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  1. Article: Posterior composite resins: the materials and their clinical performance.

    Leinfelder, K F

    Journal of the American Dental Association (1939)

    1995  Volume 126, Issue 5, Page(s) 663–4, 667–8, 671–2 passim

    MeSH term(s) Bicuspid ; Composite Resins/chemistry ; Dental Restoration, Permanent ; Humans ; Molar ; Particle Size
    Chemical Substances Composite Resins
    Language English
    Publishing date 1995-05
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 220622-5
    ISSN 1943-4723 ; 0002-8177 ; 1048-6364
    ISSN (online) 1943-4723
    ISSN 0002-8177 ; 1048-6364
    DOI 10.14219/jada.archive.1995.0247
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Clinical performance and wear resistance of milled resin composite material versus direct nanohybrid bulk-fill resin composite in the restoration of endodontically treated posterior teeth over 1 year: Randomized clinical trial.

    Elhaddad, Esraa Esmeail H / Mohsen, Mohamed M A / Mohamed, Dina Ezz Eldin

    Journal of conservative dentistry and endodontics

    2024  Volume 27, Issue 4, Page(s) 400–407

    Abstract: ... the clinical performance of using indirect Milled composite or direct bulk-fill resin composite restorations ... restorations in endodontically treated teeth demonstrated appropriate clinical performance and minimal wear ... significant difference (: Conclusions: Both milled composite and direct bulk-fill resin composite ...

    Abstract Context: The restorative complexities associated with endodontically treated teeth surpass those encountered with vital ones. The field of adhesive dentistry experienced a significant advancement that led to a shift in treatment approach toward bonded restorations.
    Aim: The aim of the study was to assess the clinical performance of using indirect Milled composite or direct bulk-fill resin composite restorations for endo-treated teeth, as well as to measure the amount of wear on the occlusal tables of both restorations using a digital scanner.
    Subjects and methods: Participants were divided into two groups, where R1 represents the endodontically treated teeth restored with Milled composite, R2 represents the endodontically treated teeth restored with direct bulk-fill composite where 13 patients in each group were treated with a total number of 26 restorations in all patients. Where each restoration was assessed immediately at baseline (T0), 6 months (T6), and 12 months (T12) using the modified United States Public Health Service criteria. Moreover, wear was measured immediately at (T0) and (T12) intraorally and extraorally using intraoral scanners and three-dimensional surface-based superimposition software.
    Statistical analysis used: Chi-squared test, Mann-Whitney
    Results: At all intervals, the majority of the cases in both groups had an alpha score. Some cases exhibited bravo scores in both groups at T6 and T12 regarding the color match, marginal adaptation, marginal discoloration, and marginal integrity without statistically significant difference (
    Conclusions: Both milled composite and direct bulk-fill resin composite restorations in endodontically treated teeth demonstrated appropriate clinical performance and minimal wear over an 1-year follow-up period.
    Language English
    Publishing date 2024-04-05
    Publishing country India
    Document type Journal Article
    ISSN 2950-4708
    ISSN (online) 2950-4708
    DOI 10.4103/JCDE.JCDE_46_24
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: 3-year randomized clinical trial to evaluate the performance of posterior composite restorations lined with ion-releasing materials.

    Ahmed, Basma / Wafaie, Ramy Ahmed / Hamama, Hamdi H / Mahmoud, Salah Hasab

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 4942

    Abstract: ... they exhibited with the overlying composite restorations successful clinical performance.Trial registration ... All the tested materials were placed according to the manufacturers' instructions. Clinical evaluation was ... restorations showed acceptable clinical performance over 3 years either lined with bioactive ionic or resin ...

