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Class I Composite RestorationsNCT05801458

Evaluation of Resin Composite Posterior Restorations Using Modeling Resin Insertion Technique in Class I Lesions

A study testing Modeling Resin Insertion Technique and Conventional resin composite Incremental Placement Technique in people with Class I Composite Restorations, run by Cairo University.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Evaluation of Resin Composite Posterior Restorations Using Modeling Resin Insertion Technique versus Conventional Composite Placement Technique in Class I Lesions: Randomized Clinical Trial Read more about this study

Who is it for?
Ages 25 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Class I Composite Restorations
What is being tested?
Modeling Resin Insertion Technique and Conventional resin composite Incremental Placement Technique
Type of treatment
Surgery or procedure
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
No sites listed yet
Study dates
1 May 2023to 1 Nov 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 25 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participants:
  • Adult Patients (25-45).
  • Good oral hygiene (plaque index score 0 or 1).
  • Absence of damaging habits (e.g. bruxism, nail biting, tooth clenching and mouth breathing).
  • Teeth:
  • Vital teeth with a normal appearance and morphology.
  • Primary carious lesions in molar teeth.

Who cannot join

  • Participants:
  • Patients with bad oral hygiene.
  • Patients with known allergic or adverse reaction to the tested materials.
  • Any uncontrolled systemic disease, pregnant or lactating women and any patient incapable to be present at recall follow up visits.
  • Teeth:
  • Non-vital, fractured, or cracked teeth.
Show all 9Show fewer
  • Teeth with secondary caries or in need of replacement of existing restorations.
  • Defective restorations adjacent to or opposite the tooth restored in the study.
  • Rampant caries, atypical extrinsic staining of teeth.

Trial locations and contacts

No sites are listed yet.

Amira Mohamed, BDS, MSA University (2017) contact

01007615913

amira_mohamed@dentistry.cu.edu.eg

Dina El Kady, PhD -Cairo University contact

01004297317

dina.elkady@dentistry.cu.edu.eg

About this study

Official title: Evaluation of Resin Composite Posterior Restorations Using Modeling Resin Insertion Technique Versus Conventional Composite Placement Technique in Class I Lesions: Randomized Clinical Trial

Evaluation of Resin Composite Posterior Restorations Using Modeling Resin Insertion Technique versus Conventional Composite Placement Technique in Class I Lesions: Randomized Clinical Trial

Read the detailed description

Statement of the problem In a restorative procedure, an important objective is to obtain restorations with smooth surfaces. Surface roughness has a major influence on plaque accumulation, secondary caries, and gingival irritation. Further, it may directly influence wear behavior and the marginal integrity of composite restorations. A roughened surface of a resin composite restoration is also likely to be stained by exogenous sources, such as coffee, tea, or red wine, leading to the discoloration of the material.

One of the main drawbacks of sculpting composite restorations is that some materials are sticky, reducing the ease of handling and insertion of the material into the tooth cavity. Some materials readily adhere to the composite instruments; thus, limiting reestablishment of the shape and anatomical contour of the tooth. As a result, the application of lubricants on the composite instrument such as modeling liquids/resins between the layers of composite have been proposed.

Rationale Modeling resins can be directly applied between the layers using a brush or can be used as a lubricant on manual instruments. In both the aforementioned techniques, the ease of instrumentation during the placement of esthetic restorations is superior, compared to the traditional restorative techniques. Moreover, any pores or gaps on the surface of the composite placed by means of the layering technique can be easily resolved. Hence, the modeling resin facilitates the reduction of defects in the body of the restoration and aids in improving the mechanical properties.

Although these methods are widely used, a potential shortcoming is that these techniques may adversely affect the physical and surface properties of the resin composite. However, it is unknown whether different compositions of adhesives or modeling agents may affect the surface microhardness, surface roughness, and color stability of composites over time.

Being tested
Modeling Resin Insertion Technique, Conventional resin composite Incremental Placement Technique

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Modeling Resin Insertion TechniqueProcedure or surgery

    One drop of modeling resin will be dispensed into a clean mixing well. Following the placement of the resin composite into the prepared site, a composite instrument (round-ended plugger with a diameter of 2 mm) will be dipped into the modeling resin. With modeling resin on the instrument, the resin composite is sculpted and manipulated to the desired shape. This will be repeated with each increment. Each increment will be polymerized for 20 sec with a LED light-curing unit.

