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PubMed2004

Non-destructive characterization of resin-based filling materials using Electronic Speckle Pattern Interferometry.

OBJECTIVES: The aim of this study was to develop a non-destructive test for characterizing the modulus of resin-based filling materials. METHODS: Five different visible-light-cured composites (Filtek A110 [AO], Z100 [ZO], Filtek Z250 [ZT], F2000 [FT] and Filtek Flow [FF]; 3M-ESPE) were selected for this study. An ESPI (Electronic Speckle Pattern Interferometry) apparatus involving cantilever beam specimens (28 mm long, 8 mm wide and 2 mm thick) was developed for determining modulus. Out-of-plane displacement upon force application was measured using two focus region lengths (22 mm [EI1]; 11 mm [EI2]) and modulus (n = 7) was subsequently computed based on cantilever beam equations. Data was compared to those obtained from three-point-bend flexural testing (n = 7) based on ISO4049:2000 specifications [ISO]. Specimens were stored in distilled water at 37 degrees C for 1 week prior to evaluation for all tests. Results were analyzed using ANOVA/Scheffe's post-hoc tests (p < 0.05) and Pearson's correlation (p < 0.01). RESULTS: Modulus ranged from 5.53 to 13.99, 5.78 to 14.24 and 4.26 to 11.30 GPa for EI1, EI2 and ISO, respectively. For all three tests, the modulus of ZO and FT was significantly greater than ZT, which in turn was significantly greater than AO and FF. Correlation of EI1 and EI2 to ISO was significant, positive and very strong (r = 0.94 for EI1 and EI2). SIGNIFICANCE: ESPI may be a viable method of characterizing the modulus of resin-based filling materials. As it is a non-destructive test, time-dependent effects of composites can be determined using the same specimens leading to substantial time and material savings.

Analysis of Variance↗

PubMed2004

Selected characteristics of an Ormocer and a conventional hybrid resin composite.

OBJECTIVES: The objective of this in vitro study was to evaluate surface roughness, hardness and wear resistance of an Ormocer (Admira), polymerized by a plasma arc system. A secondary objective was to investigate two placement technique bulk or incremental layers. METHODS: Blocks from Admira and Amelogen (a microhybrid composite) were prepared in cylinders, 3 mm in diameter, and 2 and 5 mm in thickness (bulk or incrementally placed) and polymerized by a plasma arc and a conventional light system. Surface roughness measurements were taken by a Surface Profilometer on the top of the specimens. Vickers hardness measurements, with a load of 600mN were taken on the top and bottom of 2 mm and top, intermediate and bottom of 5 mm thick specimens. For the wear test, specimes (8 mm in diameter and 2 mm in thickness) of Admira, Amelogen and amalgam were tested in a ball-on design, by circular movements of the antagonist (alumina ball; diameter 10 mm) under 10 N load. For the statistical evaluation of the results of surface roughness, microhardness and wear test; a paired samples t-test and Kruskal-Wallis analysis of variance test, were performed. RESULTS: Admira showed highest hardness values in all polymerization types at the top surface and this was statistically significant (p < 0.05). These highest hardness values were obtained with conventional polymerization (81.84 +/- 1.167 VHN). Meanwhile, the wear resistance of Admira was found to be higher than Amelogen (Wd(admira) = 0.024 +/- 0.00149 mm3; Wd(amelogen) = 0.032 +/- 0.00075 mm3). However, Admira demonstrated the highest surface roughness value compared to Amelogen, with plasma arc 5 s (0.65 +/- 0.023 microm). Amelogen was found to have the lowest surface roughness value with conventional 40 s (0.45 +/- 0.012 microm). SIGNIFICANCE: The results indicated that Ormocer, which was developed by Ormocer technology, demonstrated higher microhardness and wear resistance when compared to a hybrid composite; however, the polishability of Ormocer needs further investigation. Also the selection of visible light activated composite resins exhibited higher surface microhardness values when polymerized with conventional rather than with plasma arc.