    Abstract To evaluate the impact of using ion-releasing liners on the 3-year clinical performance of posterior resin composite restorations after selective caries excavation with polymer burs. 20 patients were enrolled in this trial. Each patient had two deep carious lesions, one on each side of the mouth. After selective caries removal using polymer bur (PolyBur P1, Komet, Brasseler GmbH Co. KG, Lemgo, Germany), cavities were lined with bioactive ionic resin composite (Activa Bioactive Base/Liner, Pulpdent, Watertown, MA, USA) or resin-modified glass ionomer liner (Riva Light Cure, SDI, Bayswater, Victoria, Australia). All cavities were then restored with nanofilled resin composite (Filtek Z350XT, 3M Oral Care, St. Paul, MN, USA). All the tested materials were placed according to the manufacturers' instructions. Clinical evaluation was accomplished using World Dental Federation (FDI) criteria at baseline and after 6 months, 1, 2, and 3 years. Data were analyzed using Mann-whitney U and Friedman tests (p < 0.05). The success rates were 100% for all resin composite restorations either lined with ion-releasing resin composite or resin-modified glass ionomer liner. Mann-whitney U test revealed that there were no statistically significant differences between both ion-releasing lining material groups for all criteria during the follow-up periods (p > 0.05). Resin composite restorations showed acceptable clinical performance over 3 years either lined with bioactive ionic or resin-modified glass ionomer liners after selective caries excavation preserving pulp vitality. After the 3-year follow-up period, Activa Bioactive and Riva Light Cure liners were clinically effective and they exhibited with the overlying composite restorations successful clinical performance.Trial registration number: NCT05470959. Date of registration: 22/7/2022. Retrospectively registered.
    MeSH term(s) Humans ; Resin Cements ; Composite Resins/therapeutic use ; Silicon Dioxide ; Acrylic Resins ; Victoria ; Dental Restoration, Permanent ; Dental Caries/surgery
    Chemical Substances glass ionomer ; Resin Cements ; Composite Resins ; Silicon Dioxide (7631-86-9) ; Acrylic Resins
    Language English
    Publishing date 2024-02-28
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-55329-6
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  4. Article: Longevity of Resin Composite and Amalgam Posterior Restorations: A Systematic Review.

    Maciel, C M / Baroudi, K / Costa, L D C / Souto, T C V / Pino Vitti, R

    The European journal of prosthodontics and restorative dentistry

    2022  Volume 30, Issue 4, Page(s) 267–275

    Abstract: ... and composite resin restorations, in posterior teeth, through clinical, prospective or ... retrospective studies, with at least 5 years of follow-up.: Materials and methods: Studies published in the last 15 ... with the clinical performance results of each material over the years of study, according to the methodology ...

    Abstract Objectives: The objective of this systematic review was to compare the longevity of direct amalgam and composite resin restorations, in posterior teeth, through clinical, prospective or retrospective studies, with at least 5 years of follow-up.
    Materials and methods: Studies published in the last 15 years (from 2006 to 2021) were collected using the PubMed and Medline databases.
    Results: The search strategy associated with the established inclusion and exclusion criteria resulted in a total of 17 articles. Factors related to failures in the performance of restorations were analyzed together with the clinical performance results of each material over the years of study, according to the methodology of each article.
    Conclusions: Regardless of the restorative material, the successful results over more than 5 years are due much more to the correct application of the technique, the operator's skill/knowledge and factors related to the patient, such as the type of tooth, number of faces involved in the restoration and oral hygiene.
    MeSH term(s) Humans ; Prospective Studies ; Retrospective Studies ; Composite Resins ; Dental Materials
    Chemical Substances Composite Resins ; Dental Materials
    Language English
    Publishing date 2022-11-30
    Publishing country England
    Document type Systematic Review ; Journal Article
    ZDB-ID 1134782-x
    ISSN 0965-7452
    ISSN 0965-7452
    DOI 10.1922/EJPRD_2371Maciel09
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Clinical Performance of Direct Posterior Composite Restorations in Patients with Amelogenesis Imperfecta.

    Tekçe, N / Demirci, M / Sancak, E I / Güder, G / Tuncer, S / Baydemir, C

    Operative dentistry

    2022  Volume 47, Issue 6, Page(s) 620–629

    Abstract: ... However, additional studies are needed to assess the clinical performance of direct posterior composite materials ... The objective of this study was to analyze and assess the clinical performance of direct composite ... restorations using a nanohybrid and a nanofill composite material for posterior teeth in patients ...

