RestorationComposite RestNCT07761897
Composite Restorations in Primary Molars
A study testing Fédération Dentaire Internationale (FDI) criteria. and survival comparison in people with Restoration and Caries; Dentin, run by Izmir Katip Celebi University at 1 site in Turkey (Türkiye).
Trial summary
The aim of this study was to compare the clinical performance of direct restorations with two different indirect composite systems in primary teeth. Read more about this study
- Who is it for?
- Ages 4 to 10 yearsHealthy volunteers can take part
- Conditions the study is for
- Restoration, Caries; Dentin, Caries Class Ii
- What is being tested?
- Fédération Dentaire Internationale (FDI) criteria. and survival comparison
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Mar 2022to 15 Jan 2025
- 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 4 to 10 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- children aged between 4 and 10 years,
- classified as ASA I according to the American Society of Anesthesiologists (i.e., healthy individuals without systemic disease except for conditions not affecting general health),
- demonstrating cooperative behavior corresponding to Frankl Behavior Rating Scale scores of 3 (positive) or 4 (definitely positive).
- Only patients presenting with Angle Class I occlusion
- demonstrating bilateral, balanced mastication were included in the study.
- Teeth included in the study were required to present with Class II (MO/DO) cavities and to have an antagonist and proximal contact.
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- According to the International Caries Detection and Assessment System II (ICDAS II), teeth with scores of 4, 5, or 6 were included.
- In addition, only teeth with a plaque index score of 0 (no plaque) or 1 (plaque not visible to the naked eye but detectable with a probe at the gingival margin)
- a gingival index score of 0 (healthy gingiva, no inflammation) were selected
Who cannot join
- patients who do not meet the inclusion criteria
- teeth that do not meet the inclusion criteria
- Teeth showing internal and external resorption on radiographic examination
- Patients/guardians who declined to participate in the study and participants who did not sign the consent form
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Izmir Katip Celebi University
Izmir, Çiğli, 35640
About this study
Official title: Clinical Performance of a Preheated Thermoviscous Bulk-Fill Composite and Two Different Indirect Composite Systems in Primary Molars: A Randomized Controlled Trial
The aim of this study was to compare the clinical performance of direct restorations with two different indirect composite systems in primary teeth.
Read the detailed description
The aim of this study was to compare the clinical performance of a thermoviscous bulk-fill composite used in direct restorations with two different indirect composite systems in primary teeth. This randomized, controlled, assessor-blind, parallel-group design in vivo study included 158 teeth from 73 patients aged 4-10 years. The teeth were allocated into three groups: direct thermoviscous bulk-fill composite, indirect nano-hybrid composite inlay system, and indirect nano-hybrid modular composite system. Clinical evaluations were performed according to FDI criteria at 6- and 12-month follow-up, and survival comparisons were conducted.
- Conditions
- Restoration, Caries; Dentin, Caries Class Ii
- Being tested
- Fédération Dentaire Internationale (FDI) criteria., survival comparison
- Keywords
- caries, primary molars, thermoviscous bulk-fill composite, indirect composite restorations, clinical performance, FDI criteria
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Fédération Dentaire Internationale (FDI) criteria.Other
The clinical performance of restorations was evaluated using Fédération Dentaire Internationale (FDI) criteria. Restorations were assessed across functional (fracture and retention, marginal adaptation), biological (postoperative sensitivity, recurrent caries, tooth integrity, and periodontal response), and esthetic (surface polish, marginal and surface staining) domains using a five-point scale. Scores of 1-3 were considered clinically acceptable, whereas scores of 4-5 were considered clinically unacceptable and indicative of failure
survival comparisonOther
For survival comparisons, restoration failure was defined as total or partial loss of the restoration or a clinically unacceptable score according to FDI criteria. Restorations maintaining acceptable clinical performance throughout the follow-up period were considered successful.
