Clinical Performance of Zirconia Reinforced versus Conventional Viscous Glass Ionomer in Class I Cavities of Geriatric Patients: A 1-year Randomized Controlled Clinical Trial.

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Contemporary Clinical Dentistry Pub Date : 2024-04-01 Epub Date: 2024-07-10 DOI:10.4103/ccd.ccd_440_23
Doaa Abdou, Mai Akah, Rania Sayed Mosallam, Omaima Mohamed Safwat
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引用次数: 0

Abstract

Background: For the elderly population, efforts are made to simplify the restorative procedure while maintaining good clinical performance. Glass ionomer (GI) cements are showing signs to fulfill many of these qualities. With their new properties and ease of use, they can be developed further to become a useful group of materials to overcome the problems of elderly patients.

Aim: The aim of the study was to evaluate the clinical performance of zirconia-reinforced versus conventional viscous GI restorations in Class I cavities of geriatric patients.

Setting and design: The study design was in vivo randomized clinical trial, parallel-arms, allocation ratio: 1:1.

Subjects and methods: A total of 28 Class I carious lesions in 21 geriatric patients were restored randomly either by zirconomer-improved or Ketac Molar Quick Aplicap (n = 14) each. Restorations were evaluated for 1 year by modified USPHS criteria.

Statistical analysis: Data were analyzed with the Chi-square test and Cochran's Q-test. Survival rate was analyzed using the Kaplan-Meier and log-rank test.

Results: Twenty-four restorations were evaluated in 19 patients with a recall rate of 85.7% at 12 months. Significant differences were found in marginal integrity and marginal discoloration within both restorative materials between different time intervals (P < 0.05). However, none of the materials were superior to another regarding all assessed criteria.

Conclusions: Both zirconia-reinforced GI and conventional highly viscous GI have acceptable clinical performance.

氧化锆增强型与传统粘性玻璃离子黏合剂在老年患者 I 类龋洞中的临床表现:为期一年的随机对照临床试验。
背景:对于老年人群来说,如何在保持良好临床表现的同时简化修复程序是一项艰巨的任务。玻璃离聚体(GI)水门汀正显示出满足上述许多质量要求的迹象。目的:该研究旨在评估氧化锆增强型与传统粘性玻璃离子水门汀修复体在老年患者I类牙洞中的临床表现:研究设计为体内随机临床试验,平行臂,分配比例:1:1:21名老年病患者的28个I类龋洞被随机修复,每种修复体均采用zirconomer-improved或Ketac Molar Quick Aplicap(n = 14)。根据修改后的 USPHS 标准对修复体进行为期 1 年的评估:数据分析采用Chi-square检验和Cochran's Q检验。采用 Kaplan-Meier 和对数秩检验分析存活率:对 19 名患者的 24 个修复体进行了评估,12 个月后的回收率为 85.7%。两种修复材料的边缘完整性和边缘变色在不同时间间隔内存在显著差异(P < 0.05)。然而,就所有评估标准而言,没有一种材料优于另一种材料:结论:氧化锆增强 GI 和传统高粘度 GI 的临床表现均可接受。
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来源期刊
Contemporary Clinical Dentistry
Contemporary Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.50
自引率
0.00%
发文量
52
审稿时长
23 weeks
期刊介绍: The journal Contemporary Clinical Dentistry (CCD) (Print ISSN: 0976-237X, E-ISSN:0976- 2361) is peer-reviewed journal published on behalf of Maharishi Markandeshwar University and issues are published quarterly in the last week of March, June, September and December. The Journal publishes Original research papers, clinical studies, case series strictly of clinical interest. Manuscripts are invited from all specialties of Dentistry i.e. Conservative dentistry and Endodontics, Dentofacial orthopedics and Orthodontics, Oral medicine and Radiology, Oral pathology, Oral surgery, Orodental diseases, Pediatric Dentistry, Periodontics, Clinical aspects of Public Health dentistry and Prosthodontics. Review articles are not accepted. Review, if published, will only be by invitation from eminent scholars and academicians of National and International repute in the field of Medical/Dental education.
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