    Abstract The objective of this study was to analyze and assess the clinical performance of direct composite restorations using a nanohybrid and a nanofill composite material for posterior teeth in patients with amelogenesis imperfecta (AI). This study involved 15 patients between the ages of 14 and 30 years suffering from amelogenesis imperfecta (AI). During the study, the patients received direct composite restorations using either the Clearfil Majesty ES-2 (Kuraray Medical Inc, Tokyo, Japan) and Clearfil Universal Bond (Kuraray) or Filtek Ultimate Universal Restorative (3M ESPE, St Paul, MN, USA) and Single Bond Universal Adhesive (3M ESPE). The evaluations of the restorations were conducted per the modified USPHS criteria at the time of baseline as well as during the first-, second-, third-, and fourth-year follow-up sessions. After four years, it was observed that the cumulative success rate of direct posterior restorations was 98.1% for Clearfil Majesty ES-2 and 92.2% for Filtek Ultimate. During the study one Clearfil Majesty ES-2 restoration and four Filtek Ultimate restorations failed. There was a significant difference between Clearfil Majesty ES-2 and Filtek Ultimate in the color match in posterior restorations after three and four years. The causes of failure included marginal discoloration and caries, as well as fracture of the restoration. Hence, it can be stated that the use of nanohybrid or nanofill composites in posterior direct restorations in patients with AI looks promising. The failure rate of Clearfil Majesty ES-2 was found to be lower than that of Filtek Ultimate restorations. Clinically, the rate of optimum restorations conducted for partial discoloration, marginal adaptation, color match, and surface texture were observed to be higher when Clearfil Majesty ES-2 was used. However, additional studies are needed to assess the clinical performance of direct posterior composite materials in patients with AI.
    MeSH term(s) Humans ; Adolescent ; Young Adult ; Adult ; Dental Restoration, Permanent/adverse effects ; Amelogenesis Imperfecta/therapy ; Composite Resins/therapeutic use ; Composite Resins/chemistry ; Dental Caries/etiology ; Japan ; Dental Marginal Adaptation ; Surface Properties
    Chemical Substances Composite Resins
    Language English
    Publishing date 2022-10-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 752995-8
    ISSN 1559-2863 ; 0361-7734
    ISSN (online) 1559-2863
    ISSN 0361-7734
    DOI 10.2341/21-106-C
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  6. Article ; Online: Clinical performance of posterior resin composite restorations after up to 33 years.

    Da Rosa Rodolpho, Paullo A / Rodolfo, Bruna / Collares, Kauê / Correa, Marcos B / Demarco, Flavio F / Opdam, Niek J M / Cenci, Maximiliano S / Moraes, Rafael R

    Dental materials : official publication of the Academy of Dental Materials

    2022  Volume 38, Issue 4, Page(s) 680–688

    Abstract: ... to 33 years of clinical service and investigated factors associated with the risk of failures over time ... Class II direct composite restoration in a private office in 1986-1992 and had follow-up appointments ... shape and translucency. Clearly aged restorations were still clinically satisfactory.: Significance ...

