Clinical Investigation of a New Bulk Fill Composite Resin in the Restoration of Posterior Teeth

November 23, 2020 updated by: University of North Carolina, Chapel Hill
Polymerization shrinkage remains one of the primary disadvantages of composite resin restorative materials (tooth-colored fillings). To minimize the effects of polymerization shrinkage in the restorative treatment, the 3M ESPE company has developed a composite resin called Filtek Bulk Fill Posterior Restorative. Its decreased polymerization shrinkage and properties allow the material to be inserted in one single increment, expediting treatment. This clinical trial is designed to evaluate the performance of the new bulk fill composite resin in Class II (two-surface posterior) fillings.

Study Overview

Study Type

Interventional

Enrollment (Actual)

27

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • North Carolina
      • Chapel Hill, North Carolina, United States, 27599
        • University of North Carolina at Chapel Hill School of Dentistry

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 99 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Be 18 years of age and older
  • Have a pair of similar cavities or failed dental fillings in vital permanent posterior teeth requiring treatment
  • Be capable of giving written informed consent.

Exclusion Criteria:

  • Have a self-reported history of any adverse reaction to materials of the types to be evaluated
  • Have a medical or dental history that could possibly complicate the provision of the proposed treatment and/or influence the behavior and performance of the treatment in clinical service.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Posterior Composite Resin Restoration
Participants will receive two commercially available tooth-colored restorative materials used for direct restoration as per manufacturer's instructions.
Tooth (teeth) affected by dental caries or with an existing defective filling restored using the materials listed (Filtek Bulk Fill Posterior). Procedures done using local anesthesia and following ordinary restorative techniques.
Other Names:
  • Dental filling
Tooth (teeth) affected by dental caries or with an existing defective filling restored using the materials listed (Filtek Supreme Ultra). Procedures done using local anesthesia and following ordinary restorative techniques.
Other Names:
  • Dental filling

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Restoration Percent Success at Day 1
Time Frame: Assessed immediately post restoration placement completion

The World Dental Federation (FDI) rates 16 categories on a scale of 1 to 5 with 1 being "Clinically Excellent" and 5 being "Clinically Poor". Scores 1-3 were considered clinically acceptable while scores 4 and 5 were considered failures. Cases were considered successful if each of the 16 following FDI criteria presented an individual score of 3 or less:

A.Esthetic Properties Surface lustre [Item 1] Surface staining [Item 2] Color stability and translucency [Item 3] Anatomic form [Item 4] B.Functional Properties Fractures and retention [Item 5] Marginal adaptation [Item 6] Wear [Item 7] Contact point/food impact [Item 8] Radiographic examination [Item 9] Patient's view [Item 10] C.Biological Properties Postoperative (hyper)sensitivity and tooth vitality [Item 11] Recurrence of caries, erosion, abfraction [Item 12] Tooth integrity [Item 13] Periodontal response [Item 14] Adjacent mucosa [Item 15] Oral and general health [Item 16]

Assessed immediately post restoration placement completion
Restoration Percent Success at Year 1
Time Frame: Year 1

The World Dental Federation (FDI) rates 16 categories on a scale of 1 to 5 with 1 being "Clinically Excellent" and 5 being "Clinically Poor". Scores 1-3 were considered clinically acceptable while scores 4 and 5 were considered failures. Cases were considered successful if each of the 16 following FDI criteria presented an individual score of 3 or less:

A.Esthetic Properties

  • Surface lustre [Item 1]
  • Surface staining [Item 2]
  • Color stability and translucency [Item 3]
  • Anatomic form [Item 4]

B.Functional Properties

  • Fractures and retention [Item 5]
  • Marginal adaptation [Item 6]
  • Wear [Item 7]
  • Contact point/food impact [Item 8]
  • Radiographic examination [Item 9]
  • Patient's view [Item 10]

C.Biological Properties

  • Postoperative (hyper)sensitivity and tooth vitality [Item 11]
  • Recurrence of caries, erosion, abfraction [Item 12]
  • Tooth integrity [Item 13]
  • Periodontal response [Item 14]
  • Adjacent mucosa [Item 15]
  • Oral and general health [Item 16]
Year 1
Restoration Percent Success at Year 2
Time Frame: Year 2

