Non-destructive evaluation of teeth restored with different composite resins using synchrotron based micro-imaging.

Science.gov (United States)

Fatima, A; Kulkarni, V K; Banda, N R; Agrawal, A K; Singh, B; Sarkar, P S; Tripathi, S; Shripathi, T; Kashyap, Y; Sinha, A

2016-01-01

Application of high resolution synchrotron micro-imaging in microdefects studies of restored dental samples. The purpose of this study was to identify and compare the defects in restorations done by two different resin systems on teeth samples using synchrotron based micro-imaging techniques namely Phase Contrast Imaging (PCI) and micro-computed tomography (MCT). With this aim acquired image quality was also compared with routinely used RVG (Radiovisiograph). Crowns of human teeth samples were fractured mechanically involving only enamel and dentin, without exposure of pulp chamber and were divided into two groups depending on the restorative composite materials used. Group A samples were restored using a submicron Hybrid composite material and Group B samples were restored using a Nano-Hybrid restorative composite material. Synchrotron based PCI and MCT was performed with the aim of visualization of tooth structure, composite resin and their interface. The quantitative and qualitative comparison of phase contrast and absorption contrast images along with MCT on the restored teeth samples shows comparatively large number of voids in Group A samples. Quality assessment of dental restorations using synchrotron based micro-imaging suggests Nano-Hybrid resin restorations (Group B) are better than Group A.

Fracture resistance of endodontically treated teeth restored with a bulkfill flowable material and a resin composite.

Science.gov (United States)

Isufi, Almira; Plotino, Gianluca; Grande, Nicola Maria; Ioppolo, Pietro; Testarelli, Luca; Bedini, Rossella; Al-Sudani, Dina; Gambarini, Gianluca

2016-01-01

To determine and compare the fracture resistance of endodontically treated teeth restored with a bulk fill flowable material (SDR) and a traditional resin composite. Thirty maxillary and 30 mandibular first molars were selected based on similar dimensions. After cleaning, shaping and filling of the root canals and adhesive procedures, specimens were assigned to 3 subgroups for each tooth type (n=10): Group A: control group, including intact teeth; Group B: access cavities were restored with a traditional resin composite (EsthetX; Dentsply-Italy, Rome, Italy); Group C: access cavities were restored with a bulk fill flowable composite (SDR; Dentsply-Italy), except 1.5 mm layer of the occlusal surface that was restored with the same resin composite as Group B. The specimens were subjected to compressive force in a material static-testing machine until fracture occurred, the maximum fracture load of the specimens was measured (N) and the type of fracture was recorded as favorable or unfavorable. Data were statistically analyzed with one-way analysis of variance (ANOVA) and Bonferroni tests (Pcomposite and with a bulk fill flowable composite (SDR) was similar in both maxillary and mandibular molars and showed no significant decrease in fracture resistance compared to intact specimens. No significant difference was observed in the mechanical fracture resistance of endodontically treated molars restored with traditional resin composite restorations compared to bulk fill flowable composite restorations.

Endodontic complications in teeth with vital pulps restored with composite resins: a systematic review.

Science.gov (United States)

Dawson, V S; Amjad, S; Fransson, H

2015-07-01

Composite resin is used extensively for restoration of teeth with vital pulps. Although cell culture studies have disclosed harmful effects on pulpal cells, any untoward clinical effects, manifest as adverse pulpal responses, have yet to be determined. This study comprises a systematic review, designed to address the question of whether the risk of endodontic complications is greater with composite resin restorations than with other restorative materials, such as amalgam. The study methodology involved (i) formulation of the research question, (ii) construction and conduct of an extensive literature search with (iii) interpretation and assessment of the retrieved literature. A search of the medical database PubMed was complemented with a search of the Controlled Trials Register (CENTRAL). The initial search yielded 1043 publications, the abstracts of which were read independently by the authors. After additional searches, 10 studies were included in the review. In all the included studies, the level of evidence was assessed as low. No conclusions could therefore be drawn. The included studies reported few, if any, endodontic complications. Little or no differences emerged between teeth restored with composite resins and those restored with amalgam. To determine whether composite resin restorations of teeth with vital pulps are associated with an increased risk for development of endodontic complications such as apical periodontitis, further evidence is needed, from well-constructed studies with a large number of participants. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Marginal Gap Formation in Approximal "Bulk Fill" Resin Composite Restorations After Artificial Ageing.

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Peutzfeldt, A; Mühlebach, S; Lussi, A; Flury, S

The aim of this in vitro study was to investigate the marginal gap formation of a packable "regular" resin composite (Filtek Supreme XTE [3M ESPE]) and two flowable "bulk fill" resin composites (Filtek Bulk Fill [3M ESPE] and SDR [DENTSPLY DeTrey]) along the approximal margins of Class II restorations. In each of 39 extracted human molars (n=13 per resin composite), mesial and distal Class II cavities were prepared, placing the gingival margins below the cemento-enamel junction. The cavities were restored with the adhesive system OptiBond FL (Kerr) and one of the three resin composites. After restoration, each molar was cut in half in the oro-vestibular direction between the two restorations, resulting in two specimens per molar. Polyvinylsiloxane impressions were taken and "baseline" replicas were produced. The specimens were then divided into two groups: At the beginning of each month over the course of six months' tap water storage (37°C), one specimen per molar was subjected to mechanical toothbrushing, whereas the other was subjected to thermocycling. After artificial ageing, "final" replicas were produced. Baseline and final replicas were examined under the scanning electron microscope (SEM), and the SEM micrographs were used to determine the percentage of marginal gap formation in enamel or dentin. Paramarginal gaps were registered. The percentages of marginal gap formation were statistically analyzed with a nonparametric analysis of variance followed by Wilcoxon-Mann-Whitney tests and Wilcoxon signed rank tests, and all p-values were corrected with the Bonferroni-Holm adjustment for multiple testing (significance level: α=0.05). Paramarginal gaps were analyzed descriptively. In enamel, significantly lower marginal gap formation was found for Filtek Supreme XTE compared to Filtek Bulk Fill ( p=0.0052) and SDR ( p=0.0289), with no significant difference between Filtek Bulk Fill and SDR ( p=0.4072). In dentin, significantly lower marginal gap formation was

Bacterial adhesion on direct and indirect dental restorative composite resins: An in vitro study on a natural biofilm.

