Clinical Performance and Wear Resistance of Highly Translucent Nano Zirconia Reinforced Glass Ionomer Filling Versus Conventional Resin Composite Restorations in Patients with Proximal Carious Teeth: Randomized Clinical Trial

Aim: This study aimed to evaluate the clinical performance and occlusal wear resistance of nano- zirconia reinforced glass ionomer restorations in comparison to nano-hybrid resin composite restorations in proximal cavities. Material and Method: This randomized clinical trial was conducted on thirty-two patients who had proximal carious lesions in posterior teeth. Participants were randomly allocated into two groups (n=16 for each group) in which they received either; Nano zirconia reinforced glass ionomer restorations (Zirconomer Improved, Shofu, Japan) or Conventional nano hybrid resin composite (Filtek Z250 XT, 3M ESPE, USA), all materials were applied according to manufacturers’ instructions. Restorations were evaluated at baseline (immediately), after six months, and after 12 months by two blinded assessors using modified USPHS criteria measuring (postoperative hypersensitivity, secondary caries, gross fracture, color match, cavo-surface marginal discoloration, marginal integrity, proximal contact and wear resistance). Data was analyzed using Medcalc software, intergroup comparisons between interventions was performed using the Chi-Squared test with statistical significance lev