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Biomedical subjects

R L Sakaguchi

Publications and source records attributed to R L Sakaguchi.

At least 19 recordsLinked to original sources

Stress transfer from polymerization shrinkage of a chemical-cured composite bonded to a pre-cast composite substrate.

OBJECTIVES: (1) To develop and test a strain gauge-based method for evaluating the strain transferred through a bonded interface to a deformable substrate; and (2) to develop and test a finite element (FE) model for evaluating the stress development in a chemical-cured composite during polymerization. METHODS: A generic light-cured resin composite was used to fabricate a rectangular plate with an internal slot filled with a chemical-cured composite. Strain gauges on the surface of the composite in the channel and on the plate adjacent to the channel-plate interface were used to record strain continuously up to 500 s after mixing the composite paste. A quadrant three-dimensional (3D) finite element model used strains measured on the channel to simulate the experimental conditions. The model was used to estimate stresses in the channel and at the bonded interface. RESULTS: Strain in the plate reached a plateau 200 s after mixing the composite. Strain of the composite paste in the channel continued to rise with time but at a steadily decreasing rate. Maximum principal stress predicted by the FE model on top of the plate, on top of the channel and within the channel was 5.12 MPa, 3.78 MPa, and 5.26 MPa, respectively. SIGNIFICANCE: Stresses were effectively transferred through the bonded interface in this test configuration, and results were in close agreement with previously reported literature values for polymerization contraction stresses generated in composite configurations with similar bonded to unbonded surface ratios.

Composite Resins

Reduced light energy density decreases post-gel contraction while maintaining degree of conversion in composites.

The objective of the study was to evaluate the relationship between curing light intensity and (1) linear post-gel polymerization contraction strain, and (2) degree of conversion of a dental composite. Cylindrical specimens of a dental resin composite were cured from a distance of 7 mm for 40 s at four attenuated light intensities (71%, 49%, and 34% of control intensity and for 20 s at 71% plus 20 s at 100% intensity). A group cured at full intensity served as a control. Degree of conversion (DC) was measured at the top and bottom and linear contraction strain was measured at the bottom of the composite samples. DC at the sample top was significantly different (P < 0.05) between all groups except the 71% and 49% intensity groups. At the sample bottom, DC resulting from the two highest intensities (71% and 100%) were not significantly different from each other (P > 0.05). All other groups were significantly different from each other (P < 0.05). DC for the sample cured at two light intensities was not significantly different from those cured at the lower intensity or higher intensity for 40 s (P > 0.05). The sample cured with two intensities showed a 21.8% reduction from the contraction strain predicted by a light energy density calculation. Application of light at less than the maximum intensity of the curing light resulted in significant reduction of polymerization contraction strain without significantly affecting the degree of conversion.

Composite Resins

Testing mode and surface treatment effects on dentin bonding.

The goal of this project was to evaluate the effect of the following variables on shear dentin-bonding test results: mode of testing (cyclic fatigue versus static loading), surface treatments (32% phosphoric acid, 10% phosphoric acid, and no treatment [unetched]), and type of shear test (traditional planar versus push-out). All teeth were stored in distilled water and tested in a shear mode at a loading rate of 2 mm/ min. The specimens were loaded in static or cycled for 1000 cycles using a staircase approach or until fracture, whichever occurred first. On samples with etched dentin surfaces, the push-out test did not demonstrate a significant difference in measured bond strength when compared with results from the planar test, although sample preparation was more labor-intensive. The bond strength resulting from cyclic fatigue of the etched specimens was approximately 51% of the static loading value. Ten percent phosphoric acid was as effective as 32% phosphoric acid for dentin bonding. Finite-element analysis indicated that the traditional planar shear test produces flexure of the specimen and high tensile stress magnitudes within the resin bonding layer. The push-out test produces elevated compressive stresses localized in the composite along the circumference of the punch. Shear stresses in the resin bonding layer are similar for both testing methods at the same loading element contact force.

