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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↗

How filler properties, filler fraction, sample thickness and light source affect light attenuation in particulate filled resin composites.

OBJECTIVE: It was hypothesized that by standardizing variables such as light sources, filler types and filler surface treatment, it should be possible to use Beer-Lambert's law to predict light absorption in visible light-cured dental composites. METHODS: Mixture of 50 wt% bisGMA and 50 wt% TEGDMA to which a photo-initiator (0.35 wt% champhorquinone) and a co-initiator (0.7 wt% of dimethylaminoethylmethacrylate) was prepared. Three different filler types (HBB, SBB and KU) were added to that mixture in eight different volume percentage. Filler particles were either silane surface treated or not. Specimens were made with thicknesses of 1-5 mm. Total number of 1200 specimens were made for this study. Light transmission was obtained for halogen source and laser lights, which made the number of observations 2400. The absorbance values of the different materials were analyzed in Matlab with respect to the differences in filler fraction and sample thickness. RESULTS: The obtained results revealed that of the two light sources, more light was absorbed by the composite when the laser light was used. Among different filler types, the HBB filler absorbed most light and the KU filler the least. There were significant differences (p < 0.05) in light absorption between all three filler types. SIGNIFICANCE: By comparing the modeled surfaces generated by Matlab for different materials it was possible to determine how different variables such as filler type, filler surface treatment and light source affect light attenuation. The characteristic of incident light affected the light absorbance, meaning that not only the composite's composition needs to be considered in light absorption studies of dental composites.

Absorption↗

Evaluation of two Bis-GMA analogues as potential monomer diluents to improve the mechanical properties of light-cured composite resins.

OBJECTIVES: The aim of this study was to investigate the influence of new diluent agents, diluent ratio and filler content, on relevant mechanical properties of several novel composite resins containing Bis-GMA as resin matrices, and to compare these with the properties of composites based on TEGDMA, a conventionally used diluent. METHODS: Two Bis-GMA analogues were synthesized and 20 experimental composite resins were prepared combining three monomer mixtures (Bis-GMA/TEGDMA, Bis-GMA/CH3 Bis-GMA and Bis-GMA/CF3 Bis-GMA), at three dilution rates (85/15, 10/90, 0/100) and three levels of hybrid filler content (barium aluminosilicate glass): 0, 10 and 35%. Flexural strength (FS), modulus of elasticity (ME) and microhardness (VHN) of the composites were evaluated. Five specimens of each material were prepared for each mechanical test, light-cured over 120 s and stored in water at 37 degrees C for 1 week. Three-point bending test was used for FS measurement and VHN was quantified by using a Vickers microindentor. Data were analyzed by ANOVA and Student-Newman-Keuls tests (P<0.05). RESULTS: Materials with CH3 Bis-GMA showed an enhanced VHN. Mean FS was higher for matrices containing TEGDMA. Overall, dilution favored FS and VHN but not ME. Filler loading specially improved ME and VHN. SIGNIFICANCE: Results correlate with an increase in the extent of polymerization due to the higher flexibility of the less viscous comonomer starting system and the hydrophobic character of the Bis-GMA analogues.

Aluminum Silicates↗

Polymerization shrinkage and contraction stress of dental resin composites.

OBJECTIVE: The aim of this study was to evaluate the shrinkage, contraction stress, tensile modulus, and the flow factor of 17 commercially available dental resin composites. METHOD: The volumetric shrinkage measurements were performed by mercury dilatometry, and the contraction stress and tensile modulus were determined by means of stress-strain analysis. The statistical analysis was conducted by ANOVA and Tukey's post hoc test, and linear regression. RESULTS: Strong linear correlation for most resin composites were found for (i) contraction stress and shrinkage (ii) contraction stress and tensile modulus, and (iii) shrinkage and tensile modules. For most of the materials the unpolymerized resin content determines the amount of shrinkage, contraction stress and tensile modules. The pre-polymerized clusters in Heliomolar results in improved shrinkage/contraction stress properties. The shrinkage/contraction stress for Filtek Z100, Aelite Flo, and Flow-it was too high for the amount of resin in the resin composite. This was rationalized by high polymerization rates, a flow factor, and the nature of the resin. SIGNIFICANCE: High shrinkage and/or high contraction stress may lead to failure of the bond between the resin composites and the tooth structure. This study shows that the unpolymerized resin content determines the amount of shrinkage, contraction stress and tensile modules. Therefore, using pre-polymerized clusters will improve shrinkage/contraction stress properties, as was shown in Heliomolar, while high polymerization rates, and low flow factors have a deteriorative effect on the shrinkage/contraction stress properties.

