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European Archives of Paediatric Dentistry

, Volume 12, Issue 3, pp 170–175 | Cite as

Evaluation of a resin modified glass ionomer serving both as indirect pulp therapy and as restorative material for primary molars

  • N. KotsanosEmail author
  • S. Arizos
Article

Abstract

AIM: The successful performance of resin modified glass ionomer cement (RMGIC) as an indirect pulp therapy (IPT) dressing material and, independently, as a class II restoration material for primary molars has been adequately documented. This study investigates if an RMGIC can be successfully used in a dual capacity. METHODS: A total of 61, 3.5–8.5 year old children with deep proximal carious lesions in one or more primary molars, radiographically suspected of pulp exposure, were included. Exclusion criteria were: continuous unprovoked pain and an exposed or a non-vital pulp. Following adequate caries removal, RMGIC restorations were placed. The teeth were followed-up for signs/symptoms and for restoration survival according to modified United States Public Health Service (USPHS) criteria. Descriptive statistics were applied. RESULTS: The prospective study was completed with 86 restorations in 41 first and 45 second primary molars. Three of the 86 teeth showed pulp necrosis and the remaining 83 (96.5%) were a) asymptomatic for a mean clinical observation time of 31.9 months (SD 10.8) and b) with no radiographic signs of pathology for 25.7 months (SD 10.3). Seventy-six of these 83 (91.6%) class II-‘extended’ restorations were acceptable, exhibiting varying levels of occlusal wear. CONCLUSIONS: A single application of RMGIC was used successfully for over 2 1/2 years as an IPT and restoration material in proximal caries of primary molars.

Key Words

Resin modified glass ionomer indirect pulp therapy restoration survival primary molar 

