scholarly journals Clinical Performance of Composite Restorations with Resin-modified Glass Ionomer Lining in Root Surface Carious Lesions

2016 ◽  
Vol 41 (3) ◽  
pp. 268-275 ◽  
Author(s):  
U Koc Vural ◽  
S Gökalp ◽  
A Kiremitci

SUMMARY Objective: The purpose of this study was to evaluate the clinical performance of composite restorations in root surface carious lesions with or without resin-modified glass ionomer lining. Methods and Materials: The sample consisted of 25 female and 14 male patients. A maximum of four lesions were included for each patient. After caries removal, the depth, length, and width of the cavity were measured. Lesions in the same patient were randomly divided into two groups, and the dentin surfaces were either lined with resin-modified glass ionomer liner (Glass Liner II) or left as they were. Self-etch adhesive (All Bond SE) was applied and cured for 20 seconds. All cavities were restored with nanohybrid anterior composite resin (Clearfil Majesty Esthetic). Two experienced clinicians evaluated the marginal adaptation (retention) rate, anatomic form, secondary caries, sensitivity, and marginal staining of restorations at the end of the first week and at six, 12, and 18 months posttreatment. The data were statistically analyzed using the Chi-square and two-way repeated measures tests. Results: At the end of 18 months, a total of five lined and three unlined restorations were lost. There was no significant relationship between marginal adaptation and cavity lining at six, 12, and 18 months (p>0.05). Although marginal stainings of restorations were mostly localized, the total number of localized or generalized discolored restorations increased with time (p<0.001). There was a statistically significant relationship between marginal staining and smoking (p>0.05). There was no significant relationship between marginal staining and frequency of toothbrushing at six, 12, and 18 months (p=0.286, p=0.098, and p=0.408, respectively). Conclusion: Within the limitations of this study, both restorative applications were accepted as clinically appropriate.

2021 ◽  
Author(s):  
TP Matos ◽  
TA Hanzen ◽  
R Almeida ◽  
C Tardem ◽  
MC Bandeca ◽  
...  

SUMMARY Objectives: To evaluate the 5-year clinical performance of two-step etch-and-rinse adhesives in noncarious cervical lesions (NCCL). Methods and Materials: The sample comprised 35 adults with at least two similar-sized NCCL. Seventy restorations were placed, according to one of the following groups: Adper Single Bond 2 (SB) and Ambar (AM). The restorations were placed incrementally using a resin composite (Opallis). The restorations were evaluated at baseline and after 6 and 18 months and 5 years using some items of the FDI criteria. The differences in the ratings of the two materials after 6 months, 18 months, and 5 years were performed with Friedman repeated measures ANOVA by rank and McNemar test for significance in each pair (α=0.05). Results: Five patients did not attend the 60-month recall. No significant differences were observed between the materials for any criteria evaluated. Twenty-one restorations failed (12 for SB and 9 for AM) after 60 months. Thus, the retention rate for SB at 60 months were 55.6% for SB and 71% for AM (p=0.32). After 60 months, 12 restorations (6 for SB and 6 AM) showed some loss of marginal adaptation (p=1.0). Slight marginal discoloration was observed in 10 restorations (6 for SB and 4 AM; p=0.91). Five restorations (2 for SB and 3 for AM) showed recurrences of caries (p=1.0). Conclusions: Both two-step etch-and-rinse adhesives—Adper Single Bond 2, a polyalkenoic acid-containing adhesive, and Ambar, a 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing adhesive—showed acceptable clinical performance after 60 months.


2014 ◽  
Vol 39 (6) ◽  
pp. 578-587 ◽  
Author(s):  
TC Fagundes ◽  
TJE Barata ◽  
E Bresciani ◽  
SL Santiago ◽  
EB Franco ◽  
...  

SUMMARY Purpose The purpose of this study was to comparatively assess the seven-year clinical performance of a one-bottle etch-and-rinse adhesive with resin composite (RC) and resin-modified glass ionomer (RMGI) restorations in noncarious cervical lesions. Methods and Materials One operator placed 70 restorations (35 restorations in each group) in 30 patients under rubber dam isolation without mechanical preparation. The restorations were directly assessed by two independent examiners, using modified US Public Health Service criteria at baseline and 6, 12, 24, 60, and 84 months. The obtained data were tabulated and statistically analyzed using the Fisher and McNemar tests. A difference was significant if p<0.05. Results Twenty patients were available for recall after seven years (66.6%), and 25 RC and 26 RMGI restorations out of 70 restorations were evaluated. Excellent agreement was registered for all criteria between examiners (κ≥0.85). Alfa and bravo scores were classified as clinically acceptable. The McNemar test detected significant differences within RC restorations between baseline and seven-year evaluations for anatomic form, marginal integrity, and retention (p<0.05). For RMGI restorations, a significant difference was identified for marginal integrity (p<0.05). As to material comparison, the Fisher exact showed a better retention performance for RMGI restorations than for RC restorations (p<0.05). Twelve composite restorations were dislodged (52.0% retention) and three ionomer restorations were lost (88.5% retention). The cumulative success rate for RC and RMGI was 30% and 58.1%, respectively. Conclusions After seven years of service, the clinical performance of RMGI restorations was superior to that of the adhesive system/resin composite restorations in this study.


2018 ◽  
Vol 11 (4) ◽  
pp. 278-281
Author(s):  
Dilruba Khatun ◽  
Mozammal Hossain ◽  
Md. Joynal Abdin ◽  
Md. Abdul Hannan Sheikh ◽  
Md. Shamsul Alam

The present study compared the clinical performance of nanoparticulated resin modified glass ionomer and conventional glass ionomer pit and fissure sealant on permanent molars. Fifty patient having bilateral occlusal grooves in pits and fissures of the occlusal surface were included for this study where 50 teeth were treated with nanopaticulated resin modified and the remaining 50 teeth were subjected to conventional glass ionomer sealants.  The color match, retention and marginal adaptation were assessed at 3, 6 and 12 months and statistical analysis was performed by Chi-square test to assess the difference between the two sealants; a values of <0.05 was considered as statistically significant. The results showed that although there were no significant differences between two sealants at baseline and 3 months observation period but nanoparticulated resin modified glass ionomer sealants showed better clinical performance than that of conventional glass ionomer sealants at 12 months and the differences between two sealants were statistically significant (p<0.05). It can be concluded that naqnoparticulated resin modified glass ionomer sealant exhibited better color stability, more retention, and better marginal adaptation than those of conventional glass ionomer sealants at 12 months observation period.


2016 ◽  
Vol 41 (6) ◽  
pp. 587-598 ◽  
Author(s):  
LS Türkün ◽  
Ö Kanik

SUMMARY Objective: The aim of this study was to evaluate the long-term clinical performance of two encapsulated glass ionomer cements (GICs) (EquiaFil and Riva SC) covered with two different coatings (Equia Coat and Fuji Varnish) over six years using modified US Public Health Service (USPHS) criteria. Methods: Fifty-four patients having class I and II restorations/caries were included in the study. A total of 256 restorations were made with EquiaFil and Riva SC. Equia Coat or Fuji Varnish was used randomly on the surface of the restorations. After cavity preparations, the teeth were randomly restored with one GIC and coated with Equia Coat or Fuji Varnish. The restorations were evaluated at baseline; six, 12, and 18 months; and six years after placement using modified USPHS criteria. Two evaluators checked color match, marginal discoloration, marginal adaptation, caries formation, anatomical form, postoperative sensitivity, and retention rate, and photographs were taken at each recall. The results were evaluated with Pearson chi-square and Mann-Whitney U-test (p&lt;0.05). Results: Thirty-seven patients were evaluated. There was a significant difference between EquiaFil and Riva SC regarding retention rate and color match after six years (p=0.033 and 0.046). When comparing baseline to six years, the overall success of EquiaFil was better than Riva SC, having significant problems regarding retention rate and anatomical form (p=0.016 and 0.031). Class II cavities were significantly worse in marginal adaptation, anatomical form, and retention rate in the Riva SC groups (p=0.033, 0.015, and 0.007) but not in the EquiaFil groups. The combination of the coatings had no effect on the overall success of the materials. Conclusions: The EquiaFil system was more successful than Riva SC regarding color match, marginal adaptation, anatomic form, and retention rate after a six-year clinical evaluation period.