Analysis of Variance↗

PubMed2004

Effect of dentin perfusion on the sealing ability and microtensile bond strengths of a total-etch versus an all-in-one adhesive.

OBJECTIVES: To test the null hypothesis that perfusion of dentin has no effect on the sealing or bond strength in Class V resin composite restorations using a two-step total-etch (Scotchbond 1), or a one-step self-etch (all-in-one) (Prompt L-Pop) adhesive. METHODS: Dentin permeability in Class V cavity preparations cut into extracted human third molars was measured in a fluid transport setup. Resin composites were placed using either Scotchbond 1, or Prompt L-Pop with or without dentin perfusion at 1.47 kPa. Permeability was re-measured, and the reduction in permeability was calculated as a percentage of the initial value. Additionally, microtensile bond strength (microTBS) to dentin was measured. RESULTS: Whereas the ability of Scotchbond 1 to seal dentin was significantly decreased due to dentin perfusion (p = 0.00025), that of Prompt L-Pop was not affected (p = 0.099). Scotchbond 1 produced significantly less dentinal seal than Prompt L-Pop only in the restorations carried out with perfusion (p = 0.0003), in the absence of perfusion, however, the difference was not significant (p = 0.343). Dentin perfusion significantly decreased the microTBS of Scotchbond 1 to dentin (p = 0.001). Due to excessive premature failure during sectioning, microTBS test could not be performed with Prompt L-Pop. SIGNIFICANCE: Dentinal fluid flow may have detrimental effects on the sealing ability of dental adhesives depending on the type of adhesive used. Studies aiming to rank adhesives in relation to their sealing ability in vitro should not disregard dentin perfusion.

Acid Etching, Dental↗

PubMed2004

Influence of c-factor and layering technique on microtensile bond strength to dentin.

OBJECTIVE: Due to polymerisation shrinkage of resin-based composites, a high configuration factor in deep Class I cavities leads to a certain amount of stress when the material is bonded. The aim of this in vitro study was to evaluate the influence of c-factor and different layering approaches on bonding to dentin with three different adhesive systems. MATERIALS AND METHODS: Dentin bond strengths of Z250 bonded with OptiBond FL, Single Bond, and One Up Bond F were measured on flattened dentin surfaces without cavity walls and on the cavity floor of Class I cavities (10 layering concepts). The resin composite increments were applied horizontally, vertically and obliquely, both with and without a flowable liner. The tests were carried out in a microtensile apparatus at a crosshead speed of 1 mm/min after 24 h of storage at 37 degrees C in water. Mean bond strengths were analysed using the Wilcoxon test and multiple comparisons according to the Mann-Whitney U-test. Specimens having failed prior to the bond strength test were included as 0 MPa. RESULTS: The groups bonded on flat surfaces exhibited significantly higher bond strengths than specimens cut from filled cavities. Within the cavity groups, OptiBond FL and Single Bond exhibited no significant differences, however, being above One Up Bond F. Within the groups of each adhesive, major differences between the layering concepts were detectable. Bulk technique led to low dentin adhesion at the cavity floor, above all for Single Bond and One Up Bond F. Horizontal layers resulted in significantly higher bond strengths than did vertical or oblique. Lining with a flowable composite did not promote bond strength for OptiBond FL. For the other adhesives, a lining improved adhesion when vertical or oblique layers were applied, for horizontal increments no effect was evident. CONCLUSIONS: The c-factor is an influencing factor for dentin adhesion. However, using an appropriate layering technique, high bond strengths to deep cavity floors can be achieved.

Bisphenol A-Glycidyl Methacrylate↗

PubMed2004

Compressive creep and recovery of light-cured packable composite resins.

