Clinical Evaluation of Self-Adhesive Bulk-Fill Hybrid Composite Restoration in Primary Molars

abd elrazzak, sara mahmoud; El-Kalla, Ibrahim Hassan; Awad, Salwa Mohammed; El Agamy, Rizk Abd Allah

doi:10.21608/edj.2025.364031.3402

	Clinical Evaluation of Self-Adhesive Bulk-Fill Hybrid Composite Restoration in Primary Molars
Egyptian Dental Journal
Volume 71, Issue 3 - Serial Number 5, July 2025, Page 2553-2566 PDF (1.6 MB)
Document Type: Original Article
DOI: 10.21608/edj.2025.364031.3402
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Authors
sara mahmoud abd elrazzak ¹; Ibrahim Hassan El-Kalla ¹; Salwa Mohammed Awad ¹; Rizk Abd Allah El Agamy ²
¹Pediatric Dentistry Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
²Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
Abstract
Background: Restorative procedures present a common challenge in pediatric dentistry. This investigation aimed to assess the clinical efficacy of a recent self-adhesive bulk-fill restorative material in the restoration of occlusal and occluso-proximal lesions in primary molars. Martials and Methods: This was randomized controlled clinical study. It involved 30 children, randomly selected and separated into two main equal groups, depending on the type of carious lesion: Group I with Class I lesions and Group II with Class II lesions. Each main group randomly separated into two equal subgroups: subgroups IA, IB and subgroups IIA, IIB. Subgroups A served as the controls and restored with Filtek™ Bulk Fill Composite. Subgroups B served as the study groups and restored with Surefil One. Restorations were assessed utilizing modified USPHS criteria, post restoration (baseline) and at follow-up periods of 3, 6, and 12 months. Results: Intergroup comparisons of both restorative materials for Class I and Class II lesions after 12 months showed insignificant difference in marginal adaptation (p=0.329, 0.142), recurrent caries (p=1.0 each), postoperative sensitivity (p = 1.0 each), retention (p = 1.0 each) and proximal contact (p = 0.483 for Class II). Significant differences between the materials were observed for color match (p < 0.001each), anatomic form (p = 0.03 each), and surface roughness (p = 0.006, 0.01) for both Class I and Class II lesions, respectively after 12 months. Conclusions: Conventionally bonded bulk-fill resin composite demonstrated better performance over the self-adhesive bulk-fill composite in terms of color match, surface roughness, and anatomical form.
Keywords
Primary Molars; Occluso-Proximal Lesions; Occlusal Lesions; Restorative Treatment; Self-Adhesive Bulk-Fill Composite


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