Research Output Details

Clinical Performance of Zirconia Reinforced versus Conventional Viscous Glass Ionomer in Class I Cavities of Geriatric Patients: A 1‑year Randomized Controlled Clinical Trial

Published 85
Authors:

Mai; Rania; Omaima; Doaa

Journal/Publication:

Contemporary Clinical Dentistry

Publication Date:

Jul-2024

Keywords:

Class I clinical assessment glass ionomer elderly geriatric high‑viscosity glass‑ionomer cement Ketac molar occlusal caries permanent teeth USPHS criteria zirconomer

Abstract

Background: For the elderly population, efforts are made to simplify the restorative procedure while
maintaining good clinical performance. Glass ionomer (GI) cements are showing signs to fulfill many
of these qualities. With their new properties and ease of use, they can be developed further to become
a useful group of materials to overcome the problems of elderly patients. Aim: The aim of the study
was to evaluate the clinical performance of zirconia‑reinforced versus conventional viscous GI
restorations in Class I cavities of geriatric patients. Setting and Design: The study design was in vivo
randomized clinical trial, parallel‑arms, allocation ratio: 1:1. Subjects and Methods: A total of 28
Class I carious lesions in 21 geriatric patients were restored randomly either by zirconomer‑improved
or Ketac Molar Quick Aplicap (n = 14) each. Restorations were evaluated for 1 year by modified
USPHS criteria. Statistical Analysis: Data were analyzed with the Chi‑square test and Cochran’s
Q‑test. Survival rate was analyzed using the Kaplan–Meier and log‑rank test. Results: Twenty‑four
restorations were evaluated in 19 patients with a recall rate of 85.7% at 12 months. Significant
differences were found in marginal integrity and marginal discoloration within both restorative
materials between different time intervals (P < 0.05). However, none of the materials were superior
to another regarding all assessed criteria. Conclusions: Both zirconia‑reinforced GI and conventional
highly viscous GI have acceptable clinical performance.