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This clinical trial will be conducted to compare the clinical performance of a new self-adhering flowable composite in restoring CLs compared to conventional flowable composite in geriatric patients over 12 months.
Recently, self-adhesive flowable composites (SAFCs) have been introduced as a new class of restorative material in adhesive dentistry. Today, there are only two available products in the market for clinical use: Vertise Flow and Fusio Liquid Dentin. Self-adhering flowable composite was introduced to address the time-consuming procedure used with traditional materials Their resin matrix contains acidic functional adhesive monomers mediating bonding with dental hard tissues and, therefore, separate etching and additional bonding are not required. SAFCs have been mainly advertised for the restoration of small Class I, Class III and V cavities, for cavity lining, and for use as a pit and fissure sealant.
Self-adhering flowable composite combines the merits of both adhesive and restorative material technologies in one product, bringing novel horizons to restorative techniques, as it is a direct composite resin restorative material that has an adhesive resin together with a flowable composite resin. It is based on the bonding technology that uses glycerophosphate dimethacrylate(GPDM)to etch enamel and dentin, and hydroxyethyl methacrylate (HEMA) to enhance wetting and penetration by resin into dentin. This resin bonds chemically between the phosphate groups of a GPDM monomer and the hydroxyapatite of tooth structure and, also, micromechanically between the polymerized monomers of the self-adhering flowable composite resin and the collagen fibers and smear layer of dentin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fusio™ Flowable Self-Adhesive Flowable Composite | Experimental | 2-Cavity preparation steps:
A) Intervention: Fusio™ Flowable (Self adhesive flowable composite):
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| Conventional flowable composite [Tetric Evo Flow (FF)]. | Active Comparator | Tetric Evo Flow (Conventional flowable composite):
All 20 Class V restorations will be prepared, restored, finished, and polished by one operator. Each of the 10 patients had one (FL) restoration and the other restoration will be filled with (FF). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Self-Adhesive Flowable Composite | Combination Product | Fusio Self-Adhesive Flowable Composite combines the benefits of adhesive and restorative technology into one product . Immediately upon application Fusio conditions, bonds, and seals without the need for an etchant or an adhesive. It is based on the bonding technology that uses glycerophosphate dimethacrylate(GPDM)to etch enamel and dentin, and hydroxyethyl methacrylate (HEMA) to enhance wetting and penetration by resin into dentin. |
| Measure | Description | Time Frame |
|---|---|---|
| Marginal integrity of Class V restorations | clinical evaluation according to Modified USPHS Criteria (Bayne and Schmalz, 2005) unit of measurement :Alfa, Bravo,charlie and Delta | Clinical Evaluation of Marginal integrity after 6 months after starting treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative sensitivity | clinical evaluation according to Modified United States Public Health Service Criteria (Bayne and Schmalz, 2005) | at baseline and 3 months after starting treatment . |
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Inclusion Criteria:
Exclusion Criteria:
• patient less than 60 years with disabilities, systemic disease, severe medical conditions, rampant caries, and xerostomia.
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| ID | Term |
|---|---|
| D003731 | Dental Caries |
| ID | Term |
|---|---|
| D017001 | Tooth Demineralization |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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Quadruple
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