OBJECTIVE: The purpose of this investigation was to study the time-dependent creep and recovery behavior of some packable composites resins compared to a typical dispersion-phase amalgam alloy. METHODS: Three packable posterior composite resins (ALERT, SureFil, Solitaire) were used as experimental groups and a high copper admixed amalgam alloy (Dispersalloy) was chosen as a control material. Cylindrical specimens (4 mm x 8 mm) were fabricated and stored in artificial saliva for 1 week at 37 degrees C. A custom-made creep testing machine was used to test the compressive creep of each of the materials under specified conditions of stress and temperature (155.5 MPa and 37 degrees C, 155.5 MPa and 55 degrees C; 36 MPa and 37 degrees C; 36 MPa and 55 degrees C) for 24 h, after which the strain recovery was recorded over a period of 24 h. RESULTS: One-way ANOVA and Fisher's test showed no significant differences in creep and recovery strain behaviors between ALERT and SureFil for each test condition (P > 0.05). However, for residual strain, there was a highly significant difference between Dispersalloy and each of the packable composites (P < 0.01), but no significant differences between the composites themselves (P > 0.05). ALERT and SureFil had the lowest creep strain (1.91 +/- 0.59% and 1.96 +/- 0.36%, respectively) while Solitaire showed 6.09 +/- 0.26% creep strain at 155.5 MPa and 37 degrees C. SIGNIFICANCE: The low creep and residual strain values of ALERT and SureFil compared to Dispersalloy amalgam suggest that these packable composite resins are suitable for restoring stress-bearing areas because of their ability to withstand viscoelastic deformation better than amalgam, over extended time periods, even under high load and temperature.

Analysis of Variance↗

PubMed2004

Organosilicon dental composite restoratives based on 1,3-bis[(p-acryloxymethyl) phenethyl] tetramethyldisiloxane.

OBJECTIVES: The major concern associated with the use of polysiloxanes as polymer matrices in dental restorative materials, is the generally modest mechanical properties of the polymers. However, it has long been demonstrated that thermal stability, and mechanical properties of polysiloxanes can be substantially modified by incorporation of bulkier substituents such as phenyl groups or more polar groups in the chains. The purpose of this research was to evaluate visible light activated dental composites based on the high molecular weight siloxane monomer 1,3-bis[(p-acryloxymethyl) phenethyl] tetramethyldisiloxane (BAPD). METHODS: Hardness, diametral tensile strength (DTS), degree of conversion (DC), water sorption (WS) and polymerization shrinkage of BAPD-based composites and bis-GMA-based composites were determined and compared. RESULTS: Composites based on BAPD exhibited low WS, high DC, low polymerization shrinkage, and had hardness and DTS values that were not significantly lower than those of dental composites based on bis-GMA. SIGNIFICANCE: BAPD is a high molecular weight monomer (MW = 511) with a low viscosity. It did not require the use of low molecular weight diluent monomers in formulating composite resins. The DC of BAPD was high, ranging from 86 to 94%. Although the DC of BAPD was significantly higher than the conventional difunctional dental monomers, the polymerization shrinkage of the siloxane composites (1.70 - 1.81 vol%) was comparable to several composites based on bis-GMA.

Absorption↗

PubMed2004

Effects of flowable resin on bond strength and gap formation in Class I restorations.

OBJECTIVES: This study measured resin/dentin bond strengths and evaluated gap formation at the pulpal floor of occlusal composite restorations using a flowable resin as a liner with either bulk or incremental placement of the restorative composite. METHODS: Class I occlusal preparations were made in 16 extracted molars, and were randomly divided into two groups for restoration using either One-Step adhesive (OS, BISCO) and Renew composite (RW, BISCO) or OptiBond SOLO adhesive (SOLO, Kerr) and Herculite XRV composite (XRV, Kerr). A flowable resin [AEliteFlo (AE, BISCO) or Revolution (RV, Kerr)] was applied as a liner in half of the specimens of each group. The lined and unlined groups were restored with composite cured in bulk, or cured in 1.5 mm increments. After 24 h in water, the teeth were sectioned into 0.7-mm thick slabs and were examined with an optical microscope (400 x) to determine the presence of internal resin-dentin gaps. The gap-free specimens were trimmed and were subjected to microtensile bond strength testing. Specimens that contained gaps had Knoop hardness of the restorative material measured. RESULTS: All incrementally filled restorations were well adapted to the pulpal floor but nearly all bulk-cured specimens had gaps between the flowable and the hybrid composites. The use of a flowable resin increased the bond strength of OS, but not SOLO. SIGNIFICANCE: The incremental technique prevented gap formation regardless of the use of a flowable resin. In contrast, the use of a flowable composite did not guarantee gap-free restorations or improved bond strength of resin to dentin in bulk-filled restorations.

