International Journal of Clinical Pediatric Dentistry

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VOLUME 17 , ISSUE 3 ( March, 2024 ) > List of Articles


Comparative Evaluation of Two Esthetic Full Coronal Restorative Materials for Primary Incisors

Kanchan Kumari Dhaker, Sandeep Tandon, Ambika S Rathore, Rinku Mathur, Tripti S Rai, Surbhi Sharma

Keywords : Crown, Esthetic, Giomer, Gross fracture, Marginal integrity, Nanoceramic, Secondary caries

Citation Information : Dhaker KK, Tandon S, Rathore AS, Mathur R, Rai TS, Sharma S. Comparative Evaluation of Two Esthetic Full Coronal Restorative Materials for Primary Incisors. Int J Clin Pediatr Dent 2024; 17 (3):321-327.

DOI: 10.5005/jp-journals-10005-2787

License: CC BY-NC 4.0

Published Online: 01-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Aim: This study was designed to compare the clinical efficacy of two esthetic restorative materials, nanoceramic (Magma NT®) and giomer (Beautifil II®), as full coronal restoration in primary maxillary incisors. Materials and methods: A total of 15 patients aged 3–5 years presenting with mutilated primary maxillary incisors due to caries or trauma were selected for the study using randomized simple sampling. A total of 40 maxillary incisors were randomly divided into two equal groups, with 20 teeth in each group. Teeth in group I (GP I) were restored with nanoceramic (Magma NT®) and group II (GP II) with giomer (Beautifil II®). The full coronal restorations were done using strip crowns (3M ESPE). The restorations were evaluated for gross fracture, marginal integrity, and secondary caries according to modified Ryge's criteria [United States Public Health Service (USPHS)] at baseline (immediate postoperative), 3, 6, and 9 months. Parental satisfaction with each type of restoration was also evaluated using the Likert 5-point scale. Results: The data obtained was statistically analyzed using the Chi-squared test, and the level of significance, that is, the p-value, was determined. The Chi-squared test showed no significant changes to all modified USPHS criteria for each material at baseline and 3-month evaluation period. The changes recorded were after a 3-month follow-up between the two materials; nanoceramic (Magma NT®) restoration demonstrated marginally better than giomer (Beautifil II®) in terms of gross fracture and marginal integrity; however, there was no statically significant difference between them (p > 0.05), while giomer (Beautifil II®) was better than nanoceramic in terms of secondary caries (p < 0.05). Parental satisfaction for both entities was comparable in terms of color and durability; however, they were cost-ineffective. Conclusion: Nanoceramic restoration demonstrated better results in terms of gross fracture and marginal integrity, while giomer was better in terms of secondary caries. Clinical significance: Nanoceramics and giomers can serve as an alternative to conventional restorative materials in primary anterior teeth because of their improved qualities.

