COMPARATIVE EFFECTIVENESS OF GLASS IONOMER VS. COMPOSITE RESIN IN PEDIATRIC DENTISTRY: A META-ANALYSIS

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Amna Bint E Rashid
Umaima Binte Azam
Mahnoor Zaheer
Maham Noor
Romeysah Adnan
Syeda Amtul Razeeqa
Youhamna Rehan
Muhammad Haseeb Haider
Razan Mohammad Makki Bakhsh
Hiba Rizwan

Abstract

Background: Paediatric dentistry is essential for maintaining children's oral health, with the choice of restorative materials significantly impacting treatment outcomes. Glass Ionomer Cement (GIC) excels in chemical bonding and fluoride release, aiding in caries prevention. Composite Resin, noted for its aesthetic appeal and strength, is favoured for restorations that are both visible and bear significant masticatory forces.


Objective: This study aims to compare the clinical effectiveness of GIC versus Composite Resin in podiatric dentistry, specifically assessing caries reduction, restoration durability, marginal integrity, and the prevention of secondary caries.


Methods: Following PRISMA guidelines, a comprehensive literature search was conducted using databases such as PubMed, Scopus, and Google Scholar. Included were randomized controlled trials (RCTs) that compared GIC and Composite Resin in paediatric molar restorations. Outcomes measured included caries prevention, durability, marginal integrity, and secondary caries recurrence. Data were analysed using random-effects models.


Results: Analysis of ten studies involving 1,430 paediatric patients revealed that GIC provided a 22% relative reduction in caries incidence (RR: 0.78, 95% CI: 0.72–0.84, p < 0.001). Composite Resin offered enhanced durability with an RR of 0.82 (95% CI: 0.75–0.90, p = 0.002). GIC was superior in preventing secondary caries (RR: 0.76, 95% CI: 0.70–0.80, p = 0.003), whereas Composite Resin excelled in maintaining marginal integrity (RR: 0.81, 95% CI: 0.76–0.88, p = 0.004).


Conclusion: GIC and Composite Resin each provide unique benefits in paediatric dentistry. GIC is optimal for caries prevention, while Composite Resin is ideal for ensuring durability and superior aesthetic outcomes. Selection should be tailored based on individual patient needs and specific clinical conditions.

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Author Biographies

Amna Bint E Rashid, Shifa College of Dentistry, Islamabad, Pakistan

Shifa College of Dentistry, Islamabad, Pakistan

Umaima Binte Azam, Shifa College of Dentistry, Islamabad, Pakistan

Shifa College of Dentistry, Islamabad, Pakistan

Mahnoor Zaheer , Shifa College of Dentistry, Islamabad, Pakistan

Shifa College of Dentistry, Islamabad, Pakistan

Maham Noor , Shifa College Of Dentistry, Islamabad, Pakistan

Shifa College Of Dentistry, Islamabad, Pakistan

Romeysah Adnan, Institute of Dentistry CMH Lahore

Institute of Dentistry CMH Lahore

Syeda Amtul Razeeqa, Al Badar Rural Dental College, Karnataka, India

Al Badar Rural Dental College, Karnataka, India

Youhamna Rehan , Islamic International Dental College, Islamabad, Pakistan

Islamic International Dental College, Islamabad, Pakistan

Muhammad Haseeb Haider, Shifa College of Dentistry, Islamabad, Pakistan

Shifa College of Dentistry, Islamabad, Pakistan

Razan Mohammad Makki Bakhsh , Shifa College of Dentistry, Islamabad, Pakistan

Shifa College of Dentistry, Islamabad, Pakistan

Hiba Rizwan, Shifa College of Dentistry, Islamabad, Pakistan

Shifa College of Dentistry, Islamabad, Pakistan