About this trial
The goal of this clinical trial is to compare the clinical performance of chemically-cured and light-cured bulk-fill composite materials used for Class II restorations in children aged 4 to 9 years with primary second molars. The main questions it aims to answer are:
What are the clinical success rates of the restorations at 12 months based on modified FDI criteria?
How do the two materials compare regarding application times, clinician ease of use, and patient satisfaction?
Researchers will compare the chemically-cured bulk-fill composite (Stela Capsule) to the light-cured bulk-fill composite (Filtek One) using a split-mouth design to see which material provides better long-term clinical performance and survival rates.
Participants will:
Receive two different bulk-fill composite restorations in matched primary second molars within the same dental arch
Visit the clinic for routine checkups and evaluations at 1 week, 3 months, 6 months, 12 months, 24 months, and 36 months
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Cooperative pediatric patients aged between 4 and 9 years.
Presence of bilateral primary second molars with Class II dentin caries requiring restoration.
Teeth with positive response to vitality tests (where applicable) and no clinical signs or symptoms of irreversible pulpitis, periapical pathology, or spontaneous pain.
Teeth restorable with direct restorative techniques.
Disqualifiers
Patients with systemic diseases, bleeding disorders, or physical/mental disabilities that prevent cooperation during dental treatment.
Teeth with excessive loss of tooth structure that cannot be restored with a direct restoration or requiring crown coverage.
Teeth with clinical or radiographic signs of pulp exposure, pulp involvement, internal/external resorption, or periapical/furcation involvement.
Teeth with poor oral hygiene or high caries risk where isolation is compromised.
Trial design
Parallel
Treatments tested in this trial
Stela Capsule Bulk Fill Flowable Self-Cure Restorative
DeviceDirect restorative application of a chemically-cured flowable bulk-fill composite material following the application of Stela Primer to cavity surfaces in primary second molar Class II cavities
Filtek One Bulk Fill Restorative
DeviceDirect restorative application of a light-cured high-viscosity bulk-fill composite material following the application of Scotchbond Universal Adhesive, polymerized with an LED light source for 20 seconds.
Treatment groups
Trial outcomes
Primary outcomes
Clinical Success Rate Based on Modified FDI Criteria
The clinical performance of the restorations will be evaluated using the modified World Dental Federation (FDI) criteria, which assess aesthetic, functional, and biological properties on a scale of 1 to 5. Higher scores indicate poorer clinical performance. Each restoration will be classified as either clinically acceptable (FDI scores 1-3) or clinically unacceptable (FDI scores 4-5). The overall clinical success rate will be calculated as the percentage of clinically acceptable restorations.
Secondary outcomes
Long-Term Restoration Survival Rate a
Assessment of overall restoration survival and retention rates over a 36-month period
Restoration Application Time
Recording the total placement time in seconds during the restorative procedure.
Clinician Ease of Use
Evaluating the clinician's ease of use using a Visual Analog Scale (VAS) (VAS, range 0 to 100 mm, where higher scores indicate greater ease of use).
Patient Satisfaction
Evaluation of the child patient's satisfaction regarding the restoration procedure measured using the Smiles Scale. (range 1 to 5, where higher scores indicate better patient satisfaction)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Burak Carıkcıoglu
Lead sponsor
Çanakkale Onsekiz Mart University
Sponsor institution
Çanakkale Onsekiz Mart University
Collaborator
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