    Abstract Objectives: This retrospective study evaluated the performance of posterior composites after up to 33 years of clinical service and investigated factors associated with the risk of failures over time including patient- and tooth-related variables.
    Methods: Patients who received at least one Class I or Class II direct composite restoration in a private office in 1986-1992 and had follow-up appointments were included. Failures and interventions over time were investigated using the dental records. A follow-up clinical recall was carried out in 2020. Two scenarios were considered: restorations that did not require any intervention (success) or restorations that were repaired and still functional (survival). Multivariate Cox regression analyses and Kaplan-Meier curves were performed using success and survival rates (p < 0.05).
    Results: One hundred patient records and 683 restorations were included. A total of 353 failures were reported (success rate= 48%). Main reasons for failure were fracture and secondary caries. Most interventions after failures were repairs. Replacements were registered in 183 cases (survival rate= 73%). Annual failure rates were below 2.5% (success) and 1.1% (survival). Larger restorations and maxillary molars had higher failure risks. No significant differences in success rates among different resin composites was observed. A typical observation in this sample of restorations was the presence of moderate to advanced signs of aging, including marginal and surface staining, wear, chipping, changes in anatomical shape and translucency. Clearly aged restorations were still clinically satisfactory.
    Significance: This long-term, practice-based study indicates that resin composites can be used to restore posterior teeth with a long-lasting durability.
    MeSH term(s) Aged ; Composite Resins ; Dental Caries ; Dental Restoration Failure ; Dental Restoration, Permanent ; Humans ; Retrospective Studies
    Chemical Substances Composite Resins
    Language English
    Publishing date 2022-02-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 605995-8
    ISSN 1879-0097 ; 0109-5641
    ISSN (online) 1879-0097
    ISSN 0109-5641
    DOI 10.1016/j.dental.2022.02.009
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  7. Article ; Online: Longevity of gold restorations in posterior teeth: A retrospective study up to 10-years.

    Frasheri, Iris / Hickel, Reinhard / Manhart, Juergen / Diegritz, Christian / Folwaczny, Matthias / Fotiadou, Christina

    Journal of dentistry

    2022  Volume 124, Page(s) 104235

    Abstract: ... predictable clinical performance in terms of success and survival. These results are comparable ... Objective: In this retrospective clinical study, we investigated the long-term survival and ... success of indirect gold restorations, placed by undergraduate students.: Material and methods ...

    Abstract Objective: In this retrospective clinical study, we investigated the long-term survival and success of indirect gold restorations, placed by undergraduate students.
    Material and methods: The study included 72 gold restorations in 45 patients, placed in a five-year period between 2009 and 2013. Two experienced dentists performed the evaluation following the FDI criteria after 5 to 10 years. Kaplan-Meier test was used for longevity analysis of success and survival. Data were tested for normality with Shapiro-Wilk test. Cox regression analysis, with significance level appointed at p ≤ .05, was performed using success and survival of restorations as dependent variables. Annual failure rates (AFRs) were calculated.
    Results: Overall, 72 indirect gold restorations prepared in posterior teeth were assessed, with an observation time from 63 months to 117 months. The mean service time was 88.1 months and the median 87 months. No failures, but 2 repairs, were observed during the first five years. From 5 to 10 years 1 replacement and 1 more repair occurred. The survival and success rates of gold restorations were calculated at 9 years with 98.6% and 91%, respectively. Restorations placed on premolars had higher survival and success rates compared to molars. Three cases were categorized as repairs: in two cases, a root canal treatment was needed and, in one other, an occlusal perforation of the restoration was observed.
    Conclusions: Posterior indirect gold restorations placed by dental undergraduate students showed a highly predictable clinical performance in terms of success and survival. These results are comparable with survival rates reported in literature for restorations cemented in general dental practices.
    Clinical significance: Casted gold restorations placed from dental students in an undergraduate setting show high survival rates, similar to professional dentists.
    MeSH term(s) Composite Resins/therapeutic use ; Dental Restoration Failure ; Dental Restoration, Permanent/methods ; Gold ; Humans ; Retrospective Studies
    Chemical Substances Composite Resins ; Gold (7440-57-5)
    Language English
    Publishing date 2022-07-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 186068-9
    ISSN 1879-176X ; 0300-5712
    ISSN (online) 1879-176X
    ISSN 0300-5712
    DOI 10.1016/j.jdent.2022.104235
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  8. Article ; Online: Clinical Performance of Posterior Indirect Resin Composite Restorations with the Proximal Box Elevation Technique: A Prospective Clinical Trial up to 3 Years.

    Gözetici-Çil, Burcu / Öztürk-Bozkurt, Funda / Genç-Çalışkan, Gencay / Yılmaz, Burcu / Aksaka, Nurcan / Özcan, Mutlu

    The journal of adhesive dentistry

    2024  Volume 26, Issue 1, Page(s) 19–30

    Abstract: Purpose: The study evaluated the clinical performance of partial indirect resin composite (PIRC ... restorations with "proximal box elevation" (PBE) placed in molars.: Materials and methods: Sixty-three ... and 3 years, respectively. In total, 10 failures were observed: 5 with partial loss, 4 with material ...

