Same question across reviews · CL0175

intervention :: Glass ionomer / ART -> Other outcome

ProposalThis cluster groups questions by review type, intervention category and outcome domain. It is a proposal pending human validation, so questions in it may differ in population, comparator or timing.
Reviews
14
Questions
40
current versions
GRADE rated
10
Review overlap (CCA)
0.007
over all included studies of these reviews, not this question only
QuestionEffectEvidenceStatus / GRADE
Ion-releasing restorations (IRR): RMGIC, HVGIC, GIC, compomer/PMRC, giomer vs Composite resin (CR), including bulk-fill composite
Occlusion · Children receiving dental restorations (aged 4-11 years; primary teeth; Class I/II/V cavities) · 2 years
Clinical effectiveness of ion-releasing restorations compared to composite restorations in pediatric dental… (2025)
no estimate extracted1 studyUngraded
Cavity liner (calcium hydroxide, glass-ionomer cement, resin-modified calcium silicate/TheraCal LC, hydraulic calcium silicate/MTA or Biodentine, flowable composite, or other liner material) vs No cavity liner or a different liner material
Treatment failure · Patients with deep caries lesions in mature or immature permanent (posterior) teeth, with no symptoms or reversible… · >=12 months
Efficacy of different cavity liners compared to no cavity lining in managing deep caries in vital permanent… (2025)
No significant difference; 96.5% of treated teeth remained vital12 studies · 1184 participantsVery low
Ion-releasing restorations (IRR): RMGIC, HVGIC, GIC, compomer/PMRC, giomer vs Composite resin (CR), including bulk-fill composite
Integrity of contact point · Children receiving dental restorations (aged 4-11 years; primary teeth; Class I/II/V cavities) · 2 to 5 years
Clinical effectiveness of ion-releasing restorations compared to composite restorations in pediatric dental… (2025)
RR 0.99 [0.91, 1.08]3 studies · 229 participantsHigh
Cavity liner (calcium hydroxide, glass-ionomer cement, resin-modified calcium silicate/TheraCal LC, hydraulic calcium silicate/MTA or Biodentine, flowable composite, or other liner material) vs No cavity liner or a different liner material
Tooth survival · Patients with deep caries lesions in mature or immature permanent (posterior) teeth, with no symptoms or reversible… · >=12 months
Efficacy of different cavity liners compared to no cavity lining in managing deep caries in vital permanent… (2025)
No significant difference; 99.4% survival in all groups12 studies · 1184 participantsLow
Ion-releasing restorations (IRR): RMGIC, HVGIC, GIC, compomer/PMRC, giomer vs Composite resin (CR), including bulk-fill composite
Adequate color or translucency · Children receiving dental restorations (aged 4-11 years; primary teeth; Class I/II/V cavities) · 1 to 2 years
Clinical effectiveness of ion-releasing restorations compared to composite restorations in pediatric dental… (2025)
RR 1.02 [0.97, 1.07]6 studies · 600 participantsModerate
Ion-releasing restorations (IRR): RMGIC, HVGIC, GIC, compomer/PMRC, giomer vs Composite resin (CR), including bulk-fill composite
Proper anatomic form · Children receiving dental restorations (aged 4-11 years; primary teeth; Class I/II/V cavities) · 1 to 2 years
Clinical effectiveness of ion-releasing restorations compared to composite restorations in pediatric dental… (2025)
RR 1.00 [0.99, 1.01]8 studies · 1044 participantsHigh
Ion-releasing restorations (IRR): RMGIC, HVGIC, GIC, compomer/PMRC, giomer vs Composite resin (CR), including bulk-fill composite
Absence of wear · Children receiving dental restorations (aged 4-11 years; primary teeth; Class I/II/V cavities) · 2 years
Clinical effectiveness of ion-releasing restorations compared to composite restorations in pediatric dental… (2025)
no estimate extracted1 studyUngraded
Ion-releasing restorations (IRR): RMGIC, HVGIC, GIC, compomer/PMRC, giomer vs Composite resin (CR), including bulk-fill composite
Proper surface texture or luster · Children receiving dental restorations (aged 4-11 years; primary teeth; Class I/II/V cavities) · 1.5 to 2 years
Clinical effectiveness of ion-releasing restorations compared to composite restorations in pediatric dental… (2025)
RR 1.00 [0.97, 1.02]4 studies · 720 participantsHigh
Light-cured resin-modified glass ionomer cement vs Resin adhesive (Transbond XT)
First-time bracket failure · Patients undergoing fixed orthodontic treatment · Before and after treatment
Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024)
No differences were observed in the proportions of patients experiencing first-time bracket failures when participants were bonded with either resin adhesive or RM-GIC (p > 0.05).1 study · 197 participantsUngraded
Glass ionomer (GIC) permanent cement vs Glass ionomer cement or zinc phosphate cement
Pulp necrosis incidence · Vital teeth · GIC
Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023)
Proportion 5.33 [2.56, 9.03]182 participantsUngraded
Resin-modified glass-ionomer cement (RMGIC) restoration vs Amalgam, compomer, composite resin, or glass carbomer
Treatment failure (annual failure rate) · Children with previously unrestored, vital carious lesions in primary teeth (no pulp therapy); aged 1.5-11 years · 12-48 months
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) 1.9-16.9%4 studiesUngraded
High-viscosity glass-ionomer cement (HVGIC) restoration (conventional restorative approach) vs Compomer, composite resin, or another HVGIC
Treatment failure (annual failure rate) · Children with previously unrestored, vital carious lesions in primary teeth (no pulp therapy); aged 1.5-11 years · 12-36 months
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) 2.9-25.6%3 studiesUngraded
Restorative materials placed by atraumatic restorative treatment (ART); mostly high-viscosity/conventional GIC, also RMGIC, glass carbomer, compomer, composite resin vs Different ART materials or application techniques (e.g., bilayer vs single-step, with vs without cavity conditioner/disinfectant), or composite resin
Treatment failure (annual failure rate) · Children with carious primary teeth treated by atraumatic restorative treatment (hand-instrument caries removal), no… · 12-48 months, Restorative technique (ART)
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) 1.2-37.1%10 studiesUngraded
Atraumatic restorative treatment with high-viscosity GIC (class I) vs Amalgam restoration
Restoration success/failure · Children (5-7 years) with caries in primary teeth · 24 months
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022)
RR 1.07 [0.91, 1.27]3 studiesUngraded
Metal-reinforced glass-ionomer cement (MRGIC) restoration vs Conventional GIC
Treatment failure (annual failure rate) · Children with previously unrestored, vital carious lesions in primary teeth (no pulp therapy); aged 1.5-11 years · 1.5 years mean follow-up (Kilpatrick 1995)
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) 29.91 study · 37 participantsUngraded
Conventional glass-ionomer cement (GIC) restoration vs Amalgam or metal-reinforced GIC
Treatment failure (annual failure rate) · Children with previously unrestored, vital carious lesions in primary teeth (no pulp therapy); aged 1.5-11 years · 12-60 months (Welbury 5 years; Kilpatrick 1.5 years mean)
Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp… (2022)
Annual failure rate (%) 7.6-16.6%2 studiesUngraded
Atraumatic restorative treatment with high-viscosity GIC (class I) vs Amalgam restoration
Restoration success/failure · Children (5-7 years) with caries in primary teeth · 12 months
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022)
RR 0.93 [0.83, 1.06]3 studiesUngraded
Glass ionomer cement vs Amalgam
Success rate at 1 year · Patients needing retrograde filling in root canal therapy (orthograde root canal filling or retreatment not possible;… · 1 year
Materials for retrograde filling in root canal therapy (2021) · Cochrane
RR 0.98 [0.86, 1.12]1 studyVery low
Glass ionomer cement vs Amalgam
Success rate at 5 years · Patients needing retrograde filling in root canal therapy (orthograde root canal filling or retreatment not possible;… · 5 years
Materials for retrograde filling in root canal therapy (2021) · Cochrane
RR 1.00 [0.84, 1.20]1 studyUngraded
Resin-modified glass ionomer cement for bonding orthodontic brackets vs Light-cured composite resin for bonding brackets
Number of participants with new demineralised lesions (DLs) · Orthodontic patients of any age with fixed braces (new DLs assessed at debond) · At debond; follow-up 17.6 months
Fluorides for preventing early tooth decay (demineralised lesions) during fixed brace treatment (2019) · Cochrane
RR 1.17 [0.69, 1.99]1 study · 173 participantsLow
Resin-modified glass ionomer cement for bonding orthodontic brackets vs Light-cured composite resin for bonding brackets
