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Clinical Performance of Glass Ionomer Cement in Load-Bearing Restorations: A Systematic Review.

Laura DurrantMahdi MutaharArwa A DaghreryNassreen Hassan Mohammad AlbarGhadeer Saleh AlwadaiSaleh Ali AlqahtaniLaila Adel Al DehailanNaif Nabel AbogazalahNada Ahmad AlamoudiMohammed M Al Moaleem
Published in: Medical science monitor : international medical journal of experimental and clinical research (2024)
Glass ionomer cement (GIC) is a self-adhesive dental restorative material composed of a polyacrylic acid liquid and fluoro-aluminosilicate glass powder. It is commonly used for cementation during dental restoration. This study aimed to systematically review the existing literature regarding the clinical performance of GIC in load-bearing dental restorations. A comprehensive literature search was conducted in EBSCO, PubMed, Embrace, and Cochrane databases. Only randomized controlled trials (RCTs) were included in the search, and a broad search technique was used, where inclusion and exclusion criteria were applied. After a thorough evaluation, 12 RCTs were extensively reviewed, and whether GIC is suitable for load-bearing restorations was determined. Significant variations in staining surface or margin, color match, translucency, esthetic anatomical form, retention, material fracture, marginal adaptation, surface luster, occlusal contour, wear, and approximal anatomical form indicated the unsuitability of GIC. By contrast, significance differences in patient view and periodontal response indicated that GIC is suitable. No significant differences in postoperative sensitivity, recurrence of caries, or tooth integrity were observed. Nevertheless, the results of the review demonstrated that the clinical performance of GIC is comparable to that of traditional restorative materials with regard to the parameters analyzed. GIC is a suitable restorative material for load-bearing restorations regarding surface margin, esthetic anatomical form, material retention and fracture, marginal adaptation, occlusal contour, wear, and approximal anatomical form. It reduces other parameters, such as postoperative sensitivity, recurrence of caries, and tooth integrity.
Keyphrases
  • oral health
  • systematic review
  • randomized controlled trial
  • patients undergoing
  • magnetic resonance imaging
  • computed tomography
  • positron emission tomography
  • deep learning
  • hip fracture
  • study protocol