    Abstract Purpose: The study evaluated the clinical performance of partial indirect resin composite (PIRC) restorations with "proximal box elevation" (PBE) placed in molars.
    Materials and methods: Sixty-three patients received 80 posterior PIRC (SR Nexco, Ivoclar Vivadent) restorations. Large posterior defects with cuspal loss and deep cervical margins were included in the study. PBE was performed prior to preparation and impression making. Two independent observers evaluated the restorations using the FDI criteria (scores 1-5) for esthetic, functional, and biological properties. Patients were recalled at 6 months and 1, 2, and 3 years. Overall success rates were calculated (Kaplan-Meier analysis) and compared (log-rank tests) according to baseline variables. The impact of the baseline variables on the failure of the restorations was analyzed (multiple proportional Cox regression).
    Results: Seventy-nine (98.7%), 69 (88.4%), 66 (92.9%), 44 (86.2%) and 45 (91.8%) PIRCs completed their follow up at baseline, 6 months, and 1, 2 and 3 years, respectively. In total, 10 failures were observed: 5 with partial loss, 4 with material chipping, and one with secondary caries, yielding an overall success rate of 87.5% and a survival rate of 93.8%, with a mean observation time of 26.5 ± 13.6 months.
    Conclusions: PIRCs with PBE demonstrated a high survival rate and satisfactory esthetic properties. Failure was less likely for PIRC restorations with partial cuspal coverage (onlay) compared to full cuspal coverage (overlay).
    MeSH term(s) Humans ; Composite Resins ; Dental Restoration Failure ; Dental Restoration, Permanent ; Molar ; Prospective Studies
    Chemical Substances Composite Resins
    Language English
    Publishing date 2024-03-12
    Publishing country Germany
    Document type Clinical Trial ; Journal Article
    ZDB-ID 2002396-0
    ISSN 1757-9988 ; 1461-5185
    ISSN (online) 1757-9988
    ISSN 1461-5185
    DOI 10.3290/j.jad.b4908449
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  9. Article ; Online: Clinical evaluation of posterior restorations over wet and dry dentin using an etch-and-rinse adhesive: A 36-month randomized clinical trial.

    González, Claudia C / Ñaupari-Villasante, Romina / Dos Santos de Castro, Andrea / Mendez-Bauer, Luján / Dávila-Sanchez, Andrés / Aliaga-Sancho, Paulina / Gutierrez, Mario Felipe / Reis, Alessandra / Loguercio, Alessandro D

    Dental materials : official publication of the Academy of Dental Materials

    2024  Volume 40, Issue 4, Page(s) 619–628

    Abstract: Objectives: To evaluate the clinical performance of posterior restorations over wet and dry dentin ... The degree of dentin moisture does not seem to affect the clinical performance of a simplified etch-and-rinse ... with an etch-and-rinse adhesive after 36 months of clinical service.: Methods: Forty-five participants were ...

