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This clinical study aims to compare bulk-fill and conventional composite resins in cuspal coverage restorations of posterior teeth. The primary outcomes include evaluating wear resistance, fracture incidence, and recurrent caries at different follow-up periods. Bulk-fill composites are designed for easier placement in thicker increments, potentially improving clinical efficiency. The study seeks to determine whether bulk-fill materials can provide comparable or superior performance to conventional composites in restoring structurally compromised teeth.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bulk-Fill Composite Group | Active Comparator | Participants in this group will receive cuspal coverage restorations using a bulk-fill composite resin. The material will be placed in a single increment following adhesive application according to the manufacturer's instructions. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Beautifil Bulk Fill (Shofu Inc.) | Device | This intervention involves performing cuspal coverage restorations in posterior teeth using Shofu Beautifil Bulk Fill composite resin. The composite will be applied in a single increment following the manufacturer's adhesive and placement protocol. Each restoration will be evaluated clinically for wear resistance, fracture incidence, and recurrent caries during the follow-up period. |
| Measure | Description | Time Frame |
|---|---|---|
| Occlusal Wear | 0 = No visible wear
| T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months |
| Fracture Resistance |
| T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months |
| Caries Recurrence | 0 = No recurrent caries at restoration margin 1 = Recurrent caries present and continuous with margin | T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Future university in egypt | New Cairo | Cairo Governorate | 11835 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35784133 | Result | Yu P, Xu YX, Liu YS. Polymerization shrinkage and shrinkage stress of bulk-fill and non-bulk-fill resin-based composites. J Dent Sci. 2022 Jul;17(3):1212-1216. doi: 10.1016/j.jds.2021.12.004. Epub 2021 Dec 23. | |
| 40240891 | Result | Nakhostin A, Panahandeh N, Toudeshky HH, Sheikh-Al-Eslamian SM. Assessment of creep and compressive strength: bulk-fill versus conventional composites. BMC Oral Health. 2025 Apr 16;25(1):579. doi: 10.1186/s12903-025-05769-x. |
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| Result | Morimoto, S., Lia, W. K. C., Gonçalves, F., Nagase, D. Y., Gimenez, T., Raggio, D. P., & Özcan, M. (2021). Risk Factors Associated with Cusp Fractures in Posterior Permanent Teeth-A Cross-Sectional Study. Applied Sciences, 11(19), 9299. |
| 39959010 | Result | Mitra A, Sharma S, Bhattacharyya A, Maity AB, Majumder G, Datta S. The fracture resistance of restored mandibular molars using different cavity designs: An in vitro comparative evaluation. J Conserv Dent Endod. 2024 Dec;27(12):1285-1288. doi: 10.4103/JCDE.JCDE_699_24. Epub 2024 Dec 10. |
| 25543454 | Result | Marovic D, Taubock TT, Attin T, Panduric V, Tarle Z. Monomer conversion and shrinkage force kinetics of low-viscosity bulk-fill resin composites. Acta Odontol Scand. 2015 Aug;73(6):474-80. doi: 10.3109/00016357.2014.992810. Epub 2014 Dec 29. |
| Result | Manhart, J. (2020). Direct cusp replacement in the molar region using a thermoviscous bulk fill composite restorative material - a clinical case report. International Dental African Edition, 9, 33-22. |
| Result | Leprince, J. G. P., W. M.; Vanacker, J.; Sabbagh, J.; Devaux, J. (2020). Polymerization shrinkage and stress of bulk-fill resin composites: A review of the current literature. Journal of Esthetic and Restorative Dentistry, 32(1), 12-22. doi:10.1111/jerd.12511 |
| Result | Garoushi, S. V., P. K.; Lassila, L. (2021). Fracture resistance of molars with MOD cavities restored with short fiber reinforced composite or bulk fill composites. Journal of Prosthodontic Research, 65(2), 217-233. doi:10.1016/j.jpor.2020.06.004 |
| Result | Farias-Neto, A. G., L. M.; Silva, L. A. B.; Morimoto, S. (2020). Single-visit direct composite restorations with cuspal coverage: A clinical review. Brazilian Dental Journal, 31(6), 503-509. doi:10.1590/0103-6440202003202 |
| Result | Edrees, N. S. A. A., H. S. A.; Abdelaziz, K. M.; Alajam, W. (2017). Benefits and drawbacks of bulk-fill dental composites: A systematic review. European Journal of Pharmaceutical and Medical Research, 4(10), 124--137. |
| 28467261 | Result | Deliperi S, Alleman D, Rudo D. Stress-reduced Direct Composites for the Restoration of Structurally Compromised Teeth: Fiber Design According to the "Wallpapering" Technique. Oper Dent. 2017 May/Jun;42(3):233-243. doi: 10.2341/15-289-T. |
| 34424640 | Result | Daruich PM, Brizuela M. Remineralization of Initial Carious Lesions. 2023 Apr 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK573067/ |
| 28281590 | Result | Chesterman J, Jowett A, Gallacher A, Nixon P. Bulk-fill resin-based composite restorative materials: a review. Br Dent J. 2017 Mar 10;222(5):337-344. doi: 10.1038/sj.bdj.2017.214. |
| Result | Alzahrani, F. A. A., I. F.; Aljinbaz, A.; AlZain, F. S. (2021). Effect of cavity design and restoration technique on fracture resistance of premolars restored with resin composites. Operative Dentistry, 46(4), E195-E203. doi:10.2341/20-111-L |
| Result | Alshiddi, I. F. A., A.; AlZain, F. S. (2020). Fracture resistance of weakened molars restored with direct and indirect resin-based restorations. Journal of Adhesive Dentistry, 22(1), 72-65. doi:10.3290/j.jad.a43712 |
| 35003262 | Result | Al-Asmar AA, Al-Hiyasat AS, Abu-Awwad M, Mousa HN, Salim NA, Almadani W, Rihan F, Sawair FA, Pitts NB. Reframing Perceptions in Restorative Dentistry: Evidence-Based Dentistry and Clinical Decision-Making. Int J Dent. 2021 Dec 31;2021:4871385. doi: 10.1155/2021/4871385. eCollection 2021. |