Evidence map›Paper›PMID 41317197›Full record

Trial reportClinical oral investigations2025

Periodontal status of indirect resin composite restorations with proximal box elevation: 3-year clinical results.

Nurcan Aksaka, Burcu Gözetici-Çil, Mutlu Özcan

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03832829 (Evaluation of Clinical Performance and Periodontal Status of Posterior Indirect Resin Composite), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

NCT03832829 naunknown statusnot on this map

Evaluation of Clinical Performance and Periodontal Status of Posterior Indirect Resin Composite (Nexco) Restorations With Proximal Box Elevation Technique: A Prospective Controlled Clinical Trial up to 3 Years

TypeinterventionalSponsorIstanbul Medipol University HospitalRan2018 to 2025Enrolled80ConditionsUnsatisfactory or Defective Restoration of ToothArmsIndirect composite restoration
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Nurcan AksakaDepartment of Periodontology, School of Dentistry, Istanbul Medipol University, TEM Avrupa Otoyolu Göztepe Çıkışı. No. 1, Bağcılar, Istanbul, 34214, Turkey. naltas@medipol.edu.tr.ORCID 0000-0001-7439-5015
Burcu Gözetici-ÇilDepartment of Restorative Dentistry, Faculty of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
Mutlu ÖzcanCenter for Dental Medicine, Clinic for Masticatory Disorders and Dental Biomaterials, University of Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis prospective controlled clinical trial aimed to evaluate the periodontal status of posterior indirect resin composite (IRC) restorations followed by proximal box elevation (PBE), based on clinical and radiographic parameters. Additionally, the study investigated the influence of restoration depth and supracrestal tissue attachment (STA) violation on periodontal outcomes. MATERIALS AND

methodsA total of 80 molars with deep cervical margins were restored using IRC (SR Nexco) with PBE (Tetric-N Flow and Tetric-N Ceram). Of these, 42 restorations with PBE on one proximal surface (mesial or distal) in 39 patients were included. The test group consisted of the proximal surfaces restored with PBE due to subgingival margin placement, whereas the control group comprised the opposite proximal surfaces of the same teeth without restoration. Periodontal parameters including plaque index (PI), gingival index (GI), probing pocket depth (PPD), and bleeding on probing (BoP) were assessed at baseline (15 days after cementation), and at 6, 12, 24, and 36 months. Standardized periapical radiographs were used to monitor alveolar bone levels at designated follow-ups. Test and control sides were compared using the Robust Mixed ANOVA test (PI, GI, PPD) and McNemar's test (BoP).

resultsData were available from 42, 39, 33, and 30 teeth at baseline, 6, 12, 24, and 36 months. No significant differences were found at any time point (p > 0.05) for none of the periodontal parameters. PPD values showed a significant change over time (p = 0.001), with pairwise differences observed between baseline and 12-, 24-, and 36-month measurements, as well as between 6- and 36-month, 12- and 36-month, and 24- and 36-month time points. Within the test group, no significant differences in BoP were found among STA grades (p > 0.05).

conclusionsPBE appears to be biologically safe and clinically acceptable, even when the restorative margin is located close to or slightly within the STA, without leading to severe periodontal response resulting in alveolar bone resorption. CLINICAL RELEVANCE: PBE facilitates the adhesive restoration of deep proximal cavities without surgical intervention. The findings support the clinical use of PBE in anatomically challenging cases where subgingival margin elevation is required.

trial registrationClinicalTrials.gov identifier: NCT03832829.

Indexed as

Composite ResinsDental Restoration, PermanentAdultDental Plaque IndexFemaleHumansMaleMiddle AgedMolarPeriodontal IndexProspective StudiesTreatment OutcomeComposite ResinsClinical trialDeep margin elevationDental materialIndirect resin composite restorationsPeriodontal healthProximal box elevation

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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.