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Gingival Health Around Cervical Carious Lesions Restored with Calcium Silicate-based Cement (Biodentine™) Compared with Glass-ionomer Cement: A Randomized Clinical Trial

5 June 2019 //  by Biodentistry.eu//  Leave a Comment

Habashneh RA1, Qabaha M2, Khader Y3, Ghassib I4, Atmeh A5.

Author information:
1. Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan, e-mail: rolaperio@yahoo.com.
2. Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.
3. Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
4. Private Practice, Amman, Jordan.
5. Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Abstract
AIM:
The study aims to assess the gingival health around cervical lesions restored with calcium silicate-based cement (Biodentine™) compared to treatment with glass-ionomer cement (GIC).

MATERIALS AND METHODS:
A total of 28 healthy subjects with carious lesions on the cervical third of the buccal surfaces of posterior teeth (class V-Black’s classification) have participated and were distributed over two equal groups. The participants in each group received one type of the tested cements: Biodentine™ or GIC. The oral hygiene and the gingival health of the restored teeth were evaluated clinically at 1, 3, and 6 month intervals.

RESULTS:
Comparing clinical parameters of gingival and periodontal tissues adjacent to cervical restorations indicated significant differences. Plaque index (PI) and gingival index (GI) were higher in the Biodentine™ group at 1, 3, and 6 months of evaluation with a significant difference (p < 0.05), a rise in pocket depth has been noticed at 3 and 6 months (p < 005). Gingival recession (GR) did not show any difference between groups (p > 0.05). Moreover, bleeding on probing (BOP) values were higher for Biodentine™ restorations compared with GIC with a significant difference (p < 0.05).

CONCLUSION:
Cervical restorations of Biodentine™ were associated with more plaque accumulation with a higher degree of gingival inflammation in comparison with GIC.
 
PMID: 31358713
1.J Contemp Dent Pract. 2019 Jun 1;20(6):702-706.

Category: Clinical Experiments

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