In vivo study of the behavior of glass ionomer restorations in patients with special needs.

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-07-01 DOI:10.4317/medoral.26537

M Grau-Benítez, F-J Silvestre, A Pascual, A Albero, J Silvestre-Rangil

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引用次数: 0

Abstract

Background: Glass ionomers may be a good alternative to composite resin restorations in special needs patients with challenging behaviours. The present study was carried out to evaluate the restorative efficacy of glass ionomer in the occlusal cavities of permanent molars among patients with special needs after one year of follow-up.

Material and methods: A randomized split-mouth study was made of a cohort of patients with special needs. First and second permanent molars with occlusal caries were treated with glass ionomer, silver amalgam and composite resin. Assessments were made at 3, 6 and 12 months, using a scale based on the original code of Ryge and the USPHS criteria.

Results: A total of 34 patients and 102 restorations comprised the study sample. The survival rate of both the glass ionomer and silver amalgam was 100%, versus 97.1% in the case of composite resin. The glass ionomer afforded good marginal adaptation and stable color, with no fractures or secondary caries.

Conclusions: The glass ionomer remained successfully for one year in the occlusal cavities of the permanent molars, with the same survival rate as silver amalgam, and better survival than composite resin, in the patients with special needs.

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玻璃离聚体修复体在有特殊需要的患者体内的行为研究。

背景：对于有挑战行为的特需患者来说，玻璃离聚体可能是复合树脂修复体的良好替代品。本研究旨在评估玻璃离聚体在随访一年后对特需患者恒磨牙咬合腔的修复效果：对一组有特殊需要的患者进行了随机分口研究。对第一和第二恒磨牙的咬合面龋坏采用玻璃离子体、银汞合金和复合树脂进行治疗。在 3 个月、6 个月和 12 个月时，采用基于 Ryge 原始代码和 USPHS 标准的量表进行评估：研究样本中共有 34 名患者和 102 个修复体。玻璃离子聚合物和银汞合金的存活率均为 100%，而复合树脂的存活率为 97.1%。玻璃离子体具有良好的边缘适应性和稳定的颜色，没有发生断裂或继发龋：对于有特殊需要的患者来说，玻璃离子体在恒磨牙咬合面龋洞中可成功保留一年，其存活率与银汞合金相同，比复合树脂的存活率更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicina Oral Patologia Oral Y Cirugia Bucal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.60

自引率

0.00%

发文量

审稿时长

3-8 weeks

期刊介绍： 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology