Cusp CappingNCT07612462
Evaluation of the Clinical Performance of a Bulk Fill Resin Composite in Cuspal Coverage Restorations of Vital Posterior Teeth (RCT)
A study testing Beautifil Bulk Fill (Shofu Inc.) in people with Cusp Capping and Cuspal Coverage, run by Future University in Egypt at 1 site in Egypt.
Trial summary
This clinical study aims to compare bulk-fill and conventional composite resins in cuspal coverage restorations of posterior teeth. The primary outcomes include evaluating wear resistance, fracture incidence, and recurrent caries at different follow-up periods. Read more about this study
- Who is it for?
- Ages 20 to 50 years
- Conditions the study is for
- Cusp Capping, Cuspal Coverage, Tooth Restoration
- What is being tested?
- Beautifil Bulk Fill (Shofu Inc.)
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Dec 2025to 31 Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Adult patients of 20 to 50 of age
- Molars teeth
- Medically free
- Vital teeth
- Males or females
- one or cusps affected
Show all 10Show fewer
- Patient consent
- Good oral hygiene (plaque index 0 or 1)
- Absence of parafunctional habits.
- No abscess
Who cannot join
- Xerostomia and bruxism.
- Endodontically treated teeth
- Systematic disease
- Extremely poor oral hygiene sever or chronic periodontitis.
- Pregnant and lactating women.
- No subgingival margin
- Allergic to used materials
- Patient are not present during recalls .
Trial locations and contacts
1 site in 1 country.
About this study
This clinical study aims to compare bulk-fill and conventional composite resins in cuspal coverage restorations of posterior teeth. The primary outcomes include evaluating wear resistance, fracture incidence, and recurrent caries at different follow-up periods. Bulk-fill composites are designed for easier placement in thicker increments, potentially improving clinical efficiency. The study seeks to determine whether bulk-fill materials can provide comparable or superior performance to conventional composites in restoring structurally compromised teeth.
- Conditions
- Cusp Capping, Cuspal Coverage, Tooth Restoration, Bulk Fill Composite, Fracture Resistance
- Being tested
- Beautifil Bulk Fill (Shofu Inc.)
- Keywords
- Cuspal Coverage
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Beautifil Bulk Fill (Shofu Inc.)Device
This intervention involves performing cuspal coverage restorations in posterior teeth using Shofu Beautifil Bulk Fill composite resin. The composite will be applied in a single increment following the manufacturer's adhesive and placement protocol. Each restoration will be evaluated clinically for wear resistance, fracture incidence, and recurrent caries during the follow-up period.
| Study group | Role | What they receive |
|---|---|---|
| Bulk-Fill Composite Group | Active comparator | Participants in this group will receive cuspal coverage restorations using a bulk-fill composite resin. The material will be placed in a single increment following adhesive application according to the manufacturer's instructions. Receives: Device: Beautifil Bulk Fill (Shofu Inc.) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Occlusal Wear
0 = No visible wear
- = Slight wear, no effect on function
- = Moderate wear, slight anatomical loss
- = Severe wear needing intervention
Measured: T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
Fracture Resistance
- = Restoration fully intact
- = Partially fractured but retained
- = Completely fractured or lost
Measured: T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
Caries Recurrence
0 = No recurrent caries at restoration margin
1 = Recurrent caries present and continuous with margin
Measured: T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 May 2026
- Study start1 Dec 2025
- Primary completion1 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (16)Papers the sponsor has linked to this study.
- Other trials for Cusp CappingStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Future University in Egypt
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ahmed Mohamed Mohamed Azazy, Future University in Egypt
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07612462
- Sponsor's protocol ID
- CUSPALCOVERAGE
- Status last verified
- May 2026
- First submitted
- 21 May 2026
- Last updated
- 28 May 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Yu P, Xu YX, Liu YS. Polymerization shrinkage and shrinkage stress of bulk-fill and non-bulk-fill resin-based composites. J Dent Sci. 2022 Jul;17(3):1212-1216. doi: 10.1016/j.jds.2021.12.004. Epub 2021 Dec 23.
PubMed 35784133Nakhostin A, Panahandeh N, Toudeshky HH, Sheikh-Al-Eslamian SM. Assessment of creep and compressive strength: bulk-fill versus conventional composites. BMC Oral Health. 2025 Apr 16;25(1):579. doi: 10.1186/s12903-025-05769-x.
PubMed 40240891Morimoto, S., Lia, W. K. C., Gonçalves, F., Nagase, D. Y., Gimenez, T., Raggio, D. P., & Özcan, M. (2021). Risk Factors Associated with Cusp Fractures in Posterior Permanent Teeth-A Cross-Sectional Study. Applied Sciences, 11(19), 9299.
