Evidence map›Paper›PMID 27156000›Full record

Trial reportTrials2016

Clinical performance during 48 months of two current glass ionomer restorative systems with coatings: a randomized clinical trial in the field.

Thomas Klinke, Amro Daboul, Anita Turek, Roland Frankenberger, Reinhard Hickel, Reiner Biffar

Registry-linked trialAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04298151 (Clinical Evaluation of Zirconia Reinforced Versus Conventional Viscous Glass Ionomer in Posterior Restorations of Geriatric Patients), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04298151 phase2completednot on this mapstarted 2021, after this paper: background citation

Clinical Evaluation of Zirconia Reinforced Versus Conventional Viscous Glass Ionomer in Posterior Restorations of Geriatric Patients: Randomized Controlled Trial

TypeinterventionalSponsorCairo UniversityRan2021 to 2022Enrolled28ConditionsGeriatric, PerformanceArmsZirconomer Improved, Ketac Molar quick Aplicap
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Clinical Performance of Glass Ionomer Cement in Load-Bearing Restorations: A Systematic Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Thomas KlinkePolyclinic of Prosthodontics and Biomaterials, Greifswald University, Rotgerberstr. 8, Greifswald, 17475, Germany.
Amro DaboulPolyclinic of Prosthodontics and Biomaterials, Greifswald University, Rotgerberstr. 8, Greifswald, 17475, Germany. daboula@uni-greifswald.de.
Anita TurekPolyclinic of Prosthodontics and Biomaterials, Greifswald University, Rotgerberstr. 8, Greifswald, 17475, Germany.
Roland FrankenbergerConservative Dentistry Department, Philipps University of Marburg, Marburg, Germany.
Reinhard HickelPoliclinics for Restorative Dentistry and Periodontology, University of Munich, Munich, Germany.
Reiner BiffarPolyclinic of Prosthodontics and Biomaterials, Greifswald University, Rotgerberstr. 8, Greifswald, 17475, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was carried out as a prospective clinical field study with the aim of evaluating the clinical performance of Equia Fil® with a nanofilled resin coating and the conventional Fuji IX GP® fast with an LC coating according to the World Dental Federation (FDI) restoration material evaluation criteria.

methodsThe clinical performance of Equia Fil® and Fuji IX GP® fast was evaluated on permanent posterior teeth of 643 adult patients aged between 20 to 80 years old in randomly selected clinics across Germany. Occlusal cavities in posterior permanent teeth were restored with Equia Fil® with a nanofilled, light-cured resin coating (n = 515) and Fuji IX GP® fast with an LC coating (n = 486). Direct clinical assessment as well as photographic assessment and assessment of stone casts of the restorations were made at 1 year, 2 years, 3 years, and 4 years.

resultsIn 4 years, a total of 1001 fillings from both materials were placed by 111 dentists in 643 patients. Random slope models showed that the Equia filling system had overall lower odds of obtaining a delta event (material needs replacement) in comparison to Fuji IX GP® fast with an LC coating within all models. In both materials, filling size/surface was the most important component affecting the clinical performance of the materials. When measuring the odds of obtaining a delta event (material needs replacement), the odds ratios jumped to approximately 43 and 296 times for class II (two surfaces) and class II mesial-occlusal-distal (three surfaces) respectively in comparison to class I fillings.

conclusionBoth materials showed similar good overall performance in class I cavities; however, when including numbers from both class I and II fillings, the Equia system with a nanofilled resin coating showed better overall performance with fewer failures in all the follow-up intervals. Nonetheless, the percentage of unsatisfactory to poor fillings according to the FDI criteria was relatively high in two-surface class II fillings and higher in three-surface class II fillings for both materials.

trial registrationDeutsches Register Klinischer Studien (German Clinical Trials Register): DRKS00004220. ( www.germanctr.de ). Registration date: 6 Sept 2012.

Indexed as

AdultAgedAged, 80 and overDental CariesDental Restoration, PermanentDental Restoration WearDouble-Blind MethodFemaleGermanyGlass Ionomer CementsHumansMaleMiddle AgedModels, DentalPhotographyProspective StudiesFuji IX GP FastGlass Ionomer CementsDental restorationGlass ionomerMulti-center studyPermanentPractice-based network

Identifiers

PMID27156000
PMCPMC4860258

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.