- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07612462
Evaluation of the Clinical Performance of a Bulk Fill Resin Composite in Cuspal Coverage Restorations of Vital Posterior Teeth (RCT)
May 21, 2026 updated by: Ahmed Mohamed Mohamed Azazy, Future University in Egypt
This clinical study aims to compare bulk-fill and conventional composite resins in cuspal coverage restorations of posterior teeth.
The primary outcomes include evaluating wear resistance, fracture incidence, and recurrent caries at different follow-up periods.
Bulk-fill composites are designed for easier placement in thicker increments, potentially improving clinical efficiency.
The study seeks to determine whether bulk-fill materials can provide comparable or superior performance to conventional composites in restoring structurally compromised teeth.
Study Overview
Status
Active, not recruiting
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
50
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
-
-
Cairo Governorate
-
New Cairo, Cairo Governorate, Egypt, 11835
- Future University in Egypt
-
-
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
- Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Adult patients of 20 to 50 of age
- Molars teeth
- Medically free
- Vital teeth
- Males or females
- one or cusps affected
- Patient consent
- Good oral hygiene (plaque index 0 or 1)
- Absence of parafunctional habits.
- No abscess
Exclusion Criteria:
- Xerostomia and bruxism.
- Endodontically treated teeth
- Systematic disease
- Extremely poor oral hygiene sever or chronic periodontitis.
- Pregnant and lactating women.
- No subgingival margin
- Allergic to used materials
- Patient are not present during recalls .
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 |
|---|---|
|
Active Comparator: Bulk-Fill Composite Group
Participants in this group will receive cuspal coverage restorations using a bulk-fill composite resin.
The material will be placed in a single increment following adhesive application according to the manufacturer's instructions.
|
This intervention involves performing cuspal coverage restorations in posterior teeth using Shofu Beautifil Bulk Fill composite resin.
The composite will be applied in a single increment following the manufacturer's adhesive and placement protocol.
Each restoration will be evaluated clinically for wear resistance, fracture incidence, and recurrent caries during the follow-up period.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Occlusal Wear
Time Frame: T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
|
0 = No visible wear
|
T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
|
|
Fracture Resistance
Time Frame: T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
|
|
T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
|
|
Caries Recurrence
Time Frame: T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
|
0 = No recurrent caries at restoration margin 1 = Recurrent caries present and continuous with margin |
T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Yu P, Xu YX, Liu YS. Polymerization shrinkage and shrinkage stress of bulk-fill and non-bulk-fill resin-based composites. J Dent Sci. 2022 Jul;17(3):1212-1216. doi: 10.1016/j.jds.2021.12.004. Epub 2021 Dec 23.
- Nakhostin A, Panahandeh N, Toudeshky HH, Sheikh-Al-Eslamian SM. Assessment of creep and compressive strength: bulk-fill versus conventional composites. BMC Oral Health. 2025 Apr 16;25(1):579. doi: 10.1186/s12903-025-05769-x.
- Morimoto, S., Lia, W. K. C., Gonçalves, F., Nagase, D. Y., Gimenez, T., Raggio, D. P., & Özcan, M. (2021). Risk Factors Associated with Cusp Fractures in Posterior Permanent Teeth-A Cross-Sectional Study. Applied Sciences, 11(19), 9299.
- Mitra A, Sharma S, Bhattacharyya A, Maity AB, Majumder G, Datta S. The fracture resistance of restored mandibular molars using different cavity designs: An in vitro comparative evaluation. J Conserv Dent Endod. 2024 Dec;27(12):1285-1288. doi: 10.4103/JCDE.JCDE_699_24. Epub 2024 Dec 10.
- Marovic D, Taubock TT, Attin T, Panduric V, Tarle Z. Monomer conversion and shrinkage force kinetics of low-viscosity bulk-fill resin composites. Acta Odontol Scand. 2015 Aug;73(6):474-80. doi: 10.3109/00016357.2014.992810. Epub 2014 Dec 29.
- Manhart, J. (2020). Direct cusp replacement in the molar region using a thermoviscous bulk fill composite restorative material - a clinical case report. International Dental African Edition, 9, 33-22.
- Leprince, J. G. P., W. M.; Vanacker, J.; Sabbagh, J.; Devaux, J. (2020). Polymerization shrinkage and stress of bulk-fill resin composites: A review of the current literature. Journal of Esthetic and Restorative Dentistry, 32(1), 12-22. doi:10.1111/jerd.12511
- Garoushi, S. V., P. K.; Lassila, L. (2021). Fracture resistance of molars with MOD cavities restored with short fiber reinforced composite or bulk fill composites. Journal of Prosthodontic Research, 65(2), 217-233. doi:10.1016/j.jpor.2020.06.004
- Farias-Neto, A. G., L. M.; Silva, L. A. B.; Morimoto, S. (2020). Single-visit direct composite restorations with cuspal coverage: A clinical review. Brazilian Dental Journal, 31(6), 503-509. doi:10.1590/0103-6440202003202
- Edrees, N. S. A. A., H. S. A.; Abdelaziz, K. M.; Alajam, W. (2017). Benefits and drawbacks of bulk-fill dental composites: A systematic review. European Journal of Pharmaceutical and Medical Research, 4(10), 124--137.