Barium Compounds↗

PubMed2004

Effect of the applied load on surface contact fatigue of dental filling materials.

OBJECTIVE: The purpose of this study was to investigate the effect of the applied load in a rolling-ball device on the surface contact fatigue of two dental filling materials: a microfilled composite (FA) and a glass ionomer (GFII). METHODS: Disk specimens 10 mm diameter by 1.5 mm thick were set into cavities cut in plates of PMMA. After setting, the specimens were ground and polished using wet-carborundum paper followed by 1 microm alumina and then stored for 24 h in water at 23 degrees C. The surface fatigue test was carried out using loads ranging from 100 to 500 gf through a ruby ball 2 mm diameter using a rolling-ball device. The ball was set to rotate at 720 rpm and a surface profile was determined on impressions recorded at regular intervals. Fatigue life was defined as the number of cycles to produce a track 5 microm deep and was determined by interpolation. Data were statistically analyzed by ANOVA and t-tests at a significance level of 0.05. RESULTS: At loads ranging from 200 to 500 gf the fatigue life was 0.7-10.6 x 10(5) cycles for FA, and 0.7-4.8 x 10(3) cycles for GFII. For both materials the fatigue life was reduced significantly by increasing the test load (p<0.05). The surface contact fatigue life for FA was at least 100 times greater than that for GFII at all loads. SIGNIFICANCE: The rolling ball device was confirmed as a simple and meaningful device for the study of surface contact fatigue. A microfilled composite is very much more resistant to contact fatigue than a glass ionomer.

Composite Resins↗

PubMed2004

Effect of mixing method on the porosity of encapsulated glass ionomer cement.

OBJECTIVE: To observe cement specimens mixed by various methods non-destructively using microfocus computerized tomography (micro-CT) and to evaluate the effect of mixing method on porosity. METHOD: Five glass ionomer cements were used: two were hand-mixed and three were encapsulated. The latter were mixed either by shaking or rotating. Fifteen cylindrical specimens were prepared for each material by each mixing method and stored in distilled water at 37 degrees C until testing. The specimens were observed and analyzed using micro-CT. 201 sliced images were obtained horizontally along the length of the specimens. Three-dimensional reconstructions were made and the sizes, numbers and total volume ratio of bubbles in the specimens were calculated. RESULTS: Mixing method had a significant effect on porosity (P<0.05). For the luting/lining cement, mechanical mixing produced a significantly higher porosity (P<0.05). For the restorative cement, there were only small differences in porosity between specimens mixed by the two methods. More large bubbles were detected in specimens mixed mechanically than by hand for the fluid material. This suggested that for low-viscosity materials bubbles may combine until a certain viscosity is reached during setting. SIGNIFICANCE: The strength of glass ionomer cement is affected by incorporated porosity and this depends on the mixing method. For low-viscosity cements, hand-mixing is favored in order to reduce porosity and increase strength, but this is not generally applicable to high-viscosity cements.

Cementation↗

PubMed2004

Relationship between contraction stress and degree of conversion in restorative composites.

