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This study will evaluate the performance of three different tooth-colored onlay materials in adult patients' posterior teeth. First, investigators will use a bulk-fill composite resin to raise the cavity margin above the gum line and below the contact point. Then each patient will receive three onlays made from different materials. Investigators will follow patients at 2 weeks, 6 months, 18 months, and 24 months to assess how well the onlays fit, function, and whether restorations cause sensitivity or new decay. The results will help dentists choose the most durable onlay restorations for deep-margin elevation cases.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Machinable lithium-disilicate ceramic onlay (IPS e.max CAD) | Experimental | Each participant contributes one randomized molar restored with a machinable lithium-disilicate onlay (IPS e.max CAD). Adhesive luting is performed under rubber-dam isolation using the standardized protocol. |
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| Pressed lithium-disilicate ceramic onlay (IPS e.max Press) | Experimental | Each participant contributes one randomized molar restored with a pressed lithium-disilicate onlay (IPS e.max Press). Adhesive luting is performed under rubber-dam isolation using the standardized protocol. |
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| Machinable composite onlay (BRILLIANT Crios) | Experimental | Each participant contributes one randomized molar restored with a machinable composite onlay (BRILLIANT Crios). Adhesive luting is performed under rubber-dam isolation using the standardized protocol. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Machinable lithium-disilicate ceramic onlay (IPS e.max CAD) | Other | Single indirect onlay restoration milled from an IPS e.max CAD block and crystallized according to the manufacturer's Instructions for Use, then adhesively luted on a randomized molar under. |
| Measure | Description | Time Frame |
|---|---|---|
| FDI criteria score-functional (F1 Fracture/Retention; F2 Marginal Adaptation), biological (B1-B3), and miscellaneous (M2) domains. | Each onlay will be scored per the Revised 2023 World Dental Federation (FDI) criteria across the specified domains (F1, F2, B1, B2, B3, M2). Outcomes will be summarized as (a) mean (SD) score for each domain, and (b) proportion of restorations rated 1-3 (clinically acceptable) vs 4-5 for each domain. Lower scores indicate better clinical performance. | Post-cementation baseline (2 weeks), 6, 12, 18, and 24 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ali Ihsan AlQurashi | Contact | +9647813003774 | ali1ihsan93@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry, Mansoura University | Recruiting | Al Mansurah | Dakahlia Governorate | 35516 | Egypt |
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Split-mouth randomized allocation at the tooth level (each participant receives three onlays, one per material).
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| Pressed lithium-disilicate ceramic onlay (IPS e.max Press) | Other | Single indirect onlay restoration heat-pressed from an IPS e.max Press ingot and then adhesively luted on a randomized molar under rubber-dam isolation. |
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| Machinable composite onlay (BRILLIANT Crios) | Other | Single indirect onlay restoration milled from a BRILLIANT Crios block and then adhesively luted on a randomized molar under rubber-dam isolation. |
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| ID | Term |
|---|---|
| C508050 | IPS e.max Press |
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