Caries Clinical Trial
Official title:
Assessment of a New Resin-based Composite Restorative Material
Evaluation of a new resin-based composite material.
Amalgam and composite are the most commonly used restorative materials in dentistry. Due to
the toxicity of mercury and the subsequent environmental problems, the search for
alternatives continues and search into new composite restorative materials intensifies. The
presently available composites have improved, but shrinkage of the composite during the
curing procedure is still a clinical problem. A new composite restorative material has among
other advantages demonstrated lower shrinkage in laboratory studies, due to a new
formulation of the material.
This project aims to study the clinical performance of this new composite compared to a
commonly used composite restoration material. 72 patients (158 teeth) are allocated to the
project which is carried out at the School of dentistry, University of Aarhus, Denmark.
This project aims to study the clinical performance of a new composite restoration material
(Filtek Silorane®) compared to a conventional composite restoration material (Ceram X®).
Amalgam and composite are the most commonly used restorative materials, with the number of
composite restorations increasing over the past 20 years. Composite restorative materials
have improved considerably over the years. They have almost reached the same resistance to
wear as amalgam, and are as a consequence now also used for molar restorations.
The main reasons for replacing composite restorations are fractures and caries associated
with the restorations.
To reduce the risk of caries a new composite material Filtek Silorane® with reduced
polymerization shrinkage has been developed.
Extensive laboratory studies have been performed on the new material, but the clinical
attributes have yet to be disclosed.
The study will be carried out as a randomized, double blinded, longitudinal study, with
assessment of the restorations after one year.
The project includes 72 patients, 158 teeth. Most of the patients have been recruited from
the Treatment Planning Clinic at the dental school in Aarhus. After giving their consent to
take part in the study, the teeth are randomized into two treatment groups. Multi surface
restorations of both upper and lower molars and premolars are performed
The treatment procedure is:
The patients are offered local anesthetic before treatment start. The cavity is excavated
and filled according to the guidelines for composite restorations. An impression of the
cavity is taken before and after it has been filled. After treatment bw-radiographs are
taken.
The control procedure is:
The restoration is evaluated according to marginal adaptation, cavo surface marginal
discoloration, approximal contact, fractures, caries associated with restorations and
postoperative hypersensitivity. The controls will take place after three weeks and one year.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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