Number of participants with more severe DLs of aesthetic concern · Orthodontic patients of any age with fixed braces (new DLs assessed at debond) · At debond; follow-up 17.6 months
Fluorides for preventing early tooth decay (demineralised lesions) during fixed brace treatment (2019) · Cochrane
RR 1.18 [0.45, 3.12]1 study · 173 participantsLow
ART using resin-modified glass ionomer cement (RM-GIC) vs Conventional treatment using RM-GIC
Participant experience · Older adults with root caries in permanent (mature) teeth (mean age 75 years)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
No studies reported on participant experience for this comparison.0 studiesNo studies
ART using composite resin vs Conventional treatment using composite resin
Participant experience (dental anxiety) · Children with dental caries in primary teeth (mean age 7 years)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
MD 0.00 [-0.52, 0.52]1 study · 57 participantsUngraded
ART using H-GIC vs Conventional treatment using composite (with local anaesthetic)
Pain (primary dentition) · Children with dental caries in primary teeth
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
OR 2.22 [0.51, 9.61]1 studyUngraded
ART using composite resin vs Conventional treatment using composite resin
Pain · Children with dental caries in primary teeth (mean age 7 years)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
Pain: Not measured.0 studiesNo studies
One type of adhesive used to bond molar tubes (chemically-cured composite, light-cured composite, conventional glass ionomer, poly-acid modified composite/compomer, or resin-modified glass ionomer) vs Any other type of adhesive used to bond molar tubes
First-time bond failure · Participants with full arch fixed orthodontic appliance(s) with molar tubes bonded to first or second permanent…
Adhesives for bonded molar tubes during fixed brace treatment (2017) · Cochrane
no estimate extracted0 studiesNo studies
ART using resin-modified glass ionomer cement (RM-GIC) vs Conventional treatment using RM-GIC
Pain · Older adults with root caries in permanent (mature) teeth (mean age 75 years)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
Pain: Not measured.0 studiesNo studies
ART using glass ionomer cement (GIC) vs Conventional treatment using amalgam
Pain (permanent, immature teeth) · Children and adolescents with dental caries (primary teeth and permanent immature teeth)
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
OR 0.41 [0.35, 0.47]1 studyUngraded
One type of adhesive used to bond molar tubes (chemically-cured composite, light-cured composite, conventional glass ionomer, poly-acid modified composite/compomer, or resin-modified glass ionomer) vs Any other type of adhesive used to bond molar tubes
Decalcification (presence or absence of decay around the attachment) · Participants with full arch fixed orthodontic appliance(s) with molar tubes bonded to first or second permanent…
Adhesives for bonded molar tubes during fixed brace treatment (2017) · Cochrane
no estimate extracted0 studiesNo studies
ART using H-GIC vs Conventional treatment using amalgam
Pain (primary dentition) · Children with dental caries in primary teeth · Single and multiple lesions
Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries (2017) · Cochrane
OR 1.44 [0.45, 4.60]1 studyUngraded
Chemically cured glass ionomer cement vs Light-cured compomer (polyacid-modified composite resin)
Taste preference (patient preference) · Patients with full arch fixed orthodontic appliances with bands attached to molars (patients with cleft lip/palate or… · Approximately 12 months (to end of treatment)
Adhesives for fixed orthodontic bands (2016) · Cochrane
Williams 2005 (30 participants): a statistically significant difference in patient taste preference in favour of the glass ionomer over the light-cured composite resin (compomer).1 study · 30 participantsUngraded
Light-cured resin-modified glass ionomer cement vs Light-cured compomer (polyacid-modified composite resin)
Band failure (band adhesive loosening) · Patients with full arch fixed orthodontic appliances with bands attached to molars (patients with cleft lip/palate or… · Approximately 12 months (to end of treatment)
Adhesives for fixed orthodontic bands (2016) · Cochrane
