Consensus on glass-ionomer cement thresholds for restorative indications

de Lima Navarro M. F. , Pascotto R. C. , Borges A. F. S. , Soares C. J. , Raggio D. P. , Rios D., ...More

Journal of Dentistry, vol.107, 2021 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 107
  • Publication Date: 2021
  • Doi Number: 10.1016/j.jdent.2021.103609
  • Title of Journal : Journal of Dentistry
  • Keywords: Glass-ionomer cements, Biomaterial(s), Biomechanics, Cement, Clinical practice guidelines, FLUORIDE RELEASE, MECHANICAL-PROPERTIES, COMPRESSIVE STRENGTH, ART RESTORATIONS, PERFORMANCE, SURVIVAL, PH


© 2021 Elsevier LtdObjective: The aim of this paper is to present the results of a consensus meeting on the threshold property requirements for the clinical use of conventional glass-ionomer cements (GICs) for restorative indications. Methods: Twenty-one experts on GICs evaluated the results of tests on mechanical and optical properties of 18 different brands of restorative GICs: Bioglass R [B], Chemfil Rock [CR], Equia Forte [EF], Gold Label 2 [GL2], Gold Label 9 [GL9], Glass Ionomer Cement II [GI], Ionglass [IG], Ion Z [IZ], Ionomaster [IM], Ionofil Plus [IP], Ionostar Plus [IS], Ketac Molar Easymix [KM], Magic Glass [MG], Maxxion R [MA], Riva Self Cure [R], Vidrion R [V], Vitro Fil [VF] and Vitro Molar [VM]. All experiments were carried out by a team of researchers from Brazil and England following strict protocols, under the same laboratory conditions throughout, and maintaining data integrity. Results: There was consensus on: determining as primary properties of the material: compressive strength, microhardness, acid erosion and fluoride release, and as secondary properties: contrast ratio and translucency parameter, in order to rank the materials. Seven brands were below the thresholds for restorative indications: IZ, IM, IG, MA, VF, B and MG. Conclusions: Based on the primary properties adopted as being essential for restorative indications, the conventional restorative GICs that met the thresholds and could be considered suitable as long-term restorative materials were: EF, GI, GL9, KM, IP, GL2, IS, CR, V, VM and R. A decision-making process to select the best GIC must also include results from clinical trials. Clinical significance: This study provides a ranking of GICs that could be considered suitable as long-term restorative materials based on their main properties.