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NCT Number: NCT07157410

Clinical Evaluation of Indirect Tooth-Colored Onlays With Cervical Margin Relocation

This study will evaluate the performance of three different tooth-colored onlay materials in adult patients' posterior teeth. First, investigators will use a bulk-fill composite resin to raise the cavity margin above the gum line and below the contact point. Then each patient will receive three onlays made from different materials. Investigators will follow patients at 2 weeks, 6 months, 18 months, and 24 months to assess how well the onlays fit, function, and whether restorations cause sensitivity or new decay. The results will help dentists choose the most durable onlay restorations for deep-margin elevation cases.

Recruiting

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Key information

Age range

20 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Dentistry, Mansoura University

Al Mansurah, Dakahlia Governorate, 35516, Egypt

Location status: Recruiting

Location contact

Ali Ihsan AlQurashi

CONTACT

[email protected]

+9647813003774

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Molar tooth with proximal subgingival carious lesion of ICDAS 4 or 5, causing weakening of one or more cusps.
  • Normal alignment with the adjacent and opposing teeth.
  • Acceptance of the follow-up period and recall visits for 2 years.

Exclusion criteria

  • Distance between the gingival margin and the crestal bone < 2 mm.
  • The tooth would require direct pulp capping.
  • Poor oral hygiene (or not completing the oral hygiene phase).
  • Chronic periodontitis.
  • Pulpitis or non-vital tooth.
  • Orthodontic treatment.
  • Parafunctional habits.
  • Systemic disease.
  • Pregnancy.
  • Teeth act as abutment for fixed or removable prosthesis.
  • Occlusion of fewer than 20 teeth

Treatment and study plan

Machinable lithium-disilicate ceramic onlay (IPS e.max CAD)

Other

Single indirect onlay restoration milled from an IPS e.max CAD block and crystallized according to the manufacturer's Instructions for Use, then adhesively luted on a randomized molar under.

Pressed lithium-disilicate ceramic onlay (IPS e.max Press)

Other

Single indirect onlay restoration heat-pressed from an IPS e.max Press ingot and then adhesively luted on a randomized molar under rubber-dam isolation.

Machinable composite onlay (BRILLIANT Crios)

Other

Single indirect onlay restoration milled from a BRILLIANT Crios block and then adhesively luted on a randomized molar under rubber-dam isolation.

Primary outcomes

  1. FDI criteria score-functional (F1 Fracture/Retention; F2 Marginal Adaptation), biological (B1-B3), and miscellaneous (M2) domains.

    Time frame: Post-cementation baseline (2 weeks), 6, 12, 18, and 24 months

    Each onlay will be scored per the Revised 2023 World Dental Federation (FDI) criteria across the specified domains (F1, F2, B1, B2, B3, M2). Outcomes will be summarized as (a) mean (SD) score for each domain, and (b) proportion of restorations rated 1-3 (clinically acceptable) vs 4-5 for each domain. Lower scores indicate better clinical performance.

Study contacts

Contact information is provided by the study sponsor or research team.

Ali Ihsan AlQurashi

CONTACT

[email protected]

+9647813003774

Sponsors and collaborators

Lead sponsor

Mansoura University

Other

Registry information

Official study title

Two-year Clinical Evaluation of Different Indirect Tooth-colored Onlay Restorations Placed in Posterior Teeth With Cervical Margin Relocation and Laboratory Investigation of Marginal Adaptation

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Sep 5, 2025
Registry last updated
Sep 5, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.