Effect of Phosphoric Acid Etching Duration on Direct Resin-Based Composite Restorations in Permanent Anterior Teeth
Effect of Phosphoric Acid Etching Duration on the Performance of Direct Resin-Based Composite Restorations in Permanent Anterior Teeth: A Randomized Controlled Single-Center Trial
Florin Eggmann
66 participants
Jun 1, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this clinical trial is to learn if reducing the phosphoric acid etching (PAE) time affects the performance of direct resin-based composite (RBC) restorations in permanent anterior teeth. It will also learn about the safety of using a shortened PAE protocol. The main questions it aims to answer are: Does a shorter PAE time lead to more or less marginal staining in restored teeth? What sensitivity or other clinical issues do participants experience after restoration using different PAE times? Researchers will compare a reduced PAE protocol to a standard PAE protocol to see how each affects the outcome of Class III and IV anterior restorations. Participants will: Receive one or two direct RBC restorations using either a shortened or standard PAE protocol Visit the clinic for follow-ups at baseline, and at 1, 2, 3, and 5 years after restoration Have sensitivity and restoration quality evaluated using clinical exams, photographs, and questionnaires
Eligibility
Inclusion Criteria11
- Signed informed consent by the participant
- Age 18 years or older
- Indication for a Class III or Class IV resin-based composite (RBC) restoration on an anterior permanent tooth due to one or more of the following conditions:
- Proximal carious lesion with cavitation
- Defective restoration requiring replacement
- Necessary proximal reshaping due to developmental anomalies (e.g., peg teeth, proximal gaps from Bolton discrepancies, orthodontic tooth position, or esthetic concerns like black triangles caused by periodontal tissue recession)
- Vital teeth with regular sensitivity
- Sufficient language skills to understand and comply with study procedures
- Preoperative Visual Analog Scale (VAS) scores \< 3 for tooth sensitivity and biting discomfort
- Good oral hygiene, including the ability to maintain effective oral hygiene
- Clinical periodontal health (intact periodontium or a reduced periodontium due to non-periodontal causes or after periodontal treatment)
Exclusion Criteria7
- Inability to achieve sufficient isolation and contamination control during restorative procedures
- Class IV restoration required due to crown fracture, crown-root fracture, extensive tooth wear, or carious lesion affecting the incisal edge
- Missing antagonist tooth without prosthodontic replacement
- Intent to undergo professional tooth bleaching within five years following the Class III or IV restoration (Note: Professional tooth bleaching must be completed at least two weeks prior to study enrollment)
- Known or suspected allergy to any constituents of the materials used (e.g., methacrylates or local anesthetics)
- Pregnancy or lactation
- Acute or chronic health conditions that may impair study participation (e.g., systemic diseases, oral conditions, or treatments that interfere with study procedures)
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Interventions
In both study arms, permanent dental restorations are made with resin-based composite in permanent anterior teeth. Both study arms will use identical materials for the resin-based composite restoration (Tetric Plus Flow and Tetric Plus Fill) and universal adhesive (Adhese Universal), with the only difference being the duration of the phosphoric acid etching step. All other aspects of the restorative procedure, such as isolation of the operative field, application techniques, and final polishing, will remain consistent across both arms.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06991842