials have been widely used in periodontal regeneration as well as in the restoration of compromised dentitions with dental implants [ 33 , 34 ]. Likewise, biomaterials have been used in deciduous teeth restoration affected by cavities, where in the long term, an HAp interphase between the dental tissue and the biomaterial should be observed, characteristic of these biomaterials [ 35 ]. However, biomaterials are mostly used in tissue regeneration [ 36 ].…”