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一项评估生物活性修复材料和树脂改性玻璃离子水门汀用于龋损乳磨牙修复的临床性能的随机对照试验。

A Randomized Controlled Trial Evaluating the Clinical Performance of Bioactive Restorative Material and Resin-modified Glass Ionomer Cement in Carious Primary Molar Restorations.

作者信息

Bhavana Kalava, Uloopi K S, Vinay C, Chaitanya Penmatsa, Ramesh Manumanthu Venkata, Ahalya P

机构信息

Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.

Department of Pediatric Dentistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.

出版信息

Int J Clin Pediatr Dent. 2024 Oct;17(10):1109-1113. doi: 10.5005/jp-journals-10005-2963.

DOI:10.5005/jp-journals-10005-2963
PMID:39650299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11617437/
Abstract

AIM AND OBJECTIVES

To evaluate the clinical performance (marginal discoloration, surface texture, and retention) of bioactive restorative material (ACTIVA) and resin-modified glass ionomer cement (RMGIC) in carious primary molar restorations at 6 and 12-month intervals.

MATERIALS AND METHODS

The split-mouth randomized controlled trial comprised 31 children aged 5-8 years having contralateral matched pair of carious primary molars with an International Caries Detection and Assessment System (ICDAS) II score 5. Sixty-two teeth were randomly allocated into two groups: group I-ACTIVA ( = 31) and group II-RMGIC ( = 31). After caries excavation, the teeth were restored with the respective materials and evaluated the marginal discoloration, surface texture, and retention after 6 and 12 months using modified USPHS (United States Public Health Service) criteria under the dental operating microscope.

STATISTICAL ANALYSIS

Mann-Whitney "" test was used for intragroup comparison and the Wilcoxon signed-rank test for intergroup comparison.

RESULTS

A statistically significant difference was found in the surface texture of ACTIVA and RMGIC restorations at both 6-month ( = 0.002) and 12-month ( = 0.001) intervals, whereas the difference in the marginal discoloration and retention were not significant at both 6-month ( = 0.267 and 0.161, respectively) and 12-month intervals ( = 0.339 and 0.064, respectively).

CONCLUSION

The surface texture of ACTIVA is found to be superior to RMGIC, whereas marginal discoloration and retention are similar to RMGIC at both 6 and 12-month intervals.

CLINICAL SIGNIFICANCE

ACTIVA bioactive restorative material and RMGIC both enhance tooth remineralization with improved adhesion and fluoride release properties, making them valuable choices in various clinical scenarios.

HOW TO CITE THIS ARTICLE

Bhavana K, Uloopi K, Vinay C, A Randomized Controlled Trial Evaluating the Clinical Performance of Bioactive Restorative Material and Resin-modified Glass Ionomer Cement in Carious Primary Molar Restorations. Int J Clin Pediatr Dent 2024;17(10):1109-1113.

摘要

目的与目标

评估生物活性修复材料(ACTIVA)和树脂改性玻璃离子水门汀(RMGIC)在龋损乳磨牙修复中,于6个月和12个月间隔时的临床性能(边缘变色、表面质地和固位情况)。

材料与方法

这项双侧随机对照试验纳入了31名5 - 8岁儿童,他们均有对侧匹配的龋损乳磨牙,国际龋病检测与评估系统(ICDAS)II评分均为5分。62颗牙齿被随机分为两组:第一组为ACTIVA组(n = 31),第二组为RMGIC组(n = 31)。龋洞预备后,用相应材料对牙齿进行修复,并在牙科手术显微镜下,使用改良的美国公共卫生服务(USPHS)标准,于6个月和12个月后评估边缘变色、表面质地和固位情况。

统计分析

组内比较采用曼 - 惠特尼U检验,组间比较采用威尔科克森符号秩检验。

结果

在6个月(U = 0.002)和12个月(U = 0.001)时,ACTIVA和RMGIC修复体的表面质地存在统计学显著差异,而在6个月(分别为U = 0.267和0.161)和12个月时,边缘变色和固位方面的差异均不显著(分别为U = 0.339和0.064)。

结论

发现ACTIVA的表面质地优于RMGIC,而在6个月和12个月时,其边缘变色和固位情况与RMGIC相似。

临床意义

ACTIVA生物活性修复材料和RMGIC均能增强牙齿再矿化,并具有改善的黏附性和氟释放特性,使其在各种临床场景中都是有价值的选择。

如何引用本文

Bhavana K, Uloopi K, Vinay C, 一项评估生物活性修复材料和树脂改性玻璃离子水门汀在龋损乳磨牙修复中临床性能的随机对照试验。《国际临床儿科牙科学杂志》2024;17(10):1109 - 1113。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/11617437/710346b5036d/ijcpd-17-1109-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/11617437/710346b5036d/ijcpd-17-1109-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/11617437/710346b5036d/ijcpd-17-1109-g001.jpg

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