This study will evaluate the clinical and radiographic performance of resin composite restoration after utilized a grape seed extract as dentin biomodification in vital teeth with deep occlusal carious lesions (ICDAS 5-6) after selective soft dentin removal technique.
Adult patients (age: 22-42 years) of both genders.
Good oral hygiene.
Willing to sign the informed consent.
Co-operative patients who accept the follow-up period.
Allergy to any of the restorative materials.
Patients undergoing orthodontic treatment with fixed appliances.
Pregnant women.
Patients with debilitating systemic diseases.
Parallel
15% Grape seed extract as dentin pretreatment
Other interventionusing proanthocyanidin-rich grape seed extract as a biomodifier for dentin improved the mechanical properties of dental collagen by cross-linking and dehydrating fibrils. This made the collagen substrate more suitable for hybridization. It also acted as a non-specific MMP-inhibitor, protecting exposed collagen fibrils from biodegradation from dentin proteases.
Clinical Performance (Biological properties), Revised FDI criteria. (Clinically excellent-Success rate)
Postoperative hypersensitivity and pulpal status/ Caries at restoration margins (CAR), Scores 1. clinically very good 2. clinically good 3. clinically sufficient 4. clinically unsatisfactory 5. clinically poor
Radiographic Assessment, Digital radiography
Greyscale values ranged from 0 (black pixel) to 255 (white pixel).
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