Periodontal Evaluation for a New Alkasite Restorative Material in Noncarious Cervical Lesions: A Randomized‐Controlled Clinical Trial
ABSTRACT Objectives This study aims to evaluate the periodontal condition adjacent to Cention N (CN) restorations applied for noncarious cervical lesions (NCCL) compared with resin‐modified glass ionomer cement (RM‐GIC) restorations in terms of plaque accumulation, attachment loss, and gingival infl...
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Wiley
2024-12-01
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| Series: | Clinical and Experimental Dental Research |
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| Online Access: | https://doi.org/10.1002/cre2.70025 |
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| author | Khattab Mustafa Ghaith Alfakhry Hussam Milly |
| author_facet | Khattab Mustafa Ghaith Alfakhry Hussam Milly |
| author_sort | Khattab Mustafa |
| collection | DOAJ |
| description | ABSTRACT Objectives This study aims to evaluate the periodontal condition adjacent to Cention N (CN) restorations applied for noncarious cervical lesions (NCCL) compared with resin‐modified glass ionomer cement (RM‐GIC) restorations in terms of plaque accumulation, attachment loss, and gingival inflammation. Materials and Methods This is a double‐blind split‐mouth three‐armed randomized‐controlled clinical trial. The study arms are RM‐GIC (FUJI II LC), CN + adhesive system, and CN + retentive groove. The study included 25 restorations per arm. Follow‐ups were performed at 1 week, 3, 6, and 9 months after the application of the restorations. The periodontal condition was evaluated using the plaque index (PI), the bleeding on probing index (BOP), and the probing depth (PD). Appropriate tests were used to perform statistical analyses (α = 0.05). Results There was no significant difference between Cention N and RM‐GIC regarding the studied variables. However, after the application of the restorations, it was noted that the PI and the PD mean values increased. The average increase after 9 months was 0.06 and 0.34 for PI and PD, respectively, with that of PD being significant. It was also noted that the percentage of positive BOP sites increased at the 1‐week follow‐up for all study groups and afterward dropped to near preintervention values at the 3‐month and later follow‐ups. Conclusions The two ion‐releasing materials Cention N and RM‐GIC have a comparable and clinically acceptable effect on the gingival tissue when restoring NCCLs. The combined effect of the gingival retraction cord and the rubber dam clamp on the periodontal tissues might be more important to consider, especially in relation to the probing depth. Future long‐term studies are needed to evaluate the effect of Cention N on the subgingival biofilm in comparison with nonion‐releasing restorative materials, and subsequently, its effect on gingival inflammation. Clinical Trial Registration This clinical trial was registered in clinicaltrial.gov clinical registry under protocol #NCT05593159. |
| format | Article |
| id | doaj-art-02c6ccfa29bd4da9b242988ec1842151 |
| institution | OA Journals |
| issn | 2057-4347 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical and Experimental Dental Research |
| spelling | doaj-art-02c6ccfa29bd4da9b242988ec18421512025-08-20T02:34:53ZengWileyClinical and Experimental Dental Research2057-43472024-12-01106n/an/a10.1002/cre2.70025Periodontal Evaluation for a New Alkasite Restorative Material in Noncarious Cervical Lesions: A Randomized‐Controlled Clinical TrialKhattab Mustafa0Ghaith Alfakhry1Hussam Milly2Faculty of Philosophy and Social Sciences University of Augsburg Augsburg GermanyDepartment of Education University of Oxford Oxford UKFaculty of Dental Medicine Damascus University Damascus SyriaABSTRACT Objectives This study aims to evaluate the periodontal condition adjacent to Cention N (CN) restorations applied for noncarious cervical lesions (NCCL) compared with resin‐modified glass ionomer cement (RM‐GIC) restorations in terms of plaque accumulation, attachment loss, and gingival inflammation. Materials and Methods This is a double‐blind split‐mouth three‐armed randomized‐controlled clinical trial. The study arms are RM‐GIC (FUJI II LC), CN + adhesive system, and CN + retentive groove. The study included 25 restorations per arm. Follow‐ups were performed at 1 week, 3, 6, and 9 months after the application of the restorations. The periodontal condition was evaluated using the plaque index (PI), the bleeding on probing index (BOP), and the probing depth (PD). Appropriate tests were used to perform statistical analyses (α = 0.05). Results There was no significant difference between Cention N and RM‐GIC regarding the studied variables. However, after the application of the restorations, it was noted that the PI and the PD mean values increased. The average increase after 9 months was 0.06 and 0.34 for PI and PD, respectively, with that of PD being significant. It was also noted that the percentage of positive BOP sites increased at the 1‐week follow‐up for all study groups and afterward dropped to near preintervention values at the 3‐month and later follow‐ups. Conclusions The two ion‐releasing materials Cention N and RM‐GIC have a comparable and clinically acceptable effect on the gingival tissue when restoring NCCLs. The combined effect of the gingival retraction cord and the rubber dam clamp on the periodontal tissues might be more important to consider, especially in relation to the probing depth. Future long‐term studies are needed to evaluate the effect of Cention N on the subgingival biofilm in comparison with nonion‐releasing restorative materials, and subsequently, its effect on gingival inflammation. Clinical Trial Registration This clinical trial was registered in clinicaltrial.gov clinical registry under protocol #NCT05593159.https://doi.org/10.1002/cre2.70025dental materialsdental plaque indexgingival bleeding on probinggingival retraction techniques |
| spellingShingle | Khattab Mustafa Ghaith Alfakhry Hussam Milly Periodontal Evaluation for a New Alkasite Restorative Material in Noncarious Cervical Lesions: A Randomized‐Controlled Clinical Trial Clinical and Experimental Dental Research dental materials dental plaque index gingival bleeding on probing gingival retraction techniques |
| title | Periodontal Evaluation for a New Alkasite Restorative Material in Noncarious Cervical Lesions: A Randomized‐Controlled Clinical Trial |
| title_full | Periodontal Evaluation for a New Alkasite Restorative Material in Noncarious Cervical Lesions: A Randomized‐Controlled Clinical Trial |
| title_fullStr | Periodontal Evaluation for a New Alkasite Restorative Material in Noncarious Cervical Lesions: A Randomized‐Controlled Clinical Trial |
| title_full_unstemmed | Periodontal Evaluation for a New Alkasite Restorative Material in Noncarious Cervical Lesions: A Randomized‐Controlled Clinical Trial |
| title_short | Periodontal Evaluation for a New Alkasite Restorative Material in Noncarious Cervical Lesions: A Randomized‐Controlled Clinical Trial |
| title_sort | periodontal evaluation for a new alkasite restorative material in noncarious cervical lesions a randomized controlled clinical trial |
| topic | dental materials dental plaque index gingival bleeding on probing gingival retraction techniques |
| url | https://doi.org/10.1002/cre2.70025 |
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