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26 April 2026 : Meta-Analysis  

Influence of Operative Techniques on Clinical and Laboratory Outcomes in Class II Resin-Based Composite Restorations: A Systematic Review

Bassam Zidane ORCID logo ABCDEF 1*

DOI: 10.12659/MSM.951980

Med Sci Monit 2026; 32:e951980

Table 4 Summary of included in vitro studies.

Author (year)Population/toothInterventionComparatorRelevant outcomes
160 extracted molarsThree bonding agentsConventional etch-and-rinseMarginal adaptation (dye penetration; SEM)
Extracted molarsTransparent matrix + light modulationMetal matrix + standard curingMarginal seal and shrinkage patterns (SEM)
Extracted molarsMultiple LED curing unitsQuartz–tungsten halogen lampSurface hardness; marginal adaptation
Extracted molarsSectional matrices + ringsCircumferential matricesProximal contact tightness (PCT gauge)
120 extracted molarsMethacrylate vs Silorane RBCStandard compositeGap formation; hardness; mechanical properties
60 extracted molarsSilorane-based compositeMethacrylate-based compositeMicroleakage (thermocycling)
35 extracted premolarsDelayed polymerization (low-intensity)Conventional curingMarginal adaptation (dye leakage)
Extracted molars (MOD)Modified bulk-fill protocolsStandard placementCuspal movement; microleakage
Extracted molarsBulk-fill RBC strategiesIncremental layeringMicroleakage; μCT; SEM; EDS
Extracted molarsBulk-fill RBCIncremental techniqueMarginal adaptation (micro-CT, SEM)
SEM – scanning electron microscopy; EDS – energy-dispersive spectroscopy; μCT – micro–computed tomography; RBC – resin-based composite; MOD – mesio-occluso-distal cavity.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750