Acid Etching, Dental

Thermal expansion coefficient of dental composites measured with strain gauges.

OBJECTIVES: A simple test method was developed to determine the coefficient of thermal expansion of prevailing restorative resin composites and to study the transient behavior as a function of temperature and repeated thermocycles. METHODS: Strain gauges were used to determine the thermal expansion for seven commonly used restorative resin composites by measuring the instantaneous strain along with temperature change. The temperature was measured by means of a thermocouple, the tip of which was embedded in the composite. The differences among the test groups were analyzed using ANOVA, followed by Scheffé's multiple comparisons test. RESULTS: The coefficient of thermal expansion determined for the composites tested was: 22.5 +/- 1.4 x 10(-6)/degree C (Z-100), 23.5 +/- 1.4 x 10(-6)/degree C (P-50), 32.6 +/- 1.6 x 10(-6)/degree C (Herculite XR), 34.1 +/- 1.8 x 10(-6)/degree C (APH), 35.4 +/- 1.4 x 10(-6)/degree C (Conquest), 41.6 +/- 1.5 x 10(-6)/degree C (Silux Plus), 44.7 +/- 1.2 x 10(-6)/degree C (Heliomolar). The coefficient was almost linear in the considered temperature range (26-75 degrees C) for all composites (r > 0.99) and decreased with each consecutive thermocycle (p < 0.1). SIGNIFICANCE: Thermally induced loads, introduced into restored teeth by the mismatch of the coefficient of thermal expansion of the tooth and the restorative material, may be related to microleakage and wear problems. A highly filled hybrid composite such as Z-100 had a coefficient of thermal expansion closest to that of the tooth crown, confirming other studies which demonstrated the benefits of high filler loading in matching the properties of the dental hard tissues.

Acrylic Resins

Does an incremental filling technique reduce polymerization shrinkage stresses?

It is widely accepted that volumetric contraction and solidification during the polymerization process of restorative composites in combination with bonding to the hard tissue result in stress transfer and inward deformation of the cavity walls of the restored tooth. Deformation of the walls decreases the size of the cavity during the filling process. This fact has a profound influence on the assumption--raised and discussed in this paper--that an incremental filling technique reduces the stress effect of composite shrinkage on the tooth. Developing stress fields for different incremental filling techniques are simulated in a numerical analysis. The analysis shows that, in a restoration with a well-established bond to the tooth--as is generally desired--incremental filling techniques increase the deformation of the restored tooth. The increase is caused by the incremental deformation of the preparation, which effectively decreases the total amount of composite needed to fill the cavity. This leads to a higher-stressed tooth-composite structure. The study also shows that the assessment of intercuspal distance measurements as well as simplifications based on generalization of the shrinkage stress state cannot be sufficient to characterize the effect of polymerization shrinkage in a tooth-restoration complex. Incremental filling methods may need to be retained for reasons such as densification, adaptation, thoroughness of cure, and bond formation. However, it is very difficult to prove that incrementalization needs to be retained because of the abatement of shrinkage effects.

Bicuspid

Digital imaging of occlusal contacts in the intercuspal position.

PURPOSE: The purpose of this study was to develop an approach to the measurement of occlusal contact area and location using digitized video images of occlusal records. MATERIALS AND METHODS: Five occlusal records in the intercuspal position were made using a polyvinylsiloxane material on five subjects with intact, natural dentition. In regions of occlusal contact, the material showed a minimal film thickness without perforation. A dental cast of the mandibular arch was video digitized and followed by digitization of each of the five occlusal records in place on the cast. An impression of a calibration stepwedge was video digitized to provide the relationship between impression material thickness and pixel density. RESULTS: Contact surface areas ranged from 0.02 to 3.16 mm2 between subjects. The contact positions on a single tooth determined in five records from a single individual showed coefficients of variation between 7.4% to 36.1%. Large variations in contact size were found in this group of five records from a single individual (coefficient of variation ranged from 10.8% to 156.7%). The large difference in contact size between records may be due to variations in biting force at the time the records were made. When the cast position was changed and records redigitized, the mean area of the contact was not significantly different (P > .20) from measurements at the original position. CONCLUSIONS: For the small sample evaluated, a large variation in occlusal contact size was found in the five records. The occlusal contact location was consistent in the five records. The measurement method developed seems to provide reliable measures of occlusal contact surface area and location.

