Self-Cure vs. Highly Filled Flowable Composite in Carious Cervical Lesions: 18-Month RCT
Clinical Performance of a Self-Cure Composite System Versus a Highly Filled Flowable Composite System in Carious Cervical Lesions: A Randomized 18 Months Clinical Trial
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Examination and selection of patients will be done according to the inclusion and exclusion criteria. A class V cavity will be prepared after local anesthesia has been given. Followed by the placement of the restorative material according to the randomization sequence.
For the intervention: the primer will be applied first followed by filling of the cavity using self cure composite (Stella Automix or Stela Capsule, SDI Ltd, Australia). For the control group: etching of the cavity (Kulzer Gluma Etch, Kulzer GmbH, Germany) will be done followed by rinsing, drying, applying the bonding agent (Solobond M, Voco GmbH, Germany), curing, and lastly, applying the highly filled flowable composite (Polofil NHT flow, Voco Gmbh, Germany) and curing.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Abdelrahman Hamza, Bachelor of Science
- Telefonnummer: +20 1063330630
- E-mail: abdelrahmanh.hamza@dentistry.cu.edu.eg
Studiesteder
-
-
-
Cairo, Egypten
- Faculty of Dentistry, Cairo University
-
Kontakt:
- Abdelrahman Hamza, Bachelor of Science
- Telefonnummer: +20 1063330630
- E-mail: abdelrahmanh.hamza@dentistry.cu.edu.eg
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Patient-related Criteria:
A) Inclusion Criteria:
- Patients consulting in the outpatient clinic with cervical carious lesion.
- Age between 21-45 years.
- Males and females.
B) Exclusion Criteria:
- Systemic disease or severe medical complication.
- Allergy to any of the restorative materials.
- Pregnancy.
- Disabilities.
- Heavy smoking; xerostomia.
- Lack of compliance.
- Evidence of severe bruxism, clenching, or temporomandibular joint disorders or bizarre habits.
Tooth-related Criteria:
A) Inclusion Criteria:
- Small to moderate class V carious lesion.
- Teeth are vital with no signs of irreversible pulpitis.
- Caries cervical margins above the CEJ.
- Well-formed and fully erupted in normal functional occlusion with natural antagonist.
B) Exclusion Criteria:
- Deciduous teeth; as the study is targeting only permanent teeth.
- Deep carious defects (close to the pulp, less than 1 mm distance).
- Tooth hypersensitivity.
- Teeth with previous restorations, which may add another variable to the study (type of old restorative material, extent of recurrent caries).
- Heavy occlusion and occlusal contacts or history of bruxism.
- Endodontically treated teeth.
- Periapical pathology or signs of pulpal pathology.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Self-cure Bulk Fill Resin Composite (Stela Automix or Stela Capsule, SDI Limited, Australia)
|
A class V cavity with 1 mm occlusal bevel will be prepared after administrating local anesthesia followed by rubber dam isolation.
Stela Primer (SDI Limited, Australia.)
will be applied for 5 seconds on the cavity and the margins, then it will be gently dried with air for 2-3 seconds without light curing.
The self-cure bulk fill resin composite (Stela Automix or Stela Capsule, SDI Limited, Australia) will be applied then sculpted using a gold-plated composite applicator (Lascod, Italy).
Full polymerization will take place after 4 minutes.
|
|
Aktiv komparator: Highly Filled Flowable Composite (Polofil NHT flow, Voco GmbH, Germany)
|
A class V cavity with 1 mm occlusal bevel will be prepared after administering local anesthesia.
Rubber dam isolation will be done, , etching of the enamel (20-30 seconds) and dentin (15 seconds) using a 35% phosphoric acid etch (Kulzer Gluma Etch, Kulzer GmbH, Germany), then rinsing for 20 seconds followed by controlled drying of the cavity till it's slightly moist.
Application of the bonding agent (Solobond M, Voco GmbH, Germany) using a disposable brush and leaving it to act for 30 seconds then an air jet will be used to disperse the bonding agent.
Curing for 20 seconds will be done using a LED light curing unit with curing intensity 1200-3000 mw/cm2 (CuringPen-E, Changzhou Sifary Medical Technology Co., Ltd, China).
Flowable composite (Polofil NHT flow, Voco GmbH, Germany) will be placed, adapted by gold plated applicator then light polymerized for 20 seconds using light emitting diode (LED) light curing unit.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Retention
Tidsramme: 18 Months
|
The restoration will be clinically assessed according to the modified USPHS criteria.
Restoration will be given Alpha score when there is no loss of restoration.
It will be given a Charlie score when there is loss of restoration and need for replacement.
|
18 Months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Marginal Adaptation
Tidsramme: 18 months
|
The restoration will be clinically assessed according to the modified USPHS criteria.
It will be give an Alpha score when the restoration is closely adapted with no detectable margin.
It will be given a Bravo score when there is a detectable marginal discrepancy, but it still clinically acceptable.
It will be given a Charlie score when there is a marginal crevice that is clinically unacceptable.
|
18 months
|
|
Marginal Discoloration
Tidsramme: 18 months
|
The restoration will be clinically assessed according to the modified USPHS criteria.
It will be given an Alpha score when there is no discoloration between the tooth and the restoration.
It will be given a Bravo score when there is superficial discoloration which can be polished away.
It will be give a Charlie score when the discoloration has penetrated beyond the margin in pulpal direction.
|
18 months
|
|
Post-operative Sensitivity
Tidsramme: 18 months
|
The restoration will be clinically assessed according to the modified USPHS criteria.
It will be give an Alpha score when there is no post-operative sensitivity and a Charlie score when there is post-operative sensitivity.
|
18 months
|
|
Recurrent Caries
Tidsramme: 18 months
|
The restoration will be clinically assessed according to the modified USPHS criteria.
It will be given an Alpha score when there is no detectable recurrent caries and a Charlie score when recurrent caries is detected.
|
18 months
|
|
Surface Roughness
Tidsramme: 18 months
|
The restoration will be clinically assessed according to the modified USPHS criteria.
It will be given an Alpha score when there is no surface defect.
It will be given a bravo score when there is minimal surface defect.
It will be given a charlie score when there is a severe surface defect.
|
18 months
|
|
Color Match
Tidsramme: 18 months
|
The restoration will be clinically assessed according to the modified USPHS criteria.
It will be given an Alpha score when the restoration matches the color of the tooth.
It will be give a Bravo score when there is an acceptable mismatch.
It will be given a Charlie score when there is an unacceptable mismatch.
|
18 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- Self-cure Bulk fill Resin
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .