PMID- 34817964 OWN - NLM STAT- MEDLINE DCOM- 20211126 LR - 20211126 IS - 1757-9988 (Electronic) IS - 1461-5185 (Linking) VI - 23 IP - 6 DP - 2021 Dec 3 TI - Glass Hybrid Versus Nanocomposite for Restoration of Sclerotic Non-carious Cervical Lesions: 18-Month Results of a Randomized Controlled Trial. PG - 487-496 LID - 10.3290/j.jad.b2287831 [doi] AB - PURPOSE: To compare the clinical performance and treatment times between glass hybrid (GH; EQUIA Forte Fil/EQUIA Forte Coat, GC) and adhesive/nanofilled resin composite restorations (RC; OptiBond FL, Kerr/Filtek Supreme XTE, 3M Oral Care) of sclerotic non-carious cervical lesions (sNCCL). MATERIALS AND METHODS: This is an 18-month interim analysis of a 36-month cluster-randomized trial (ClinicalTrials.gov Identifier: NCT02631161). Eighty-eight patients (50-70 years) with 175 sNCCLs were randomized to receive GH or RC restorations. Restorations were placed without mechanical cavity preparation, and treatment time was recorded. After 18 months, restorations were evaluated using FDI criteria. Factors associated with restoration survival were evaluated using multi-level Cox-regression analysis. Generalized linear mixed modelling was used to analyze factors associated with treatment time. RESULTS: After a mean of 18 months (min/max: 8/25), 78 patients (160 restorations) were assessed. Fifteen restorations (18%) failed in GH, and 11 (12%) in the RC, without a significant difference in survival (p = 0.904/Cox). Retention loss was the most common reason for failure in both groups. Restorations placed in older patients showed lower risk of failure [OR (95% CI): 0.90 (0.81-0.99) per year], while mandibular teeth showed higher risks [2.89 (1.00-8.31)]. Treatment time was significantly shorter for GH (mean +/- SD: 8.6 +/- 4.3 min) than RC (11.7 +/- 5.7 min; p < 0.001). CONCLUSIONS: GH may be a suitable alternative to RC for restoring sNCCLs, without any significant difference in survival between the two materials at this interim analysis. In addition, placing GH restorations required less chairtime than did placing RC restorations. FAU - Gostemeyer, Gerd AU - Gostemeyer G FAU - Seifert, Tilmann AU - Seifert T FAU - Jeggle-Engbert, Linda-Maria AU - Jeggle-Engbert LM FAU - Paris, Sebastian AU - Paris S FAU - Schwendicke, Falk AU - Schwendicke F LA - eng SI - ClinicalTrials.gov/NCT02631161 PT - Journal Article PT - Randomized Controlled Trial PL - Germany TA - J Adhes Dent JT - The journal of adhesive dentistry JID - 100888552 RN - 0 (Composite Resins) RN - 0 (Glass Ionomer Cements) MH - Aged MH - Composite Resins MH - Dental Cavity Preparation MH - *Dental Restoration, Permanent MH - Glass Ionomer Cements MH - Humans MH - *Nanocomposites OTO - NOTNLM OT - composite resin OT - glass hybrid OT - glass ionomer OT - non-carious cervical lesion OT - randomized controlled trial OT - restoration OT - sclerotic dentin OT - treatment time EDAT- 2021/11/25 06:00 MHDA- 2021/11/27 06:00 CRDT- 2021/11/24 13:04 PHST- 2021/11/24 13:04 [entrez] PHST- 2021/11/25 06:00 [pubmed] PHST- 2021/11/27 06:00 [medline] AID - 2287831 [pii] AID - 10.3290/j.jad.b2287831 [doi] PST - ppublish SO - J Adhes Dent. 2021 Dec 3;23(6):487-496. doi: 10.3290/j.jad.b2287831.