OBJECTIVES: To verify the relationship between contraction stress and degree of conversion (DC) in different composites (Filtek Z250, Filtek A110, Tetric Ceram and Heliomolar). METHODS: For the contraction stress test, composite (2 mm thick) was applied between two 5-mm diameter glass rods, mounted in a tensilometer. DC was determined by Infrared Photoacoustic spectroscopy in specimens with similar dimensions and geometry, submitted to identical curing conditions. Specimens were exposed to different energy densities (4.5, 13.5, 27.0, 54.0 and 108.0 J/cm2) by varying exposure time. Contraction stress and DC were recorded 10 min after the beginning of photoactivation. Results were analyzed by ANOVA/Tukey's test and regression analysis. RESULTS: For contraction stress, the interaction between composite and energy density was significant. Stress values ranged between 0.6+/-0.2 and 2.0+/-0.3 MPa at 4.5 J/cm2, 2.3+/-0.5 and 4.3+/-0.4 MPa at 13.5 J/cm2, 3.8+/-0.5 and 5.8+/-0.9 MPa at 27.0 J/cm2, 4.2+/-0.8 and 7.9+/-0.9 MPa at 54.0 J/cm2 and 6.6+/-0.8 and 8.1+/-0.9 MPa at 108.0 J/cm2. Tetric Ceram (39+/-5.8%) showed a higher average DC than the other materials. Heliomolar (28+/-5.2%) showed an average DC similar to Filtek Z250 (32+/-6.6%) and to Filtek A110 (24+/-7.5%) regardless of the energy density level. No significant increase in DC was observed above 27 J/cm2. CONCLUSIONS: At high energy levels, DC had a tendency to level off earlier than contraction stress values. SIGNIFICANCE: Using high energy densities may cause a significant increase in stress values, without producing a significant increase in conversion.

Acrylic Resins↗

PubMed2005

Evaluation of sub-critical fatigue crack propagation in a restorative composite.

OBJECTIVES: Fracture is a major reason for clinical failure of dental restorations. Many clinical fractures are likely to be preceded by a slow sub-critical crack propagation. The purpose of this study was to determine slow crack propagation in a restorative composite. METHODS: Notched composite (Z100, 3M ESPE) specimens were fatigued in a four-point bending test. The notch (1 mm) was created by embedding a sharpened razor blade in the specimen mold. The specimens were load-cycled at 5 Hz between -5 and -30 N until failure. Displacement and load were recorded during the fatigue tests and used to derive crack propagation based on beam-compliance. RESULTS: The number of cycles until failure ranged between 34 and 82,481. In the last 1500 cycles prior to final fracture, the beam compliance increased consistently, indicating sub-critical crack propagation. It was calculated from the compliance change that the crack length increased 8% (77 +/- 14 microm) before final failure. The crack growth rate during sub-critical crack propagation was determined as a function of the stress intensity for the last 1500 cycles before fracture. SIGNIFICANCE: A method is presented to determine slow crack propagation using a four-point bending test. Although fatigue lifetime varied widely, stable crack growth prior to fracture was consistent. This consistency allowed formulation of stress-based crack propagation relationships that can be used in concert with numerical simulations to predict composite restoration performance. The large variation found for specimen lifetime was attributed to the initiation process that precedes sub-critical crack propagation.

Compliance↗

PubMed2005

Self-etch vs etch-and-rinse adhesives: effect of thermo-mechanical fatigue loading on marginal quality of bonded resin composite restorations.

OBJECTIVE: This study evaluated the marginal integrity of dentine adhesives bonded to enamel and dentine, before and after thermo-mechanical loading (TML). METHODS: MO cavities with proximal boxes beneath the CEJ were prepared in extracted human third molars. Direct resin composite restorations (Tetric Ceram) were bonded with 3-step etch-and-rinse (Syntac Classic, Solobond Plus, OptiBond FL), 2-step etch-and-rinse (Admira Bond, Single Bond), 2-step self-etch (AdheSE, Clearfil SE Bond), and 1-step self-etch (all-in-one) adhesives (Adper Prompt, Xeno III, iBond). Marginal gaps were analyzed using SEM of epoxy resin replicas. Bonded interfaces before TML were examined with TEM to identify pre-existing attributes for subsequent marginal disintegration. RESULTS: In enamel, high percentages of gap-free margins were initially identified for all adhesives. After TML, etch-and-rinse adhesives exhibited significantly higher percentages of gap-free margins (approximately 90%) compared with two-step self-etch (approximately 75%) and all-in-one (approximately 55%) adhesives (p<0.05). iBond did not completely etch through the enamel smear layer. In dentine, 89-100% gap-free margins were initially observed. After TML, there were no statistical differences among etch-and-rinse (62-70%) and two-step self-etch (62-63%) adhesives (p>0.05). The all-in-one adhesives exhibited significantly less gap-free margins (<40%) in dentine (p<0.05), with iBond showing the worst marginal integrity (15%). The presence of pre-existing water channels within the adhesives probably expedited water sorption when restorations were under functional stresses. CONCLUSION: Enamel bonding was more effective with phosphoric acid-etching. Etch-and-rinse and 2-step self-etch adhesives showed promising marginal adaptation to dentine and may have a better clinical prognosis than the all-in-one bonding approach.

