One-Year Clinical Evaluation of a Fluoride, Calcium, and Phosphate-Releasing New Bioactive Material versus a Fluoride-Releasing Hybrid Restorative Material in Cervical Lesions: A Randomized Clinical Trial

Document Type : Original Article

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Conservative Dentistry Department, Faculty of Dentistry, Cairo University, Cairo, Egypt

Abstract

Aim: This study aimed to clinically evaluate the functional, esthetic, and biological properties of a fluoride, calcium, and phosphate-releasing new bioactive material compared to a fluoride-releasing hybrid restorative material in cervical carious lesions.
Materials and methods: In a parallel study design, a fluoride, calcium, and phosphate-releasing bioactive material (Activa™ Presto, Pulpdent®, USA) or a fluoride-releasing hybrid restorative material (Beautifil II, Shofu, Japan) was randomly applied to fifteen cervical cavities each, using a universal adhesive system (Beautibond, Shofu, Japan). All materials were applied according to the manufacturers' instructions. Restorations were evaluated at baseline and after 3, 6, 9, and 12 months by two blinded assessors using modified USPHS criteria to measure marginal adaptation, retention, surface texture, marginal discoloration, recurrent caries, and postoperative sensitivity.
Results: This study found no statistically significant differences between the two materials regarding all measured outcomes at any interval of the follow-up period up to the end of 12 months (P > 0.05), with both showing a 100% survival rate.
Conclusions: Compared to Beautifil II, Activa™ Presto showed comparable functional, esthetic, and biological properties. After 12 months, both materials exhibited satisfactory clinical performance in restoring cervical carious lesions.

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Advanced Dental Journal
Volume 7, Issue 3
July 2025
Pages 457-472

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