- Deliperi S, Alleman D, Rudo D. Stress-reduced Direct Composites for the Restoration of Structurally Compromised Teeth: Fiber Design According to the "Wallpapering" Technique. Oper Dent. 2017 May/Jun;42(3):233-243. doi: 10.2341/15-289-T.
- Daruich PM, Brizuela M. Remineralization of Initial Carious Lesions. 2023 Apr 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK573067/
- Chesterman J, Jowett A, Gallacher A, Nixon P. Bulk-fill resin-based composite restorative materials: a review. Br Dent J. 2017 Mar 10;222(5):337-344. doi: 10.1038/sj.bdj.2017.214.
- Alzahrani, F. A. A., I. F.; Aljinbaz, A.; AlZain, F. S. (2021). Effect of cavity design and restoration technique on fracture resistance of premolars restored with resin composites. Operative Dentistry, 46(4), E195-E203. doi:10.2341/20-111-L
- Alshiddi, I. F. A., A.; AlZain, F. S. (2020). Fracture resistance of weakened molars restored with direct and indirect resin-based restorations. Journal of Adhesive Dentistry, 22(1), 72-65. doi:10.3290/j.jad.a43712
- Al-Asmar AA, Al-Hiyasat AS, Abu-Awwad M, Mousa HN, Salim NA, Almadani W, Rihan F, Sawair FA, Pitts NB. Reframing Perceptions in Restorative Dentistry: Evidence-Based Dentistry and Clinical Decision-Making. Int J Dent. 2021 Dec 31;2021:4871385. doi: 10.1155/2021/4871385. eCollection 2021.
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 (Actual)
December 1, 2025
Primary Completion (Estimated)
December 1, 2026
Study Completion (Estimated)
December 31, 2026
Study Registration Dates
First Submitted
May 21, 2026
First Submitted That Met QC Criteria
May 21, 2026
First Posted (Actual)
May 28, 2026
Study Record Updates
Last Update Posted (Actual)
May 28, 2026
Last Update Submitted That Met QC Criteria
May 21, 2026
Last Verified
May 1, 2026
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- CUSPALCOVERAGE
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
Clinical Trials on Tooth Restoration
-
Dentsply Sirona Implants and ConsumablesTerminated
-
Radboud University Medical CenterIvoclar Vivadent AGCompletedTooth Wear | Dental Restoration Wear | Dental Restoration Failure
-
Ain Shams UniversityCompletedPulpotomy | Tooth RestorationEgypt
-
Cairo UniversityRecruitingRestoration of Posterior ToothEgypt
-
Henan Provincial People's HospitalEnrolling by invitation
-
Ivoclar Vivadent AGNot yet recruitingLongevity | Single Tooth RestorationLiechtenstein
-
Aristotle University Of ThessalonikiActive, not recruiting
-
Radboud University Medical Center3M ESPEActive, not recruitingTooth Wear | Dental Restoration Wear | Dental Restoration FailureNetherlands
-
University of ChileCompletedUnsatisfactory Restoration of ToothChile
-
Karim Ahmed Awadallah OsmanRecruitingDental Restoration Failure of Marginal Integrity | Poor Aesthetic of Existing Restoration of ToothEgypt
Clinical Trials on Beautifil Bulk Fill (Shofu Inc.)
-
Federal University of Minas GeraisCoordenação de Aperfeiçoamento de Pessoal de Nível Superior.; Fundação de Amparo...CompletedNon-carious Cervical LesionsBrazil
-
Ataturk UniversityAtatürk University Scientific Research Projects Coordination UnitNot yet recruitingDental Caries Class II | Composite ResinsTurkey (Türkiye)
-
Mansoura UniversityCompleted
-
British University In EgyptRecruitingProximal Cavities of Posterior TeethEgypt
-
Hacettepe UniversityActive, not recruiting
-
Tufts UniversityShofu Inc.CompletedNon-carious Cervical LesionsUnited States
-
Damascus UniversityCompletedClass II Dental RestorationsSyrian Arab Republic
-
Mansoura UniversityActive, not recruiting
-
Nuh Naci Yazgan UniversityTC Erciyes UniversityCompleted
-
Mansoura UniversityActive, not recruitingBulk-fill Which is Special Type of Resin Composite | Bisphenol A-Glycidyl MethacrylateEgypt