Occlusal Caries
Conditions
Keywords
Occlusal Caries, Glass Ionomer, Tooth colored Restoration, Non-Coated Glass Ionomer, Universal Glass Ionomer
Brief summary
In patients with occlusal caries in posterior teeth, does the use of recently introduced non coated glass ionomer provide better clinical performance compared to conventional glass ionomer with surface coating? -Primary objective: To evaluate clinical performance of different types of restorations (Ketac molar with coating and Ketac Universal Aplicap 3M without coating) in occlusal caries in posterior teeth.
Detailed description
The study will be conducted in Conservative Dentistry Department, Faculty of Dentistry, Cairo University; The operator in charge will be Mahmoud Magdy Eldamanhory Patients will be selected from the outpatient clinic of the department Conservative Dentistry Department, Faculty of Dentistry, Cairo University * Local anesthesia will be applied to patients complaining about pain or sensitivity to prevent discomfort during restorative procedures. * Conservative cavity design will be used according to the principals of minimal invasive dentistry. * All the cavities will be performed by the main author using #57 straight plain carbide fissure bur held in high speed contra-angled hand piece with water cooling system. * All internal line angles will be slightly rounded. * Each bur will be discarded after 5 preparations * If deep caries will be found, it will be removed with large round bur at low speed and a thin layer of calcium hydroxide will be placed on the deep portion of the cavity. * Isolation will be maintained by using Rubber Dam. * The dentin and enamel of cavities will be conditioned with 20% polyacrylic acid for 20 seconds (Cavity Conditioner, GC), washed, and briefly dried. * The restorations will inject into the cavity. * After the passage of the manufacturer's recommended setting time of 2.5 minutes, the restoration will be trimmed and polished wet using high-speed fine diamonds. In control group ketac molar with coating: -After the restoration will briefly dry, Ketac Coat will be applied and photocured for 20 seconds using a photo-curing light. In study group Ketac Universal Aplicap 3M without coating: -The newest addition to glass ionomer family, Ketac Universal Aplicap glass ionomer restorative is a self-cure, one-step placement material designed to help to finish faster. There's no need for conditioning, coating or light-curing steps.
Interventions
COMBINATION_PRODUCTNon Coated Glass Ionomer
KetacTM Universal AplicapTM Glass Ionomer Restorative saves time by eliminating the need for a coating-yet still delivers the compressive strength and surface hardness that are higher than several competitive glass ionomers which require one.
COMBINATION_PRODUCTConventional Glass Ionomer with Coat
Conventional Glass Ionomer with Coat
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Double Blinded (Participant and Outcome assessor)
Intervention model description
Occlusal Caries in Posterior teeth
Eligibility
Sex/Gender
ALL
Age
19 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Presence of at least 2 carious class I in same patient. * The absence of tooth mobility. * Presence of contact with opposite teeth without any abnormal occlusion stress for the selected teeth. * Accessible isolation and observable and easily accessible.
Exclusion criteria
1. Patients with poor oral hygiene. According to DMF or ADA criteria. 2. The presence of any para functional habit. 3. Abnormal occlusion. 4. Any regurgitation problem. 5. Subjects with compromised medical history. 6. Pulpitis, non-vital or endodontically treated teeth.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Distance penetrated by the Explorer at the tooth restoration interface | during procedure | The explorer will be drawn across the surface of the restoration toward the tooth |
| The degree of mismatch from the normal range of tooth shades and translucency | during procedure | Visual inspection to check the proximity of the shade from the natural tooth |
| Distance penetrated along the restoration in a pulpal direction | during procedure | Visual Inspection of the marginal discoloration different from the color of the restorative material and from the color of the adjacent tooth structure |
| Distance penetrated due to secondary caries by visual evidence of dark keep discoloration adjacent to the restoration but not directly associated with cavosurface margins | during procedure | Visual inspection of discoloration that occurs on the tooth after the filling has been used for a period of time |
| Area of continuous movement of an explorer across the surface of the restoration | during procedure | Surface texture is highly polished or gritty containing supramicron-sized particles or Surface pitting is coarse to inhibit the continuous movement of an explorer across the surface |
| Distance seen when the side of the explorer is placed tangentially across the restoration, by which it is not touching two opposing cavosurface line angles at the same time. | during procedure | Visual inspection and explorer to check the shape and structure of the restoration |
| Pain due to dentin hypersensitivity (evaporative stimulus) | during procedure | Pain arising from dentin hypersensitivity around the restoration stimulated by air blast measured by YES or NO scale |
Countries
Egypt
Outcome results
None listed