12 Month's Assessment of Clinical Efficacy of Resin Modified Glass Ionomer Cement and Flowable Composites in Restoration of Non-Carious Cervical Lesions, a Randomized Clinical Trial

Abstract

Background: The objective of this study was to compare the clinical efficacy of Resin modified glass ionomer cement and Flowable composite in terms of retention, marginal adaptation and surface texture using United States Public Health Service criteria in non-carious cervical lesions measured over a period of one year. Methods: A Randomized Clinical Trial is conducted with Informed consent on 60 patients who are randomly allocated into 2 groups with at least 2 Non-Carious Cervical Lesions in each. Group 1 is used for Flowable Composite while group 2 is used for resin modified glass ionomer cement. A recall is maintained to draw conclusions between two materials in terms of occurrence of marginal adaptation, retention and surface texture, to show which material is superior to other. Results: Out of 30 restorations in 12 months follow up, only 19 found to be present in flowable composite group while in resin modified glass ionomer cement group, 28 are retained. Regarding margin integrity, Group 1 showed 21 intact margins whereas 23 margins were intact in group 2, while 18 and 25 showed smooth surface in flowable composite and Resin modified glass ionomer cement group respectively, on exploration. Conclusion: It can be concluded from our study that Resin modified glass ionomer cement is superior to Flowable composite in terms of retention (p=0.005) and surface texture (p=0.045) in restoration of non-carious cervical lesion.

Clinical Effectiveness of Ion-Releasing Restorations versus Composite Restorations in Dental Restorations: Systematic Review and Meta-Analysis

“…In total, 29 RCTs [ 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 ] were included, of which only 1 [ 50 ] was parallel. All studies reported that the total number of patients ranged from 10 to 92 and the number of teeth treated ranged from 16 to 180.…”

“…The countries where the studies were carried out were: Brazil [ 49 , 59 , 60 , 61 , 63 , 66 ], Croatia [ 53 ], Egypt [ 44 , 47 ], Germany [ 50 , 70 , 71 ], India [ 45 , 56 , 57 ], Italy [ 53 ], Mexico [ 68 ], Nigeria [ 62 ], Pakistan [ 46 ], Romania [ 58 ], Serbia [ 53 ], Sweeden [ 55 ], Turkey [ 48 , 51 , 52 , 53 , 54 , 64 , 67 , 69 ], United Kingdom [ 65 ] and the United States [ 72 ]. Seven studies [ 44 , 47 , 48 , 50 , 53 , 54 , 56 ] mentioned that the evaluation criteria used for the analysis of the teeth were the FDI criteria.…”

Conservative Treatment of Dental Non-Carious Cervical Lesions: A Scoping Review

“…It is well recognized that the etiology of NCCL is determined by a variety of variables, including the patient’s risk factor, which varies greatly, altering the therapeutic efficiency of restorative materials [ 48 ]. NCCLs are a common clinical manifestation with a complex etiology that increases with age.…”

“…Flowable Composite Group was 60% and RMGIC Group was 83%. The Chi-square test revealed a significant connection between retention and both groups [ 48 ].…”

Effect of Using Fiber Reinforcement Ribbond® System on Marginal Adaptation of Fluoride Releasing Restorations: An In Vitro Study

“…Several in vitro studies and clinical trials have proved the clinical efficacy of glass ionomers and resin-modified glass ionomers [6][7][8][9][10] . The main advantage of these materials is related to their fluoride releasing ability, which reduces the probability of developing new carious lesions adjacent to restorations (CAR) 11 .…”