None listed
Conditions
Brief summary
This randomized controlled trial aims to compare postoperative sensitivity in Class I posterior teeth restored with composite resin using two adhesive techniques: self-etch and total-etch. A total of 56 adult patients with D1 carious lesions will be randomly assigned to either group. Sensitivity will be assessed using the Visual Analogue Scale (VAS) at 24 hours post-treatment and during follow-up. The study seeks to determine which adhesive system results in less postoperative discomfort and guides clinicians in selecting the most effective method for reducing sensitivity.
Interventions
Group A (Self-Etch Adhesive): Patients in this group will receive Class I composite restorations using a self-etch adhesive system (Prime Dental, USA). The adhesive will be applied for 20 seconds and light-cured for 10 seconds according to the manufacturer’s instructions. Composite resin (Ezfil Dental Composite Resin) will be placed incrementally and light-cured for 20 seconds per increment. Finishing will be done using diamond burs. The self-etch adhesive will be applied once during a single restorative procedure (approximately 1 hour) on posterior teeth with Class I caries. A bottled self-etch bonding agent (Prime Dental USA) will be applied directly to the prepared cavity using a disposable micro-brush for 20 seconds and then light cured for 10 seconds, according to the manufacturer’s instructions. A qualified dentist (operator) will perform the procedure under rubber dam isolation in a dental operatory setting. Adherence will be ensured by direct observation of the procedure by the operator and documented in patient records. Postoperative sensitivity will be monitored and recorded using a Visual Analogue Scale (VAS) 24 hours after treatment and during follow-up.
Sponsors
Study design
Eligibility
Inclusion criteria
Patients of both genders Aged 18 years or older Vital maxillary or mandibular posterior teeth Teeth requiring Class I composite restorations Radiographic evidence of D1 lesions (caries in the outer third of dentin)
Exclusion criteria
ASA III–VI patients Periodontal disease Use of desensitizing products (toothpaste or mouthwash) History of parafunctional oral habits