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Three clinical groups will be evaluated. Each group of patients will undergo one method of Resin Composite application (multi-layer technique 'control group' - bulk-fill Technique - Sonicfill technique). The restored teeth will be followed-up till one year. A comparison is going to be made between the three groups in relation to the modified United Sates Public Health Service (USPHS) criteria of good restorations.
The modified USPHS criteria include the evaluation of seven characteristics of the restorations: color match, marginal integrity, surface texture, wear of both restoration and antagonist, recurrent dental caries, fracture or detachment, and gingivitis around the abutment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional Technique | No Intervention | Multi-layer filling technique | |
| Bulk fill technique | Active Comparator | Bulk fill technique |
|
| SonicFill technique | Experimental | SonicFill technique |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bulk fill | Procedure | This is one of the composite restoration application techniques |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Color Match | Color match
| Assessment will be done at (T0) within the first hour following composite sitting, (T1) after 3 months, (T2) after six months, (T3) after six months, (T4) at 12 months following application. |
| Change in Marginal Integrity | Marginal integrity
| Assessment will be done at (T0) within the first hour following composite sitting, (T1) after 3 months, (T2) after six months, (T3) after six months, (T4) at 12 months following application. |
| Change in Surface Texture | Surface texture:
| Assessment will be done at (T0) within the first hour following composite sitting, (T1) after 3 months, (T2) after six months, (T3) after six months, (T4) at 12 months following application. |
| Change in Restoration Wear | Wear
|
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rahaf Alkurdi, DDS MSc | PhD student, Department of Operative Dentistry, University of Damascus Dental School, Damascus | Principal Investigator |
| Souad Abboud, DDS MSc PhD | Associate Professor, Operative Dentistry Department, University of Damascus Dental School, Damascus | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Operative Dentistry, University of Damascus Dental School | Damascus | Rif-dimashq Governorate | DM20AM18 | Syria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24665478 | Background | Manhart J, Hickel R. [Bulk-fill-composites. Modern application technique of direct composites for posterior teeth]. Swiss Dent J. 2014;124(1):19-37. doi: 10.61872/sdj-2014-01-02. French, German. | |
| 24958689 | Background | van Dijken JW, Pallesen U. A randomized controlled three year evaluation of "bulk-filled" posterior resin restorations based on stress decreasing resin technology. Dent Mater. 2014 Sep;30(9):e245-51. doi: 10.1016/j.dental.2014.05.028. Epub 2014 Jun 21. |
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| ID | Term |
|---|---|
| C000614713 | Filtek Bulk Fill |
| C000613185 | SonicFill |
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| SonicFill | Procedure | This is the recent intervention under evaluation |
|
| Assessment will be done at (T0) within the first hour following composite sitting, (T1) after 3 months, (T2) after six months, (T3) after six months, (T4) at 12 months following application. |
| Recurrent dental caries | Recurrent dental caries:
| Assessment will be done at (T0) within the first hour following composite sitting, (T1) after 3 months, (T2) after six months, (T3) after six months, (T4) at 12 months following application. |
| The Fracture/detachment Status | Fracture/detachment:
| Assessment will be done at (T0) within the first hour following composite sitting, (T1) after 3 months, (T2) after six months, (T3) after six months, (T4) at 12 months following application. |
| Change in gingival status | Gingival status
| Assessment will be done at (T0) within the first hour following composite sitting, (T1) after 3 months, (T2) after six months, (T3) after six months, (T4) at 12 months following application. |
| 22984718 | Background | Ching K. Deep and fast: Kerr's SonicFill bulk fill composite. HDA Now. 2012 Spring:24-5. No abstract available. |
| 24480086 | Background | Furness A, Tadros MY, Looney SW, Rueggeberg FA. Effect of bulk/incremental fill on internal gap formation of bulk-fill composites. J Dent. 2014 Apr;42(4):439-49. doi: 10.1016/j.jdent.2014.01.005. Epub 2014 Jan 27. |
| 24561041 | Background | Campos EA, Ardu S, Lefever D, Jasse FF, Bortolotto T, Krejci I. Marginal adaptation of class II cavities restored with bulk-fill composites. J Dent. 2014 May;42(5):575-81. doi: 10.1016/j.jdent.2014.02.007. Epub 2014 Feb 18. |