Document Detail


The effect of a chlorhexidine containing cavity disinfectant on the clinical performance of high-viscosity glass-ionomer cement following ART: 24-month results.
MedLine Citation:
PMID:  18435375     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the effect of a chlorhexidine-gluconate-based cavity disinfectant on the clinical performance of high viscosity glass-ionomer cement following the ART approach under field conditions after 24 months. METHODS: 126 school children 6-8 years old who had bilateral matched pairs of carious Class I and II primary molars were included. A split mouth design was used in which Ketac Molar was randomly placed with or without the use of chlorhexidine-gluconate-based cavity disinfectant on contralateral sides by three dentists. The restorations were evaluated after 6, 12 and 24 months by two experienced examiners using USPHS-Ryge criteria. RESULTS: The 24-month mean cumulative survival rates of Ketac Molar without the use of disinfectant were 97.7% and 69.4% while in the disinfectant group, the survival rates were 95.2% and 63.9% in Class I and II restorations, respectively with no significant difference between the groups in both class types. In the non-disinfected group, large Class II cavities had significantly better survival rates than did small Class II cavities (P = 0.023). In the disinfected group, the failure rates in mean cumulative survivals from 6 to 12 months and 12 to 24 months significantly increased with time (P = 0.004 and P = 0.016 respectively).
Authors:
Nazan Kocatas Ersin; Arzu Aykut; Umit Candan; Ozant Onçağ; Cemal Eronat; Timur Kose
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  American journal of dentistry     Volume:  21     ISSN:  0894-8275     ISO Abbreviation:  Am J Dent     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-04-25     Completed Date:  2008-07-15     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8806701     Medline TA:  Am J Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  39-43     Citation Subset:  D    
Affiliation:
Department of Pediatric Dentistry, Ege University, Bornova-Izmir 35100, Turkey. nazan.ersin@ege.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Anti-Infective Agents, Local / therapeutic use*
Case-Control Studies
Child
Chlorhexidine / analogs & derivatives*,  therapeutic use
Color
Dental Bonding
Dental Caries / therapy
Dental Cavity Preparation / methods*
Dental Marginal Adaptation
Dental Restoration Failure
Dental Restoration, Permanent / methods*
Female
Follow-Up Studies
Glass Ionomer Cements / chemistry*
Humans
Male
Molar / pathology
Recurrence
Surface Properties
Survival Analysis
Tooth, Deciduous / pathology
Chemical
Reg. No./Substance:
0/Anti-Infective Agents, Local; 0/Glass Ionomer Cements; 0/ketac-molar; 18472-51-0/chlorhexidine gluconate; 55-56-1/Chlorhexidine
Comments/Corrections
Comment In:
J Evid Based Dent Pract. 2009 Mar;9(1):34-5   [PMID:  19269617 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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