| Study group | Role | What they receive |
|---|---|---|
| direct thermoviscous bulk-fill composite | Experimental | Direct composite restorations were performed using heated composite material in accordance with the manufacturer's recommendations. Receives: Other: Fédération Dentaire Internationale (FDI) criteria.; Other: survival comparison |
| indirect nano-hybrid composite inlay system | Experimental | Indirect restorations were fabricated extraorally using incremental layering techniques (≤2 mm) and polymerized using LED light-curing units. Additional post-curing procedures were performed according to manufacturers' instructions. Receives: Other: Fédération Dentaire Internationale (FDI) criteria.; Other: survival comparison |
| indirect nano-hybrid modular composite system | Experimental | Indirect restorations were fabricated extraorally using incremental layering techniques (≤2 mm) and polymerized using a dual-mode laboratory polymerization unit (Labolight DUO, GC, Tokyo, Japan). Additional post-curing procedures were performed according to manufacturers' instructions. Receives: Other: Fédération Dentaire Internationale (FDI) criteria.; Other: survival comparison |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fédération Dentaire Internationale (FDI) criteria
The clinical performance of restorations was evaluated using Fédération Dentaire Internationale (FDI) criteria. Restorations were assessed across functional (fracture and retention, marginal adaptation), biological (postoperative sensitivity, recurrent caries, tooth integrity, and periodontal response), and esthetic (surface polish, marginal and surface staining) domains using a five-point scale. Scores of 1-3 were considered clinically acceptable, whereas scores of 4-5 were considered clinically unacceptable and indicative of failure
Measured: Clinical evaluations were performed according to FDI criteria at 6- and 12-month follow-up
Secondary outcomes (1)
survival comparison
For survival comparisons, restoration failure was defined as total or partial loss of the restoration or a clinically unacceptable score according to FDI criteria. Restorations maintaining acceptable clinical performance throughout the follow-up period were considered successful.
Measured: 6- and 12-month follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Aug 2026
- Study start1 Mar 2022
- Primary completion15 Jan 2024
- Study completion15 Jan 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for RestorationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Model description
- This randomized, controlled, parallel design, assessor-blind study was conducted under in vivo conditions to compare the clinical performance of direct and indirect restorations applied to carious primary molar teeth.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- Izmir Katip Celebi University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ebru KUCUKYİLMAZ, Izmir Katip Celebi University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07761897
- Sponsor's protocol ID
- 2021/86
- Acronym
- Composite Rest
- Status last verified
- Aug 2026
- First submitted
- 4 Aug 2026
- Last updated
- 12 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: study plan will be shared
Publications
Soares BM, Barbosa MP, de Almeida RV, Jardim RN, da Silva EM. Marginal integrity and physicomechanical properties of a thermoviscous and regular bulk-fill resin composites. Clin Oral Investig. 2024 Aug 23;28(9):496. doi: 10.1007/s00784-024-05887-w.
PubMed 39177835Jordaki D, Veress V, Kiss T, Szalma J, Frater M, Lempel E. Comparative Micro-CT Analysis of Internal Adaptation and Closed Porosity of Conventional Layered and Thermoviscous Bulk-Fill Resin Composites Using Total-Etch or Universal Adhesives. Polymers (Basel). 2025 Jul 27;17(15):2049. doi: 10.3390/polym17152049.
PubMed 40808098Van Ende A, De Munck J, Lise DP, Van Meerbeek B. Bulk-Fill Composites: A Review of the Current Literature. J Adhes Dent. 2017;19(2):95-109. doi: 10.3290/j.jad.a38141.
PubMed 28443833Opdam NJ, van de Sande FH, Bronkhorst E, Cenci MS, Bottenberg P, Pallesen U, Gaengler P, Lindberg A, Huysmans MC, van Dijken JW. Longevity of posterior composite restorations: a systematic review and meta-analysis. J Dent Res. 2014 Oct;93(10):943-9. doi: 10.1177/0022034514544217. Epub 2014 Jul 21.