Acid Etching, Dental↗

PubMed2005

The adhesion between prefabricated FRC posts and composite resin cores: microtensile bond strength with and without post-silanization.

OBJECTIVES: Aim of the study was to measure the adhesion between two types of translucent prefabricated FRC posts (FRC Postec, Ivoclar-Vivadent, FRC; Light-Post, RTD, LP), and two types of flowable composites used as core materials (UnifilFlow, GC, UF; Tetric Flow, Ivoclar-Vivadent, TF), with or without the application of a silane (Monobond-S, Ivoclar-Vivadent, S) on the post surface. METHODS: The experimental groups were: 1.1 FRC+UF; 1.2 FRC+S+UF; 1.3 FRC+TF; 1.4 FRC+S+TF: 2.1 LP+UF; 2.2 LP+S+UF; 2.3 LP+TF; 1.4 LP+S+TF. The bond strength at the interface between post and core was measured with the microtensile non-trimming technique. Thirty to thirty-five beam-shaped specimens per group were obtained from cylinders of core material, which had been built up around the post by progressively adding small increments of composite resin. Each specimen was loaded in tension until failure at either one of the two post-core interfaces present in each stick. The differences in interfacial bond strength among the groups were tested for statistical significance with the two-way ANOVA. RESULTS: The measured bond strengths in MPa were: [table: see text]. The statistical analysis revealed that post-silanization had a significant effect on adhesion (p<0.05). With any combination of post and core materials tested, the application of a silane onto the post surface prior to building up the core significantly increased the post-core bond strength. SIGNIFICANCE: For improved adhesion at the interface between prefabricated FRC posts and composite resin cores, post-silanization is advisable.

Adhesiveness↗

PubMed2005

In vitro fracture resistance of fiber reinforced cusp-replacing composite restorations.

OBJECTIVES: To assess the fracture resistance and failure mode of fiber reinforced composite (FRC) cusp-replacing restorations in premolars. METHODS: Forty-five extracted sound upper premolars were randomly divided into three groups. Identical MOD cavities with simulated buccal cusp fracture and height reduction of the palatal cusp were prepared. In Group A two layers of resin impregnated woven continuous FRC (EverStick Net) were applied. In Group B one layer of unidirectional continuous FRC (EverStick) was used. In Group C no fibers were applied (control). Subsequently, all teeth were restored with resin composite (Clearfil Photo Posterior), subjected to thermocycling (6000 x 5-55 degrees C) and static load tests. Load until fracture was registered for each tooth. Simultaneously, fracture propagation was monitored using acoustic emission analysis (AE). Failure modes were visually assessed. RESULTS: Weibull analysis revealed a characteristic strength and Weibull modulus (m) at 2364.8 N for Group A (m=8.9), 2437.9 N for Group B (m=5.9) and 2160.3N for Group C (m=13.6). Fracture loads were not significantly different (ANOVA, p>0.05). Teeth with FRC showed less fractures below the cemento-enamel junction (CEJ) (38% and 23% for Groups A and B, respectively) than teeth without FRC (93%) (chi-square, p<0.05). The control group showed the least AE energy signals. SIGNIFICANCE: The results suggest that glass FRC does not increase fracture load of premolars with cusp-replacing restorations. However, FRC has a beneficial effect on the failure mode. Woven fibers give more consistent results than unidirectional fibers.

