Shade Evaluation of Monochromatic Versus Polychromatic Layering Techniques Inrestoration of Fractured Incisal Angle

Study Overview
=================
Brief Summary
-----------------
This clincl trial will be conducted to compare theShade Evaluation of Monochromatic versus Polychromatic layering techniques in restoration of Fractured incisal angle

Detailed Description
-----------------
The use of enamel and dentin shades allow us to reproduce anatomical features such as incisal edge translucency, halo effect, other internal colors and pigments such as craze lines, white patches, white horizontal striations . Anterior composites usually have small filler particles to increase smoothness, nanotechnology has enabled recent advances in dental composite restorations. As a result , a different category of composite resins has emerged, known as nanocomposites. However polychromatic layering is considered to be technique sensitive, from detection of details to proper reproduction of such fine details. The presence of discrepancies between the classic shade guides and the actual shade of composite makes that task more difficult. The use of monochromatic layering with only body shade can serve as a substitute for enamel and dentin, since it has an intermediate opacity between enamel and dentin , and can serve as an easier option with less technique sensitivity than polychromatic layering. Filtek universal as claimed by the company manufacturer to have A NaturalMatch which is a term that describes the combination of 3M technologies and features present within 3M™ Filtek™ Universal restorative. it contains nanofillers, pigments and proprietary low-stress monomers which gives Filtek™ Universal Restorative a combination of esthetic and universal opacity which in turn allow shade blending and making the restoration more invisible with surrounding dentition.

Official Title
-----------------
Shade Evaluation of Monochromatic Versus Polychromatic Layering Techniques in Restoration of Fractured Incisal Angle: Randomized Controlled Trial

Conditions
-----------------
Anterior Teeth

Intervention / Treatment
-----------------
* Other: (3M™ Filtek™ Universal )


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients with fractured incisal angle. Vital teeth. Anterior Permanent teeth. Good oral hygiene. Co-operative patients approving to participate in the study. Exclusion Criteria: Non vital teeth. Severe or active periodontal disease. Severe medical complications. Uncooperative patients

Ages Eligible for Study
-----------------
Minimum Age: 13 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Restoration of anterior teeth using monochromatic layering technique using body shade (filtek universal from 3m | Other: (3M™ Filtek™ Universal )<br>* universal nanofillers resin composite (3M™ Filtek™ Universal )<br>|
| Active Comparator: comparator<br>Restoration of anterior teeth using polychromatic layering technique using Enamel and Dentin shades (filtek Z350 xt from 3m | Other: (3M™ Filtek™ Universal )<br>* universal nanofillers resin composite (3M™ Filtek™ Universal )<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Shade matching | shade matching using Modified USPHS Criteria and Visual inspection using Digital Photography | immediate after restoration |