Mitra A, Sharma S, Bhattacharyya A, Maity AB, Majumder G, Datta S. The fracture resistance of restored mandibular molars using different cavity designs: An in vitro comparative evaluation. J Conserv Dent Endod. 2024 Dec;27(12):1285-1288. doi: 10.4103/JCDE.JCDE_699_24. Epub 2024 Dec 10.
PubMed 39959010Marovic D, Taubock TT, Attin T, Panduric V, Tarle Z. Monomer conversion and shrinkage force kinetics of low-viscosity bulk-fill resin composites. Acta Odontol Scand. 2015 Aug;73(6):474-80. doi: 10.3109/00016357.2014.992810. Epub 2014 Dec 29.
PubMed 25543454Manhart, J. (2020). Direct cusp replacement in the molar region using a thermoviscous bulk fill composite restorative material - a clinical case report. International Dental African Edition, 9, 33-22.
Leprince, J. G. P., W. M.; Vanacker, J.; Sabbagh, J.; Devaux, J. (2020). Polymerization shrinkage and stress of bulk-fill resin composites: A review of the current literature. Journal of Esthetic and Restorative Dentistry, 32(1), 12-22. doi:10.1111/jerd.12511
Garoushi, S. V., P. K.; Lassila, L. (2021). Fracture resistance of molars with MOD cavities restored with short fiber reinforced composite or bulk fill composites. Journal of Prosthodontic Research, 65(2), 217-233. doi:10.1016/j.jpor.2020.06.004
Farias-Neto, A. G., L. M.; Silva, L. A. B.; Morimoto, S. (2020). Single-visit direct composite restorations with cuspal coverage: A clinical review. Brazilian Dental Journal, 31(6), 503-509. doi:10.1590/0103-6440202003202
Edrees, N. S. A. A., H. S. A.; Abdelaziz, K. M.; Alajam, W. (2017). Benefits and drawbacks of bulk-fill dental composites: A systematic review. European Journal of Pharmaceutical and Medical Research, 4(10), 124--137.
Deliperi S, Alleman D, Rudo D. Stress-reduced Direct Composites for the Restoration of Structurally Compromised Teeth: Fiber Design According to the "Wallpapering" Technique. Oper Dent. 2017 May/Jun;42(3):233-243. doi: 10.2341/15-289-T.
PubMed 28467261Daruich PM, Brizuela M. Remineralization of Initial Carious Lesions. 2023 Apr 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK573067/
PubMed 34424640Chesterman J, Jowett A, Gallacher A, Nixon P. Bulk-fill resin-based composite restorative materials: a review. Br Dent J. 2017 Mar 10;222(5):337-344. doi: 10.1038/sj.bdj.2017.214.
PubMed 28281590Alzahrani, F. A. A., I. F.; Aljinbaz, A.; AlZain, F. S. (2021). Effect of cavity design and restoration technique on fracture resistance of premolars restored with resin composites. Operative Dentistry, 46(4), E195-E203. doi:10.2341/20-111-L
Alshiddi, I. F. A., A.; AlZain, F. S. (2020). Fracture resistance of weakened molars restored with direct and indirect resin-based restorations. Journal of Adhesive Dentistry, 22(1), 72-65. doi:10.3290/j.jad.a43712
Study at a glance
From the registry record, last updated by the sponsor on 28 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Clinical Performance of a Bulk Fill Resin Composite in Cuspal Coverage Restorations of Vital Posterior Teeth (RCT)
- ClinicalTrials.gov ID
- NCT07612462
- Acronym / sponsor ID
- CUSPALCOVERAGE
- Conditions
- Cusp Capping, Cuspal Coverage, Tooth Restoration, Bulk Fill Composite, Fracture Resistance
- Keywords
- Cuspal Coverage
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Future University in EgyptUniversity, hospital or other
- Study start
- 1 Dec 2025 (actual)
- Primary completion
- 1 Dec 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 28 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This clinical study aims to compare bulk-fill and conventional composite resins in cuspal coverage restorations of posterior teeth. The primary outcomes include evaluating wear resistance, fracture incidence, and recurrent caries at different follow-up periods. Bulk-fill composites are designed for easier placement in thicker increments, potentially improving clinical efficiency. The study seeks to determine whether bulk-fill materials can provide comparable or superior performance to conventional composites in restoring structurally compromised teeth.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Bulk-Fill Composite Group | Active comparator | Device: Beautifil Bulk Fill (Shofu Inc.)Participants in this group will receive cuspal coverage restorations using a bulk-fill composite resin. The material will be placed in a single increment following adhesive application according to the manufacturer's instructions. |
Who may qualify
- Ages
- 20 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (10 listed)
- Adult patients of 20 to 50 of age
- Molars teeth
- Medically free
- Vital teeth
- Males or females
Key exclusion criteria (8 listed)
- Xerostomia and bruxism.
- Endodontically treated teeth
- Systematic disease
- Extremely poor oral hygiene sever or chronic periodontitis.
