Evidence map›Paper›PMID 40223065›Full record

Trial reportBMC oral health2025

A prospective randomized clinical trial and an in vitro evaluation of the microtensile bond strength of a chlorhexidine-containing dentin bonding agent and a bulk fill composite material in primary teeth.

Hülya Altıntop, Hasibe Elif Kuru, Fahinur Ertuğrul, Murat Türkün, Ebru Küçükyılmaz

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06257108 (Clinical Performance of Bulk-Fill Composite Using With Adhesives With or Without Chlorhexidine), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06257108 nacompletednot on this map

Clinical Performance of Bulk-Fill Composite Using With Adhesives With or Without Chlorhexidine

TypeinterventionalSponsorUşak UniversityRan2016 to 2024Enrolled40ConditionsClass II Dental CariesArmsClass II Cavity Restorations
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Antibacterial effect of a dental adhesive containing SCH-79797 onFrontiers in cellular and infection microbiology · 2026
    Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hülya AltıntopFaculty of Dentistry, Department of Pediatric Dentistry, İzmir Katip Çelebi University, İzmir, Turkey.
Hasibe Elif KuruFaculty of Dentistry, Department of Pediatric Dentistry, Uşak University, Uşak, Turkey.ORCID http://orcid.org/0000-0002-0396-7677
Fahinur ErtuğrulFaculty of Dentistry, Department of Pediatric Dentistry, Ege University, İzmir, Turkey.
Murat TürkünFaculty of Dentistry, Department of Restorative Dentistry, Ege University, İzmir, Turkey.
Ebru KüçükyılmazFaculty of Dentistry, Department of Pediatric Dentistry, İzmir Katip Çelebi University, İzmir, Turkey. ebrukucukyilmaz@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to assess the microtensile bond strength of a chlorhexidine-containing dentin bonding agent compared with a standard adhesive, and to investigate its clinical success in Class II cavities in primary teeth, with a 12-month follow-up. MATERIALS AND

methodsThe study consisted of two parts: a prospective, single-blind, split-mouth randomized controlled clinical trial and an in vitro laboratory evaluation. Ethical approval were obtained for the both parts of the study. Forty pediatric patients (aged 5-9 years) with primary molars requiring Class II restorations were included in the clinical trial, where bulk-fill restorations bonded with a chlorhexidine-containing adhesive and a standard adhesive were evaluated based on FDI criteria at 3-month intervals for 12 months. he in vitro study examined the microtensile bond strength (µTBS) of immediate and thermally aged specimens prepared with bulk-fill composite materials and adhesives with or without chlorhexidine.The data were analyzed using Mann Whitney U test for in-vivo, ANOVA test followed by Tukey's post hoc and Chi-square test for in-vitro study (p = 0.05).

resultsClinically, both adhesives showed similar success rates (%100) across all FDI evaluation parameters after 12 months (p > 0.05). The chlorhexidine-containing adhesive demonstrated significantly higher microtensile bond strength than the standard adhesive in both immediate and aged samples (p < 0.05).

conclusionsThe chlorhexidine-containing adhesive showed promising clinical success and improved bond strength compared to the standard adhesive. Longer follow-ups are needed to confirm its long-term durability."Incorporating chlorhexidine simplifies restorative procedures without compromising performance. CLINICAL RELEVANCE: Chlorhexidine-containing adhesives may improve bond durability and procedural efficiency in pediatric dentistry, offering a practical and effective alternative for restoring primary molars.

trial registrationInvivo part of the study was registered in a public trial registry, www. CLINICALTRIALS: gov (#NCT06257108). Registration Date 2nd. May 2024 (Retrospectively registered).

Indexed as

ChlorhexidineComposite ResinsDental BondingDentin-Bonding AgentsTooth, DeciduousChildChild, PreschoolDental Restoration, PermanentFemaleHumansMaleProspective StudiesSingle-Blind MethodTensile StrengthChlorhexidineComposite ResinsDentin-Bonding AgentsChlorhexidineClass II restorationClinical studyDentin bondingMicrotensile bond strengthPrimary molars

Identifiers

PMID40223065
PMCPMC11995613

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.