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CompletedNCT06881355BruxismUpdated Mar 18, 2025

Effect of Bruxism on the Clinical Success of Posterior Composite Restorations

An observational study in Bruxism, Wear, Occlusal and Fracture, sponsored by Muğla Sıtkı Koçman University. Completed at 1 site in Turkey. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-18.

Sponsored by Muğla Sıtkı Koçman University · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
80
Ages
18 Years to 40 Years
Sex
All
01

Study summary

The goal of this study is to determine the effect of bruxism on the success of posterior composite restorations (PCRs) in endodontically treated teeth (ETT). The null hypotheses of present study were as follows: (1) bruxism would not have a significant effect on the success rate of PCRs in ETT; (2) other demographic and clinical variations, such as frequency of coloring agent usage, smoking habits, presence of pulpal pathology, periapical lesion, periodontal condition, antagonist tooth condition, cavity margin level, quality of endodontic treatment, enamel cracks, temporomandibular joint (TMJ) disorders, lateral occlusion scheme, institution where the restoration was performed, number of restored surfaces, and follow-up period, would not have a significant effect on the success rate of PCRs in ETT; and (3) functional, esthetic, and biological clinical success of PCRs of bruxists would not differ from that of non-bruxists. This cross-sectional, case-control study included 40 case patients (bruxists with PCR post-ETT) and 40 controls (non-bruxists). Sociodemographic characteristics and clinical findings were recorded. The PCRs on the relevant teeth were evaluated according to the revised FDI criteria.

Read the detailed description

In studies that have conducted long-term follow-ups of posterior composite restorations (PCRs), the most common causes of failure are secondary caries, wear, and fractures. The success of PCRs is influenced by several factors: oral hygiene habits, caries risk, size of the carious lesion, occlusal relationships, presence of parafunctional habits, physical properties of the material used, tooth region in which the restoration is placed, size and location of the restoration, and chewing habits and forces. In addition, the literature suggests that PCRs have a low wear resistance. While this characteristic is considered to offer an advantage in the presence of parafunctional habits, its effect on the success of PCRs under excessive occlusal stress remains a subject of debate. There are many prospective and retrospective studies evaluating the performance of restorations; however, literature on the success of composite resin materials when applied as direct restorations of ETT in patients with bruxism is limited. Furthermore, with the continuous development and introduction of new adhesive techniques and improvements in the composition of composite resin materials, clinical studies need to be updated regularly to assess the performance of restorations.

02

Conditions studied

  • Bruxism
  • Wear, Occlusal
  • Fracture

Keywords

  • Bruxism
  • Posterior composite restoration
  • Clinical success
  • Endodontically tretaed tooth
03

In context

Bruxism

151 studies on the registry are indexed under Bruxism; 39 are open to participants now.

This study's enrollment of 80 is below the median of 89 across 55 observational studies indexed under Bruxism.

Browse Bruxism studies →

Lead sponsor

Muğla Sıtkı Koçman University is the lead sponsor of 114 studies on the registry; 19 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

In this study, the initial data pool consists of patients who had undergone their first examination and had the necessary radiographs taken routinely. After clinically and radiographically identifying those who had underwent root canal treatment and composite restorations, the eligible participants were included in the study to evaluate their restorations.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients aged 18-40 years, PCRs after endodontic treatment,
  • Restorations up to 5 years,
  • Class 1 and 2 restorations with a maximum of 3 wall loss according to cavity classification and not involving the cusps,
  • Patients with low and moderate caries risk, and those with an occlusion classified as Class 1 Angle.

Exclusion criteria

Exclusion Criteria:

  • Teeth without antagonists;
  • patients with crossbite; mobile teeth;
  • teeth diagnosed with acute apical/periodontal abscess;
  • presence of severe periodontal disease;
  • presence of systemic diseases;
  • pregnant and breastfeeding women;
  • patients who had amalgam, post, or indirect methods chosen for definitive restoration after endodontic treatment;
  • restorations performed more than 5 years ago;
  • patients aged \<18 or >40 years;
  • restorations involving the cusps,
  • patients with high caries risk, and non-dental plaque biofilm-induced gingival diseases.
05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
80 participants (actual)
Patient registry
No

Groups and cohorts

  • Case group-Bruxists with PCR post-ETT

    Participants having previously undergone endodontic treatment and composite restorations on any of their posterior teeth and bruxism were assigned to the case group. The presence of bruxism was determined based on the participant's self-reported statements and intraoral findings.

