Abstract
The purpose of the present study was to assess the influence of cavity size on the survival of conventional and CHX modified GIC in single surface primary molars receiving Atraumatic Restorative Treatment (ART). A randomized controlled trial with a split-mouth design was conducted on 90 children with symmetrical bilateral single surface carious lesions on primary molars. The teeth were randomly allotted to the conventional GIC group (group 1, n = 90) and CHX modified GIC group (group 2, n = 90). Both groups received atraumatic restorative treatment under rubber dam isolation. The cavity size was measured in terms of depth, mesiodistal, and buccolingual dimensions. The survival of ART restorations was measured after 6, 12, 18, and 24 months. The difference in proportion was tested using the Kruskal–Wallis H test, and survival curve estimation was carried out using the Kaplan–Meier method. The overall survival of all ART restorations was 83.3% at 24 months for the total sample. The survival of conventional GIC at 24 months was 83.9%, and for CHX-modified GIC was 82.7% (p > 0.05). The collective overall success of 65.1% was seen in the cavity volume category of 10–29.9 mm3. CHX modified GIC showed high survival percentage (60%) with depth >3 mm. To conclude, no significant difference was observed in the overall survival percentage of conventional and CHX modified GIC. Survival percentage was highest for cavities with a volume of 10–19.9 mm3.
Highlights
Atraumatic Restorative Treatment (ART) is a minimally invasive procedure that involves the sealing of pit and fissures and restoration of a cavitated carious lesion using Glass-Ionomer Cement (GIC) [1]
The survival of conventional and or CHX modified GIC depends upon cavity size, number of surfaces involved, the experience of the operator, and isolation techniques used during the restorative procedure [16,17,18,19,20,21,22,23,24]
Several studies [18,21,24,26,27,28] have focused on the survival of single surface ART restorations without considering the influence of cavity size
Summary
Atraumatic Restorative Treatment (ART) is a minimally invasive procedure that involves the sealing of pit and fissures and restoration of a cavitated carious lesion using Glass-Ionomer Cement (GIC) [1]. It is reported that physical properties are not affected in CHX modified GIC, [11,14,15] the survival of the same has been tested by a limited number of studies [10], especially in the primary dentition [15,24]. With this background, the present randomized trial was conducted to assess the influence of cavity size on the survival of conventional and CHX modified GIC in single surface primary molar teeth ART
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