Glass carbomer and compomer for ART restorations: 3-year results of a randomized clinical trial

Olegario, Isabel Cristina, Hesse, Daniela, Medeiros Mendes, Fausto, Calil Bonifacio, Clarissa and Raggio, Daniela Procida ORCID: https://orcid.org/0000-0002-0048-2068 2019. Glass carbomer and compomer for ART restorations: 3-year results of a randomized clinical trial. Clinical Oral Investigations 23 , pp. 1761-1770. 10.1007/s00784-018-2593-9

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Abstract

Objective To evaluate the survival of atraumatic restorative treatment (ART) restorations using high viscosity glass ionomer cement (GIC), compomer (COM), and glass carbomer (CAR) for occlusal and occlusoproximal cavitated dentin caries lesions in primary molars. Methods A total of 568 4–7-year-old children (287 occlusoproximal and 281 occlusal cavities) were selected in Barueri, Brazil. The patients were randomly allocated in three groups: GIC, COM, and CAR. All treatments were performed on school setting following ART premises. Evaluations were performed after 2, 6, 12, 18, 24, and 36 months. Restoration survival was evaluated using Kaplan-Meier survival analysis and log-rank test, while Cox regression analysis was used for testing association with clinical factors (α = 5%). Results The overall survival rate after 3 years of occlusal ART restorations was 73% (GIC = 83%; COM = 78%; CAR = 62%) and 49% for occlusoproximal ART restorations (GIC = 56%; COM = 56%; CAR = 36%). CAR restorations were less successful than GIC and COM for both occlusal and occlusoproximal restorations (p < 0.05). No difference was found between GIC and COM (p > 0.05). Conclusions GIC and compomer are clinically more successful than CAR for occlusal and occlusoproximal restorations in primary molars. Clinical significance Both compomer and high viscosity glass ionomer cement are suitable materials for ART in primary molars. However, glass carbomer cement should not be used for ART (#NCT02217098).

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Publisher:	Springer
ISSN:	1432-6981
Date of Acceptance:	20 August 2018
Last Modified:	10 Nov 2022 10:59
URI:	https://orca.cardiff.ac.uk/id/eprint/148889

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