Survival of occlusal ART restorations using high-viscosity glass-ionomer with and without chlorhexidine: A 2-year split-mouth quadruple-blind randomized controlled clinical trial

Mobarak, Enas H.; Shabayek, Mohamed; El-Deeb, Hesham; Mulder, J.; Hassan, F. M.; Sanden, W.J.M. van der; Frencken, Jo E.

doi:10.1016/j.jare.2019.01.015

Cited by 14 publications

(12 citation statements)

References 24 publications

(33 reference statements)

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“…Glass ionomer shows lower adhesion when compared to other adhesive materials, such as composite resin. 42 Although there are studies showing its satisfactory clinical longevity, 43 glass ionomer does not appear to be ideal for use in load-bearing areas or restorations involving multiple surfaces. 44 In addition, this review did not consider all aspects of the restorative procedure, as there was a lack of information about the conditions under which the restorations were performed.…”

Section: Discussionmentioning

confidence: 99%

Survival of atraumatic restorative treatment restorations in the elderly patients: a systematic review

et al. 2021

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This study aimed to assess the survival of glass ionomer cement (GIC) restorations performed using the atraumatic restorative treatment (ART) in elderly patients. The systematic review protocol was registered in the PROSPERO database. The records were searched until August 2020 in eight electronic bibliographic databases, and included randomized and non-randomized clinical trials and observational studies, with no restrictions on the language or year of publication. Study selection and data extraction were performed independently by two reviewers. Data were extracted, summarized, collected for qualitative analysis, and evaluated for individual risk of bias using the Joanna Briggs Institute's Critical Appraisal Tool. The literature search retrieved 5,186 records; however, only seven studies fulfilled the eligibility criteria and were included. The studies were published between 2002 and 2019. A total of 1,239 restorations were investigated at intervals of 6, 12, 24, and 60 months of follow-up. Some studies had a low risk of bias, while others had moderate and high risk of bias. In general, GIC restorations placed using ART were considered satisfactory. The 6-month, 12-month, and 24-month survival rates ranged from 81.3% to 97.2%, 72.2% to 94%, and 63% to 87%, respectively; additionally, the survival rate for the longest follow-up period (60 months) was 85%. Given the best evidence-based information regarding caries removal, we highlight the need to provide a conservative and effective technique for use in elderly patients. ART is a promising and viable alternative that guarantees the survival of restorations in elderly patients.

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Section: Discussionmentioning

confidence: 99%

Survival of atraumatic restorative treatment restorations in the elderly patients: a systematic review

et al. 2021

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“…To enhance the antimicrobial ability of GIC, few authors have incorporated chlorhexidine (CHX) into it [10][11][12][13][14][15]. However, the survival of conventional and or CHX modified GIC depends upon cavity size, number of surfaces involved, the experience of the operator, and isolation techniques used during the restorative procedure [16][17][18][19][20][21][22][23][24]. The cavity size Appl.…”

Section: Introductionmentioning

confidence: 99%

“…The larger restorations have greater failure rates due to recurrent caries, fracture of restorations, and the larger surface area leading to restoration failure [15,17,24]. Previously, several studies [18,21,24,[26][27][28] have focused on the survival of single surface ART restorations without considering the influence of cavity size. Although it is reported that physical properties are not affected in CHX modified GIC, [11,14,15] the survival of the same has been tested by a limited number of studies [10], especially in the primary dentition [15,24].…”

Section: Introductionmentioning

confidence: 99%

Influence of Cavity Size on the Survival of Single Surface Atraumatic Restorative Treatment Using Glass Ionomer Cement with or without Chlorhexidine Diacetate—A Randomized Trial

et al. 2021

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The purpose of the present study was to assess the influence of cavity size on the survival of conventional and CHX modified GIC in single surface primary molars receiving Atraumatic Restorative Treatment (ART). A randomized controlled trial with a split-mouth design was conducted on 90 children with symmetrical bilateral single surface carious lesions on primary molars. The teeth were randomly allotted to the conventional GIC group (group 1, n = 90) and CHX modified GIC group (group 2, n = 90). Both groups received atraumatic restorative treatment under rubber dam isolation. The cavity size was measured in terms of depth, mesiodistal, and buccolingual dimensions. The survival of ART restorations was measured after 6, 12, 18, and 24 months. The difference in proportion was tested using the Kruskal–Wallis H test, and survival curve estimation was carried out using the Kaplan–Meier method. The overall survival of all ART restorations was 83.3% at 24 months for the total sample. The survival of conventional GIC at 24 months was 83.9%, and for CHX-modified GIC was 82.7% (p > 0.05). The collective overall success of 65.1% was seen in the cavity volume category of 10–29.9 mm3. CHX modified GIC showed high survival percentage (60%) with depth >3 mm. To conclude, no significant difference was observed in the overall survival percentage of conventional and CHX modified GIC. Survival percentage was highest for cavities with a volume of 10–19.9 mm3.

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“…Several efforts have been made to improve its properties, such as the inclusion of metallic particles 22 , composite resins 23,24 , microfibers 25 , among others. Also, additives like chlorhexidine and zinc are used to improve antimicrobial GICs properties 26,27 . The antimicrobial properties of zinc oxide (ZnO) are extensively studied, which are improved by surface area, particle size, morphology, and surface charge 28,29 .…”

Section: Introductionmentioning

confidence: 99%

Reduced Graphene Oxide-Zinc Oxide Flower-Like Composite for Glass-Ionomer Materials Reinforcement

et al. 2020

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Composites based on graphene oxide (GO), reduced graphene oxide (RGO) and zinc oxide (ZnO) with different mass ratios (8, 100 and 600) were synthesized through the hydrothermal method at 100 °C and used as reinforcement materials to commercial glass-ionomers cements (GIC). X-ray diffraction (XRD) characterization confirmed the graphite oxidation and ZnO formation as a wurtzite phase. Infrared spectroscopy analyses showed bands of oxygen-containing groups on the GO surface, which reduced after thermal treatment and RGO formation. D and G bands were observed in all samples synthesized, which presented morphology similar to flowers with a crystallite size of 18 nm. The effect on the mechanical properties of GIC after reinforcement with 0.1 wt% of RGO and 3 wt% of the composites was evaluated using a one-way analysis of variance (ANOVA). It was verified slight improvements in the hardness of GIC.

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Survival of occlusal ART restorations using high-viscosity glass-ionomer with and without chlorhexidine: A 2-year split-mouth quadruple-blind randomized controlled clinical trial

Abstract: Graphical abstract

Cited by 14 publications

References 24 publications

Survival of atraumatic restorative treatment restorations in the elderly patients: a systematic review

Survival of atraumatic restorative treatment restorations in the elderly patients: a systematic review

Influence of Cavity Size on the Survival of Single Surface Atraumatic Restorative Treatment Using Glass Ionomer Cement with or without Chlorhexidine Diacetate—A Randomized Trial

Reduced Graphene Oxide-Zinc Oxide Flower-Like Composite for Glass-Ionomer Materials Reinforcement

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