Cervical Carious Lesions Restored With Calcium Silicate Based Cement (Biodentine) Compared With Glass-ionomer Cement

Jordan University of Science and Technology28 enrolled

Overview

This study will test if applying calcium silicate cements (Biodentine) to restore cervical carious lesions might adversely affect the gingival health in comparison with conventionally used tooth colored material (GIC)

The study will compare two different dental materials on dental lesions near the gum line. . The study will determine if one material is more effective in gingival health, after the placement of the two different dental materials.The oral hygiene and the gingival health of the restored teeth will be evaluated clinically at 1, 3 and 6-month intervals.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Gingivitis

Interventions

GICDEVICE

tooth colored filling

BiodentineDEVICE

White filling -Biodentine

Eligibility

Sex: ALLMin age: 20 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. good general health; 2. good oral hygiene; and 3. age range 18-60 years old. Patients with the following criteria were excluded: 1. current smokers; 2. pregnant females; 3. or patient with periodontal diseases; and 4. those who had a history of poorly controlled diabetes, liver disease, malignancy, radiotherapy. Exclusion Criteria: 1. Pregnant women 2. Patients taking benzodiazepines, narcotics and multiple antidepressants for pain management not associated with the oral cavity 3. Patients requiring treatment for more than 5 decayed sites, periodontal disease and root canal therapy 4. Complicated medical history (\>4 concurrent treatment for systemic diseases) 5. Lesion \>1mm below the gum line

Outcomes

Primary Outcomes

Changes in Gingival index around Cervical Carious Lesions Restored with Calcium Silicate Based Cement (Biodentine™) Compared with Glass-Ionomer Cement;

Gingival health will be measured using the Loe -Silness gingival scoring Index (1963) which scores gingivitis on a numerical scale according to the following criteria: * 0 = Absence of inflammation. * 1 = Mild inflammation, slight change in color, slight edema, no bleeding on probing. * 2 = Moderate inflammation, moderate glazing, redness, bleeding on probing. * 3- Severe inflammation, marked redness and hypertrophy, ulceration, tendency to spontaneous * Gingival index will be evaluated at four sites (mesial, distal, buccal, and lingual) on each tooth

Time frame: 6 months

Changes in Plaque accumulation around Cervical Carious Lesions Restored with Calcium

detect plaque level around restorations Plaque index (PI) (Silness and Löe, 1964). Plaque levels was measured using the Plaque Index Silness and Loe in 1964 Score Criteria 0 No plaque 1. A film of plaque adhering to the free gingival margin and adjacent area of the tooth, which cannot be seen with the naked eye. But only by Using disclosing solution or by using probe. 2. Moderate accumulation of deposits within the gingival pocket, on the gingival margin and/ or adjacent tooth surface, which can be seen with the naked eye. 3. Abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin. Plaque index will be evaluated at four sites (mesial, distal, buccal, and lingual) on each tooth

Time frame: 6 months

Secondary Outcomes

Changes in Pocket Depth around Cervical Carious Lesions Restored with Calcium

Probing depths (PD) will be measured at six sites (mesial, distal, and middle sites of the buccal and lingual sides) on each tooth using a Williams periodontal probe. PD will be measured from gingival margin to the base of the pocket.

Time frame: 6 months

Data from ClinicalTrials.gov

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