A Clinical Assessment of Glass Carbomer Cement

NCT ID: NCT03030690

Last Updated: 2018-03-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2018-01-31

Brief Summary

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This study will evaluate the clinical performance of glass carbomer cement restorations in restoring proximal lesions in primary molars compared to that of resin modified glass ionomer cement and composite resin restorations. Teeth will be randomly assigned to one of the three restoration groups and the restorations will be evaluated clinically and radiographically every six months.

Detailed Description

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Glass Carbomer is a monomer free; carbomised nano-glass restorative cement developed from traditional glass ionomer cement (GIC) and contains nano-sized powder particles of hydroxyapatite and fluorapatite. These materials claim to have improved mechanical properties and better bonding to dentin, in addition to continues fluoride release.

The study is a randomized controlled clinical trial where teeth will be randomly assigned to one of the three restoration groups.

Following medical and dental history, bilateral bitewing radiographs will be taken for each patient to assess the presence of proximal lesions. Suitable teeth will then be randomly assigned to one of the restoration groups. A single operator using local anesthesia and rubber dam isolation will then prepare standardized Class II cavities and place the designated restorations according to the manufacturer's instructions.

The quality of the 3 types of restorations will be clinically evaluated at baseline and every six months for color match, marginal discoloration, anatomic form, marginal adaptation, and secondary caries using the criteria described by "Cvar and Ryge" (2005). The evaluation will be performed by 2 calibrated examiners.

Following placement of the restorations, bitewing radiographs will be taken to evaluate the restorations and will be repeated every six months for detection of recurrent caries.

Conditions

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Dental Caries Class II

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Glass Carbomer Cement

GCP Glass Fill, Glass Carbomerâ„¢Tech, Ridderkerk, Netherlands

Group Type EXPERIMENTAL

Glass Carbomer Cement

Intervention Type OTHER

Restoration of proximal lesions in primary molars using glass carbomer cement

Resin Modified Glass Ionomer Cement

GC Fuji II LC Capsule, GC International, Tokyo, Japan

Group Type ACTIVE_COMPARATOR

Resin Modified Glass Ionomer Cement

Intervention Type OTHER

Restoration of proximal lesions in primary molars using resin modified glass ionomer cement

Composite Resin

Filtek Z250, 3M ESPE, St Paul, MN, USA

Group Type ACTIVE_COMPARATOR

Composite Resin

Intervention Type OTHER

Restoration of proximal lesions in primary molars using composite resin.

Interventions

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Glass Carbomer Cement

Restoration of proximal lesions in primary molars using glass carbomer cement

Intervention Type OTHER

Composite Resin

Restoration of proximal lesions in primary molars using composite resin.

Intervention Type OTHER

Resin Modified Glass Ionomer Cement

Restoration of proximal lesions in primary molars using resin modified glass ionomer cement

Intervention Type OTHER

Other Intervention Names

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GCP Glass Fill Hydroxyapatite enhance glass ionomer cement Filtek Z250 GC Fuji II LC Capsule

Eligibility Criteria

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Inclusion Criteria

* One proximal lesion in a primary molar.
* Radiographic evidence of caries extending at least into the inner half of the enamel but not the inner half of dentin.
* Proximal contact with adjacent healthy or restored teeth.
* Occlusal contact with opposing healthy or restored teeth.
* No indication for pulp therapy or other restorative treatment.
* A predicted survival until exfoliation of 2 years.

Exclusion Criteria

* Radiographic evidence of caries extending into the inner half of dentin.
* No proximal contact with adjacent healthy or restored teeth.
* No occlusal contact with opposing healthy or restored teeth.
* Tooth indicated for pulp therapy or other restorative treatment.
* A predicted survival until exfoliation of less than 2 years.
Minimum Eligible Age

4 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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King Abdulaziz University

OTHER

Sponsor Role lead

Responsible Party

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Sumaya Nouri

BDS, M.Sc

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Najlaa Alamoudi, MSc, DSc

Role: STUDY_CHAIR

King Abdulaziz University

References

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Chen X, Du MQ, Fan MW, Mulder J, Huysmans MC, Frencken JE. Caries-preventive effect of sealants produced with altered glass-ionomer materials, after 2 years. Dent Mater. 2012 May;28(5):554-60. doi: 10.1016/j.dental.2012.01.001. Epub 2012 Jan 31.

Reference Type BACKGROUND
PMID: 22300651 (View on PubMed)

Chen X, Du M, Fan M, Mulder J, Huysmans MC, Frencken JE. Effectiveness of two new types of sealants: retention after 2 years. Clin Oral Investig. 2012 Oct;16(5):1443-50. doi: 10.1007/s00784-011-0633-9. Epub 2011 Nov 29.

Reference Type BACKGROUND
PMID: 22124610 (View on PubMed)

Cvar JF, Ryge G. Reprint of criteria for the clinical evaluation of dental restorative materials. 1971. Clin Oral Investig. 2005 Dec;9(4):215-32. doi: 10.1007/s00784-005-0018-z. No abstract available.

Reference Type BACKGROUND
PMID: 16315023 (View on PubMed)

Gorseta K, Glavina D, Borzabadi-Farahani A, Van Duinen RN, Skrinjaric I, Hill RG, Lynch E. One-year clinical evaluation of a Glass Carbomer fissure sealant, a preliminary study. Eur J Prosthodont Restor Dent. 2014 Jun;22(2):67-71.

Reference Type BACKGROUND
PMID: 25134364 (View on PubMed)

Gu YW, Yap AU, Cheang P, Khor KA. Effects of incorporation of HA/ZrO(2) into glass ionomer cement (GIC). Biomaterials. 2005 Mar;26(7):713-20. doi: 10.1016/j.biomaterials.2004.03.019.

Reference Type BACKGROUND
PMID: 15350775 (View on PubMed)

Hubel S, Mejare 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 Jan;13(1):2-8. doi: 10.1046/j.1365-263x.2003.00416.x.

Reference Type BACKGROUND
PMID: 12542617 (View on PubMed)

Lucas ME, Arita K, Nishino M. Toughness, bonding and fluoride-release properties of hydroxyapatite-added glass ionomer cement. Biomaterials. 2003 Sep;24(21):3787-94. doi: 10.1016/s0142-9612(03)00260-6.

Reference Type BACKGROUND
PMID: 12818551 (View on PubMed)

Lucas ME, Arita K, Nishino M. Strengthening a conventional glass ionomer cement using hydroxyapatite. J Dent Res. 2001;80:711.

Reference Type BACKGROUND

Moshaverinia A, Ansari S, Moshaverinia M, Roohpour N, Darr JA, Rehman I. Effects of incorporation of hydroxyapatite and fluoroapatite nanobioceramics into conventional glass ionomer cements (GIC). Acta Biomater. 2008 Mar;4(2):432-40. doi: 10.1016/j.actbio.2007.07.011. Epub 2007 Aug 25.

Reference Type BACKGROUND
PMID: 17921077 (View on PubMed)

Related Links

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https://www.york.ac.uk/media/crd/crdreport19.pdf

The longevity of dental restorations: a systematic review. Report 19, NHS Centre for Reviews and Dissemination

Other Identifiers

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070-16

Identifier Type: -

Identifier Source: org_study_id

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