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Three-year clinical evaluation of high-viscosity glass ionomer restorations in non-carious cervical lesions: a randomised controlled split-mouth clinical trial

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Abstract

Objective

To compare the 3-year clinical performance of high-viscosity glass ionomer restorations with that of composite restorations in non-carious cervical lesions (NCCLs).

Materials and methods

One hundred thirty-four NCCLs were randomised into two groups according to a split-mouth design. In the experimental group (Hv-GIC), lesions were restored with a high-viscosity glass ionomer (EQUIA Fil, GC), whereas a composite resin (G-aenial, GC) was applied in the control group (E&Ra/comp). All restorative materials were used according to the manufacturers’ instructions. Clinical evaluations were performed after 1 week, 6 months, 1 year, 2 years, and 3 years using FDI (World Dental Federation) criteria. Data were analysed using Friedman’s ANOVA and Mann-Whitney U tests (α = 0.05).

Results

While retention rates of the Hv-GIC group were 98.5%, 96%, 91%, and 87% in respective evaluation periods, no retention loss was observed in the E&Ra/comp group at any time. There was a statistically significant difference between study groups regarding the retention criterion in both the second and third years (p = 0.008 and p = 0.003, respectively). Furthermore, there was a statistically significant difference between the groups in terms of surface lustre at the third-year recall, in favour of the E&Ra/comp group (p = 0.022).

Conclusions

The 3-year clinical performance of E&Ra/comp restorations in NCCLs was better than that of Hv-GIC restorations. The most common problems in Hv-GIC restorations were a loss of retention and reduction in surface lustre.

Clinical relevance

Although the 3-year clinical performance of Hv-GIC restorations in non-retentive lesions was acceptable, it was worse than in composites. The operator should consider the benefit/loss ratio of Hv-GIC when he/she decides to use this material in non-retentive cavities, especially those that are shallow.

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Funding

Funding for this study was provided by the Scientific Research Projects Coordinatorship of Izmir Katip Celebi University.

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Authors and Affiliations

  1. Department of Restorative Dentistry, Faculty of Dentistry, İzmir Katip Çelebi University, Aydınlıkevler Mah, Cemil Meriç Caddesi, 6780 sok. No:48, 35640, Çiğli, Izmir, Turkey

    Esra Uzer Celik

  2. Department of Restorative Dentistry, Faculty of Dentistry, Yeditepe University, Istanbul, Turkey

    Ayse Tugce Tunac

  3. Department of Restorative Dentistry, Faculty of Dentistry, Pamukkale University, Denizli, Turkey

    Fatma Yilmaz

Authors
  1. Esra Uzer Celik
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  2. Ayse Tugce Tunac
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  3. Fatma Yilmaz
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Correspondence to Esra Uzer Celik.

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The authors declare that they have no conflict of interest.

Ethical approval

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.

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Informed consent was obtained from all individual participants included in the study.

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Celik, E.U., Tunac, A.T. & Yilmaz, F. Three-year clinical evaluation of high-viscosity glass ionomer restorations in non-carious cervical lesions: a randomised controlled split-mouth clinical trial. Clin Oral Invest 23, 1473–1480 (2019). https://doi.org/10.1007/s00784-018-2575-y

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  • DOI: https://doi.org/10.1007/s00784-018-2575-y

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