{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:51:18Z","timestamp":1791179478303,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Composite resin placement technique may influence marginal integrity, polymerization stress distribution, and long\u2010term clinical performance of posterior restorations. This randomized controlled clinical trial evaluated the 24\u2010month clinical performance of four different placement techniques in Class I posterior composite restorations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Fifty patients aged 20\u201335\u2009years presenting with four occlusal carious lesions each were enrolled, resulting in 200 restorations. Cavities (4\u20135\u2009mm depth) were prepared according to caries extension. Restorations were randomly allocated into four equal groups (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200950) according to placement technique: stamp technique, snowplow technique, modified incremental \u201cpizza\u201d technique, and bulk\u2010fill technique. All materials were applied following manufacturers' instructions. Clinical evaluation was performed at baseline and after 6, 12, and 24\u2009months using FDI criteria. Functional (fracture\/retention, marginal adaptation), esthetic (marginal staining, anatomical form), and biological (postoperative sensitivity, secondary caries) properties were assessed by two calibrated evaluators. Statistical analysis was performed at a significance level of\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010eight patients with a total of 152 restorations were evaluated at the end of the 24\u2009months in line with FDI at the end of the study with 76% recall rates. No statistically significant differences were observed among groups regarding fracture\/retention or secondary caries (\n                      <jats:italic>p\u2009&gt;\u20090.05<\/jats:italic>\n                      ). Marginal adaptation and marginal staining demonstrated minor deterioration over time across all groups, with statistically significant intergroup differences found (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Postoperative sensitivity was minimal and transient in all groups with no significant difference (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.181).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within the limitations of this 24\u2010month follow\u2010up, the four placement techniques demonstrated comparable clinical performance in Class I posterior composite restorations. Selection of technique may therefore be guided by clinical preference and procedural efficiency rather than differences in short\u2010term clinical outcomes.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      ClinicalTrials.gov identifier: NCT07415317.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jerd.70202","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T05:45:10Z","timestamp":1781156710000},"page":"1869-1881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Performance of Bulk\u2010Fill Versus Incremental Composite Placement Approaches in Vital Posterior Teeth: A 24\u2009Months Randomized Controlled Trial"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1189-4571","authenticated-orcid":false,"given":"Mohammed Abd El Ghany","family":"Mohammed","sequence":"first","affiliation":[{"name":"Restorative Department, Faculty of Dentistry Tanta University  Tanta Egypt"},{"name":"Faculty of Oral and Dental Medicine Alsalam University  Tanta Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Saad","family":"Naser","sequence":"additional","affiliation":[{"name":"Ain Shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8357-8224","authenticated-orcid":false,"given":"Dina","family":"Abozaid","sequence":"additional","affiliation":[{"name":"Dental Biomaterials Department, Faculty of Dentistry Tanta University  Tanta Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj10120222"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.21608\/asdj.2024.305747.1384"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201020989\u20105"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10266\u2010025\u201001058\u20109"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sdentj.2022.12.005"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2018.06.010"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3290\/j.jad.b4835909"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41432\u2010023\u201000905\u20104"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.15517\/z21whs73"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.18502\/fid.v22i17.18688"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14228107"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.55639"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/jioh.jioh_274_23"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.69139"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/jcd.jcd_616_21"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.2478\/amtsb\u20102020\u20100054"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/jcd.Jcd_157_16"},{"key":"e_1_2_12_19_1","unstructured":"J. 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