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The purpose of the 12-month clinical study was to evaluate and compare preheated, sonic-activated, and flowable composite resins used in Class V restorations.
Because of their superior aesthetics, minimal preparation needs, and capacity to adhere to tooth structure, resin composite materials are now frequently utilized in restorative dentistry. Materials with superior mechanical qualities, better handling qualities, and improved clinical performance have been developed as a result of ongoing advancements in composite technology. Viscosity-modulated composite resins have drawn a lot of interest among these developments because they seek to maximize cavity wall adaptability while preserving adequate strength and wear resistance. To enhance the therapeutic performance of composite resins, various methods have been developed to alter their viscosity. One method for improving flow and adaptability to cavity walls prior to polymerization is preheating composite resins, which momentarily lowers viscosity. Sonic-activated composite methods reduce viscosity during installation by using sonic energy, which makes cavity adaption and handling easier. Moreover, highly filled flowable composite resins have been created to increase their mechanical strength in comparison to traditional flowable composites by combining the better flow properties of flowable materials with increased filler content. Thus, the goal of this study was to assess the clinical performance of flowable composite resins that are warmed, sonic-activated, and highly filled when employed in Class V cavities.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Xtra fill composite | Experimental | Preheated composite resin at 54°C |
|
| SonicFill 2 | Experimental | Sonic-activated composite |
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| G-aenial Universal Flo | Experimental | Highly filled flowable |
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| NanoPaq composite | Experimental | Conventional nanohybrid composite |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Preheated Nanohybrid Composite Resin (x tra fill) | Other | A nanohybrid composite resin preheated prior to placement to improve flowability and adaptation in Class V restorations |
|
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome was marginal adaptation | Clinical assessment of marginal adaptation was carried out in accordance with the World Dental Federation (FDI) criteria by two calibrated examiners at baseline and after 6, 9, and 12 months. The restorations were graded based on their compliance with the evaluation criteria as follows: score 1 (clinically excellent), score 2 (clinically satisfactory), score 3 (clinically acceptable), and scores 4 and 5 (clinically unsatisfactory). Clinical success was considered when restorations received scores of 1, 2, or 3, whereas scores of 4 or 5 were regarded as failures. Visual examination of the evaluated parameters was performed using a high-intensity light source, and a magnifying dental loupe was used to enhance observation. Intragroup comparisons of restoration outcomes across different follow-up intervals were analyzed using the Friedman test. Intergroup comparisons among the different restorative materials within the same follow-up period were performed using the Kruskal-Wallis test. T | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Restorative Department, Faculty of Dentistry, Tanta University | Tanta | Tanta | 31527 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34564200 | Result | Badr C, Spagnuolo G, Amenta F, Khairallah C, Mahdi SS, Daher E, Battineni G, Baba NZ, Zogheib T, Qasim SSB, Daher T, Chintalapudi N, Zogheib CM. A Two-Year Comparative Evaluation of Clinical Performance of a Nanohybrid Composite Resin to a Flowable Composite Resin. J Funct Biomater. 2021 Sep 9;12(3):51. doi: 10.3390/jfb12030051. | |
| 38400614 |
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| Sonic-Activated Nanohybrid Composite Resin (SonicFill 2®, Kerr, USA) | Other | A sonic-activated bulk-fill nanohybrid composite (SonicFill 2®) that reduces viscosity during placement using sonic energy. |
|
| Highly Filled Flowable Composite Resin (G-aenial Universal Flo®, GC Corporation, Japan) | Other | A highly filled flowable composite (G-aenial Universal Flo®) with improved mechanical properties compared to conventional flowables |
|
| Conventional Nanohybrid Composite Resin (NanoPaq®, Germany) | Other | A standard nanohybrid composite (NanoPaq®) used according to manufacturer instructions without modification |
|
| Goda B, Hamdi K, Eltoukhy RI, Ali AI, Mahmoud SH. Clinical performance of different bulk-fill composite resin systems in class II cavities: A 2-year randomized clinical trial. J Esthet Restor Dent. 2024 Aug;36(8):1122-1137. doi: 10.1111/jerd.13212. Epub 2024 Feb 23. |
| 40713556 | Result | Aref A, Abd-Elhakim S, Riad M. 24-month randomized controlled clinical trial assessment of surface texture, color stability, and marginal discoloration of sonic activated bulk-fill resin composite according to USPHS and FDI criteria. BMC Oral Health. 2025 Jul 26;25(1):1261. doi: 10.1186/s12903-025-06611-0. |
| 34242394 | Result | Demirel G, Orhan AI, Irmak O, Aydin F, Buyuksungur A, Bilecenoglu B, Orhan K. Effects of Preheating and Sonic Delivery Techniques on the Internal Adaptation of Bulk-fill Resin Composites. Oper Dent. 2021 Mar 1;46(2):226-233. doi: 10.2341/19-241-L. |