Clinical behavior of bioactive glass ionomer (45S5) in moderate caries injuries: Study protocol of a clinical trial

Ana Carolina Soares  Diniz; Geyna Aguiar do  Couto; Thaís Bordinassi da  Silva; José Roberto  Bauer; Leily Macedo Firoozmand

doi:10.33448/rsd-v10i10.18190

Autores/as

Ana Carolina Soares Diniz Universidade Federal do Maranhão https://orcid.org/0000-0002-0609-1906
Geyna Aguiar do Couto Universidade Federal do Maranhão https://orcid.org/0000-0001-7105-803X
Thaís Bordinassi da Silva Universidade Federal do Maranhão https://orcid.org/0000-0003-0717-1622
José Roberto Bauer Universidade Federal do Maranhão https://orcid.org/0000-0003-3761-0331
Leily Macedo Firoozmand Universidade Federal do Maranhão https://orcid.org/0000-0002-8634-188X

DOI:

https://doi.org/10.33448/rsd-v10i10.18190

Palabras clave:

Selladores de fosas y fisuras; Biovidrio; Cemento de ionómero vitreo; Ensayo clínico controlado aleatorio.

Resumen

Los materiales bioactivos que son capaces de liberar iones pueden ser una alternativa de tratamiento interesante para prevenir el desarrollo de lesiones cariosas. El objetivo de este estudio es evaluar la efectividad de la asociación de 45S5 con cemento de ionómero vitreo modificado con resina (CIV-MR) en la conservación y prevención de la progresión de lesiones cariosas en molares permanentes. Un total de 36 pacientes, de 8 a 14 años, con al menos dos molares permanentes homólogos con ICDAS (International Caries Detection and Assessment System) 3 o 4 serán seleccionados para participar en un estudio clínico de boca dividida. Se analizará el CPO-D (índice de dientes cariados, faltantes y llenos), ICDAS, ISG (índice de sangrado gingival) e IPV (índice de placa visible). Se realizará un examen radiográfico complementario para evaluar la profundidad de la lesión dentinaria. Los dientes seleccionados se asignarán aleatoriamente en dos grupos: CIV-MR y CIV-MR + 45S5. En ambos grupos estudiados se evaluarán parámetros como retención, comportamiento clínico de los materiales y evolución de la caries. Dos evaluadores calibrados realizarán evaluaciones clínicas, radiográficas y microscópicas con 1, 6, 12 y 24 meses de seguimiento. Los resultados obtenidos se evaluarán mediante la prueba de Chi-cuadrado. Se seguirá el protocolo de intención de tratar. Los resultados de este estudio ayudarán a evaluar el comportamiento de un ionómero vitreo bioactivo en las lesiones de microcavidades del esmalte. Se necesitan proyectos de investigación innovadores, como el que se describe aquí, para determinar si se pueden utilizar nuevos materiales como tratamiento alternativo.

Citas

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Comportamiento clínico del ionómero vitreo bioactivo (45S5) en lesiones de caries moderadas: Protocolo de estudio de un ensayo clínico

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