Browsing by Author "Marques, Rodrigo Fortunato"
Now showing 1 - 1 of 1
Results Per Page
Sort Options
- Aesthetic performance of glass ionomers in restoring cervical lesions : a systematic reviewPublication . Marques, Rodrigo Fortunato; Matos, Adriana Bona; Sampaio, Ana Cláudia Morais de Moura Teles deBackground and objectives: Due to bonding and fluoride-release properties, glass ionomers are useful not only for children but also for the adult population. This systematic review aimed to evaluate and compare the clinical performance of polyacid-modified resin composites (PMRCs) and resin-modified glass ionomer cements (RMGICs) in the restoration of cervical lesions for color stability, surface roughness, and marginal integrity using standardized or modified United States Public Health Service (USPHS) criteria. Materials and methods: A comparative analysis was conducted using data from 11 clinical studies published between 1999 and 2025. These studies evaluated Class V restorations involving PMRCs and RMGICs, with follow-up periods ranging from 12 to 60 months. Clinical outcomes (color stability, surface roughness, and marginal integrity) were analyzed according to material type and longitudinal evaluation. All studies employed USPHS-based assessment scale. Results: PMRCs demonstrated greater consistency and superiority in long-term esthetic and clinical outcomes, particularly in preserving color stability, smooth surface texture, and marginal adaptation: key factors for visual integration, biofilm resistance, and long-term sealing performance. Regarding marginal adaptation, both materials performed similarly in the short-term when proper isolation and conditioning techniques were applied. However, PMRCs tended to maintain a more stable marginal seal in long-term scenarios, likely due to their superior mechanical resilience and reduced susceptibility to hydrolytic degradation. Conclusions: Both PMRCs and RMGICs can provide acceptable clinical outcomes in cervical restorations, but PMRCs appear to offer superior esthetic and mechanical performance over extended periods. RMGICs may still represent a viable alternative in cases with high caries risk or moisture-sensitive conditions, although their long-term durability remains comparatively limited.