    Diagnostic Test: Bruxism diagnosis · Diagnostic Test: Clinical evaluation

  • Control group-Non-bruxists with PCR post-ETT

    Participants without bruxism and with PCR post-ETT were assigned to the control group.

    Diagnostic Test: Bruxism diagnosis · Diagnostic Test: Clinical evaluation

Interventions

  • Diagnostic testBruxism diagnosis

    The presence of bruxism was determined based on the participant's self-reported statements and intraoral findings.

  • Diagnostic testClinical evaluation

    The PCRs on the relevant teeth were evaluated according to the revised FDI criteria

06

What researchers measure

Primary outcomes

  1. Rate of Clinical success

    FDI scoring system

    Time frame: 1-5 years-follow up period

Secondary outcomes

  1. % of patients with risk factors

    Clinical failure parameter

    Time frame: 1-5 years-follow up period

07

Study locations

1 site
  • Muğla Sıtkı Koçman University
    Menteşe, Muğla 48000, Turkey
08

References and documents

Publications

  • Hickel R, Mesinger S, Opdam N, Loomans B, Frankenberger R, Cadenaro M, Burgess J, Peschke A, Heintze SD, Kuhnisch J. Revised FDI criteria for evaluating direct and indirect dental restorations-recommendations for its clinical use, interpretation, and reporting. Clin Oral Investig. 2023 Jun;27(6):2573-2592. doi: 10.1007/s00784-022-04814-1. Epub 2022 Dec 12. Erratum In: Clin Oral Investig. 2023 Jun;27(6):2593. doi: 10.1007/s00784-022-04851-w. PubMed 36504246 ↗
  • van de Sande FH, Opdam NJ, Rodolpho PA, Correa MB, Demarco FF, Cenci MS. Patient risk factors' influence on survival of posterior composites. J Dent Res. 2013 Jul;92(7 Suppl):78S-83S. doi: 10.1177/0022034513484337. Epub 2013 May 20. PubMed 23690354 ↗
  • Manfredini D, Winocur E, Guarda-Nardini L, Paesani D, Lobbezoo F. Epidemiology of bruxism in adults: a systematic review of the literature. J Orofac Pain. 2013 Spring;27(2):99-110. doi: 10.11607/jop.921. PubMed 23630682 ↗
  • R.R. Moraes, M.S. Cenci, J.R. Moura, F.F. Demarco, B. Loomans, N. Opdam, Clinical performance of resin composite restorations, Curr. Oral Health Rep.9 (2022) 22-31.
  • Hickel R, Manhart J. Longevity of restorations in posterior teeth and reasons for failure. J Adhes Dent. 2001 Spring;3(1):45-64. PubMed 11317384 ↗
  • Laske M, Opdam NJM, Bronkhorst EM, Braspenning JCC, Huysmans MCDNJM. Risk Factors for Dental Restoration Survival: A Practice-Based Study. J Dent Res. 2019 Apr;98(4):414-422. doi: 10.1177/0022034519827566. Epub 2019 Feb 20. PubMed 30786222 ↗
  • Kramer N, Reinelt C, Frankenberger R. Ten-year Clinical Performance of Posterior Resin Composite Restorations. J Adhes Dent. 2015 Aug;17(5):433-41. doi: 10.3290/j.jad.a35010. PubMed 26525008 ↗
  • Koyano K, Tsukiyama Y, Ichiki R, Kuwata T. Assessment of bruxism in the clinic. J Oral Rehabil. 2008 Jul;35(7):495-508. doi: 10.1111/j.1365-2842.2008.01880.x. PubMed 18557916 ↗

Individual participant data

Plan to share: Yes — sociodemographic characteristics and clinical findings

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2024 to primary completion in Jan 2025, 4 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 4, 2025
First posted
Mar 18, 2025
StartActual
Aug 15, 2024
Primary completionActual
Jan 1, 2025
CompletionActual
Jan 30, 2025
Last update
Mar 18, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06881355
Responsible party
Fatma Yilmaz (Asistant Professor Doctor, Muğla Sıtkı Koçman University) — Principal investigator
First posted
Mar 18, 2025
Start date
Aug 15, 2024
Primary completion
Jan 1, 2025
Completion
Jan 30, 2025
Last update
Mar 18, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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