Effect of incorporation of nano-hydroxyapatite particles on the clinical performance of conventional and resin-modified glass ionomer cement in class V cavities: split-mouth, randomized controlled trial

Abstract

Abstract Background The aim of this study was to compare the clinical performance of Nano-hydroxyapatite-modified conventional glass ionomer cement (NHA-GIC) and Nano-hydroxyapatite-modified resin-modified glass ionomer cement (NHA-RMGIC) with conventional glass ionomer (CGIC) and resin-modified glass ionomer (RMGIC) in the treatment of caries class V cavities. Sixty patients with at least two cervical caries lesions participated in this study. A total of 120 class V cavities were prepared and then restored using different restorative materials. Restorations were clinically evaluated according to modified United States Public Health Service criteria at baseline and after 3, 6 and 9 months. Results There was no statistically significant difference in the clinical performance of the different restorative materials at any of the follow-up periods. However, throughout the study period there was a statistically significant change in the color match, surface texture and marginal integrity in NHA-GIC. A statistically significant change in the surface texture and marginal integrity was found in GIC. On the other hand, there was only a statistically significant change in surface texture in NHA-RMGIC. Conclusions All tested restorative materials, control (CGIC and RMGIC) as well as experimental (NHA-GIC and NHA-RMGIC), exhibited comparable clinical performance after 9 months follow-up.

Keywords

• Glass ionomer
• Nano-hydroxyapatite
• Class V
• Resin-modified glass ionomer
• Modified USPHS criteria