Acrylic Resins↗

Rheological properties of resin composites according to variations in monomer and filler composition.

OBJECTIVES: The aim of this study was to investigate the effects of monomer and filler composition on the rheological properties related to the handling characteristics of composites. METHODS: A resin matrix in which Bis-GMA was blended with TEGDMA at a ratio of 6:4, was mixed with silane-treated Barium glass (0.7 and 1.0 microm), 0.04 microm fumed silica or 0.5 microm round silica. The type and content of incorporated fillers were varied to achieve different viscosity levels of the experimental composites. Steady shear and dynamic oscillatory shear tests were performed with a rheometer. The viscosity (eta) of the resin matrix, the storage shear modulus (G'), loss modulus (G''), complex modulus (G*), loss tangent (tandelta), phase angle delta and complex viscosity (eta*) of the composites were evaluated as a function of frequency omega=0.1-100 rad/s. To investigate the effect of temperature on viscosity, a temperature sweep test was also performed. RESULTS: Resin matrices were Newtonian fluids and all experimental composites exhibited pseudoplasticity. The viscosity exponentially increased as the percentage of filler volume was increased, but decreased with increasing temperature. For identical filler volumes, as the filler size decreased, viscosity increased. The effect of filler size on the viscosity was intensified with increasing filler content, and the increased filler content reduced the tandelta. SIGNIFICANCE: The rheological properties of composites related to handling characteristics were greatly influenced by the formulation of the monomer and filler, shear rate and temperature. The locus of frequency domain phasor plots, G(*)(omega)e(idelta)=G(*)(omega) angledelta, in a complex plane was a valuable method for representing the viscoelastic properties of the composites.

Barium Compounds↗

Bond strength performance of different resin composites used as core materials around fiber posts.

OBJECTIVES: To evaluate the microtensile bond strengths of different resin composites used as core materials around fiber posts. METHODS: Forty DT Light-Posts (RTD) were randomly divided into eight groups, according to the resin composite used. They included two core materials specifically developed for core build-up--Group 1: Core-Flo (Bisco Inc.) and Group 2: UniFil Core (GC Corp.); three hybrid composites--Group 3: Tetric Ceram (Ivoclar-Vivadent), Group 4: Gradia Direct (GC Corp.), Group 5: Bisfil 2B (Bisco, Inc.); and three flowable composites--Group 6: AEliteflo (Bisco, Inc.), Group 7: Filtek Flow (3M ESPE) and Group 8: UniFil Flow (GC Corp). A cylindrical plastic matrix was placed around the silanized post and filled with the respective resin composite. Each bonded post provided five to eight sticks for microtensile testing. Each stick was loaded to failure under tension at a cross-head speed of 0.5mm/min. One-way ANOVA and Tukey's test were used for statistical analysis. Scanning electron microscopy (SEM) was used to evaluate the interface of the fractured sticks. RESULTS: Resin composites exhibited a significant influence on microtensile bond strength (p<0.05). Core-Flo showed the highest bond strength (11.00+/-0.69 MPa) although it was not statistically significantly different from all groups, except from the flowable composites. Under SEM, all the composites adapted well to the fiber post, with a variable extent of voids observed along the fractured composite interfaces. SIGNIFICANCE: Although good adaptation to the post surface was achieved, bond strength to fiber post remains relatively weak. Core build-up and hybrid composites are better alternatives to flowable composites as core build-up materials.

Barium Compounds↗

A simple etching technique for improving the retention of fiber posts to resin composites.