  • Conventional resin composite Incremental Placement TechniqueProcedure or surgery

    A three-step etch-and-rinse adhesive system will be used according to the manufacturer's instructions. 37.5% phosphoric acid (Kerr Co, Orange, CA, USA) will be applied to the enamel and dentin for a period of 30 s and 15 s, respectively. Subsequently the cavities will then be rinsed with an air/water spray for 15 s. A layer of primer will be applied to the dentin for 30 sec, afterward gentle air-drying for 5 sec. Then, the bond (AdheSE adhesive) will be applied on the enamel and dentin and light cured with a LED curing unit for about 30 sec. Tetric N-Ceram will then be applied using an incremental filling technique, each increment will not exceed 2mm in thickness. Each increment will be polymerized for 20 sec with a LED light-curing unit.

Study groups in NCT05801458
Study groupRoleWhat they receive
Modeling Resin Insertion TechniqueExperimentalResin Composite (Tetric® N-Ceram Nano-hybrid incremental composite) / Wetting Agent (Modeling Resin, Bisco)
Receives: Procedure: Modeling Resin Insertion Technique
Conventional Resin Composite Incremental Placement TechniquePlacebo comparatorConventional resin composite incremental placement technique (Tetric® N-Ceram Nano-hybrid incremental composite)
Receives: Procedure: Conventional resin composite Incremental Placement Technique

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline in Marginal Discoloration at 3,6,12 & 18 months

    Modified US Public Health Service criteria. Possible scores range from alpha (Excellent) to delta (Immediate replacement necessary).

    Measured: T1: 3 months • T2: 6 months • T3: 12 months • T4: 18 months

Secondary outcomes (7)
  1. Change from baseline in Marginal Integrity at 3,6,12 & 18 months

    Modified US Public Health Service criteria. Possible scores range from alpha (Excellent) to delta (Immediate replacement necessary).

    Measured: T1: 3 months • T2: 6 months • T3: 12 months • T4: 18 months

  2. Change from baseline in Color Match at 3,6,12 & 18 months

    Modified US Public Health Service criteria. Possible scores range from alpha (Excellent) to charlie (outside the acceptable range).

    Measured: T1: 3 months • T2: 6 months • T3: 12 months • T4: 18 months

  3. Change from baseline in Surface Roughness at 3,6,12 & 18 months

    Modified US Public Health Service criteria. Possible scores range from alpha (Excellent) to delta (Immediate replacement necessary).

    Measured: T1: 3 months • T2: 6 months • T3: 12 months • T4: 18 months

  4. Change from baseline in Anatomic form (wear) at 3,6,12 & 18 months

    Modified US Public Health Service criteria. Possible scores range from alpha (Excellent) to delta (Immediate replacement necessary).

    Measured: T1: 3 months • T2: 6 months • T3: 12 months • T4: 18 months

  5. Change from baseline in Retention of Restoration at 3,6,12 & 18 months

    Modified US Public Health Service criteria. Possible scores range from alpha (Excellent) to charlie (complete loss of restoration).

    Measured: T1: 3 months • T2: 6 months • T3: 12 months • T4: 18 months

  6. Change from baseline in Secondary Caries at 3,6,12 & 18 months

    Modified US Public Health Service criteria. Possible scores range from alpha (Excellent) to bravo (Caries contiguous with the restoration margin).

    Measured: T1: 3 months • T2: 6 months • T3: 12 months • T4: 18 months

  7. Change from baseline in Postoperative Sensitivity at 3,6,12 & 18 months

    Modified US Public Health Service criteria. Possible scores range from alpha (Excellent) to delta (Immediate replacement necessary).

    Measured: T1: 3 months • T2: 6 months • T3: 12 months • T4: 18 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Apr 2023
  2. Study start1 May 2023 (estimated)
  3. Primary completion1 May 2023 (estimated)
  4. Study completion1 Nov 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05801458
Sponsor's protocol ID
Modeling Resin
Status last verified
Mar 2023
First submitted
13 Mar 2023
Last updated
6 Apr 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Barcellos DC, Pucci CR, Torres CR, Goto EH, Inocencio AC. Effects of resinous monomers used in restorative dental modeling on the cohesive strength of composite resin. J Adhes Dent. 2008 Oct;10(5):351-4.

    PubMed 19058680
  • Bayraktar ET, Atali PY, Korkut B, Kesimli EG, Tarcin B, Turkmen C. Effect of Modeling Resins on Microhardness of Resin Composites. Eur J Dent. 2021 Jul;15(3):481-487. doi: 10.1055/s-0041-1725577. Epub 2021 May 26.