Analysis of Variance↗

PubMed2004

Evaluation of dental restorative composites containing polyhedral oligomeric silsesquioxane methacrylate.

OBJECTIVES: The aim of this study was to explore novel polymeric dental restorative composites, in which polyhedral oligomeric silsesquioxane methacrylate monomer (POSS-MA) was used to partially (or completely) replace the commonly used base monomer 2,2'-bis-[4-(methacryloxypropoxy)-phenyl]-propane (Bis-GMA). METHODS: The composites were cured (hardened) by photo-initiated free radical polymerization. Mechanical properties (i.e. flexural strength, Young's modulus and diametral tensile strength) of the composites were tested by a universal mechanical testing machine; photopolymerization induced volumetric shrinkage was measured using a mercury dilatometer; and near infrared (NIR) technique was used to study the degree of methacrylate double bond conversion and photopolymerization rate. RESULTS: Small percentage POSS-MA substitution of Bis-GMA (i.e. mass fraction of 10% or less) in the resin system improved the mechanical properties of the composites; while large amount substitution led to less desirable mechanical properties, lower methacrylate double bond conversion, and slower photopolymerization rate. Statistical examinations showed the maximum flexural strength of the composites occurred when 10% (mass fraction) of Bis-GMA was replaced by POSS-MA, while the highest modulus occurred when the mass fraction of POSS-MA was 2%. SIGNIFICANCE: Polymeric dental restorative composites with improved mechanical properties may be designed by judicious choice of monomer (POSS-MA, Bis-GMA and TEGDMA) compositions.

Bisphenol A-Glycidyl Methacrylate↗

PubMed2005

The influence of multiple firing on thermal contraction of ceramic materials used for the fabrication of layered all-ceramic dental restorations.

OBJECTIVES: During the production of layered all-ceramic restorations transient and/or residual thermal stresses may be formed which may affect a restoration's longevity. The aim of this study was to evaluate the influence of multiple firings on the thermal behavior of veneering porcelains and a ceramic core. METHODS: The materials tested were: Empress 2 Core, Empress 2 Veneer and Eris glass-ceramics, Carrara Vincent and an experimental leucite-based veneering porcelain, Vitadur-Alpha aluminous porcelain, and two porcelains designed for titanium (i.e. Duceratin Dentine and Enamel). The thermal contraction coefficient of the materials was measured by means of dilatometery. The thermal contraction coefficient was measured during cooling and calculated over the temperature range of 450-20 degrees C by linear regression. One and two-way analysis of variance together with Tukey post-hoc tests were used as statistical analysis. RESULTS: Repeated firing affects the thermal contraction coefficients of Empress 2 Veneer, Carrara Vincent porcelain and the experimental porcelain. The thermal contraction coefficients of Empress 2 Core were significantly different from Vitadur-Alpha, Carrara Vincent, experimental porcelain, and Duceratin porcelains. The contraction coefficients of Empress 2 Veneer and Eris were closest to that of Empress 2 Core. SIGNIFICANCE: The Empress 2 Core and Eris glass-ceramics, the aluminous porcelain and Duceratin porcelains showed better thermal stability after repeated firing than leucite porcelains. It can be concluded that due to the thermal stability of glass-ceramic materials, layered all-ceramic restorations of these materials may perform better.

Aluminum Silicates↗

PubMed2005

Dynamic and static elastic moduli of packable and flowable composite resins and their development after initial photo curing.