Coupling of fiber posts to composites is hampered by absence of chemical union between epoxy resins and methacrylate-based resins. This study examined a clinically feasible protocol for creating micromechanical retention on the surface of fiber posts, using hydrogen peroxide etching to remove the surface layer of epoxy resin. This was followed by silanization of the exposed quartz fibers to enhance their chemical bonding to composites. Etching with 24% H2O2 for 10 min or 10% H2O2 for 20 min produced a 50 microm thick surface zone that is depleted of epoxy resin, leaving intact, undamaged quartz fibers for silanization. Low viscosity flowable composites were employed to infiltrate this zone, to simulate the creation of hybrid layers in acid-etched dentin by dentin adhesives. Interfacial strengths were enhanced with the adjunctive use of H2O2 etching and silanization, and were probably dependent on the ability of the flowable composites to completely infiltrate this interdiffusion zone.

Barium Compounds↗

Color stability of dental composites as a function of shade.

STATEMENT OF PROBLEM: The selection of shade of composites for restorative applications may have a significant effect on color degradation through environmental exposure. PURPOSE: This study characterized the color changes in composites as a function of shade through environmental effects such as ultraviolet light exposure. MATERIAL AND METHODS: Five shades of two composites were subjected to ultraviolet light exposure at 37 degrees C for 24 hours after initial storage for 24 hours in distilled water at 37 degrees C. The lightness and chromaticity values of color were measured both before and after ultraviolet light exposure with a Minolta Chromameter. The total color change as well as changes in the lightness and chromaticity values were measured in the CIE L*a*b* scale and analyzed to monitor color degradation, if any. RESULTS: Color degradation was a significant function of shade and occurred primarily as an increase in yellowness. Color changes increased with the lightness of the shade in both composite systems. CONCLUSION: The lighter shades of composites were likely to be subject to higher color degradation through environmental effects of ultraviolet light exposure.

Analysis of Variance↗

Dynamic mechanical analysis of storage modulus development in light-activated polymer matrix composites.

OBJECTIVES: The goal of this study was to evaluate the potential for using dynamic mechanical analysis of tubular geometry in a three-point flexure fixture for monitoring the storage modulus development of a light-activated polymer matrix composite. METHODS: Composite samples were inserted into PTFE tubes and tested in a three-point bend fixture in a dynamic mechanical analyzer (DMA) at 200 Hz with 20 microm amplitude. Samples were light activated for 60s (385 mW/cm(2) at the composite surface) and storage modulus (E') was measured continuously for the seven light-activated composites studied (one microfill, four hybrids and two unfilled resins). Cores of composite were removed from the PTFE sheath after 13.5 min and evaluated with the same parameters in the DMA. A finite element model of the test configuration was created and used to estimate operating parameters for the DMA. Degree of conversion (DC) was measured using micro-Fourier Transform Infrared (FTIR) spectroscopy for the microfilled composite samples and one hybrid 13.5 and 60 min after light activation. RESULTS: The E' for a generic hybrid and microfilled composite was 13,400+/-1100 and 5900+/-200 MPa, respectively, when cured within the tube and then removed and tested in the DMA. DC was 54.6% for the hybrid and 60.6% for the microfill. A linear regression of E' for the sheath and core vs core alone (r(2)=0.986) indicated a linear scaling of the sheath and core values for E' enabling a correction for estimated E' values of the composite core. SIGNIFICANCE: This method estimates the storage modulus growth during light-activated polymerization of highly filled dimethacrylates. Although the approach is phenomenological in that quantitative measurements of E' are not made directly from the DMA, estimates of early polymerization kinetics appear to be validated by three different approaches.

Barium Compounds↗

Rheologic properties of flowable, conventional hybrid, and condensable composite resins.