Adult

Nonlinear finite element contact analysis of dental implant components.

The treatment design of most dental restorations is largely empirical and based on the experience of the individual practitioner. Because the biomechanical aspects of implant-supported restorations are difficult to assess on an individual basis, there is a possibility for compromised biomechanical performance of the implant-retained restoration to achieve satisfactory esthetics and phonetics. Through repeated loading cycles, the restoration or its components may fatigue and fail. This study evaluated the biomechanical behavior of the crown component relative to the gold retaining screw and abutment under load to provide insight into the mechanism of loosening and fracture of the retaining screw. A two-dimensional finite element model of the dental implant components was developed for nonlinear contact analysis. A simulation of tightening of the retaining screw was followed by axial loading of a cusp tip on the implant-supported crown. Loading of the cusp tip resulted in separation of the contact between (1) the gold retaining screw and abutment, and (2) the crown and the abutment. Repeated loading and unloading cycles resulted in alternating contact and separation between the retaining screw head base and the crown. Clinical findings of screw loosening and failure probably result from these separation events and from elevated strains in the screw as demonstrated by the model.

Crowns

A simple model of crack propagation in dental restorations.

Although natural teeth often exhibit microcracks, they rarely demonstrate bulk fracture. However, conventional full-crown restorations periodically exhibit failure due to fracture. Presented here is evaluation of a simple model of crack propagation that estimates crack growth during cyclic loading. A finite element model of a premolar tooth provides the tensile stresses adjacent to cusp loading. If the crack propagation rates for natural teeth, porcelain-fused-to-metal crowns and composite crowns are compared with the wear rates of their respective materials as determined in an artificial mouth, it is evident that the low wear rate of composites may predispose them to fracture. Natural teeth disperse occlusal stresses throughout the dentin so that the effect of high occlusal stress is minimized. Porcelain tends to wear the opposing dentition, which reduces areas of high occlusal stress. Composite, however, demonstrates crack propagation rates higher than those of either natural teeth or porcelain. This, in addition to its low wear rate, might predispose the material to fracture. This model should be used only as a qualitative indicator of fracture tendency. The high calculated crack propagation rates in composites may explain the observed clinical failures and microchipping at the area of occlusal contact, as noted in SEM analysis.

Composite Resins

A piezoelectric film transducer for dental occlusal analysis.

Occlusal load, contact sequence and location are necessary parameters for the study of dental biomechanics, simulation and clinical treatment planning. A piezoelectric film transducer for dental occlusal analysis was developed and in vitro evaluations of the transducer were conducted in a servohydraulically driven artificial mouth. The transducer is designed to provide occlusal contact force information. The transducer thickness (9 mum) minimizes interference with normal mandibular closure. Voltage outputs from the sensor as a result of occlusal contacts generated in the artificial mouth were sampled through a computer controlled data acquisition system. The transducer output recorded by the data acquisition system was calibrated to the applied load in the artificial mouth. The output of the piezoelectric film was evaluated during varying loads, cycling frequencies, surface areas of contact, and transducer surface areas. The preliminary studies indicate that the piezoelectric film holds out considerable promise and with further development may be well suited as a diagnostic tool in dental occlusal analysis.

Biomechanical Phenomena

Effects of polymerization contraction in composite restorations.

