Restoration of Non-carious Cervical Lesions With Different Resin Composites and Universal Adhesive

NCT ID: NCT06393699

Last Updated: 2025-02-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-14

Study Completion Date

2026-12-30

Brief Summary

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patients with non carious cervical lesions suffer from dentin sensitivity and presence of cavitations and gingival recession. Restoring these lesions with different composites and evaluation of restorations every 6 months will be done to know the effect of different composite types and consistencies in retention of restorations of such lesions.

Detailed Description

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A split-mouth randomized clinical trial (RCT), based on the adhesion strategy, will be held on 52 patients attending to the outpatient clinics of the department of operative dentistry, Faculty of Dentistry, Ain Shams University with 2 non-carious cervical lesions in each side. Patients included in this study are those who seek restorative treatment of non-carious cervical lesions (NCCLs) in premolars and canines, which are due to chemical and/or mechanical predisposing factors. An informed consent will be signed by all participants who will be allocated in this study before being involved in the study. Male and female patients will be selected according to the inclusion and exclusion criteria. The patients will be randomly assigned into 4 main groups (n=13 patients/group) according to the type of restorative material will be inserted. In each group, two adhesive approaches will be employed, either etch-and-rinse (E\&R) or self-etching (SE)approach. For each patient's mouth, one side will receive restorations with the etch-and-rinse approach (n=26 restorations/E\&R approach), while the other side will receive restorations using the self-etching approach (n=26 restorations/SE approach). This will result in a total of 208 restorations will be inserted in this study. A treatment follow-up will be performed every six months for two years to investigate the clinical performance of the different resin composite restorations/the two different adhesive approaches.

Restorations will be evaluated at baseline and every 6 months by two blinded examiners, who will not be involved in the study. During evaluation, the examiners will not be informed about the type of restoration used or the adhesive approach and will have a code for each patient and the restored tooth. Restorations will be evaluated according to the modified United State Public Health Service criteria (USPHS).(6,9,13,30) Primary outcome will be the retention of the restoration, but the following secondary outcomes as marginal discoloration and adaptation, anatomic form, secondary caries, texture, and postoperative sensitivity will be also evaluated.

Conditions

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Retention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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incremental

application of increments of packable composite in non carious cervical lesions

Group Type EXPERIMENTAL

composite restoration

Intervention Type PROCEDURE

different types of resin composite restorations will be used to restore NCCL

bulk fill heated

application of heated composite as bulk in the lesions without incrementation after heating with caps warmer

Group Type EXPERIMENTAL

composite restoration

Intervention Type PROCEDURE

different types of resin composite restorations will be used to restore NCCL

incremental heated

application of composite in increments after being heated by caps warmer

Group Type EXPERIMENTAL

composite restoration

Intervention Type PROCEDURE

different types of resin composite restorations will be used to restore NCCL

flowable

application of flowable composite in non carious cervical lesions

Group Type EXPERIMENTAL

composite restoration

Intervention Type PROCEDURE

different types of resin composite restorations will be used to restore NCCL

Interventions

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composite restoration

different types of resin composite restorations will be used to restore NCCL

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

\- Patients' age will range from 18 to 65 years.

* Presence of at least 2 NCCLs in one side.
* Patients with no medical condition could interfere with the routine dental care.
* Patients who will be able to attend for each recall visit.
* Patients with healthy periodontal tissues.
* Cavities presenting no more than 50% of margins in enamel.

Exclusion Criteria

* Medically compromised patients.

* Pregnant or breast-feeding patients.
* Patients undergoing orthodontic treatment or bleaching treatment in the time of the study.
* Patients with periodontal disease in the target area.
* Patients presented with less than 20 teeth in the oral cavity.
* Patients without antagonists.
* Lesions superimposed with caries
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Aisha Ahmed Elbaz

Principle investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ain shams university

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Aisha Elbaz

Role: CONTACT

01156686680

Farid El-Askary

Role: CONTACT

01002500177

Other Identifiers

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969

Identifier Type: -

Identifier Source: org_study_id

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