OBJECTIVES: This research was undertaken to investigate the viscoelastic properties related to handling characteristics of five commercial flowable, two conventional hybrid and two condensable composite resins and to investigate the effect on the viscosity of filler volume fraction of composites. METHODS: A dynamic oscillatory shear test was used to evaluate the storage shear modulus (G'), loss shear modulus (G"), loss tangent (tan delta) and complex viscosity (eta(*)) of the composite resins as a function of frequency (omega)-dynamic frequency sweep test from 0.01 to 100 rad/s at 25 degrees C-using an Advanced Rheometric Expansion System. To investigate the effect on the viscosity of the composites of the filler volume fraction, the filler weight% and filler volume% were measured by the Archimedes' principle using a pyknometer. RESULTS: The complex viscosity eta(*) of flowable composites was lower than that of the hybrid composites and significant differences were observed between brands. The complex viscosity eta(*) of condensable composites was higher than that of hybrid composites. The order of complex viscosity eta(*) at omega=10 rad/s in order of decreasing viscosity was as follows, Synergy compact, P-60, Z-250, Z-100, Aeliteflo, Tetric flow, Compoglass flow, Flow it and Revolution. The complex viscosity of flowable composites, normalized with respect to Z-100, was 0.04-0.56 but Synergy compact was 2.158 times higher than that of Z-100. The patterns of the change of loss tangent (tan delta) of the composite resins with increasing frequency were significantly different between brands. Phase angles delta ranged from 30.9 to 78.1 degrees at omega=10 rad/s. All composite resins exhibit pseudoplastic behavior with increasing shear rate. The relationships between the complex shear modulus G(*), the phase angle delta, and the shear rate omega were represented by the frequency domain phasor form, G(*)(omega)=G(*)e(i delta)=G(*) 90 degree angle delta. Only a weak relationship was found between filler volume% and the viscosity of the composite resins. SIGNIFICANCE: This investigation shows that the viscoelasticity of composites in the same class is significantly different between brands. This rheologic property of composite resins influences the handling characteristics of the materials. The locus of frequency domain phasor plots in a complex plane is a valuable method of representing the viscoelastic properties of composite resins.

Barium Compounds↗

In vitro contact wear of dental composites.

OBJECTIVE: The aim of this study is to determine the in vitro two-body contact wear mechanisms of three medium filled composites and compare these with a highly filled composite previously investigated. MATERIALS AND METHODS: Three commercial dental composites with filler mass fraction loading of 75-76% were evaluated. Two of the composites contained Ba-B-Al-silicate glass fillers and fumed silica with different particle sizes and distributions. One of these composites contained a fairly uniform distribution of filler particles ranging in size from 1 to 5 microm, whereas the particle size distribution in the second composite was bimodal consisting of small (less than 1 microm) and large (about 10 microm) particles. The third composite contained Ba-Al-silicate glass and silica with a filler particle size of approximately 1 microm. The composite disks were tested for wear against harder alumina counterfaces. Wear tests were conducted in distilled water using a pin-on-disk tribometer under conditions that represented typical oral conditions (sliding speed of 2.5 mm/s and contact loads ranging from 1 to 20 N). The wear tracks were analyzed by scanning electron microscopy (SEM) and Fourier transform infrared (FTIR) spectroscopy to elucidate the wear mechanisms. The chemical composition of the water solution collected after the tests was determined using an inductively coupled plasma-mass spectrometer (ICP-MS) to detect possible chemical changes, e.g. dissolution of trace elements due to submersion or wear. The wear results were compared with those reported in an earlier study on a highly filled composite containing predominately alumino-silicate glass fillers and alumina at a filler loading of 92%. RESULTS: The differences in two-body wear rates between the three medium filled composites were not statistically significant (p<0.05) indicating that the variations in filler particle size and slight differences in chemical composition of the glass fillers do not affect the in vitro wear rates of these composites. Wear rates of these medium filled composites, however, were significantly lower than the highly filled composite (p<0.05). SEM, FTIR and ICP-MS analyses suggested that wear in the medium filled composites occurs by a complex set of processes involving tribochemical reactions between filler particles and water, formation of surface films containing a mixture of filler fragments and reaction products, and film delamination, as well as dissolution of the reaction products. SIGNIFICANCE: This study reveals that subtle changes in the filler particle size and small differences in filler composition do not significantly affect the two-body wear behavior of medium filled composites. However, the chemistry of filler particles plays an important role in altering the wear performance of composites when significant changes are made in the chemical composition of the fillers and when the filler loading is increased.

Aluminum Oxide↗

Direct composite inlays versus conventional composite restorations: 5-year follow-up.

