Non-Carious Cervical Lesions Restored With Different Etching Methods and New Injectable Composite: One Year Clinical Follow-Up
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 27
- 试验地点
- 2
- 主要终点
- Evaluation the Changes of Postoperative (hyper-)sensitivity and tooth vitality
研究概览
简要总结
Non-carious cervical lesions are defined as loss of pathological material not associated with caries in the enamel-cement junction of the tooth. The etiology of these lesions has been defined as brush abrasion, acid-induced erosion and abstraction due to microstructure losses due to stress concentration in a particular region of the tooth. These lesions should be restored using minimally invasive techniques. The necessity of restorative treatment is directly related to the size of the lesion, sensitivity and aesthetic requirements. However, restorative procedures are often challenging because the cavity preparation does not provide adequate retention, and often the cervical end margin is positioned under the gingiva. This leads to contamination of the operation site with blood, saliva and gingival fluid.
Several restorative options have been proposed for the treatment of cervical caries-free lesions. However, due to their high aesthetic properties, improved adhesive capacity and mechanical properties, composites have been accepted as the most suitable choice. Clinical studies have demonstrated that marginal adaptation, marginal discoloration, and roughening methods for retention are the most important factors in the clinical performances of composite restorations in cervical lesions. Therefore, injectable composites with wettability and better adaptability to cavity margins have been introduced. However, the low filler contents of fluid composites and their weak mechanical properties compared to conventional composites have led researchers to doubt their use in caries-free cervical lesions. As a result of the developed material technology, injectable composites with high filler which have reduced polymerization shrinkage have been developed with simplified filler procedure. However, investigators have not encountered any studies investigating which etching technique this material will exhibit better clinical performance and comparing it with traditional pasty composites. The aim of this study is to evaluate the clinical performance of traditional paste type and injectable composites which will be made by using two different etching techniques.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients with cervical lesions in the mouth with multiples of 4 and 4,
- •Patients over 18 years of age and in permanent dentition,
- •Patients who do not have a pulpal or endodontic lesion on their teeth to be treated,
- •Patients without sensitivity to percussion in the teeth to be treated.
排除标准
- •Patients with any systemic disease,
- •Pregnant or suspected pregnancy and also breastfeeding patients,
- •Patients who are allergic to any dental material,
- •Patients with any periodontal disease,
- •Patients with poor oral hygiene,
- •In cases where the teeth are exposed to excessive load due to excessive rupture,
- •Cervical caries lesions,
- •Patients who continue orthodontic treatment,
- •Desensitizing agents or fluoride treatment.
结局指标
主要结局
Evaluation the Changes of Postoperative (hyper-)sensitivity and tooth vitality
时间窗: 1st day, 1st week, 6th month, 1st year
Postoperative (hyper-)sensitivity and tooth vitality of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Tooth integrity
时间窗: 1st day, 1st week, 6th month, 1st year
Tooth integrity of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Recurrence of Caries, Erosion, Abfraction
时间窗: 1st day, 1st week, 6th month, 1st year
Recurrence of Caries, Erosion, Abfraction of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Surface Staining
时间窗: 1st day, 1st week,6th month, 1st year
Surface staining of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Marginal Adaptation
时间窗: 1st day, 1st week, 6th month, 1st year
Marginal adaptation of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Patients View
时间窗: 1st day, 1st week, 6th month, 1st year
Patients view of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Surface Luster
时间窗: 1st day, 1st week,6th month, 1st year
Surface luster of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Retention
时间窗: 1st day, 1st week,6th month, 1st year
Fractures and retention of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Color Stability and Translucency
时间窗: 1st day, 1st week, 6th month, 1st year
Color Stability and translucency of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Wear
时间窗: 1st day, 1st week, 6th month, 1st year
Wear of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Anatomic Form
时间窗: 1st day, 1st week, 6th month, 1st year
Anatomic form of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
Evaluation the Changes of Periodontal response
时间窗: 1st day, 1st week, 6th month, 1st year
Periodontal response of the restorations will be evaluated and scored according to the FDI Direct Restorations Clinical Criteria Scale.
次要结局
未报告次要终点
研究者
Alperen Degirmenci
Assistant Professor
Yuzuncu Yil University