An Alksite Composite material to Restore Endodontically Treated Teeth: A randomized control trial study
- Conditions
- Dental Restoration WearCompomersC07
- Registration Number
- RBR-97kx5jv
- Lead Sponsor
- Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo - FORP USP
- Brief Summary
The aim of this study was evaluated longitudinally evaluate, after a 6-months period, the clinical performance of an alkasit- based material (Cention N, Ivoclar) in molars with root canal treatment. This randomized clinical trial that included 33 patients with an endodontically treated mandibular molar requiring restoration. Patients were randomly assigned according to the restorative treatment: control: restoration with Bulk-fill resin (Ivoclar - n=17) and restoration with alkasite-based material (Ivoclar - n=16). A self-etching adhesive was applied. Three calibrated professionals used the United States Public Health Service (USPHS) criteria to evaluate retention, secondary caries, marginal adaptation, restoration color, marginal pigmentation, and anatomical shape at seven days (baseline) and six months. The radiographic analysis assessed the presence of a radiolucent line adjacent to the restoration, the lack or excess of the material, contact point, and caries recurrence in both periods. Data were analyzed by Friedman, Kruskall-Walis, and Wilcoxon tests (a=0.05). After 6 months of follow up, the Alksite-based demonstrated greater wear of the anatomical shape (p=0.022), and a greater color difference compared to natural tooth (p=0.0332), both with a statistically significant difference. All other criteria did not show significant differences between the materials or the analysis periods. The use of Alkasite-based material on endodontically treated teeth influenced the color and anatomical shape performance, however did not influence the longevity and success of the composite restorations after six months. Alkasite Based material may be an alternative for the restoration of endodontically treated teeth
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Data analysis completed
- Sex
- Not specified
- Target Recruitment
- Not specified
Both genders; Presence of 1 lower molar (First or Second) treated endodontically requiring direct restoration; Endodontic treatment performed for a maximum of 6 months; Presence of antagonist tooth in the dental arch; No parafunctional habits; No temporomandibular disorder; age 18 to 40 years
Teeth with extensive loss with indication of indirect restorations were excluded from the study; teeth with root involvement such as fractures or cracks, patients with poor oral hygiene, patients with chronic or aggressive periodontitis, teeth that were endodontically treated for more than 6 months and teeth without provisional cavity sealing
Study & Design
- Study Type
- Intervention
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Expected Outcome 1: It is expected that the use of the bioactive composite does not influence the restorative treatment of endodontically treated teeth, presenting results similar to composite resins in the criteria of Retention, marginal discoloration, caries recurrence, restoration color, marginal pigmentation, anatomical shape , and similarity in radiographic success (adequate contact point, absence of radiolucent line, absence of lacks and excesses);Outcome found 1: Greater wear of the anatomical shape and color difference was observed in the period of 6 months for the group that received the bioactive composite, compared to the material used for the control group (Composite Resin) verified by means of the modified USPHS criteria, between the pre and post-intervention periods. The other criteria such as retention, marginal discoloration, caries recurrence, marginal pigmentation, and radiographic success, both materials showed the same results by the evaluation<br>
- Secondary Outcome Measures
Name Time Method Secondary endpoints are not expected