2009 ◽  
Vol 34 (5) ◽  
pp. 507-515 ◽  
Author(s):  
S-Y. Kim ◽  
K-W. Lee ◽  
S-R. Seong ◽  
M-A. Lee ◽  
I-B. Lee ◽  
...  

Clinical Relevance Over a two–year observation period, ScotchBond Multi-Purpose was found to have significantly superior marginal adaptation compared to Adper Prompt. Restorations using retention forms showed a significantly higher retention rate in an experimental adhesive and significantly less marginal discoloration in all three adhesives.


2009 ◽  
Vol 15 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Roeland J. G. De Moor ◽  
Inge G. Stassen ◽  
Yoke van ’t Veldt ◽  
Dries Torbeyns ◽  
Geert M. G. Hommez

2008 ◽  
Vol 33 (6) ◽  
pp. 629-635 ◽  
Author(s):  
P. R. Schmidlin ◽  
T. Huber ◽  
T. N. Göhring ◽  
T. Attin ◽  
A. Bindl

Clinical Relevance Within the limitations of the current study, the use of glass ionomer liners improves the margin quality of Class I resin composite restorations and reduces leakage.


2017 ◽  
Vol 15 (3) ◽  
pp. 185
Author(s):  
Dilcele Silva Moreira Dziedzic ◽  
Lucia Helena Ramos da Silva ◽  
Bruna Luiza do Nascimento ◽  
Marina Samara Baechtold ◽  
Gisele Maria Correr ◽  
...  

Aim: This study investigated the effect of an in-office bleaching technique on lightness, color and surface roughness of two commercially available materials: a resin-modified glass-ionomer cement and a nanohybrid resin composite. Methods: Twelve disk-shaped specimens were prepared with both materials. The samples were bleached with 35% hydrogen peroxide. Bleaching was tested initially onto a smooth surface and later onto a polished one of the same specimens. The effect of the treatments on lightness and color was verified with a spectrophotometer. Surface roughness was measured with a digital surface roughness tester. The data were statistically analyzed by repeated measures ANOVA and post hoc Tukey’s test (alpha = 0.05). Results: Significant variation in lightness and color was observed on the resin-modified glass-ionomer cement after the first bleaching procedure. Roughness increased significantly only after polishing the resin-modified glass-ionomer cement surface. Composite color variation was evident in the last observation period, but roughness and lightness variation due to bleaching and polishing was not significant. Conclusion: The bleaching treatment caused significant color alterations on the materials tested. This study observed that the application of in-office bleaching onto the glass-ionomer cement promoted clinically observable color alteration, and polishing after bleaching is contraindicated for this material.


Author(s):  
Anil K. Tomer ◽  
Hysum Mushtaq ◽  
Anila Krishna Saxena ◽  
Megna Bhatt ◽  
Ayush Tyagi ◽  
...  

Objectives: The aim of this study was to evaluate the clinical performance of a nano filled flowable and nano hybrid bulk fill resin composite in class I restorations. Methods and Materials: Twenty patients were selected for this in vivo study. Each patient received at least one pair of restorations, restored with nano hybrid bulk fill resin composite (IPS Empress direct [IED]) and nano hybrid Tetric N Ceram flowable composite [TNC]. Each restorative resin system was used with its respective adhesive system according to manufacturers’ instructions. A total of 40 class I restorations were placed by one operator.  Restorations were blindly evaluated by two examiners at baseline and 3, 6, and 12 months respectively using modified US Public Health Service Ryge criteria. The data obtained was statistically analyzed using Chi square test to compare the two restorative materials for each category. Results: At 3, 6 and 12, months, recall rate was 100%, 95% and 85%, respectively, with a retention rate of 100%. There were statistically significant differences between the two restorative resins in terms of marginal adaptation and marginal discoloration (p<0.05). No differences were observed between the restorative resins in terms of retention (p<0.05). None of the restorations showed postoperative sensitivity, or loss of anatomic form. Conclusion: Within the limitations of this study, nano hybrid bulk fill composite resin viz. IPS EMPRESS DIRECT showed better clinical performance than nano filled flowable composite in terms of marginal discoloration and marginal adaptation. Keywords: direct composite, bulk, hybrid filled resin


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