Evidence-Based Clinical Recommendations For The Use Of Glass Ionomer Cements

Abstract

Many restorative materials introduced into the dental market for use in restorative dentistry has grown exponentially in the present day. Oral health professionals need to make astute decisions about the type of restorative material they choose to best manage their patients with dental caries. To make matters more difficult for the clinician is the vast number of available choices. Published papers and lectures which conclude that different materials are ideal add to this confusion. The requirements for a dental restorative material are very demanding, from both a physical and a chemical point of view. While choosing an ideal restorative material, physical, chemical, esthetic and also biological properties should be taken into consideration. It is also apparent that the ideal restorative material for the dentition has not yet been developed. However, in the era of evidence based dentistry, examining the high quality clinical trials and providing recommendations, the dental professional needs to have an evidence based approach when selecting materials for the restoration of teeth. This review sought to examine the reviews about comparing glass ionomer cements with different types of dental materials against each other for the same outcomes. The databases (The Cochrane Oral Health Group’s Trials Register, CENTRAL (The Cochrane Library), MEDLINE via OVID, EMBASE via OVID , Pubmed) were searched and reviews were examined as part of evidence-based dentistry and evidence–based clinical recommendations were made by using Scottish Intercollegiate Guidelines Network (SIGN) with grading evidence.

Keywords

• Ionomer Cements, Indications, Evidence-Based Dentistry

Kanıta Dayalı Diş Hekimliği Kapsamında Cam İyonomer Simanların Önerilen Klinik Kullanım Alanları

Abstract

Günümüz diş hekimliğinde, restoratif amaçlı kullanılmakta olan birçok materyal bulunmaktadır. Sürekli olarak, yeni ve daha gelişmiş materyallerin üretimi ve bu konuda her makalenin ideal olarak bildirdiği materyallerin çokluğu, klinisyenleri seçim yapma konusunda zor durumda bırakmaktadır. Uygun materyal seçilirken, materyalin fiziksel, kimyasal, estetik özelliklerinin yanı sıra biyolojik özellikleri de göz önünde bulundurulmalıdır. Günümüzde kullanılan restoratif materyallerin hiçbiri tam anlamıyla bu tanımlamaya uymamaktadır. Bu bağlamda, kullanım alanına göre materyal seçerken, kanıta dayalı diş hekimliği önem kazanmakta, diş hekimine materyal seçiminde kaliteli çalışmaları derleyerek sonuçlarını iletmektedir. Cam iyonomer simanların da, kullanım alanlarında birbiriyle ve diğer materyallerle kıyaslanmasını konu alan birçok çalışma yapılmıştır. Bu yazıda; çeşitli arama motorlarından (The Cochrane Oral Health Group’s Trials Register, CENTRAL (The Cochrane Library), MEDLINE via OVID, EMBASE via OVID , Pubmed) bu konu hakkındaki derlemelere ulaşılmış ve cam iyonomer simanların etkileri kanıta dayalı bilgi ışığında incelenmiş ve İskoç Üniversitelerarası Yönergeler Ağı (Scottish Intercollegiate Guidelines Network (SIGN)) dikkate alınarak önerilen kullanım alanları kanıtın derecesi belirlenerek sunulmuştur.

Keywords

• İyonomer Simanlar, Endikasyonlar, Kanıta Dayalı Diş Hekimliği

References

1. Mickenautsch S, Mount G, Yengopal V. Therapeutic effect of glass-ionomers: an overview of evidence. Australian Dental Journal 2011; 56: 10–5.
2. Wilson AD, Kent BE. A new translucent cement for dentistry. The glass ionomer cement. Br Dent J 1972; 132: 133-5.
3. McLean JW, Wilson AD. Fissure sealing and filling with an adhesive glass-ionomer cement. Br Dent J 1974; 136: 269-76.
4. Milward PJ, Adusei GO, Lynch CD. Improving some selected properties of dental polyacid-modified composite resins. Dent Mater 2011; 27: 997-1002.
5. Smith DC. Composition and characteristics of glass ionomer cements. J Amer Dent Assoc 1990; 120: 20-2.
6. Council on Dental Materials, Instruments and Equipment. Using Glass ionomers. J Am Dent Assoc 1990; 121: 181-5.
7. Albers HF. Glass Ionomers, Tooth-Colored Restoratives Principles and Techniques. Ninth Edition. Hamilton, London; BC Decker Inc: 2002.p. 42McLean JW, Nicholson JW, Wilson AD. Proposed nomenclature for glass-ionomer dental cements and related materials. Quintessence Int 1994; 25: 587Şener Y, Şengun A, Kuşdemir M, Öztürk B, Bağlar S. Atravmatik restoratif tedavi için kullanılan cam iyonomer simanların mikrosızıntısı. Atatürk Üniv Diş Hek Fak Derg 2011;21:175-81.
8. Yengopal V, Harnekar SY, Patel N, Siegfried N. Dental fillings for the treatment of caries in the primary dentition (Review). Cochrane review, The Cochrane Library 2009; Issue 3: 1-31. http://www.thecochranelibrary.com