PubMed 25048250Kazeminia M, Abdi A, Shohaimi S, Jalali R, Vaisi-Raygani A, Salari N, Mohammadi M. Dental caries in primary and permanent teeth in children's worldwide, 1995 to 2019: a systematic review and meta-analysis. Head Face Med. 2020 Oct 6;16(1):22. doi: 10.1186/s13005-020-00237-z.
PubMed 33023617
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Performance of a Preheated Thermoviscous Bulk-Fill Composite and Two Different Indirect Composite Systems in Primary Molars: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07761897
- Acronym / sponsor ID
- Composite Rest / 2021/86
- Conditions
- Restoration, Caries; Dentin, Caries Class Ii
- Keywords
- caries, primary molars, thermoviscous bulk-fill composite, indirect composite restorations, clinical performance, FDI criteria
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 90 participants (actual)
- Lead sponsor
- Izmir Katip Celebi UniversityUniversity, hospital or other
- Study start
- 1 Mar 2022 (actual)
- Primary completion
- 15 Jan 2024 (actual)
- Study completion
- 15 Jan 2025 (actual)
- First posted
- 12 Aug 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study was to compare the clinical performance of direct restorations with two different indirect composite systems in primary teeth.
Detailed description
The aim of this study was to compare the clinical performance of a thermoviscous bulk-fill composite used in direct restorations with two different indirect composite systems in primary teeth. This randomized, controlled, assessor-blind, parallel-group design in vivo study included 158 teeth from 73 patients aged 4-10 years. The teeth were allocated into three groups: direct thermoviscous bulk-fill composite, indirect nano-hybrid composite inlay system, and indirect nano-hybrid modular composite system. Clinical evaluations were performed according to FDI criteria at 6- and 12-month follow-up, and survival comparisons were conducted.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
- Model description
- This randomized, controlled, parallel design, assessor-blind study was conducted under in vivo conditions to compare the clinical performance of direct and indirect restorations applied to carious primary molar teeth.
| Arm | Type | Receives |
|---|---|---|
| direct thermoviscous bulk-fill composite | Experimental | Other: Fédération Dentaire Internationale (FDI) criteria., Other: survival comparisonDirect composite restorations were performed using heated composite material in accordance with the manufacturer's recommendations. |
| indirect nano-hybrid composite inlay system | Experimental | Other: Fédération Dentaire Internationale (FDI) criteria., Other: survival comparisonIndirect restorations were fabricated extraorally using incremental layering techniques (≤2 mm) and polymerized using LED light-curing units. Additional post-curing procedures were performed according to manufacturers' instructions. |
| indirect nano-hybrid modular composite system | Experimental | Other: Fédération Dentaire Internationale (FDI) criteria., Other: survival comparisonIndirect restorations were fabricated extraorally using incremental layering techniques (≤2 mm) and polymerized using a dual-mode laboratory polymerization unit (Labolight DUO, GC, Tokyo, Japan). Additional post-curing procedures were performed according to manufacturers' instructions. |
Who may qualify
- Ages
- 4 to 10 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (9 listed)
- children aged between 4 and 10 years,
- classified as ASA I according to the American Society of Anesthesiologists (i.e., healthy individuals without systemic disease except for conditions not affecting general health),
- demonstrating cooperative behavior corresponding to Frankl Behavior Rating Scale scores of 3 (positive) or 4 (definitely positive).
- Only patients presenting with Angle Class I occlusion
- demonstrating bilateral, balanced mastication were included in the study.
