Evidence map›Paper›PMID 40988059›Full record

Trial reportBMC oral health2025

Clinical performance of indirect hybrid ceramic onlay restorations cemented with injectable resin composite versus dual-cure resin cement: an 18-month randomized clinical trial.

Hamsa Ashraf, Adel El Tannir, Ahmed El Zohairy, Dina Kamal

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
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 NCT05954156 (Clinical Performance of Injectable Resin Composite Versus Dual Cured Resin Cement For Cementation of Indirect Hybrid Ceramic Onlay Restorations), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05954156 nacompletednot on this map

Clinical Performance of Injectable Resin Composite Versus Dual Cured Resin Cement For Cementation of Indirect Hybrid Ceramic Onlay Restorations: A Randomized Clinical Trial

TypeinterventionalSponsorCairo UniversityRan2023 to 2025Enrolled28ConditionsCementation Teeth, Badly Broken Down Vital TeethArmsInjectable restorative resin composite, Dual cured resin cement
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Functional Adhesives for a Restorative Future.Journal of functional biomaterials · 2026
    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

4 authors.

Hamsa AshrafConservative Dentistry Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.
Adel El TannirFixed Prosthodontics Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.
Ahmed El ZohairyConservative Dentistry Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.
Dina KamalConservative Dentistry Department, Faculty of Dentistry, Cairo University, Cairo, Egypt. dina.kamal@dentistry.cu.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cementation of indirect restorations is a critical step influencing their long-term clinical success. While dual-cure resin cements are widely used, injectable resin composites have emerged as promising alternatives, offering improved handling, high filler content, and esthetic stability. However, their clinical performance as luting agents for indirect restorations remains insufficiently explored. This trial assessed the clinical performance of indirect hybrid ceramic onlay restorations cemented with injectable resin composite versus dual-cure resin cement over 18 months. MATERIALS AND

methodsA total of 28 participants were randomly assigned to two groups (n = 14) based on the cementation protocol. The intervention group received onlays cemented with injectable resin composite (BEAUTIFIL Flow Plus X F03, Shofu Dental Corporation), while the control group received dual-cure resin cement (BeautiCem SA, Shofu Dental Corporation). Standardized procedures were followed for cavity preparation, immediate dentin sealing, cavity optimization, impression-taking, onlay fabrication (SHOFU Block HC, Shofu Dental Corporation), and cementation. Restorations were evaluated at baseline, 6, 12, and 18 months using the modified USPHS criteria. Data were statistically analyzed with significance set at P ≤ 0.05. Intergroup comparisons were assessed with Chi-squared test, while intragroup comparisons were assessed with Cochran's Q test. Kaplan-Meier analysis and the log-rank test were used to evaluate survival rates.

resultsInter- and intragroup comparisons revealed no significant differences between the two groups for most outcomes (P > 0.05). However, at 18 months, dual-cure resin cement exhibited significantly higher marginal discoloration than injectable resin composite (P = 0.038). Within the dual-cure resin cement group, a significant decline in alpha scores for marginal discoloration was observed from baseline to 18 months (P = 0.007). While no restorations failed (Charlie score), Kaplan-Meier survival analysis and the log-rank test demonstrated a statistically significant difference between the two groups (P = 0.029).

conclusionsAfter 18 months, injectable resin composite demonstrated acceptable and comparable clinical performance to dual-cure resin cement, with the added benefit of reduced marginal discoloration. CLINICAL RELEVANCE: Injectable resin composites offer a viable alternative to dual-cure resin cements for luting indirect restorations with enhanced esthetic outcomes.

trial registrationhttps://clinicaltrials.gov/ , (NCT05954156), 20-07-2023.

Indexed as

CementationCeramicsComposite ResinsInlaysResin CementsAdultFemaleHumansMaleMiddle AgedComposite ResinsResin CementsCementationDual-cure resin cementHybrid ceramicsIndirect restorationInjectable resin compositeOnlayUSPHS criteria

Identifiers

PMID40988059
PMCPMC12459058

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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.