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  1. Grewal N, Seth R. Comparative in vivo evaluation of restoring severely mutilated primary anterior teeth with biological post and crown preparation and reinforced composite restoration. J Indian Soc Pedod Prev Dent 2008;26(4):141–148. DOI: 10.4103/0970-4388.44028
  2. Sahana S, Vasa AA, Shekhar R. Esthetic crown for primary teeth: a review. Ann Essence Dent 2010;2(2):87–93. DOI: 10.5368/aedj.2010.2.2.87-93.pdf
  3. Mendes FM, De Benedetto MS, del Conte Zardetto CG, et al. Resin composite restoration in primary anterior teeth using short-post technique and strip crowns: a case report. Quintessence Int 2004;35(9):689–692.
  4. Hegde MN, Hegde P, Bhandary S, et al. An evalution of compressive strength of newer nanocomposite: an in vitro study. J Conserv Dent 2011;14(1):36–39. DOI: 10.4103/0972-0707.80734
  5. Al-Dahan ZA, Al-Attar AI, Al-Rubaee HE. A comparative study evaluating the microleakage of different types of restorative materials used in restoration of pulpotomized primary molars. J Bagh Coll Dent 2012;24:150–154.
  6. Fron Chabouis H, Smail Faugeron V, Attal JP. Clinical efficacy of composite versus ceramic inlays and onlays: a systematic review. Dent Mater 2013;29(12):1209–1218. DOI: 10.1016/
  7. Khurshid Z, Zafar M, Qasim S, et al. Advances in nanotechnology for restorative dentistry. Materials (Basel) 2015;8(2):717–731. DOI: 10.3390/ma8020717
  8. Quader SM, Alam MS, Bashar AK, et al. Compressive strength, flouride release and recharge of giomer. Update Dent Coll J 2012;2:28–37. DOI: 10.3329/updcj.v2i2.15533
  9. Gordan VV, Mondragon E, Watson RE, et al. A clinical evaluation of a self-etching primer and a giomer restorative material: results at eight years. J Am Dent Assoc 2007;138(5):621–627. DOI: 10.14219/jada.archive.2007.0233
  10. Schirrmeister JF, Huber K, Hellwig E, et al. Two-year evaluation of a new nano-ceramic restorative material. Clin Oral Investig 2006;10(3):181–186. DOI: 10.1007/s00784-006-0048-1
  11. Kupietzky A. Bonded resin composite strip crowns for primary incisors: Clinical tips for a successful outcome. Pediatr Dent 2002;24(2):145–148.
  12. Harun NA. Clinical performance of restorative materials in primary molar teeth. US National Library of Medicine.
  13. Van Ende A, De Munck J, Lise DP, et al. Bulk-fill composites: a review of the current literature. J Adhes Dent 2017;19(2):95–109. DOI: 10.3290/j.jad.a38141
  14. Jyothi K, Annapurna S, Kumar AS, et al. Clinical evaluation of giomer- and resin-modified glass ionomer cement in class V noncarious cervical lesions: an in vivo study. J Conserv Dent 2011;14(4):409–413. DOI: 10.4103/0972-0707.87214
  15. Efes BG, Dörter C, Gömeç Y. Clinical evaluation of an ormocer, a nanofill composite and a hybrid composite at 2 years. Am J Dent 2006;19(4):236–240.
  16. Itota T, Carrick TE, Yoshiyama M, et al. Fluoride release and recharge in giomer, compomer and resin composite. Dent Mater 2004;20(9):789–795. DOI: 10.1016/
  17. Ikemura K, Tay FR, Endo T, et al. A review of chemical-approach and ultramorphological studies on the development of fluoride-releasing dental adhesives comprising new pre-reacted glass ionomer (PRG) fillers. Dent Mater J 2008;27(3):315–339. DOI: 10.4012/dmj.27.315
  18. Miyauchi T. The effect of giomer restorative materials on demineralized dentin. 2010. IADR Abstract 135006.
  19. Shimazu K, Ogata K, Karibe H. Evaluation of the ion-releasing and recharging abilities of a resin-based fissure sealant containing S-PRG filler. Dent Mater J 2011;30(6):923–927. DOI: 10.4012/dmj.2011-124
  20. Fujimoto Y, Iwasa M, Murayama R, et al. Detection of ions released from S-PRG fillers and their modulation effect. Dent Mater J 2010;29(4):392–397. DOI: 10.4012/dmj.2010-015
  21. Saku S, Kotake H, Scougall-Vilchis RJ, et al. Antibacterial activity of composite resin with glass-ionomer filler particles. Dent Mater J 2010;29(2):193–198. DOI: 10.4012/dmj.2009-050
  22. Honda T, Yamamoto K, Hirose M. Study on the firm substance produced from S-PRG filler. J Conserv Dent 2002;45:42–51.
  23. Okuyama K, Okuyama YI, Pereira PN, et al. Fluoride release and uptake by various dental materials after fluoride application. Am J Dent 2006;19:123–127.
  24. Akimoto N, Ohmori K, Hanabusa M, et al. An eighteen-month clinical evaluation of posterior restorations with fluoride releasing adhesive and composite systems. Dent Mater J 2011;30(3):411–418. DOI: 10.4012/dmj.2010-205
  25. Tian F, Yap AU, Wang X, et al. Effect of staining solutions on color of pre-reacted glass-ionomer containing composites. Dent Mater J 2012;31(3):384–388. DOI: 10.4012/dmj.2011-223
  26. Zimmerman BF, Rawls HR, Querens AE. Prevention of in vitro secondary caries with an experimental fluoride-exchanging restorative resin. J Dent Res 1984;63(5):689–692. DOI: 10.1177/00220345840630051701
  27. Tysowsky G, Jensen M, Sheth J. Anticariogenic potential of fluoride releasing restorative materials. J Dent Res 1988;67:145.
  28. Donly KJ, Nelson JJ. Fluoride release of restorative materials exposed to a fluoridated dentifrice. ASDC J Dent Child 1997;64:249–250.
  29. Jensen ME, Wefel JS, Hammesfahr PD. Fluoride-releasing liners: in vitro recurrent caries. Gen Dent 1991;39(1):12–17.
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