- Pregnant and lactating women.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Beautifil Bulk Fill (Shofu Inc.)This intervention involves performing cuspal coverage restorations in posterior teeth using Shofu Beautifil Bulk Fill composite resin. The composite will be applied in a single increment following the manufacturer's adhesive and placement protocol. Each restoration will be evaluated clinically for wear resistance, fracture incidence, and recurrent caries during the follow-up period. | Device | Bulk-Fill Composite Group |
Primary outcome
Occlusal Wear
Time frame: T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
0 = No visible wear 1. = Slight wear, no effect on function 2. = Moderate wear, slight anatomical loss 3. = Severe wear needing intervention
Fracture Resistance
Time frame: T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
1. = Restoration fully intact 2. = Partially fractured but retained 3. = Completely fractured or lost
Caries Recurrence
Time frame: T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months
0 = No recurrent caries at restoration margin 1 = Recurrent caries present and continuous with margin
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 May 2026.
- Results publication: PubMed 35784133Yu P, Xu YX, Liu YS. Polymerization shrinkage and shrinkage stress of bulk-fill and non-bulk-fill resin-based composites. J Dent Sci. 2022 Jul;17(3):1212-1216. doi: 10.1016/j.jds.2021.12.004. Epub 2021 Dec 23.
- Results publication: PubMed 40240891Nakhostin A, Panahandeh N, Toudeshky HH, Sheikh-Al-Eslamian SM. Assessment of creep and compressive strength: bulk-fill versus conventional composites. BMC Oral Health. 2025 Apr 16;25(1):579. doi: 10.1186/s12903-025-05769-x.
- Results publicationMorimoto, S., Lia, W. K. C., Gonçalves, F., Nagase, D. Y., Gimenez, T., Raggio, D. P., & Özcan, M. (2021). Risk Factors Associated with Cusp Fractures in Posterior Permanent Teeth-A Cross-Sectional Study. Applied Sciences, 11(19), 9299.
- Results publication: PubMed 39959010Mitra A, Sharma S, Bhattacharyya A, Maity AB, Majumder G, Datta S. The fracture resistance of restored mandibular molars using different cavity designs: An in vitro comparative evaluation. J Conserv Dent Endod. 2024 Dec;27(12):1285-1288. doi: 10.4103/JCDE.JCDE_699_24. Epub 2024 Dec 10.
- Results publication: PubMed 25543454Marovic D, Taubock TT, Attin T, Panduric V, Tarle Z. Monomer conversion and shrinkage force kinetics of low-viscosity bulk-fill resin composites. Acta Odontol Scand. 2015 Aug;73(6):474-80. doi: 10.3109/00016357.2014.992810. Epub 2014 Dec 29.
- Results publicationManhart, J. (2020). Direct cusp replacement in the molar region using a thermoviscous bulk fill composite restorative material - a clinical case report. International Dental African Edition, 9, 33-22.
- Results publicationLeprince, J. G. P., W. M.; Vanacker, J.; Sabbagh, J.; Devaux, J. (2020). Polymerization shrinkage and stress of bulk-fill resin composites: A review of the current literature. Journal of Esthetic and Restorative Dentistry, 32(1), 12-22. doi:10.1111/jerd.12511
- Results publicationGaroushi, S. V., P. K.; Lassila, L. (2021). Fracture resistance of molars with MOD cavities restored with short fiber reinforced composite or bulk fill composites. Journal of Prosthodontic Research, 65(2), 217-233. doi:10.1016/j.jpor.2020.06.004
- Results publicationFarias-Neto, A. G., L. M.; Silva, L. A. B.; Morimoto, S. (2020). Single-visit direct composite restorations with cuspal coverage: A clinical review. Brazilian Dental Journal, 31(6), 503-509. doi:10.1590/0103-6440202003202
- Results publicationEdrees, N. S. A. A., H. S. A.; Abdelaziz, K. M.; Alajam, W. (2017). Benefits and drawbacks of bulk-fill dental composites: A systematic review. European Journal of Pharmaceutical and Medical Research, 4(10), 124--137.
- Results publication: PubMed 28467261Deliperi S, Alleman D, Rudo D. Stress-reduced Direct Composites for the Restoration of Structurally Compromised Teeth: Fiber Design According to the "Wallpapering" Technique. Oper Dent. 2017 May/Jun;42(3):233-243. doi: 10.2341/15-289-T.
- Results publication: PubMed 34424640Daruich PM, Brizuela M. Remineralization of Initial Carious Lesions. 2023 Apr 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK573067/
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Beautifil Bulk Fill (Shofu Inc.) in people with Cusp Capping and Cuspal Coverage, run by Future University in Egypt at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 28 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Occlusal Wear (time frame: T0: Baseline examination (1 week after restoration) T1: 6 months T2: 9 months T3: 12 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07612462, which also lists 16 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 May 2026.