The FDI rates 16 categories on a scale of 1 to 5 with 1 being "Clinically Excellent" and 5 being "Clinically Poor". Scores 1-3 were considered clinically acceptable while scores 4 and 5 were considered failures. Cases were considered successful if each of the 16 following FDI criteria presented an individual score of 3 or less:

A.Esthetic Properties

  • Surface lustre [Item 1]
  • Surface staining [Item 2]
  • Color stability and translucency [Item 3]
  • Anatomic form [Item 4]

B.Functional Properties

  • Fractures and retention [Item 5]
  • Marginal adaptation [Item 6]
  • Wear [Item 7]
  • Contact point/food impact [Item 8]
  • Radiographic examination [Item 9]
  • Patient's view [Item 10]

C.Biological Properties

  • Postoperative (hyper)sensitivity and tooth vitality [Item 11]
  • Recurrence of caries, erosion, abfraction [Item 12]
  • Tooth integrity [Item 13]
  • Periodontal response [Item 14]
  • Adjacent mucosa [Item 15]
  • Oral and general health [Item 16]
Year 2
Restoration Percent Success at Year 3
Time Frame: Year 3

The FDI rates 16 categories on a scale of 1 to 5 with 1 being "Clinically Excellent" and 5 being "Clinically Poor". Scores 1-3 were considered clinically acceptable while scores 4 and 5 were considered failures. Cases were considered successful if each of the 16 following FDI criteria presented an individual score of 3 or less:

A.Esthetic Properties

  • Surface lustre [Item 1]
  • Surface staining [Item 2]
  • Color stability and translucency [Item 3]
  • Anatomic form [Item 4]

B.Functional Properties

  • Fractures and retention [Item 5]
  • Marginal adaptation [Item 6]
  • Wear [Item 7]
  • Contact point/food impact [Item 8]
  • Radiographic examination [Item 9]
  • Patient's view [Item 10]

C.Biological Properties

  • Postoperative (hyper)sensitivity and tooth vitality [Item 11]
  • Recurrence of caries, erosion, abfraction [Item 12]
  • Tooth integrity [Item 13]
  • Periodontal response [Item 14]
  • Adjacent mucosa [Item 15]
  • Oral and general health [Item 16]
Year 3
Restoration Percent Success at Year 5
Time Frame: Year 5

The FDI rates 16 categories on a scale of 1 to 5 with 1 being "Clinically Excellent" and 5 being "Clinically Poor". Scores 1-3 were considered clinically acceptable while scores 4 and 5 were considered failures. Cases were considered successful if each of the 16 following FDI criteria presented an individual score of 3 or less:

A.Esthetic Properties

  • Surface lustre [Item 1]
  • Surface staining [Item 2]
  • Color stability and translucency [Item 3]
  • Anatomic form [Item 4]

B.Functional Properties

  • Fractures and retention [Item 5]
  • Marginal adaptation [Item 6]
  • Wear [Item 7]
  • Contact point/food impact [Item 8]
  • Radiographic examination [Item 9]
  • Patient's view [Item 10]

C.Biological Properties

  • Postoperative (hyper)sensitivity and tooth vitality [Item 11]
  • Recurrence of caries, erosion, abfraction [Item 12]
  • Tooth integrity [Item 13]
  • Periodontal response [Item 14]
  • Adjacent mucosa [Item 15]
  • Oral and general health [Item 16]
Year 5

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Investigators

  • Principal Investigator: Rick Walter, DDS, University of North Carolina, Chapel Hill

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

December 1, 2015

Primary Completion (Actual)

December 5, 2019

Study Completion (Actual)

December 5, 2019

Study Registration Dates

First Submitted

September 21, 2015

First Submitted That Met QC Criteria

October 8, 2015

First Posted (Estimate)

October 9, 2015

Study Record Updates

Last Update Posted (Actual)

December 19, 2020

Last Update Submitted That Met QC Criteria

November 23, 2020

Last Verified

October 1, 2020

More Information

Terms related to this study

Other Study ID Numbers

  • 14-3097

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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