Key exclusion criteria (4 listed)
- patients who do not meet the inclusion criteria
- teeth that do not meet the inclusion criteria
- Teeth showing internal and external resorption on radiographic examination
- Patients/guardians who declined to participate in the study and participants who did not sign the consent form
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Fédération Dentaire Internationale (FDI) criteria.The clinical performance of restorations was evaluated using Fédération Dentaire Internationale (FDI) criteria. Restorations were assessed across functional (fracture and retention, marginal adaptation), biological (postoperative sensitivity, recurrent caries, tooth integrity, and periodontal response), and esthetic (surface polish, marginal and surface staining) domains using a five-point scale. Scores of 1-3 were considered clinically acceptable, whereas scores of 4-5 were considered clinically unacceptable and indicative of failure | Other | direct thermoviscous bulk-fill composite, indirect nano-hybrid composite inlay system, indirect nano-hybrid modular composite system |
| survival comparisonFor survival comparisons, restoration failure was defined as total or partial loss of the restoration or a clinically unacceptable score according to FDI criteria. Restorations maintaining acceptable clinical performance throughout the follow-up period were considered successful. | Other | direct thermoviscous bulk-fill composite, indirect nano-hybrid composite inlay system, indirect nano-hybrid modular composite system |
Primary outcome
Fédération Dentaire Internationale (FDI) criteria
Time frame: Clinical evaluations were performed according to FDI criteria at 6- and 12-month follow-up
The clinical performance of restorations was evaluated using Fédération Dentaire Internationale (FDI) criteria. Restorations were assessed across functional (fracture and retention, marginal adaptation), biological (postoperative sensitivity, recurrent caries, tooth integrity, and periodontal response), and esthetic (surface polish, marginal and surface staining) domains using a five-point scale. Scores of 1-3 were considered clinically acceptable, whereas scores of 4-5 were considered clinically unacceptable and indicative of failure
1 secondary outcome
survival comparison
Time frame: 6- and 12-month follow-up
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Aug 2026.
- Background: PubMed 39177835Soares BM, Barbosa MP, de Almeida RV, Jardim RN, da Silva EM. Marginal integrity and physicomechanical properties of a thermoviscous and regular bulk-fill resin composites. Clin Oral Investig. 2024 Aug 23;28(9):496. doi: 10.1007/s00784-024-05887-w.
- Background: PubMed 40808098Jordaki D, Veress V, Kiss T, Szalma J, Frater M, Lempel E. Comparative Micro-CT Analysis of Internal Adaptation and Closed Porosity of Conventional Layered and Thermoviscous Bulk-Fill Resin Composites Using Total-Etch or Universal Adhesives. Polymers (Basel). 2025 Jul 27;17(15):2049. doi: 10.3390/polym17152049.
- Background: PubMed 28443833Van Ende A, De Munck J, Lise DP, Van Meerbeek B. Bulk-Fill Composites: A Review of the Current Literature. J Adhes Dent. 2017;19(2):95-109. doi: 10.3290/j.jad.a38141.
- Background: PubMed 25048250Opdam NJ, van de Sande FH, Bronkhorst E, Cenci MS, Bottenberg P, Pallesen U, Gaengler P, Lindberg A, Huysmans MC, van Dijken JW. Longevity of posterior composite restorations: a systematic review and meta-analysis. J Dent Res. 2014 Oct;93(10):943-9. doi: 10.1177/0022034514544217. Epub 2014 Jul 21.
- Background: PubMed 33023617Kazeminia M, Abdi A, Shohaimi S, Jalali R, Vaisi-Raygani A, Salari N, Mohammadi M. Dental caries in primary and permanent teeth in children's worldwide, 1995 to 2019: a systematic review and meta-analysis. Head Face Med. 2020 Oct 6;16(1):22. doi: 10.1186/s13005-020-00237-z.
- Individual participant dataSharing planned: Yes. study plan will be shared
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Fédération Dentaire Internationale (FDI) criteria. and survival comparison in people with Restoration and Caries; Dentin, run by Izmir Katip Celebi University at 1 site in Turkey (Türkiye).
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 9 inclusion and 4 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: finished, as of the sponsor's last update on 12 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Fédération Dentaire Internationale (FDI) criteria (time frame: Clinical evaluations were performed according to FDI criteria at 6- and 12-month follow-up). 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 NCT07761897, which also lists 5 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 12 Aug 2026.