Conservative Overlay Restoration vs Conventional Crown for Endodontically Treated Back Teeth
Official title: Clinical Evaluation of the Conservative Versus Conventional Restorative Approach for Endodontically Treated Posterior Teeth: A Randomized Clinical Trial
Run by Cairo University · NCT07836920 · Data updated 2026-11-12
This study tests whether a conservative lithium disilicate overlay with a fiber-reinforced composite core can protect root canal treated back teeth as well as the traditional fiber post, core, and full-coverage crown.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years to 50 Years |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Cairo University Academic / other |
| Locations | 1 site (Cairo, Manial) |
| Status | Recruiting |
| Started | September 20, 2025 |
| Main results expected | June 2027 |
| Study ends | June 2027 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT07836920 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 20–50 with a root canal treated posterior tooth suitable for restoration and meeting specified structural criteria.
✕Probably not a fit
Teeth with poor canal treatment, cracks, advanced periodontal disease, bruxism, or other exclusion criteria may not benefit from the overlays.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized trial compares two restoration methods for posterior teeth that have already undergone root canal treatment. One group receives a conservative overlay with a fiber-reinforced composite core, while the other group receives a traditional fiber post, composite build-up, and a full-coverage lithium disilicate crown. Fifty participants aged 20–50 at Cairo University will be randomly assigned to either method and followed for six months to assess tooth integrity as the primary outcome, with secondary measures including margin quality and discoloration. The study aims to determine if the less invasive overlay can provide similar or better structural performance compared with the conventional crown approach in posterior teeth. The trial takes place at the Faculty of Dentistry, Cairo University, under the lead sponsorship of Moataz Mostafa Anwar.
Why it matters
Potential benefit: If successful, patients could benefit from a less invasive restoration that preserves more tooth structure without compromising tooth strength.
How similar studies have gone: Existing studies suggest overlays can perform comparably to crowns in some cases, but evidence for posterior teeth remains limited and this trial adds targeted data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients 20-50 years of age 2. Root canal treated posterior teeth 3. Good C/R ratio 4. Good quality root canal treatment (adequate working length, absence of post operative complications or pain and adequate follow up period) 5. Presence of adequate labial and palatal wall thickness 6. Natural antagonist teeth 7. Natural adjacent teeth Exclusion Criteria: 1. Improper root canal treatment 2. Post operative complications. 3. Cracked teeth 4. Parafunctional habits (bruxism) 5. Wear pattern 6. Pregnancy for females 7. Opposing prosthetics 8. Presence of periodontal disease 9. Severely destructed posterior teeth
Where it's running
-
Faculty of Dentistry, Cairo University
Cairo, Manial, Egypt Recruiting
Study contacts
- Study coordinator: Moataz M Anwar, MSC
- Email: moataz.mostafa@dentistry.cu.edu.eg
- Phone: +201000395041
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.