Randomized clinical trial of class II restoration in permanent teeth comparing ART with composite resin after 12 months
- 284 Downloads
This study evaluated the effectiveness of class II restorations, in permanent teeth, through the ART technique in comparison to composite resin.
Materials and methods
Participants (154), aged 8 to 19 years, with good general health, with class II cavities in permanent teeth, and without pulp involvement and tooth pain were included in this parallel and randomized clinical trial. The Ethics Committee approval number was CAAE: 24012913.0.1001.5417. Seventy-seven restorations were made with each restorative material (Equia Fil-GC Corporation and Z350-3M). Evaluations occurred at 6 and 12 months by the criteria of ART and the USPHS modified. Data were analyzed by Mann-Whitney, chi-square, Fisher’s exact, chi-square tests with linear trend and logistic regression by enter method (p < 0.050). The Kaplan-Meier test evaluated the survival rates of the restorations. The log-rank test compared the survival curves.
Regardless of the evaluation criteria used, the success rates of ART restorations were 98.7% (6 months) and 95.8% (12 months) and for composite resins were 100% (6 months) and 98.7% (12 months), with no statistical difference of restoration groups (p > 0.050). Survival rates for restorations, regardless of the evaluation criteria used, are the same as the success rates, with the exception of ART restorations at 12 months of follow-up (94.8%).
No differences in the success rates of class II restorations of ART compared to resin composite, in permanent teeth, were observed after 12 months.
HVGIC can safely be used to restore proximal cavities in permanent teeth up to 12 months.
KeywordsGlass ionomer cement Composite resin Posterior teeth Permanent dentition Atraumatic restorative treatment Clinical trial
The work was supported by the São Paulo Research Foundation (FAPESP, grant 2014/01626–3).
Compliance with ethical standards
Conflict of interest
The authors declare that have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 1.United Nations Environment Programme (UNEP). Minamata Convention on Mercury. Text and Annexes. Oct. 2013. p. 48. Available from: http://www.mercuryconvention.org/Convention/tabid/3426/language/en-US/Default.aspx. Cited 2017. Accessed 12 Aug 2018
- 4.Anusavice KJ, Shen C, Rawls HR (2013) Phillips - Materiais Dentários, 12th edn. Elsevier, Rio de JaneiroGoogle Scholar
- 7.Rasines Alcaraz MG, Veitz-Keenan A, Sahrmann P, Schmidlin PR, Davis D, Iheozor-Ejiofor Z (2014) Direct composite resin fillings versus amalgam fillings for permanent or adult posterior teeth. Cochrane Database Syst Rev (3):Cd005620Google Scholar
- 8.Sidhu SK, Nicholson JW (2016) A review of glass-ionomer cements for clinical dentistry J Funct Biomater 7(3)Google Scholar
- 11.Barata TJE, Bresciani E, Cestari Fagundes T, Gigo Cefaly DF, Pereira Lauris JR, Lima Navarro MF (2008) Fracture resistance of Class II glass-ionomer cement restorations. Am J Dent 21:163–167Google Scholar
- 12.Navarro MFL, Fernandes E, Freitas MCCDA, Oltramari-Navarro PVP, Menezes-Silva R, Wang L, Lauris JRP (2018) Fracture strength of Class II ART restorations with proximal retention in the Brazilian Dental Science (In Press)Google Scholar
- 14.Cefaly DFG, Barata TJE, Bresciani E, Fagundes TC, Navarro MFL (2013) Clinical evaluation of multiple-surface ART restorations: three-year follow-up. Braz Dent Sci 16:33–40Google Scholar
- 20.Frencken JE, Holmgren CJ, van Palenstein H (2002) WHO: basic package of oral care. WHO Collaborating Centre for Oral Health Care Planning and Future Scenarios, Nijmegen, The NetherlandsGoogle Scholar
- 25.Gouvêa CVD, Couto CF, Souza FN, Sales PVT, Silva LE, Barros RN (2008) Study of the thermalcycling effect on the fracture strength of a nanoparticle composite resin and two microhybrid composite resins. Odontologia Clín Científ 7:321–324Google Scholar
- 30.SB Brasil (2010) Pesquisa Nacional de Saúde Bucal: resultados principais/Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. Brasília (DF): Ministério da Saúde; 2012Google Scholar
- 32.Frencken JE, van Amerongen WE (2008) The atraumatic restorative treatment (ART) approach to manage dental caries. In: Fejerskov O, Kidd E (eds) Dental caries: the disease and its management. Blackwell, Oxford, p 439Google Scholar
- 43.Casagrande L, Seminario AT, Correa MB, Werle SB, Maltz M, Demarco FF, Araujo FB (2017) Longevity and associated risk factors in adhesive restorations of young permanent teeth after complete and selective caries removal: a retrospective study. Clin Oral Investig 21:847–855CrossRefPubMedGoogle Scholar