Fricker 1997 was a three-arm split-mouth trial that included a light-cured resin-modified glass ionomer arm (compared with light-cured compomer and chemically cured glass ionomer). Failure rates were reported but not…1 studyUngraded
Chemically cured glass ionomer cement vs Chemically cured glass phosphonate
Taste preference (patient preference) · Patients with full arch fixed orthodontic appliances with bands attached to molars (patients with cleft lip/palate or… · Approximately 12 months (to end of treatment)
Adhesives for fixed orthodontic bands (2016) · Cochrane
Clark 2003: no statistically significant difference in taste between the two cements (glass ionomer vs glass phosphonate); authors caution the finding because both cements were used at the same sitting, so the taste of…1 studyUngraded
Glass ionomer cement root-end filling vs Amalgam
Healing - 5 years · People requiring retreatment of periapical lesions (failed root canal therapy) · 5 years
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
RR 1.00 [0.84, 1.20]1 study · 67 participantsUngraded
Glass ionomer cement root-end filling vs Amalgam
Healing - 1 year · People requiring retreatment of periapical lesions (failed root canal therapy) · 1 year
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
RR 0.98 [0.86, 1.12]1 study · 105 participantsVery low
Chemically cured glass ionomer cement vs Chemically cured glass phosphonate
Band failure (band adhesive loosening) · Patients with full arch fixed orthodontic appliances with bands attached to molars (patients with cleft lip/palate or… · Approximately 12 months (to end of treatment)
Adhesives for fixed orthodontic bands (2016) · Cochrane
Clark 2003: failure rates presented per adhesive group by number of bands failing (overall proportion of band failure 0.048 for each material); no per-patient failure data. Low band failure rates; insufficient evidence…1 studyUngraded
Chemically cured glass ionomer cement vs Light-cured compomer (polyacid-modified composite resin)
Band failure (band adhesive loosening) · Patients with full arch fixed orthodontic appliances with bands attached to molars (patients with cleft lip/palate or… · Approximately 12 months (to end of treatment)
Adhesives for fixed orthodontic bands (2016) · Cochrane
No meta-analysis. Fricker 1997: failure data not presented in an analysable format (number of bands or failures per person not given). Gillgrass 2001 (98 participants; 140 band pairs): 4 single-band failures with…3 studiesUngraded
A permanent restorative material or technique (e.g. amalgam; glass ionomer (type I-IV); composite resin (macrofilled, microfilled, hybrid, nanofilled); resin-modified glass ionomer (compomer, giomer); cement/cermet; stainless steel or nickel-chrome crown; pre-fabricated resin/porcelain veneer facing; microabrasion) vs A different permanent restorative material or technique
Outcome NR · Children and adolescents under 18 years with amelogenesis imperfecta requiring restorative care of anterior teeth,…
Interventions for the restorative care of amelogenesis imperfecta in children and adolescents (2013) · Cochrane
Main results: No studies met the inclusion criteria for this review. Effects of interventions: No studies met the inclusion criteria.0 studiesNo studies
A permanent restorative material or technique (e.g. amalgam; glass ionomer (type I-IV); composite resin (macrofilled, microfilled, hybrid, nanofilled); resin-modified glass ionomer (compomer, giomer); cement/cermet; stainless steel or nickel-chrome crown; pre-fabricated resin/porcelain veneer facing; microabrasion) vs A different permanent restorative material or technique
Outcome NR · Children and adolescents under 18 years with amelogenesis imperfecta requiring restorative care of posterior teeth,…
Interventions for the restorative care of amelogenesis imperfecta in children and adolescents (2013) · Cochrane
Main results: No studies met the inclusion criteria for this review. Effects of interventions: No studies met the inclusion criteria.0 studiesNo studies
Resin-modified glass ionomer (Vitremer) vs Amalgam
Replacement (failure) of Class II restoration at 12 months · Children aged 12 years or younger with tooth decay involving at least one tooth in the primary dentition, symptomatic… · 12 months
Dental fillings for the treatment of caries in the primary dentition (2009) · Cochrane
OR 0.64 [0.10, 4.15]1 study · 60 participantsUngraded

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