OBJECTIVES: To determine at 5 year follow-up the failure rate, wear rates and other aspects of clinical performance of direct composite inlays compared with conventional composite restorations placed incrementally. METHODS: 100 matched pairs of restorations were originally entered into the trial. Each pair consisted of a direct composite inlay and a conventional composite restoration made from the same material. At 5 years it was possible to recall 65 pairs, of which 54 were complete. Clinical assessments were made using USPHS criteria (indirect measurements of occlusal wear were made using Ivoclar standard dies) and annual bite wing radiographs. RESULTS: There was a trend to more failure of inlays than conventional composites (17.4 c.f. 7.5%) but this was not significant. The clinical performance of both types of restoration was similar and compared favourably with the results of studies of other materials. Secondary decay was diagnosed in only one restoration. Between 3 and 5 years there was some deterioration in cavo-marginal discoloration, marginal adaptation (occlusally) and surface roughness (occlusally). There was no apparent deterioration in colour match, proximal contact, shim stock contacts and Gingival Index. Wear rates of both types of restoration showed no significant difference and were essentially linear with a mean of 33-34 microm per year. CONCLUSIONS: Both inlays and conventional composite restorations complied with ADA specification minimum requirements for posterior composite restorations. In this study the direct inlay technique gave no clinical advantage over conventional, incremental placement.

Adult↗

Marginal quality and microleakage of adhesive class V restorations.

OBJECTIVES: The aim of this in vitro study was to determine the marginal quality and microleakage of composite resin class V restorations. METHODS: Standardized mixed class V cavities (diameter: 4mm, depth: 2mm) with half of the finish lines limited within dentin were cut in 90 freshly extracted human molars and randomly assigned to nine groups (n=10). After etching enamel and dentin, the cavities were restored with nine different restorative systems (Syntac Sprint/Tetric Ceram=SS, Syntac Single-Component/Tetric Ceram=SC, Onestep/Aeliteflo=OS, Aquaprep+Onestep/Aeliteflo=OA, Prime & Bond 2.1/TPH=PB, Optibond Solo/Prodigy=OP, Singlebond/Z100=SB, Tenure Quik/Marathon=TQ, Solobond M/Arabesk=SM) using a wet-bonding procedure. After finishing and polishing, the teeth were stored for 24h in distilled water at 37 degrees C before they were subjected to thermocycling (5/55 degrees C, 1000x). Epoxy replicas were made for margin analysis in the SEM. Specimens were stained in methylene blue, sectioned, and evaluated for microleakage. Dye penetration was scored on a 0-3 ordinal scale. RESULTS: Statistical analysis (Kruskal-Wallis H-test, Mann-Whitney U-test) revealed significant differences (P<0.05) among the groups at dentin and enamel margins for the microleakage scores as well as for the results of the quantitative SEM margin analysis. SC revealed a significantly higher percentage of perfect margins in the SEM than OS and SM in enamel and dentin, respectively. OA exhibited significantly more leakage in enamel than all other groups. CONCLUSIONS: None of the tested restorative systems achieved a perfect seal in dentin and enamel of mixed class V cavities. Marginal quality and sealing ability of adhesive systems to dentin, using a wet-bonding procedure, is still inferior compared with enamel margins.

Barium Compounds↗

Volumetric shrinkage of composites using video-imaging.

OBJECTIVE: This study involves investigation of the use of video-imaging for measurement of volumetric shrinkage of composites. METHODS: Six composites were tested for volumetric shrinkage using video-imaging. The volumetric shrinkage was measured using the single- and multi-view volumetric reconstruction modes. All composites were cured using a VIP(TM) curing light for 40s at 500 mW/cm(2). Dynamic shrinkage was measured using the single-view mode with a red filter placed over the detector opening. RESULTS: Analysis of the volumetric shrinkage values by a one way ANOVA for each composite showed no difference for the single- and multi-view measurement mode. The shrinkage values determined by video-imaging were compared to those measured for the same composites by mercury dilatometry by one way ANOVA followed by a paired comparison using the Bonferroni method. CONCLUSION: The video-imaging technique gives reproducible results for volumetric shrinkage of composites comparable to those measured by dilatometry.

Acrylic Resins↗

Effect of a resin-modified glass ionomer liner on volumetric polymerization shrinkage of various composites.

