Objective: This study was carried out to evaluate the clinical performance of the conventional fl owable composite resin restoration, using one-step adhesive system versus the novel self-adhesive fl owable composite restoration. Method: Twenty patients received forty class I restorations in primary carious molars using splitmouth design. Clinical performance was evaluated using US Public Health Service modifi ed Ryge criteria. Restorations of both materials were evaluated for: anatomic form, marginal integrity, marginal discoloration, surface texture and recurrent caries after 1 week, 3, 6, 9 months and after 12 months. Results: Concerning the anatomic form, the marginal integrity and marginal discoloration, there was no statistical difference between both materials till 9 ms but at 12 ms, there was a signifi cant difference in favor of the self-adhering fl owable composite. As for the secondary caries till 6 ms, both materials scored 100% score 1, while, at 9 and 12 ms, there was no signifi cant difference between both materials. The surface texture of both restorative materials scored (score1).Tracing both materials by time, there was a statistically signifi cant difference in both materials in the anatomic form, marginal integrity and marginal discoloration. Conclusion: self-adhesive fl owable composite showed improved clinical performance at 12 months than to conventional fl owable composite.