Esthetics of Dental Composite and Adhesive System
Cavities of Teeth
About this trial
This is an interventional treatment trial for Cavities of Teeth
Eligibility Criteria
Inclusion Criteria:
- Sensible tooth -responds to cold or electric pulp testing (done at screening)
- Patient 18years of age or old
- Current radiograph available (done at screening as needed)
- A pair of the same type of restorations needed in the anterior esthetic/facial region (tooth #4-#13).
Exclusion Criteria:
- Fewer than 20 teeth
- Advanced untreated periodontal disease or recent periodontal surgery
- Rampant uncontrolled caries activity
- Bruxism or clenching and visible wear facets on the occlusal surface
- Undergoing or in need of TMJ therapy
- Known allergy to methacrylate-based materials or product ingredients
- History of poor dental visit attendance
- Not available for recall for at least 3 years
- Fractured or visibly cracked tooth
- Poor oral hygiene
- Sensitive tooth or currently using desensitizing treatments, pastes or medicaments
- Pregnant
- Abutment teeth for prostheses
- Teeth considered for restoration are non-vital, have had root canal therapy or been pulp capped
- Teeth or supporting structures with any symptomatic pathology or extensive caries lesion
- Individual supervised by PI or supervised by member of research team
- Individual subordinate to the PI or subordinate to any member of the research team
- Student or trainee under the direction of the PI or under the direction of a member of the research team
Sites / Locations
- University of Iowa
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
System A
System B
Tokuyama Universal Bond (TUB) single component self-etching 1-step adhesive system w/Tokyuama supra-nanofilled dental composite (ECM) (Tokuyama Dental Corp., Japan), informed consent signed, release of medical information signed, oral exam, health Questionnaire completed and/or updated, xray obtained if needed, pulp vitality testing, Tooth shade determination, photos of teeth, local and/or topical anesthetic applied as necessary, rubber dam isolation, tooth surface cleaned, cavity preparation performed as usual for caries removal, Enamel margins beveled, infinite invisible margins created, adhesive systems applied, dental composite placed, shade selection using Easy Shade 5. Light curing, restoration will be contoured and polished. teeth assessment, clinical assessment
ScotchBond Universal one-step adhesive system with Filtek Supreme Ultra™, nanofilled dental composite (3M) will randomly be applied to the other tooth informed consent signed, release of medical information signed, oral exam, health Questionnaire completed and/or updated, xray obtained if needed, pulp vitality testing, Tooth shade determination, photos of teeth, local and/or topical anesthetic applied as necessary, rubber dam isolation, tooth surface cleaned, cavity preparation performed as usual for caries removal, Enamel margins beveled, infinite invisible margins created, adhesive systems applied, dental composite placed, shade selection using Easy Shade 5. Light curing, restoration will be contoured and polished. teeth assessment and clinical assessment at periodic timepoints.