Post-operative Sensitivity in Composite Restorations

Pakistan Institute of Medical Sciences

Status: Completed

Conditions: Sensitivity, Tooth; Class II Dental Caries

Treatments: Procedure: Group A ( Oblique Incremental Placement Technique); Procedure: Group B (Bulk-fill Placement technique)

Study type: Interventional

Funder types: Other

Identifiers

NCT06092567

SOD/ERB/2022/04

Details and patient eligibility

About

Participants will be divided into groups. In group A, Composite restoration done using oblique incremental technique. In group B, Bulk-fill technique was used. VAS scoring to evaluate the primary outcome at one day, one week and two weeks.

Full description

After the approval from ethical research committee, a written informed consent taken. Participants were briefed about the intervention with its associated merits and demerits. The restorative procedures were accomplished under rubber dam isolation using adequate local anesthesia. The principles of minimally intervention and adhesive dentistry were employed. Participants were allocated into two groups. In group A, restorative interventive was performed using Oblique incremental placement while in group B, Bulk-fill technique was used. Post-operative sensitivity was recorded at one day, one week and two week follow up using a Visual analogue scale.

Enrollment: 90 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Minimum 18 years of age with good general health
• Vital and Periodontally stable teeth
• Class-II primary carious lesions with a cavity depth of 3 to 5 mm
• Established contact with adjacent and opposing natural or prosthetic teeth
• Prior defective restorations in need of replacement (secondary caries, marginal fractures, and marginal staining)

Exclusion criteria

• Teeth with a history of spontaneous pain
• Compromised oral health status
• Patients with parafunctional habits or temporomandibular disorders
• Previously endodontically treated teeth or evidence of associated periapical/periodontal pathosis
• Participants with a drug history of using anti-inflammatory, analgesics, or psychotropic medications within the last 2 weeks

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 2 patient groups

Group A (Oblique Incremental Placement Techniique)

Experimental group

Description:

In this interventional group, a Nanohybrid composite resin Nexcomp (Meta Biomed, Korea) was placed using an oblique incremental technique with increments not exceeding 2 mm in thickness.

Treatment:

Procedure: Group A ( Oblique Incremental Placement Technique)

Group B (Bulk-fill Placement Technique)

Experimental group

Description:

In this group, a composite Beautifil-Bulk Restorative (SHOFU dental) was utilized for restorative purposes using a bulk-fill technique with a thickness of 4 mm.

Treatment:

Procedure: Group B (Bulk-fill Placement technique)