Evidence map›Paper›PMID 40684149›Full record

ArticleBMC oral health2025

Clinical comparison of direct and indirect class II composite restorations: a prospective 12-month follow-up study.

Mürşide Süheda Incekara, Muhammet Karadas

Registry-linked trialAbstract readComparative Study
In one paragraph

Article 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 NCT06667271 (Clinical Evaluation of Posterior Restorations Made With Direct and Indirect Composites), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

NCT06667271 completednot on this map

Clinical Evaluation of Posterior Restorations Made With Direct and Indirect Composites

TypeobservationalSponsorRecep Tayyip Erdogan UniversityRan2023 to 2025Enrolled90ConditionsDental Caries
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
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

2 authors.

Mürşide Süheda IncekaraDepartment of Restorative Dentistry, Recep Tayyip Erdoğan University, Rize, Turkey.
Muhammet KaradasDepartment of Restorative Dentistry, Recep Tayyip Erdoğan University, Rize, Turkey. muhammetkaradas@gmail.com.

Funding

Recep Tayyip Erdoğan University Development Foundation 02025007001564
6 · The paper itself

Abstract

backgroundThis study evaluated the clinical performance of posterior restorations made with direct and indirect composite materials.

methodsIn 74 participants, 79 class II cavities were restored using direct composite (Filtek Ultimate) and indirect composite (Crea.lign) materials. Indirect composite restorations were placed to cavity preparations when the isthmus width exceeded two-thirds of the intercuspal distance or teeth had a cuspal loss. Evaluations were conducted using modified World Dental Federation criteria during the first week and at 6 and 12 months. The data were analyzed statistically using Fisher's exact test and chi-square tests.

resultsAfter 12 months, 58 restorations were evaluated in 54 participants. None of the evaluation criteria showed significant differences between Filtek Ultimate and Crea.lign restorations (p > 0.05). At the 12-month, slight marginal discoloration was found in one Filtek Ultimate and two Crea.lign restorations (p > 0.05). Small marginal gaps were observed in two of the Crea.lign restorations. Post-operative sensitivity was detected within one week for six (13.9%) Filtek Ultimate and three (8.3%) Crea.lign restorations, with no significant difference between the two materials (p = 0.298).

conclusionAt the 12-month evaluation, indirect and direct composite resin materials showed similar clinical performance. Crea.lign indirect composite material demonstrated acceptable clinical performance in large class II cavities, both with and without cuspal loss.

trial registrationRetrospectively registered on NCT06667271. Data of registration: 30 October 2024.

Indexed as

Composite ResinsDental Restoration, PermanentAdultDental Cavity PreparationDental Marginal AdaptationFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesComposite ResinsDirect compositeIndirect compositeInlayOnlay

Identifiers

PMID40684149
PMCPMC12276707

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.