Low-cost GICs reduce survival rate in occlusal ART restorations in primary molars after one year: A RCT

Objective: this study aimed to review of the literature regarding the clinical performance of glass ionomer cements (GIC) used in atraumatic restorative treatment (ART). Material and Methods: a search was undertaken using the databases of the Virtual Health Library of Dentistry, Medline, Pubmed, Science Direct and Cochrane Library, using keywords "Glass Ionomer Cements", "Dental Atraumatic Restorative Treatment", and "Survival Analysis". 25 articles published in the last ten years in English or in Portuguese fulfilled the predetermined inclusion criteria. Results: most of the studies applied the ART approach in children (68%), in the primary dentition (60%) and in single and multiple surfaces (44%), simultaneously. The high-viscosity GIC was the most used type and Fuji IX and Ketac Molar were the most studied brands in the ART technique. The majority of studies followed the clinical performance of the restorations in the period of 12 (36%) and 24 months (32%). Overall, survival rates of restorations ranged from 57.5% to 98% for single surface and from 24.4% to 97.8% for multiple surfaces. Conclusion: the association between GIC and the ART approach demonstrates a feasible alternative to treat caries in primary and permanent dentition. The GIC presents superior long-term performance for single surface ART restorations compared to multiple surfaces ART restorations. This approach proved to be reliable and effective when compared to the conventional restorative technique. The marginal defect and the partial or complete material loss were identified as the main causes of failure.

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“…According to these authors, the ionomer brand used must be considered to achieve the success of class I atraumatic restorations. 35…”

Section: Performance X Type Of Glass Ionomer Cementmentioning

confidence: 99%

“…The main causes of failures identified by the studies selected in this review were partial or total loss of the restoration 15,16,23,24,31,36 and presence of a marginal defect. 10, 23,35 Secondary caries, 19,27 pulp inflammation 34 and restoration fracture 11,38 appear on a smaller scale.…”

Section: Types Of Failurementioning

confidence: 99%

Desempenho clínico do cimento de ionômero de vidro no tratamento restaurador atraumático: uma revisão da literatura

Alves

Passos

Morais

et al. 2018

Rev. Bras. Odontol.

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“…15,16 At first, ART became a highly accepted line of treatment for pediatric patients, once there is no need of anesthesia and rotative instruments. 17,20 Throughout time, ART has also proved to be successful in systemic reviews that do not show differences in longevity in relation to conventional treatments that utilize resins or amalgam. Because of that, ART has been suggested as an alternative strategy of cavity control in elderly patients, once it is simple and more cost-effective in comparison to conventional techniques.…”

Section: Introductionmentioning

confidence: 99%

“…However, some factors may contribute to the failure of the ARTs with glass ionomers cement, such as quality of the material and operator. 20,[33][34][35]…”

Section: Introductionmentioning

confidence: 99%

Glass ionomer cement as alternative treatment for vulnerable geriatric patients with caries or cavities

Gazzotto¹,

Tibério²,

Ávila³

et al. 2019

MOJGG

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This work is a literature review on the use of Glass Ionomer Cement (GIC) for Atraumatic Restorative Treatment (ART) of elderly patients. The research was conducted online, using available academic database platforms, such as a PubMed. It was concluded that the ART is an adequate treatment approach for caries in elderly patients. It presents similar efficiency to the conventional treatment and advantages, such as biocompatibility, anticariogenic action, simplicity, no anesthesia or rotary equipment. Furthermore, it is both cost and time effective while more teeth can be treated per session. However, clinical evidence on the technique being applied to elderly patients is still relatively scarce.

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“…Todos os dados foram processados com o software Stata 13.0 (StataCorp, TX, EUA (31,20) 76 (30,40) 96 (38,40) Inferior 96 (30,28) 102 (32,18) 119 (37,54) Mechanism used to implement the random allocation sequence (such as sequentially numbered containers), describing any steps taken to conceal the sequence until interventions were assigned 28 Implementation 10 Who generated the random allocation sequence, who enrolled participants, and who assigned participants to interventions…”

Section: Análise Estatísticamentioning

confidence: 99%

A influência do material restaurador na sobrevida de restaurações ART em molares decíduos baseado em Ensaios Clínicos Randomizados

Costa¹

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Low-cost GICs reduce survival rate in occlusal ART restorations in primary molars after one year: A RCT

Cited by 24 publications

References 17 publications

Desempenho clínico do cimento de ionômero de vidro no tratamento restaurador atraumático: uma revisão da literatura

Desempenho clínico do cimento de ionômero de vidro no tratamento restaurador atraumático: uma revisão da literatura

Glass ionomer cement as alternative treatment for vulnerable geriatric patients with caries or cavities

A influência do material restaurador na sobrevida de restaurações ART em molares decíduos baseado em Ensaios Clínicos Randomizados

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