    PubMed 34041724
  • Burke FJ, Crisp RJ, James A, Mackenzie L, Pal A, Sands P, Thompson O, Palin WM. Two year clinical evaluation of a low-shrink resin composite material in UK general dental practices. Dent Mater. 2011 Jul;27(7):622-30. doi: 10.1016/j.dental.2011.02.012. Epub 2011 Apr 22.

    PubMed 21514654
  • Dionysopoulos D, Papadopoulos C, Koliniotou-Koumpia E. The evaluation of various restoration techniques on internal adaptation of composites in class v cavities. Int J Biomater. 2014;2014:148057. doi: 10.1155/2014/148057. Epub 2014 Oct 2.

    PubMed 25349611
  • Furuse AY, Gordon K, Rodrigues FP, Silikas N, Watts DC. Colour-stability and gloss-retention of silorane and dimethacrylate composites with accelerated aging. J Dent. 2008 Nov;36(11):945-52. doi: 10.1016/j.jdent.2008.08.001. Epub 2008 Sep 7.

    PubMed 18778884
  • He Z, Shimada Y, Tagami J. The effects of cavity size and incremental technique on micro-tensile bond strength of resin composite in Class I cavities. Dent Mater. 2007 May;23(5):533-8. doi: 10.1016/j.dental.2006.03.012. Epub 2006 May 24.

    PubMed 16725190
  • Ilie N, Kessler A, Durner J. Influence of various irradiation processes on the mechanical properties and polymerisation kinetics of bulk-fill resin based composites. J Dent. 2013 Aug;41(8):695-702. doi: 10.1016/j.jdent.2013.05.008. Epub 2013 May 21.

    PubMed 23707645
  • Jefferies SR. Abrasive finishing and polishing in restorative dentistry: a state-of-the-art review. Dent Clin North Am. 2007 Apr;51(2):379-97, ix. doi: 10.1016/j.cden.2006.12.002.

    PubMed 17532918
  • Kohler B, Rasmusson CG, Odman P. A five-year clinical evaluation of Class II composite resin restorations. J Dent. 2000 Feb;28(2):111-6. doi: 10.1016/s0300-5712(99)00059-7.

    PubMed 10666968
  • Munchow EA, Sedrez-Porto JA, Piva E, Pereira-Cenci T, Cenci MS. Use of dental adhesives as modeler liquid of resin composites. Dent Mater. 2016 Apr;32(4):570-7. doi: 10.1016/j.dental.2016.01.002. Epub 2016 Feb 3.

    PubMed 26850844
  • Nahsan FP, Mondelli RF, Franco EB, Naufel FS, Ueda JK, Schmitt VL, Baseggio W. Clinical strategies for esthetic excellence in anterior tooth restorations: understanding color and composite resin selection. J Appl Oral Sci. 2012 Mar-Apr;20(2):151-6. doi: 10.1590/s1678-77572012000200005.

    PubMed 22666829
  • Rees JS, Jagger DC, Williams DR, Brown G, Duguid W. A reappraisal of the incremental packing technique for light cured composite resins. J Oral Rehabil. 2004 Jan;31(1):81-4. doi: 10.1046/j.0305-182x.2003.01073.x.

    PubMed 15125602
  • Rosa WL, Piva E, Silva AF. Bond strength of universal adhesives: A systematic review and meta-analysis. J Dent. 2015 Jul;43(7):765-76. doi: 10.1016/j.jdent.2015.04.003. Epub 2015 Apr 14.

    PubMed 25882585
  • Sedrez-Porto JA, Munchow EA, Cenci MS, Pereira-Cenci T. Translucency and color stability of resin composite and dental adhesives as modeling liquids - A one-year evaluation. Braz Oral Res. 2017 Jul 3;31:e54. doi: 10.1590/1807-3107BOR-2017.vol31.0054.

    PubMed 28678973
  • Sirin Karaarslan E, Bulbul M, Yildiz E, Secilmis A, Sari F, Usumez A. Effects of different polishing methods on color stability of resin composites after accelerated aging. Dent Mater J. 2013;32(1):58-67. doi: 10.4012/dmj.2012-045.

    PubMed 23370871

Questions about this trial

What is this clinical trial studying?

A study testing Modeling Resin Insertion Technique and Conventional resin composite Incremental Placement Technique in people with Class I Composite Restorations, run by Cairo University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 6 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Amira Mohamed, BDS, MSA University (2017) (01007615913, amira_mohamed@dentistry.cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in Marginal Discoloration at 3,6,12 & 18 months (time frame: T1: 3 months • T2: 6 months • T3: 12 months • T4: 18 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05801458, which also lists 19 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Apr 2023.

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