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

Freitas, Maria Cristina Foss de; Fagundes, Ticiane Cestari; Módena, Karin Cristina da Silva; Cardia, Guilherme Saintive; Navarro, Maria Fidela de Lima

doi:10.1590/1678-7757-2017-0129

Cited by 19 publications

(21 citation statements)

References 28 publications

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“…To our knowledge, there is only one RCT that compares GIC Hand-Mixed and Encapsulated, and the authors classi ed the used GIC as "medium viscosity" in permanent molar occlusal cavities, with results of one-year follow-up 16 . This study shows a higher success rate of encapsulated GIC, different from our ndings.…”

Section: Discussionmentioning

confidence: 99%

“…As the manufacturer pre-dose the powder and liquid inside a capsule, the powder-liquid ratio is standardized, and the mechanical mixing, provides a more homogeneous material 14,15 . There is a lack of information about the impact of different GIC supply forms on restoration survival.To the best of our knowledge, only one clinical trial compared different GIC presentations on occlusal restorations in permanent molars, with promising results for the encapsulated version 16 .…”

Section: Introductionmentioning

confidence: 99%

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Survival rate of primary molar restorations is not influenced by hand mixed or encapsulated GIC: 24 months RCT

Oliveira

Camargo

Novaes

et al. 2021

Preprint

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Background: Glass ionomer cements (GIC) have been considered the top option to restore primary teeth by dentists. The most common supply forms are hand-mixed and encapsulated GIC. There is a lack of information about the impact of different GIC supply forms on restoration survival. This randomized clinical trial compared the survival rate of occlusal and occlusoproximal restorations in primary molars using two of glass ionomer cements versions: hand-mixed (H/M) and encapsulated (ENC) after 24 months. Children aged 3-10 years who presented dentin caries lesions in primary molars were selected at School of Dentistry, University of São Paulo, Brazil. They were randomly assigned to groups: H /M (Fuji IX®, GC Europe) or ENC (Equia Fill®, GC Europe). The occurrence of restoration failure was evaluated by two blinded and calibrated examiners. The analyses were performed in Stata 13 (StataCorp, USA). To evaluate the primary outcome (restoration survival), we performed an intention to treat (ITT) analysis at 24 months of follow-up. Kaplan-Meier survival analysis was used to verify the survival of the restorations while Cox Regression with shared frailty was performed to assess association between restoration failure and independent variables (α=5%). Results: A total of 324 restorations were performed in 145 children. The survival for H/M group was 58.2% and 60.1% for ENC, with no difference (p=0.738). Occlusoproximal restorations had lower survival rate when compared to occlusal ones (HR=3.83; p<0.001). Conclusions: The survival rate in primary molar is not influenced by the different supply forms of GIC This randomized clinical trial was registered on ClinicalTrials.Gov on 10/15/2014 under protocol (NCT 02274142).

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Survival rate of primary molar restorations is not influenced by hand mixed or encapsulated GIC: 24 months RCT

Oliveira

Camargo

Novaes

et al. 2021

Preprint

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“…A gloved finger was used to apply pressure on the GIC for one minute. Occlusion was checked and excess material was removed [27].…”

Section: Interventionsmentioning

confidence: 99%

Comparison of two minimally invasive restorative techniques in improving the oral health-related quality of life of pregnant women: a six months randomized controlled trial

et al. 2021

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Background Women tend to delay dental treatment due to misconceptions regarding the safety of dental procedures during pregnancy which may negatively affect their quality of life. Minimally invasive restorative techniques offer alternatives for caries treatment and can improve their oral health-related quality of life (OHRQoL) during this stage. Methods A randomized controlled clinical trial was conducted in 2019 and included 162 pregnant women visiting public family health centers in Alexandria, Egypt, with mild to moderate dental pain due to caries. Participants were randomly assigned into Papacarie-Duo group (n = 82) and ART group (n = 80). The outcome variable was percent change in OHRQoL (oral health impact profile, OHIP-14) after 6 months. T test/Mann Whitney U test were used to compare groups and a multivariable linear regression analysis was conducted to evaluate the factors affecting the outcome variable. Results A significant reduction (P < 0.002) was noted in OHIP-14 between baseline and 6 months indicating improvement in OHRQoL in the Papacarie-Duo and ART groups (16.26% and 18.91%, P = 0.120 in bivariate analysis). Multiple linear regression revealed significantly greater reduction in OHIP-14 scores in the Papacarie-Duo than the ART group (regression coefficient = 4.03, 95% confidence interval: 0.652, 7.409, P = 0.020). Conclusion Minimally invasive restorative techniques, such as ART and chemo-mechanical caries removal using Papacarie- Duo can improve the OHRQoL of pregnant women suffering from mild to moderate pain due to dental caries. Significantly more improvement was noted in the Papacarie-Duo group after adjusting all other variables. Trial registration ID NCT04619264 (https://clinicaltrials.gov/); November 6 2020, retrospective registration. (https://clinicaltrials.gov/ct2/show/NCT04619264?term=NCT04619264&draw=2&rank=1)

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“…Optouse pela realização deste tratamento com cimento ionômero de vidro modificado por resina, por ser este o material de primeira escolha na odontopediatria. Além disso, apresenta alta resistência e adesividade às estruturas dentárias, é biocompatível, possui boa liberação de flúor e capacidade de vedamento marginal à penetração bacteriana [17][18][19] .…”

Section: Caso Clínicounclassified

Cárie na primeira infância (CPI): um grande desafio da odontopediatria: casos clínicos

Melo¹,

Martins²,

Lima³

et al. 2021

Rev Odontol Bras Central

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A Cárie na Primeira Infância (CPI), doença oportunista de natureza aguda, progressão rápida e etiologia multifatorial. É um problema de saúde pública que pode provocar severas consequências se não diagnosticada e tratada precocemente. A CPI está associada às condições socioeconômicas, culturais e sociais dos indivíduos. Diante disso, este artigo objetiva relatar dois casos clínicos de pacientes do sexo masculino, um de três anos de idade com bom comportamento frente ao tratamento odontológico e outro de cinco anos com comportamento aversivo, diagnosticados com CPI. Ambos apresentaram lesões cariosas nos dentes decíduos, comprometimento estético e sem sintomatologia. Os pacientes e seus responsáveis receberam orientações de higiene e dieta. Devido ao comportamento diferenciado dos pacientes, os planos de tratamento foram individualizados. Para o paciente não colaborativo, optou-se pelo uso de cariostático, material estabilizador da cárie à base de diamino fluoreto de prata sem necessidade de intervenção invasiva. Quanto ao paciente colaborativo, optou-se pela remoção seletiva do tecido contaminado e restauração com ionômero de vidro modificado por resina e assim reduzir os riscos à atividade de cárie. Conclui-se que para determinação do plano de tratamento e na escolha do material para os casos de CPI deve se levar em consideração não somente as lesões de cárie presentes, mas também o comportamento do paciente no ambiente odontológico e a filosofia de tratamento terapêutico. É importante ressaltar que a promoção de saúde e prevenção, além do diagnóstico precoce, são fatores positivos para a redução da prevalência e intervenções complexas na CPI, como mostrado nos casos clínicos relatados.

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

Cited by 19 publications

References 28 publications

Survival rate of primary molar restorations is not influenced by hand mixed or encapsulated GIC: 24 months RCT

Survival rate of primary molar restorations is not influenced by hand mixed or encapsulated GIC: 24 months RCT

Comparison of two minimally invasive restorative techniques in improving the oral health-related quality of life of pregnant women: a six months randomized controlled trial

Cárie na primeira infância (CPI): um grande desafio da odontopediatria: casos clínicos

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