Two-year clinical and radiographic evaluation of ACTIVA BioACTIVE versus Compomer (Dyract® eXtra) in the restoration of class-2 cavities of primary molars: a non-inferior split-mouth randomised clinical trial.

OBJECTIVES: The trial aimed to compare the clinical performance and radiographic success of ACTIVA BioACTIVE versus Compomer in restoring class-II cavities of primary molars. MATERIALS AND METHODS: A non-inferior split-mouth design was considered. A pre-calculated sample size of 96 molars (48 per group) with class-2 cavities of twenty-one children whose ages ranged from 5 to 10 years were randomly included in the trial. Pre-operative Plaque Index (PI), DMFT/dmft scores and the time required to fill the cavity were recorded. Over 24 months, the teeth were clinically evaluated every six months and radiographically every 12 months by two calibrated and blinded evaluators using the United States public health service (USPHS)-Ryge criteria. The two-sided 95% confidence interval (CI) for the difference in success rate was considered to assess non-inferiority, and the margin was set at -18%. The linear mixed model and Firth's logistic regression model were used for data analysis (P < 0.05). RESULTS: After 24 months, 86 teeth (43 per group) were evaluated. The mean PI score was 1.1(± 0.9), while DMFT/dmft was 0.35 (± 0.74) and 6.55 (± 2.25) respectively. The clinical and radiographic success rate of Dyract vs. ACTIVA was 95.3% and 88.3% vs. 93% and 86%, respectively. The two-sided 95% CI for the difference in success rate (-2.3%) was - 3.2 to 1.3% and didn't reach the predetermined margin of -18% which had been anticipated as the non-inferiority margin. Clinically, ACTIVA had a significantly better colour match (P = 0.002) but worse marginal discolouration (P = 0.0143). There were no significant differences regarding other clinical or radiographic criteria (P > 0.05). ACTIVA took significantly less placement time than Dyract, with a mean difference of 2.37 (± 0.63) minutes (P < 0.001). CONCLUSION: The performance of ACTIVA was not inferior to Dyract and both materials had a comparable high clinical and radiographic performance in children with high-caries experience. ACTIVA had a significantly better colour match but more marginal discolouration. It took significantly less time to be placed in the oral cavity. TRIAL REGISTRATION: The study was registered at ClinicalTrials.gov on 4 May 2018 (#NCT03516838).

Effect of Oral Health Promotion on Caries Experience and Oral Cleanliness of School Children in Kerung, Nepal: A Prospective 6-month Follow-Up Study.

BACKGROUND: A longitudinal oral health promotion project on caries experience and oral cleanliness was performed in a remote village in Nepal. The aim of this 6-month prospective survey was to investigate the impact of an oral health promotion project on caries experience, oral health-related behaviour, and general knowledge about oral health in Kerung, a remote village in Nepal. METHODS: A prospective study was conducted in a convenience sample of children from the local school in Kerung. At baseline and after six months, dental plaque scores and caries experience scores were measured by calibrated examiners. Validated questionnaires on oral health habits and knowledge on oral health were taken. In addition, an oral health promotion program was developed. RESULTS: At baseline, 359 children were included, of which 266 could be surveyed after six months. A statistically significant decrease in the mean plaque score was found at after six months with a higher reduction for boys. A significant decrease in caries prevalence, as well as a significant increase in knowledge about oral health, was observed. Furthermore, after six months there were significantly more children reporting that they brushed their teeth for at least two minutes. CONCLUSIONS: Dental screenings and a comprehensive educational program resulted in a significant improvement of oral health.

Comparison of curing depth of a colored polyacid-modified composite resin with different light-curing units.

OBJECTIVE: To compare the depth of cure (DoC) of a colored polyacid-modified composite resin (PAM-C) with a traditional PAM-C and a fine hybrid composite resin using different light-curing units and different radiant energies. METHOD AND MATERIALS: The DoC of the PAM-C Twinky Star (Voco, all shades), the PAM-C Glasiosite (Voco), and the composite resin Z100 (3M ESPE) shades A2 and A4 was determined using a penetrometer test method. The materials were cured in bulk using a halogen-based unit (Elipar Trilight, E = 18 J/cm2 and E = 32 J/cm2; 3M ESPE) and an LED curing unit (Elipar Freelight 2, E = 20 J/cm2; 3M ESPE) in split stainless steel molds. Immediately after curing, the height (mm) of the cured material was measured and taken as the DoC. Ranking of means was performed by Student-Newman-Keuls multiple comparison test, and statistically significant differences among mean values were detected with ANOVA. RESULTS: Mean DoC for all materials and shades varied as follows: 4.705 to 8.870 mm (E = 32 J/cm2); 3.672 to 8.050 mm (E = 20 J/cm2); and 4.090 to 7.357 mm (E = 18 J/cm2). Two-way ANOVA revealed that the DoC depended significantly (P < .001) on the shade of the material and the curing device. Moreover, there was a significant interaction (P < .001) between the latter, indicating that the effect of the energy densities differed quantitatively among the shades. CONCLUSIONS: In this study, DoC differed significantly among the materials and the shades. Twinky Star shade blue showed the highest DoC compared to Glasiosite and Z100 shades A2 and A4. The curing device with the highest energy density exhibited the highest curing depths.