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References

  1. AAPD. Guideline on pulp therapy for primary and immature permanent teeth. Reference manual 2010–11, Pediatr Dent 2010;32:194–201.Google Scholar
  2. Al-Zayer MA, Straffon LH, Feigal RJ et al. Indirect pulp treatment of primary posterior teeth: a retrospective study. Pediatr Dent. 2003;25:29–36.PubMedGoogle Scholar
  3. Andersson-Wenckert IE, van Dijken JW, Kieri C. Durability of extensive Class II open-sandwich restorations with a resin-modified glass ionomer cement after 6 years. Am J Dent. 2004;17:43–50.PubMedGoogle Scholar
  4. Atieh M. Stainless steel crown versus modified open-sandwich restorations for primary molars: a 2-year randomized clinical trial. Int J Paediatr Dent. 2008;18:325–32.PubMedCrossRefGoogle Scholar
  5. Bjørndal L, Reit C, Bruun G, et al. Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. Eur J Oral Sci 2010;118:290–297.PubMedCrossRefGoogle Scholar
  6. Casagrande L, Bento LW, Dalpian DM et al. Indirect pulp treatment in primary teeth: 4-year results. Am J Dent. 2010;23:34–38.PubMedGoogle Scholar
  7. Chadwick BL, Evans DJ. Restoration of class II cavities in primary molar teeth with conventional and resin modified glass ionomer cements: a systematic review of the literature. Eur Arch Paediatr Dent. 2007;8:14–21.PubMedCrossRefGoogle Scholar
  8. Coll JA. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? Pediatr Dent. 2008;30:230–236.PubMedGoogle Scholar
  9. Duggal MS, Nooh A, High A. Response of the primary pulp to inflammation: a review of the Leeds studies and challenges for the future. Eur J Paediatr Dent2002;3:111–114.PubMedGoogle Scholar
  10. Dunston B, Coll JA. A survey of primary tooth pulp therapy as taught in US dental schools and practiced by diplomates of the American Board Of Pediatric Dentistry. Pediatr Dent. 2008;30:42–48.PubMedGoogle Scholar
  11. Farooq NS, Coll JA, Kuwabara A et al. Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth. Pediatr Dent. 2000;22:278–286.PubMedGoogle Scholar
  12. Hübel S, Mejàre I. Conventional versus resin-modified glass-ionomer cement for Class II restorations in primary molars. A 3-year clinical study. Int J Paediatr Dent.2003;13:2–8.PubMedCrossRefGoogle Scholar
  13. Innes NP, Ricketts DN, Evans DJ. Preformed metal crowns for decayed primary molar teeth. Cochrane Database Syst Rev. 2007;24(1):CD005512.Google Scholar
  14. Kassa D, Day P, High A et al. Histological comparison of pulpal inflammation in primary teeth with occlusal or proximal caries. Int J Paediatr Dent. 2009;19:26–33.PubMedCrossRefGoogle Scholar
  15. Kotsanos N. An intraoral study of caries induced on enamel in contact with fluoride-releasing restorative materials. Caries Res. 2001;35:200–204.PubMedCrossRefGoogle Scholar
  16. Leksell E, Ridell K, Cvek M et al. Pulp exposure after stepwise versus direct complete excavation of deep carious lesions in young posterior permanent teeth. Endod Dent Traumatol 1996;12:192–196.PubMedCrossRefGoogle Scholar
  17. Lula EC, Monteiro-Neto V, Alves CM et al. Microbiological analysis after complete or partial removal of carious dentin in primary teeth: a randomized clinical trial. Caries Res. 2009;43:354–358.PubMedCrossRefGoogle Scholar
  18. Marchi JJ, de Araujo FB, Fröner AM et al. Indirect pulp capping in the primary dentition: a 4 year follow-up study. J Clin Pediatr Dent. 2006;31:68–71.PubMedGoogle Scholar
  19. Monteiro J, Day P, Duggal M et al. Pulpal status of human primary teeth with physiological root resorption. Int J Paediatr Dent. 2009;19:16–25.PubMedCrossRefGoogle Scholar
  20. Murray PE, Hafez AA, Smith AJ et al. Bacterial microleakage and pulp inflammation associated with various restorative materials. Dent Mater. 2002;18:470–478.PubMedCrossRefGoogle Scholar
  21. Ng FK, Messer LB. Mineral trioxide aggregate as a pulpotomy medicament: an evidence-based assessment. Eur Arch Paediatr Dent. 2008;9:58–73.PubMedGoogle Scholar
  22. Ní Chaollaí A, Monteiro J, Duggal MS. The Teaching of Management of the Pulp in Primary Molars in Europe: A preliminary investigation in Ireland and the UK. European Archives of Paediatric Dentistry 2009;10:98–103.PubMedGoogle Scholar
  23. Orhan AI, Oz FT, Orhan K. Pulp exposure occurrence and outcomes after 1- or 2-visit indirect pulp therapy vs complete caries removal in primary and permanent molars. Pediatr Dent. 2010;32:347–355.PubMedGoogle Scholar
  24. Qvist V, Poulsen A, Teglers PT et al. The longevity of different restorations in primary teeth. Int J Paediatr Dent. 2010;20:1–7.PubMedCrossRefGoogle Scholar
  25. Rodd HD, Waterhouse PJ, Fuks AB et al. UK National Clinical Guidelines in Paediatric Dentistry: Pulp therapy for primary molars. Int J Paediatr Dent. 2006;16(Suppl1):15–23.PubMedCrossRefGoogle Scholar
  26. Sidhu SK. Clinical evaluations of resin-modified glass-ionomer restorations. Dent Mater. 2010;26:7–12PubMedCrossRefGoogle Scholar
  27. van Dijken JW, Kieri C, Carlén M. Longevity of extensive class II open-sandwich restorations with a resin-modified glass-ionomer cement. J Dent Res. 1999;78:1319–1325.PubMedCrossRefGoogle Scholar
  28. Vij R, Coll JA, Shelton P, Farooq NS. Caries control and other variables associated with success of primary molar vital pulp therapy. Pediatr Dent. 2004;26:214–220.PubMedGoogle Scholar
  29. Walker MP, Diliberto A, Lee C. Effect of setting conditions on mineral trioxide aggregate flexural strength. J Endod. 2006;32:334–336.PubMedCrossRefGoogle Scholar
  30. Zealand CM, Briskie DM, Botero TM et al. Comparing gray mineral trioxide aggregate and diluted formocresol in pulpotomized human primary molars. Pediatr Dent. 2010;32:393–399.PubMedGoogle Scholar

Copyright information

© European Archives of Paediatric Dentistry 2011

Authors and Affiliations

  1. 1.Department of Paediatric Dentistry, Faculty of DentistryAristotle University of ThessalonikiThessalonikiGreece

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