Clinical Performance of Giomer-Based Composite Restorations in Class V Carious Lesions in Diabetic and Non-Diabetic Patients
Comparative Evaluation of Giomer-Based Composite Restorations in Class V Carious Lesions in Diabetic Versus Non-Diabetic Patients Using Modified USPHS Criteria: An 18-Month Non-Randomized Clinical Trial
1 other identifier
interventional
56
0 countries
N/A
Brief Summary
Diabetes mellitus is associated with structural and biochemical alterations in dentin that may negatively affect the clinical performance and longevity of adhesive dental restorations, particularly in cervical carious lesions. Giomer-based composite resins, containing pre-reacted glass ionomer fillers, release fluoride and other beneficial ions that may enhance remineralization and reduce the risk of secondary caries. This prospective, parallel-group, non-randomized clinical trial aims to evaluate the clinical performance of Giomer-based composite restorations in Class V carious lesions in controlled diabetic and non-diabetic patients. Restorations will be assessed using Modified USPHS criteria at baseline, 6, 12, and 18 months, with retention as the primary outcome and marginal adaptation, secondary caries, marginal discoloration, and post-operative sensitivity as secondary outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable diabetes-mellitus
Started Aug 2026
Typical duration for not_applicable diabetes-mellitus
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 25, 2026
CompletedFirst Posted
Study publicly available on registry
February 12, 2026
CompletedStudy Start
First participant enrolled
August 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2028
Study Completion
Last participant's last visit for all outcomes
August 1, 2028
February 12, 2026
February 1, 2026
1.8 years
January 25, 2026
February 10, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Restoration Retention Score Assessed Using Modified USPHS Criteria
Retention of Class V Giomer-based composite restorations will be evaluated using Modified United States Public Health Service (USPHS) criteria. Each restoration will be assigned an ordinal score (Alpha, Bravo, Charlie) based on the presence or loss of restoration. Data will be reported as distribution of USPHS scores and frequency of restoration loss over time.
Baseline, 6 months, 12 months, and 18 months
Secondary Outcomes (4)
Marginal Adaptation Score Assessed Using Modified USPHS Criteria
Baseline, 6 months, 12 months, and 18 months
Secondary Caries Score Assessed Using Modified USPHS Criteria
Baseline, 6 months, 12 months, 18 months
Marginal Discoloration Score Assessed Using Modified USPHS Criteria
Baseline, 6 months, 12 months, 18 months
Post-Operative Sensitivity Score Assessed Using Modified USPHS Criteria
Baseline, 6 months, 12 months, 18 months
Study Arms (2)
Diabetic Patients
EXPERIMENTALControlled diabetic patients with Class V carious lesions restored using Giomer-based composite resin
Non-Diabetic Patients
ACTIVE COMPARATORNon-diabetic patients with Class V carious lesions restored using the same Giomer-based composite and adhesive protocol.
Interventions
Giomer-based composite restoration (Beautifil® II LS, SHOFU, USA) using universal adhesive (BeautiBond® Xtreme, SHOFU, USA).
Eligibility Criteria
You may qualify if:
- Adult patients with Class V carious lesions (ICDAS scores 3 or 4).
- Controlled diabetic patients diagnosed with diabetes mellitus (for diabetic group).
- Non-diabetic patients with no systemic diseases (for control group).
- Teeth indicated for Class V composite restoration.
You may not qualify if:
- Uncontrolled diabetes mellitus.
- Patients with other systemic diseases affecting oral health.
- Teeth with pulpal involvement or requiring endodontic treatment.
- Patients with parafunctional habits. Pregnant or lactating women
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Lecturer Assistant
Study Record Dates
First Submitted
January 25, 2026
First Posted
February 12, 2026
Study Start (Estimated)
August 1, 2026
Primary Completion (Estimated)
May 1, 2028
Study Completion (Estimated)
August 1, 2028
Last Updated
February 12, 2026
Record last verified: 2026-02