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Clinical Trials/NCT07334509
NCT07334509Not yet recruitingNot Applicable

Clinical Evaluation of a Simplified-Shade Nano-Hybrid Composite With Full-Coverage Silane Coating and High-Performance Pulverized Fillers Versus Conventional Multi-Shade Nano- Hybrid Composite in Direct Restoration of Posterior Proximal Carious Lesions After a 12- Month Follow-Up Period Using USPHS Criteria: A Randomized Controlled Clinical Trial

Cairo University0 sites50 target enrollmentStarted: January 15, 2026Last updated:

Trial Snapshot

Phase
Not Applicable
Status
Not yet recruiting
Enrollment
50
Primary Endpoint
Marginal adaptation assessed using modified USPHS criteria

Study Overview

Brief Summary

The goal of this clinical trial is to evaluate simplified, shade, non-hybrid composite versus conventional multi Shade nano hybrid composite in class two restorations and reevaluate after one year follow up It's aim to answer Which composite has superior, anatomic form, color, match marginal, integrity, postoperative sensitivity, surface texture, and recurrent caries Researcher will compare the two composites And the participants will Have the restorations in posterior teeth and get a follow up after 12 months

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Eligibility Criteria

Ages
18 Years to 64 Years (Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • healthy human
  • age ranging from18-64 years with a class two posterior restoration
  • a fairly good oral hygiene
  • teeth should be indicated for direct composite restoration
  • teeth with vital pulp no symptoms of irreversible pulpitis
  • patient who are willing to follow up after 12 months
  • patient who have signed the informed consent

Exclusion Criteria

  • people under 18 years old or over 64 years old
  • people with disabilities
  • people with bad oral hygiene
  • patient with systematic disease that could be affecting oral health
  • cavities reaching the pulp
  • people with periodontal diseases
  • patient with parafunctional habits such as bruxism
  • patient who are allergic to the restoration
  • patients who are unwilling to follow after 12 months

Outcomes

Primary Outcomes

Marginal adaptation assessed using modified USPHS criteria

Time Frame: At baseline after six months after 1 year

Marginal adaptation of the restorations will be clinically evaluated using the Modified United States Public Health Service (USPHS) criteria by a calibrated examiner. The scoring system includes the following categories: * Alpha (Score = 1): Excellent marginal adaptation, no visible gap * Bravo (Score = 2): Clinically acceptable marginal discrepancy * Charlie (Score = 3): Clinically unacceptable marginal defect requiring replacement The minimum score is 1 (best outcome) and the maximum score is 3 (worst outcome). Lower scores indicate better marginal adaptation, while higher scores indicate poorer marginal adaptation.

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Raoh Kareem

Master's Degree Candidate

Cairo University

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