A preliminary clinical trial using flowable glass-ionomer cement as a liner in proximal-ART restorations: the operator effect
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Bonifácio, Clarissa Calil; Hesse, Daniela; Bönecker, Marcelo; Loveren, Cor Van; Amerongen, W. Evert Van; Raggio, Daniela-Prócida
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Aquest document és un/a article, creat/da en: 2013
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Objectives: This in vivo study was carried out to assess the influence of the operator experience on the survival
rate of proximal-ART restorations using a two-layer technique to insert the glass-ionomer cement (GIC).
Study Design: Forty five proximal cavities in primary molars were restored in a school setting according to the
ART technique. The cavities were restored by two operators with Ketac Molar Easymix, and received a flowable
layer of GIC prior to a second GIC layer with a regular consistency. The operators had different clinical experiences with ART (no experience or two years of experience), but both completed a one-week training to perform
the restorations and the GIC mixing in this study.
Results: After a 12-month follow-up, 74% of the restorations survived; the main reason for failure was bulk fracture or total loss of the restoration.There was no operator influence (log-rank test p=0.2)
Conclusion: The results encourage future well designed controlled clinical trials using the two-layer technique for
insertion of GIC in proximal-ART restorations, after training the operators.
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