Post-gel polymerization contraction of resin composite induces contraction stresses at the composite-tooth bond and in surrounding tooth structure. Strain gauges have been shown to be an effective method for measuring linear post-gel polymerization contraction of composites. A new model was developed in which the composite sample was bonded to and circumscribed by an acrylic ring. The model simulates a composite restoration surrounded by dentine. A strain gauge measured the deformation of the ring while a second strain gauge simultaneously recorded the dimensional change of the sample. Stresses placed on the acrylic ring as a result of polymerization contraction of the composite were calculated, based on the strains on the ring and the ring's material properties. Four composites (Heliomolar, Vivadent, Tonawanda, NY, USA; Herculite XR, Kerr Manufacturing Co., Romulus, MI, USA; P-50, 3M Co., St Paul, MN, USA; Silux Plus 3M Co.) were evaluated for polymerization contraction strain and stress on the surrounding acrylic ring during polymerization. At the end of the 60 s light application, Heliomolar demonstrated significantly lower post-gel contraction (0.12 per cent, P less than 0.05) when compared to the other materials. When the strain reached an equilibrium at the end of 14 min Heliomolar continued to demonstrate lower post-gel contraction, however this was not statistically significant at P less than 0.05. When the contraction stress on the surrounding acrylic ring was considered, P-50 rapidly developed and produced the largest stress values (1.7 MPa) at the end of the light application while Heliomolar produced the lowest stress values (0.3 MPa). These values, however, were not significantly different when evaluated statistically.(ABSTRACT TRUNCATED AT 250 WORDS)

Composite Resins

Curing light performance and polymerization of composite restorative materials.

The majority of modern composite restorative materials require light activation for polymerization. Variables affecting light energy absorption by the composite have been examined for their effect on the polymerization contraction. Since the polymerization contraction is closely associated in a complex way to the degree of cure of the restoration, this parameter served as an empirical indicator for the extent of polymerization. Variables included the composite shade, distance between the light source and composite sample, and light intensity. Three resin composites are evaluated. Post-gel polymerization contraction was evaluated using a strain gauge method. Curing light intensity diminished rapidly for distances greater than 2 mm between the tip of the light guide and material surface. A linear relationship was demonstrated between polymerization contraction and light intensity. The polymerization contraction of a microfilled composite and posterior composite, using a constant curing time and light intensity, decreased linearly with increasing sample thickness. Less than optimal light output of the curing light source can be compensated by increasing application time within reasonable limits.

Composite Resins

Independent movement of cusps during occlusal loading.

An integrated experimental and theoretical approach is proposed for the evaluation of stress within a natural tooth during bruxing. A physical model was developed that used strain gauges bonded to the buccal and lingual heights of contour of extracted, intact maxillary premolar teeth for the validation of a two-dimensional finite element model of a natural, intact maxillary premolar tooth. Results from the finite element model were in good agreement with the experimental results. The tooth exhibits "cuspal independence", which describes the relative independence of the loaded cusp from the remaining cusp that is not loaded. In other words, the control cusp does not demonstrate significant strain when the adjacent cusp is loaded. The overall stiffness of the tooth does not appear to be significantly affected by separation of the enamel of the two cusps and appears to be primarily a function of the dentin.

Bicuspid

Strain gauge method for measuring polymerization contraction of composite restoratives.

Post-gel polymerization contraction of composite restoratives produces a volumetric change in phase with the development of a modulus of elasticity and distributes contractile stresses through the resin hard tissue interface into the tooth. A new method for monitoring the polymerization contraction of composite restoratives utilizes electrical resistance strain gauges. The strain gauge system was calibrated with dial gauge measurements of the bulk expansion of gypsum products. Three composite types (microfilled, hybrid and posterior) were evaluated for polymerization exotherm, contraction during curing, and contraction for various shades. A 60-s curing time was used. The posterior composite (P-50) demonstrated the lowest exotherm and polymerization contraction. The contraction for Silux Plus dark grey was significantly lower than all other shades of all materials. The strain gauge method appears to be well suited for real-time measurement of the curing process and provides a means for studying the kinetics of polymerization.

Analysis of Variance