OBJECTIVE: The purpose of this study was to evaluate the dynamic (storage) shear modulus and the static shear modulus of elasticity of packable and flowable composite resins and to investigate their development after initial photo-curing. METHODS: Three pairs of a packable versus a flowable composite and a microfill composite resin were tested (Alert/Flow It, Filtek P60/Filtek Flow, Admira/Admira Flow, A 110). Cylindrical specimens (0.85 mm x 18 mm) were made for each material. All specimens were conditioned and tested dry at 21 degrees C. The specimens were tested at 30 min, 24h and 1 week after the end of photo curing. Storage shear modulus and loss tangent were determined by conducting dynamic torsional loading in the frequency range from 1 to 150 Hz. Static shear modulus measurements were made by applying a constant load (below the proportional limit of the materials) for 10s and recording the angular deformation of the specimens. Data were analyzed by ANOVA and Duncan's Post hoc test (alpha=0.05). RESULTS: Storage shear moduli (at 1 week measurement) ranged from 3.39 to 9.67 GPa, and loss tangents from 0.0735 to 0.0235; static shear moduli ranged between 2.66 and 9.80 GPa. High values of elastic moduli and low tandelta values were obtained with packable composites, while low moduli values were obtained with flowable composites. Statistically significant (alpha=0.05) differences were recorded between materials of the same category. Storage time, 24h and 1 week after initial polymerization, resulted in significant increases in both moduli of elasticity. Dynamic shear storage moduli were highly correlated to the static ones (r(2)=0.92; P<0.05). SIGNIFICANCE: The results of the aging studies showed that the rigidity of these materials increases significantly even 1 week after the clinician turns off the curing unit.

Analysis of Variance↗

PubMed2005

Evaluation of micro-tensile bond strengths of composite materials in comparison to their polymerization shrinkage.

OBJECTIVE: The present study determined the influence of polymerization shrinkage of eight commercially available hybrid, micro-filled and nano composites (Z100 and Filtek Supreme, 3M-ESPE; Charisma and Durafill, Heraeus Kulzer; Tetric and InTen-S, Ivoclar Vivadent; Enamel plus HFO, GDF; Palfique Estelite Low Flow, Tokuyama) placed in large class 1 cavities on the bond strength to dentin. METHODS: Polymerization shrinkage was recorded for 300 s at room temperature with a Stress-Strain-Analyzer (C(FACTOR)=0.3). The maximum contraction stresses after 300 s, the time until gelation (t(0.5 N)) and the coefficient of near linear fit of contraction force/time (gradient) were analysed. For the evaluation of the micro-tensile-bond-strength (micro-TBS), hourglass shape samples obtained from a total of 32 no carious extracted human third and second molars, randomly divided into 8 groups, were used. Micro tensile bond strengths were determined by computing the ratio of maximum load by the adhesion area of the hourglass shape. In order to analyze the quality of the polymerization within fillings, hardness profiles of a surface cut thought the middle of the restored tooth and along the tooth axis were made. Further, the modulus of elasticity, determined in a three-point-bending test, as well as the variation of the modulus of elasticity and of the hardness within a filling were considered. The statistical analyses were conducted by ANOVA (alpha=0.05) and post-hoc Tukey's test. RESULTS: A significant correlation between polymerization shrinkage and micro-TBS was found (Pearson; -0.44). The correlation between modulus of elasticity in bending test and shrinkage stress (Pearson; 0.77), coefficient of near linear fit m (Pearson; 0.72), time until gelation (Pearson; -0.52) and micro-tensile-bond-strength (Pearson; -0.45) was also significant. A high polymerization tension and modulus of elasticity negatively affected the adhesion of the composite to the tooth hard substance. Further, the number of samples lost during the slice cutting and the hourglass shape preparation was found to correlate highly significantly with the shrinkage stress (Pearson; 0.97), coefficient of near linear fit m (Pearson; 0.94) and modulus of elasticity (Pearson; 0.82). All materials showed sufficient polymerization within the filling in comparison to the filling surface, the hardness at the bottom of the filling was greater than 80% of the maximum hardness value. The modulus of elasticity was not considerably reduced within the filling. SIGNIFICANCE: High contraction stress and modulus of elasticity, fast development of contraction force and an early start of stress build-up of materials placed in restrictive cavities cause tension in the material with a possible subsequent distortion of the bond to the tooth structure. A low modulus of elasticity is not necessarily associated with high bond strength. However, it causes a more uniform stress distribution at the restorative composite-tooth interface. This is also evident in a reduced sample loss during the different stages of sample preparation.

Analysis of Variance↗