    Abstract Objectives: To evaluate the clinical performance of posterior restorations over wet and dry dentin with an etch-and-rinse adhesive after 36 months of clinical service.
    Methods: Forty-five participants were recruited, each one had at least two posterior teeth that needed restoration. Ninety restorations were placed on Class I or Class II cavities. For the restoration protocol, a simplified etch-and-rinse adhesive (Adper Single Bond 2) was applied over wet (WD) or dry dentin (DD) and later restored with a bulk-fill composite (Filtek Bulk Fill) under rubber dam isolation. Each restoration was evaluated using the World Dental Federation (FDI) criteria after 6, 12, and 36 months of clinical service, regarding the following principal restoration characteristics: postoperative sensitivity, marginal discoloration, marginal adaptation, fracture of material and retention, and recurrence of caries. Kruskal Wallis analysis of variance rank (α = 0.05) and Kaplan-Meier survival analysis were used for statistical analysis.
    Results: After 36 months of clinical evaluation, no significant difference between groups was observed in each FDI criterion (p > 0.05). Twenty restorations (WD=10, DD=10) showed minor marginal staining, and twenty-two restorations (WD=11, DD=11) presented small marginal adaptation defects (p > 0.05). Four restorations were lost (WD = 2, DD = 2) and the fracture rates (95% confidence interval) were 94.9% for each one, without significant difference between wet and dry dentin (p > 0.05).
    Significance: The degree of dentin moisture does not seem to affect the clinical performance of a simplified etch-and-rinse adhesive in posterior restorations when the adhesive is applied vigorously over the dentine surface.
    MeSH term(s) Humans ; Dental Cements ; Dentin-Bonding Agents/chemistry ; Resin Cements ; Dental Restoration, Permanent/methods ; Composite Resins/chemistry ; Dental Caries/therapy ; Dentin ; Dental Marginal Adaptation
    Chemical Substances Dental Cements ; Dentin-Bonding Agents ; Resin Cements ; Composite Resins
    Language English
    Publishing date 2024-02-18
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 605995-8
    ISSN 1879-0097 ; 0109-5641
    ISSN (online) 1879-0097
    ISSN 0109-5641
    DOI 10.1016/j.dental.2024.02.009
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  10. Article ; Online: 5-year clinical performance of posterior bulk-filled resin composite restorations: A double-blind randomized controlled trial.

    Loguercio, Alessandro D / Ñaupari-Villasante, Romina / Gutierrez, Mario F / Gonzalez, Maria Inés / Reis, Alessandra / Heintze, Siegward D

    Dental materials : official publication of the Academy of Dental Materials

    2023  Volume 39, Issue 12, Page(s) 1159–1168

    Abstract: ... the 5-year clinical performance of posterior resin composite restorations placed with the incremental ... Objectives: The aim of this double-blind, and randomized controlled clinical trial was to evaluate ... with either Tetric N-Bond or Tetric N-Bond SE. The composite resin Tetric N-Ceram Bulk-Fill was placed ...

    Abstract Objectives: The aim of this double-blind, and randomized controlled clinical trial was to evaluate the 5-year clinical performance of posterior resin composite restorations placed with the incremental filling technique [IF] or the bulk-fill technique [BF]. Two different adhesive systems were used: etch-&-rinse (ER) or self-etch (SE).
    Methods: Posterior dental teeth of 72 participants (n = 236), with a cavity depth of at least 3 mm, were randomly divided into four groups. Restorations were applied with either Tetric N-Bond or Tetric N-Bond SE. The composite resin Tetric N-Ceram Bulk-Fill was placed either with IF or BF. Restorations were evaluated using FDI criteria at baseline and after 1, 2, 3, 4, and 5 years. Statistical analysis was performed using the Wilcoxon Signed rank test (a=0.05).
    Results: Two hundred and four restorations were evaluated after 5 years. Eleven restorations were considered 'failed', ten due to fracture (4 IF and 6 BF) and one due to secondary caries (IF). The annual failure rate was 1.2% for BF and 1% for IF (p = 0.35). When comparing BF and IF, no significant differences were found for any of the parameters evaluated (p > 0.05). Regarding the adhesive systems, 44 and 51 restorations showed minor problems in terms of marginal adaptation and staining, with significantly more marginal discoloration when the self-etch adhesive was used (p = 0.002).
    Significance: The bulk-fill restorative technique showed good clinical behavior compared to the incremental filling technique, especially when using an etch-&-rinse adhesive, after 5 years of clinical evaluation.
    MeSH term(s) Humans ; Dental Restoration, Permanent/methods ; Composite Resins/chemistry ; Double-Blind Method ; Dental Caries ; Resin Cements ; Dental Marginal Adaptation
    Chemical Substances Composite Resins ; Resin Cements
    Language English
    Publishing date 2023-10-13
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 605995-8
    ISSN 1879-0097 ; 0109-5641
    ISSN (online) 1879-0097
    ISSN 0109-5641
    DOI 10.1016/j.dental.2023.10.018
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