OBJECTIVE: The aim of this study was to evaluate the volumetric polymerization shrinkage of a selection of composite resins alone, and in contact with a resin-modified glass ionomer (RMGI) liner. METHODS: Volumetric polymerization shrinkage was measured for five different composite resins by means of the Watts and Cash deflecting disk method. Shrinkage measurements were determined for 300 s for each composite alone, and when placed over pre-cured RMGI liner. Each sample was placed within a brass ring fixed to a glass microscope slide. A linear vertical displacement transducer (LVDT) was brought into contact with a flexible glass coverslip placed over the composite sample. On curing, the contraction of the setting composite sample caused distortion of the coverslip, the resulting deflection being recorded via the LVDT by means of data-logging software. All RMGI samples were prepared at 85% relative humidity (RH) and 35 degrees C. In all cases the composite was light-cured at ambient RH and 35 degrees C. RESULTS: Analysis of the data demonstrated statistically significantly less shrinkage for each composite when cured in contact with the set RMGI liner than when cured alone, at p < 0.001. SIGNIFICANCE: Use of an RMGI liner was found to significantly reduce volumetric polymerization contraction for all the light-curing composite resin restorative materials tested.

Analysis of Variance↗

Filler particle leachability of experimental dental composites.

We studied the effect of matrix selection, filler composition, and filler silanization on filler leachability after storage in distilled water or artificial saliva. We evaluated 2 matrix systems, 2 filler systems and 2 silane treatment procedures, combined into 8 different dental composite materials. A total of 128 batches were made, and 2 specimens per batch were prepared. Of these 2 specimens per batch, one was stored in distilled water and the other in artificial saliva, both at 37 degrees C. We transferred the specimens each 30th day during a 3-yr period to new vials containing either freshly distilled water or newly mixed artificial saliva and analyzed the solutions the specimens had been stored in regarding Si, Ba and Al concentrations. The analyses revealed that storage solution, filler composition, and total time in the storage solution had strong effects on leachability. The average monthly leakage of the three elements was linear with time and higher in the artificial saliva. The Ba-containing filler leached Si faster in artificial saliva than in distilled water, and roughly twice as much as the quartz filler. The storage effect approached an order of magnitude, while the filler effect was roughly a factor of two. Filler leaching was linear over time.

Algorithms↗

Influence of selected components on crosslink density in polymer structures.

Bifunctional methacrylates polymerize to form crosslinked polymer structures which may be characterized by the quantity of remaining double bonds and by the crosslink density. This study investigated the influence of composition variation on the crosslink density of model methacrylate polymers. It was hypothesized that addition of a monofunctional monomer would reduce crosslink density and that compositions giving rise to many centers of polymer growth would result in increased crosslink density. Unfilled resins with varying content of BisGMA, TEGDMA, a monofunctional monomer, camphoroquinone, and amine were polymerized by visible light irradiation. After polymerization, the quantity of remaining double bonds and the Wallace hardness were determined. Polymer softening upon storage in ethanol was taken as a measure of the crosslink density. After ethanol storage, the relationship between hardness number and amount of monofunctional monomer showed a minimum. At same quantity of remaining double bonds, a high content of camphoroquinone compared to amine resulted in reduced softening in ethanol. Composition influenced not only remaining double bonds but also the crosslink density of the resulting polymer structures.

Analysis of Variance↗

Clinical wear performance of eight experimental dental composites over three years determined by two measuring methods.

The effect of matrix selection, filler composition, filler silanization, operator variations, and test site (dental clinic) on the wear rate of eight composites were evaluated. The wear was measured on replicas using both a microscopic and a laser scanning measuring method. The average wear rate on contact-free surfaces was 9.2 +/- 4.2 microm/month with the microscopic measurement and 8.5 +/- 3.7 microm/ month with the laser scanner over the 36-month period. The urethane-based composites performed significantly better than those which were bisGMA-based. Restorations placed at one dental clinic showed significantly lower initial wear. There was also a significant difference between the operators that was most pronounced during the first 6 months. The other variable (filler composition and silane treatment) did not affect the wear rate significantly.

Barium Compounds↗