9. Yılmaz K, Özkan P. Dental materyallerden flor salınımı. Turkiye Klinikleri J Dental Sci 2009;15:23
10. Ten Cate JM, van Duinen RN. Hypermineralization of dentinal lesions adjacent to glass-ionomer cement restorations. J Dent Res 1995; 74: 1266
11. Mickenautsch S, Yengopal V. Demineralization of hard tissue adjacent to resin-modified glassionomers and composite resins: a quantitative systematic review. Journal of Oral Science 2010; 52: 347-57.
12. Scottish Intercollegiate Guidelines Network. Prevention and management of dental decay in the pre-school child. A National Clinical Guideline. SIGN publication number 200 http://www.sign.ac.uk/pdf/sign83.pdf. Scottish Intercollegiate Guidelines Network. A guideline developer’s handbook. SIGN 50. 2008. http://www.sign.ac.uk/guidelines/fulltext/50/index. html
13. Nicholson JW. Polyacid-modified composite resins (“compomers”) and their use in clinical dentistry. Dental Materials 2007; 23: 615–22.
14. Ruse ND. What is a “compomer”? Journal of Canadian Dental Association 1999; 65: 500–4.
15. Seppa L, Forss H. Resistance of occlusal fissures to demineralization after loss of glass ionomer sealants in vitro. Pediatric Dentistry 1991; 13: 39–
16. Ahovuo-Saloranta A, Hiiri A, Nordblad A, Makela M, Worthington HV. Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents (Review). Cochrane review, The Cochrane Library 2009; Issue 2: 1-48. http://www.thecochranelibrary.com
17. Forss H, Halme E. Retention of a glass ionomer cement and a resinbased fissure sealant and effect on carious outcome after 7 years. Community Dentistry and Oral Epidemiology 1998; 26: 21–5. Beiruti N, Frencken JE, van‘t Hof MA, van Palenstein Helderman WH. Caries preventive effect of resin-based and glass ionomer sealants over time: a systematic review. Community Dent Oral Epidemiol 2006; 34: 403–9.
18. Yengopal V, Mickenautsch S, Bezerra AC, Leal SC. Caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth: a metaanalysis. J Oral Sci 2009; 51: 373–382.
19. Ahovuo-Saloranta A, Hiiri A, Nordblad A, Worthington H, Makela M. Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents (Review). Cochrane review, The Cochrane Library 2008; Issue3: 1-26. http://www.thecochranelibrary.com
20. Hiiri A, Ahovuo-Saloranta A, Nordblad A, Makela M. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in children and adolescents (Review). Cochrane review, The Cochrane Library 2010; Issue3: 1http://www.thecochranelibrary.com
21. Shekelle PG, Woolf SH, Eccles M, Grimshaw J. Clinical guidelines: developing guidelines. Br Med J 1999; 318: 593–6.
22. Scottish Intercollegiate Guidelines Network. Preventing dental caries in children at high caries risk. Targeted prevention of dental caries in the permanent teeth of 6-16 years olds presenting for dental care. A National Clinical Guideline. SIGN publication number 47. 2000. http://www.sign. ac.uk/guidelines/fulltext/47/index.html.
23. Beauchamp J, Caufield PW, Crall JJ, Donly K, Feigal R, Gooch B, Ismail A, Kohn W, Siegal M, Simonsen R. American Dental Association Council on Scientific Affairs. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2008; 139: 257–68. Yazışma Adresi: Arş. Gör. Dr. Arzu Pınar Erdem
24. İstanbul Üniversitesi Diş Hekimliği Fakültesi Pedodonti AD. Çapa / İstanbul 34093 Tel: [phone]/30309 Fax: [phone] e-mail: [e-mail] [e-mail]