دورية أكاديمية

Two-year clinical and radiographic evaluation of ACTIVA BioACTIVE versus Compomer (Dyract® eXtra) in the restoration of class-2 cavities of primary molars: a non-inferior split-mouth randomised clinical trial.

التفاصيل البيبلوغرافية
العنوان: Two-year clinical and radiographic evaluation of ACTIVA BioACTIVE versus Compomer (Dyract® eXtra) in the restoration of class-2 cavities of primary molars: a non-inferior split-mouth randomised clinical trial.
المؤلفون: Banon R; Paediatric Dentistry, Oral Health Sciences, ELOHA (Equal Lifelong Oral Health for All) research group, Ghent University Hospital, Ghent, Belgium. Reda.Banon@gmail.com., Vandenbulcke J; Paediatric Dentistry, Oral Health Sciences, ELOHA (Equal Lifelong Oral Health for All) research group, Ghent University Hospital, Ghent, Belgium., Van Acker J; Paediatric Dentistry, Oral Health Sciences, ELOHA (Equal Lifelong Oral Health for All) research group, Ghent University Hospital, Ghent, Belgium., Martens L; Paediatric Dentistry, Oral Health Sciences, ELOHA (Equal Lifelong Oral Health for All) research group, Ghent University Hospital, Ghent, Belgium., De Coster P; Department of Reconstructive Dentistry and Oral Biology, Oral Health Sciences, Ghent University Hospital, Ghent, Belgium., Rajasekharan S; Paediatric Dentistry, Oral Health Sciences, ELOHA (Equal Lifelong Oral Health for All) research group, Ghent University Hospital, Ghent, Belgium.
المصدر: BMC oral health [BMC Oral Health] 2024 Apr 10; Vol. 24 (1), pp. 437. Date of Electronic Publication: 2024 Apr 10.
نوع المنشور: Randomized Controlled Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088684 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6831 (Electronic) Linking ISSN: 14726831 NLM ISO Abbreviation: BMC Oral Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Compomers* , Dental Caries*/diagnostic imaging , Dental Caries*/therapy, Child ; Humans ; Child, Preschool ; Composite Resins ; Dental Restoration, Permanent ; Molar/diagnostic imaging
مستخلص: Objectives: The trial aimed to compare the clinical performance and radiographic success of ACTIVA BioACTIVE versus Compomer in restoring class-II cavities of primary molars.
Materials and Methods: A non-inferior split-mouth design was considered. A pre-calculated sample size of 96 molars (48 per group) with class-2 cavities of twenty-one children whose ages ranged from 5 to 10 years were randomly included in the trial. Pre-operative Plaque Index (PI), DMFT/dmft scores and the time required to fill the cavity were recorded. Over 24 months, the teeth were clinically evaluated every six months and radiographically every 12 months by two calibrated and blinded evaluators using the United States public health service (USPHS)-Ryge criteria. The two-sided 95% confidence interval (CI) for the difference in success rate was considered to assess non-inferiority, and the margin was set at -18%. The linear mixed model and Firth's logistic regression model were used for data analysis (P < 0.05).
Results: After 24 months, 86 teeth (43 per group) were evaluated. The mean PI score was 1.1(± 0.9), while DMFT/dmft was 0.35 (± 0.74) and 6.55 (± 2.25) respectively. The clinical and radiographic success rate of Dyract vs. ACTIVA was 95.3% and 88.3% vs. 93% and 86%, respectively. The two-sided 95% CI for the difference in success rate (-2.3%) was - 3.2 to 1.3% and didn't reach the predetermined margin of -18% which had been anticipated as the non-inferiority margin. Clinically, ACTIVA had a significantly better colour match (P = 0.002) but worse marginal discolouration (P = 0.0143). There were no significant differences regarding other clinical or radiographic criteria (P > 0.05). ACTIVA took significantly less placement time than Dyract, with a mean difference of 2.37 (± 0.63) minutes (P < 0.001).
Conclusion: The performance of ACTIVA was not inferior to Dyract and both materials had a comparable high clinical and radiographic performance in children with high-caries experience. ACTIVA had a significantly better colour match but more marginal discolouration. It took significantly less time to be placed in the oral cavity.
Trial Registration: The study was registered at ClinicalTrials.gov on 4 May 2018 (#NCT03516838).
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Bioactive material; Bulk-fill composite; Primary molars
سلسلة جزيئية: ClinicalTrials.gov NCT03516838
المشرفين على المادة: 0 (Dyract)
0 (Compomers)
0 (Composite Resins)
تواريخ الأحداث: Date Created: 20240410 Date Completed: 20240412 Latest Revision: 20240425
رمز التحديث: 20240425
مُعرف محوري في PubMed: PMC11005273
DOI: 10.1186/s12903-024-04132-w
PMID: 38600533
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6831
DOI:10.1186/s12903-024-04132-w