Dental Restorations, Permanent
Conditions
Keywords
Composite, self-adhesive, sensetivity
Brief summary
Adhesively restoring teeth using a resin-based composite and a modern dental adhesive is now considered a reliable, predictable, and durable procedure. However, adhering resin-based composite in conditions of suboptimal field control or complex cavity configurations remains challenging. In addition, the continuing discussions on the clinical use of dental amalgam and the feasibility of a phase out of the use of dental amalgam in the long term has become a central concern for restorative dentistry and has led to strong efforts to develop a substitute material for amalgam. With the goal of clinically shorter application times and lower technique sensitivity, the development of an advanced self-adhesive restorative tooth-colored restorative materials (ASAR) that no longer need pre-treatment with a separate adhesive have been under investigation. The aim of this study is to assess the post-operative sensitivity following restoration of teeth using a self-adhesive tooth-colored restorative material and to assess its clinical performance in comparison with conventional resin-based composite in posterior restorations
Interventions
Teeth will be restored with Bulk-fill resin composite, (3M, ESPE)
teeth will be restored with Surefil one™ Self-Adhesive Composite Hybrid
Sponsors
Study design
Masking description
All participants will be informed about the nature and objectives of the study; however, they will not be informed what material they would receive.
Intervention model description
The design of study will be a split-mouth randomized clinical trial with two study groups.
Eligibility
Inclusion criteria
* Patient is at least 18 years' old * Teeth are vital * Teeth are periodontal healthy * Tooth to be restored in normal occlusion with natural antagonist and adjacent teeth * Patient did not receive orthodontic treatment * Good level of oral hygiene.
Exclusion criteria
* Non-vital or endodontically treated teeth * (Profound, chronic) periodontitis * Deep carious defects (close to pulp, \< 1mm distance) * Heavy occlusal contacts or history of bruxism * Poor oral hygiene * Sustained dentin hypersensitivity * Taking anti-inflammatory, analgesic, or psychotropic drugs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The post-operative sensitivity. | One month after the treatment. | For the evaluation of post-operative sensitivity, participants will be asked to record whether they experienced sensitivity using a 0-4 numerical rating scale (0 = none, 1 = mild, 2 = moderate, 3 = considerable, and 4 = severe). The patients will be asked to fill in the pain scale forms 24 hours after the restorative procedure and daily up to seven days, and at 2 weeks and 1 month intervals. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical performance of the restorations | 6 months and 1 year after the treatment. | All restorations will be evaluated at 6 months and 1-year post-restoration using the United States Public Health Service, USPHS criteria using the Alpha, Bravo and Charlie scale to evaluate the following parameters: retention, color match, marginal discoloration, secondary caries, anatomical form, marginal adaptation, and surface roughness. |
Countries
Jordan