Clinical Performance of HVGIC vs Bulk Fill Composite in Class II Cavities of Posterior Teeth: A 12-Month RCT
NCT07067164 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 31
Last updated 2025-07-16
Summary
Study Title:
Clinical Performance of Highly Viscous Glass Ionomer versus Bulk Fill Resin Composite Restorative Materials in Moderate Class II Cavities of Permanent Posterior Teeth: A 12-Month Randomized Clinical Study
Study Design:
Split-mouth, randomized clinical trial on 31 patients with at least two moderate Class II carious lesions in permanent posterior teeth. Each patient receives two restorations-bulk fill resin composite on one side and highly viscous glass ionomer (HVGIC) on the other.
Aim:
To compare the clinical performance of bulk fill resin composite and HVGIC restorations over 1 week (baseline), 6 months, and 12 months using the modified United States Public Health Services (USPHS) criteria.
Primary Outcome:
Marginal adaptation of the restorations
Secondary Outcomes:
1. Anatomic form
2. Contact point
3. Restoration retention
4. Marginal discoloration
5. Surface texture
6. Color match
7. Secondary caries
8. Postoperative sensitivity
Methodology Highlights:
Evaluation by two blinded examiners
Standardized cavity prep and material application
Clinical evaluation using USPHS criteria at all follow-up intervals
Statistical analysis with chi-square, ANOVA, or non-parametric tests as appropriate (R software v4.3.2)
Ethical Considerations:
Approved by the Faculty of Dentistry, Ain Shams University Research Ethics Committee
Informed consent will be obtained from all participants
Significance:
This study helps determine whether HVGIC can be a clinically viable alternative to bulk fill resin composite in moderate Class II cavities, with implications for durability, patient compliance, and cost-effectiveness
Conditions
- Comparison of Bulk Fill vs HVGIC in Class II Cavities
Interventions
- OTHER
-
Bulk fill resin composite restorative material
Both restorative materials were applied in a clinical setting following standard infection control protocols and material-specific preparation techniques. The interventions were performed by the same calibrated operator to ensure consistency, and evaluated using modified USPHS criteria by two blinded, independent assessors at 1 week (baseline), 6 months, and 12 months. The study employed a split-mouth design to allow direct intra-individual comparison between the two materials under similar oral conditions.
Sponsors & Collaborators
-
Ain Shams University
lead OTHER
Principal Investigators
-
Mohamed A Kamel, PhD · Associate Professor of Operative Dentistry Faculty of Dentistry Ain Shams University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 45 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-07-31
- Primary Completion
- 2026-07-31
- Completion
- 2026-09-30
Countries
- Egypt
Study Locations
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