{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:11:38Z","timestamp":1793329898028,"version":"4.5.0"},"reference-count":48,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:00:00Z","timestamp":1704326400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This randomized clinical trial evaluated and compared the 2\u2010year clinical performance of two ion\u2010releasing bulk\u2010fill composites (Cention N and Surefil One) with that of a conventional bulk\u2010fill resin composite (Powerfil) in Class I and II cavities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010two patients, each with 3 Class I and\/or Class II cavities under occlusion, were enrolled in this trial. A total of 96 restorations were placed, 32 for each material, as follows: a self\u2010adhesive composite; Surefil\u2010one, alkasite; Cention N, and a bulk\u2010fill resin composite; Powerfil. The restorations were placed by a single operator. Clinical evaluation was performed at baseline (1\u2010week), 6\u2010months, 1\u2010year, and 2\u2010years by two independent examiners using the FDI criteria. Intergroup and intragroup comparisons were analyzed using the Kruskal\u2013Wallis and Friedman Tests. Multiple comparisons between groups were analyzed using the Mann\u2013Whitney and Wilcoxon\u2010rank tests. The level of significance was set at <jats:italic>\u03b1<\/jats:italic>\u2009=\u20090.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010seven patients with a total of 81 restorations were evaluated at the end of the 2\u2010years with 84.35% recall rates. Clinical success rates were 100%, 100%, and 96.3% for Powerfil, Surefil\u2010one, and Cention N, respectively. Cention N showed a statistically significant (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) decreased marginal integrity in comparison with resin composite at the 2\u2010year evaluation. No recurrent decay was detected in any restoration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both ion\u2010releasing bulk\u2010fill composites provided acceptable clinical performance similar to bulk\u2010fill composite in Class I and II restorations over a 2\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Relevance<\/jats:title><jats:p>The results of this trial suggests that there is a promising evidence supporting the use of ion\u2010releasing composites.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.13193","type":"journal-article","created":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T13:26:56Z","timestamp":1704374816000},"page":"723-736","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Clinical performance of two ion\u2010releasing bulk\u2010fill composites in class I and class II restorations: A two\u2010year evaluation"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0405-9686","authenticated-orcid":false,"given":"Eman H.","family":"Albelasy","sequence":"first","affiliation":[{"name":"Conservative Dentistry Department, Faculty of Dentistry Mansoura University  Mansoura Aldakhlia Egypt"},{"name":"Minnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3205-345X","authenticated-orcid":false,"given":"Hamdi H.","family":"Hamama","sequence":"additional","affiliation":[{"name":"Conservative Dentistry Department, Faculty of Dentistry Mansoura University  Mansoura Aldakhlia Egypt"},{"name":"Faculty of Dentistry New\u2010Mansoura University  New\u2010Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0509-0856","authenticated-orcid":false,"given":"Hooi Pin","family":"Chew","sequence":"additional","affiliation":[{"name":"Minnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9832-8706","authenticated-orcid":false,"given":"Marmar","family":"Montasser","sequence":"additional","affiliation":[{"name":"Conservative Dentistry Department, Faculty of Dentistry Mansoura University  Mansoura Aldakhlia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salah H.","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Conservative Dentistry Department, Faculty of Dentistry Mansoura University  Mansoura Aldakhlia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2014.01.009"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034514544217"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dental.2015.08.146"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2015.05.001"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3290\/j.jad.a33202"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807\u20103107BOR\u20102017.vol31.0056"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2341\/14\u2010306\u2010L"},{"issue":"6","key":"e_1_2_9_9_1","first-page":"430","article-title":"Marginal microleakage of conventional fissure sealants and self\u2010adhering flowable composite as fissure sealant in permanent teeth","volume":"12","author":"Rahimian\u2010Imam S","year":"2015","journal-title":"J Dent (Tehran)"},{"issue":"5","key":"e_1_2_9_10_1","first-page":"468","article-title":"Evaluation of different fissure sealant materials and flowable composites used as pit\u2010and\u2010fissure sealants: a 24\u2010month clinical trial","volume":"37","author":"Kucukyilmaz E","year":"2015","journal-title":"Pediatr Dent"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ma13102313"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3290\/j.jad.a43995"},{"key":"e_1_2_9_13_1","unstructured":"Scientific Manual.Surefil oneTM. 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