Biomedical subjects

P G van der Varst

Publications and source records attributed to P G van der Varst.

6 recordsLinked to original sources

PubMed1996

The influence of simulated clinical handling on the flexural and compressive strength of posterior composite restorative materials.

OBJECTIVES: The aim of this study was to investigate the influence of clinical handling on the flexural and compressive strengths of two commercially available posterior composites. METHODS: Since the manufacturing of test specimens in a truly clinical situation presents many problems, an in vitro model was developed, consisting of a phantom-head set-up in a clinical operatory. Two composite materials, recommended for use in posterior teeth, were used: P50 APC (3M Dental Products) and Herculite XRV (Kerr, Dental Manufacturing). Beam specimens for 3-point bending tests of both materials and cylindrical specimens for compression test of P50 were made both under ideal laboratory circumstances and under simulated clinical circumstances. RESULTS: The difference in mean flexural strength between laboratory prepared and the quasi-clinically prepared specimens was highly significant for both the specimens handled in a clinical manner was 15% of the flexural strength of the P50 specimens made under laboratory conditions, and the difference for Herculite XRV was 29%. No difference in compressive strength could be shown between the laboratory-fabricated and the quasi-clinically made specimens of P50. SIGNIFICANCE: The relative flexural strength of composite materials in a clinical situation may differ significantly from that predicted from mechanical properties measured in vitro.

Bicuspid↗

PubMed1995

Mechanical longevity estimation model for post-and-core restorations.

OBJECTIVES: The aim of this study was to integrate existing knowledge of in vitro strength of post-and-cores and masticatory loading to arrive at longevity estimates for post-and-core restorations when subjected to clinically relevant loads. METHODS: A biomechanical model was developed to predict the in vivo longevity. This method was applied to direct post-and-core restorations with amalgam or composite cores. Both experimental laboratory strength values and theoretical clinical strength values were used in the model. The restorations made in the laboratory were assumed to be of a higher quality than clinically made restorations, due to factors such as ease of manipulation, absence of saliva, etc. Both a high and low level of average masticatory loading were considered. The model was used to estimate the probability of mechanical failure before 5 X 10(6) load cycles (5 to 15 years) for all combinations of load range and manufacturing quality. RESULTS: The calculated failure probability was effectively zero for most combinations except for a clinical quality core subjected to loads in the high range. There the probability of mechanical failure before 5 X 10(6) cycles was estimated to be 2 X 10(-5) for amalgam and 5 X 10(-5) for composite cores. These results agree with the overall observed clinical failure rate of about 1% per year for post-and-core restorations. SIGNIFICANCE: The mechanical properties of the post-and-core restorations were adequate for clinically relevant loading conditions.

Biomechanical Phenomena↗

PubMed1993

Mechanical performance of a dental composite: probabilistic failure prediction.

In clinical situations, the mechanical performances of dental structures--for example, composite restorations--depend on many factors. Most of them have a probabilistic character. Because composites are brittle materials, their strength should also be considered as a probabilistic quantity. For successful prediction of mechanical failure of structures consisting of these materials, a probabilistic approach is indispensable, and a suitable definition of equivalent stress must be introduced. An equivalent stress facilitates the transfer of strength data of laboratory specimens to situations where the stress state is much more complicated. The tensile and compressive strengths of composites differ considerably. Of two equivalent stress definitions that potentially describe this experimental fact (the Drücker-Prager and the Modified von Mises equivalent stress), the predictive capacity was investigated for a microfine composite. In a probabilistic approach to failure, use of the Drücker-Prager equivalent stress appeared to be superior, because the average failure load of notched beams was predicted with an error smaller than 8%.

Bisphenol A-Glycidyl Methacrylate↗

PubMed1992

Failure characteristics of endodontically treated premolars restored with a post and direct restorative material.

Ninety-one extracted maxillary premolar teeth were restored with a prefabricated post and amalgam, composite resin or glass-cermet core. Each group was again divided into three groups of 9-13 teeth to be subjected to an increasing load in one of three standardized directions (10, 45 and 90 degrees to the long axis of the tooth). Failure load and characteristics of failure were recorded. The glass-cermet-restored teeth had a lower strength than the other groups for every load direction (Student's t-test: P less than 0.01). Amalgam and composite resin groups showed a significant difference only for the 10 degrees loading condition (Student's t-test: P less than 0.02). Teeth restored with amalgam cores displayed a higher mean failure load, in combination with a 46% occurrence of root fracture.

Analysis of Variance↗

PubMed1992

Fatigue behavior of direct post-and-core-restored premolars.

Evaluation of long-term mechanical behavior of new types of restorations in clinical trials is time-consuming. A partial alternative can be found in experimental fatigue-testing, which simulates accelerated mechanical deterioration. The aim of this study was to determine the feasibility of using fatigue-testing of a complex dental restoration and to evaluate the mechanical fatigue behavior of premolar teeth restored with a titanium alloy post and an amalgam or composite core. Eighty-seven human upper premolar teeth were decoronated, embedded, and restored with a prefabricated post of 1 mm diameter. The teeth were randomly assigned to one of two groups corresponding with a core build-up of amalgam or chemically-cured core composite, respectively. Five to 21 days after restoration, the specimens were subjected to cyclic loading (frequency, 5 Hz), at an angle of 45 degrees to the long axis of the tooth. The boundary technique was used for determination of the mean fatigue strengths of the restorations at 10(4), 10(5), and 10(6) cycles, simulating up to 1-3 years of clinical functioning. Mean fatigue strength was expressed in percentage of initial strength: For 10(4), 10(5), and 10(6) cycles, the results were 66%, 58%, and 52%, respectively, for the amalgam and 62%, 62%, and 53% for the composite group. It is concluded that fatigue-testing of more complex systems is possible, if a suitable testing method is selected. The restorations showed a comparable strength reduction after 10(6) cycles of about 50% of their initial strength. The composite core build-up showed a behavior less predictable than that of the amalgam, which might be attributed to handling parameters.

Alloys↗

PubMed1991

Estimation of the mechanical lifetime of dental restorations: method and preliminary results.

To assess the clinical performance of restorative materials with respect to mechanical failure, the shape of the restoration, the strength and fatigue properties and the loading history are important. This study deals with the feasibility of a method to estimate the mechanical lifetime of dental restorations. The method takes into account that the mechanical lifetime is a stochastic quantity determined by shape, strength and fatigue properties and by the cyclic nature of the mastication forces. The general outline of the method is described and the necessary experimental data are discussed. Preliminary estimates of the lifetime of a composite and an amalgam restoration are made. The method is found to be feasible and the estimated lifetimes of the restoration are of the same order of magnitude as found clinically.

Bicuspid↗