Class I restorations and restorations placed using rubber dam presented better AFR .
An elevated number of failures were observed due to recurrent caries , highlighting the need for professionals to work with a health-promoting approach .
BACKGROUND Several restorative material s with specific indications are used for filling cavities in primary teeth .
AIM To systematic ally review the literature in order to investigate the longevity of primary teeth restorations  and the reasons for failure .
Evaluation of a resin modified glass ionomer serving both as indirect pulp therapy and as restorative material for primary molars
AIM : The successful performance of resin modified glass ionomer cement ( RMGIC ) as an indirect pulp therapy ( IPT ) dressing material and , independently , as a class II restoration material for primary molars has been adequately documented . This study investigates if an RMGIC can be successfully used in a dual capacity . METHODS : A total of 61 , 3.5–8.5 year old children with deep proximal carious lesions in one or more primary molars , radiographically suspected of pulp exposure , were included . Exclusion criteria were : continuous unprovoked pain and an exposed or a non-vital pulp . Following adequate caries removal , RMGIC restorations were placed . The teeth were followed-up for signs/symptoms and for restoration survival according to modified United States Public Health Service ( USPHS ) criteria . Descriptive statistics were applied . RESULTS : The prospect i ve study was completed with 86 restorations in 41 first and 45 second primary molars . Three of the 86 teeth showed pulp necrosis and the remaining 83 ( 96.5 % ) were a ) asymptomatic for a mean clinical observation time of 31.9 months ( SD 10.8 ) and b ) with no radiographic signs of pathology for 25.7 months ( SD 10.3 ) . Seventy-six of these 83 ( 91.6 % ) class II-‘extended ’ restorations were acceptable , exhibiting varying levels of occlusal wear . CONCLUSIONS : A single application of RMGIC was used successfully for over 2 1/2 years as an IPT and restoration material in proximal caries of primary molars
Class I restorations and restorations placed using rubber dam presented better AFR .
An elevated number of failures were observed due to recurrent caries , highlighting the need for professionals to work with a health-promoting approach .
BACKGROUND Several restorative material s with specific indications are used for filling cavities in primary teeth .
AIM To systematic ally review the literature in order to investigate the longevity of primary teeth restorations  and the reasons for failure .