Science.gov (United States)

Derchi, Giacomo; Vano, Michele; Barone, Antonio; Covani, Ugo; Diaspro, Alberto; Salerno, Marco

2017-05-01

Both direct and indirect techniques are used for dental restorations. Which technique should be preferred or whether they are equivalent with respect to bacterial adhesion is unclear. The purpose of this in vitro study was to determine the affinity of bacterial biofilm to dental restorative composite resins placed directly and indirectly. Five direct composite resins for restorations (Venus Diamond, Adonis, Optifil, Enamel Plus HRi, Clearfil Majesty Esthetic) and 3 indirect composite resins (Gradia, Estenia, Signum) were selected. The materials were incubated in unstimulated whole saliva for 1 day. The biofilms grown were collected and their bacterial cells counted. In parallel, the composite resin surface morphology was analyzed with atomic force microscopy. Both bacterial cell count and surface topography parameters were subjected to statistical analysis (α=.05). Indirect composite resins showed significantly lower levels than direct composite resins for bacterial cell adhesion, (Pcomposite resins (P>.05). However, within the indirect composite resins a significantly lower level was found for Gradia than Estenia or Signum (Pcomposite resin roughness and bacterial adhesion when the second and particularly the third-order statistical moments of the composite resin height distributions were considered. Indirect dental restorative composite resins were found to be less prone to biofilm adhesion than direct composite resins. A correlation of bacterial adhesion to surface morphology exists that is described by kurtosis; thus, advanced data analysis is required to discover possible insights into the biologic effects of morphology. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Resin composites

DEFF Research Database (Denmark)

Benetti, Ana Raquel; Peutzfeldt, Anne; Lussi, Adrian

2014-01-01

OBJECTIVE: To investigate how the modulus of elasticity of resin composites influences marginal quality in restorations submitted to thermocyclic and mechanical loading. METHODS: Charisma, Filtek Supreme XTE and Grandio were selected as they were found to possess different moduli of elasticity...... of resin composite (p=0.81) on the quality of dentine margins was observed, before or after loading. Deterioration of all margins was evident after loading (p....008). CONCLUSIONS: The resin composite with the highest modulus of elasticity resulted in the highest number of gap-free enamel margins but with an increased incidence of paramarginal enamel fractures. CLINICAL SIGNIFICANCE: The results from this study suggest that the marginal quality of restorations can...

The effect of proximal contour on marginal ridge fracture of Class II composite resin restorations.

NARCIS (Netherlands)

Loomans, B.A.C.; Roeters, F.J.M.; Opdam, N.J.M.; Kuijs, R.H.

2008-01-01

OBJECTIVES: To compare the marginal ridge fracture strength of Class II composite resin restorations placed with a straight or contoured matrix band using composite resins with different modulus of elasticity. METHODS: In 60 artificial first molars standardized MO-preparations were ground. Two

Clinical performance of bulk-fill and conventional resin composite restorations in posterior teeth: a systematic review and meta-analysis.

Science.gov (United States)

Veloso, Sirley Raiane Mamede; Lemos, Cleidiel Aparecido Araújo; de Moraes, Sandra Lúcia Dantas; do Egito Vasconcelos, Belmiro Cavalcanti; Pellizzer, Eduardo Piza; de Melo Monteiro, Gabriela Queiroz

2018-03-28

The purpose of this systematic review was to compare the clinical performance of bulk-fill resin composites with conventional resin composites used for direct restorations of posterior teeth. This review followed the PRISMA statement. This review was registered at PROSPERO (registration number CRD42016053436). A search of the scientific literature was performed by two independent reviewers using the PubMed/MEDLINE, Embase, The Cochrane Library, and Web of Science databases from commencement until January 2018. The research question was "Do bulk-fill resin composites have a clinical performance comparable to conventional resin composites in posterior restorations?" Only studies evaluating class I and II direct restorations in permanent teeth with a follow-up period of at least 1 year were included. The RevMan 5 program was used for meta-analysis, calculating the relative risk (RR) and 95% confidence interval (CI) of the dichotomous outcome (restoration failure or success). Ten articles were selected, comprising 941 analyzed restorations. The mean follow-up period was 33.6 months (12-72 months). No statistically significant differences in the failure rate were observed between conventional and base/flowable bulk-fill resin composites (p = 0.31; RR 1.49; 95% CI 0.69-3.25) or full-body/sculptable bulk-fill resin composites (p = 0.12; RR 1.89; 95% CI 0.84-4.24). The present systematic review and meta-analysis indicate similar clinical performances of bulk-fill and conventional resin composites over a follow-up period of 12 to 72 months. Based on the results of this study, the bulk-fill resin composites could be an alternative for direct restorations in posterior teeth. However, clinical trials of longer duration are required.

The effect of repeated preheating of dimethacrylate and silorane-based composite resins on marginal gap of class V restorations.

Science.gov (United States)

Alizadeh Oskoee, Parnian; Pournaghi Azar, Fatemeh; Jafari Navimipour, Elmira; Ebrahimi Chaharom, Mohammad Esmaeel; Naser Alavi, Fereshteh; Salari, Ashkan

2017-01-01

Background. One of the problems with composite resin restorations is gap formation at resin‒tooth interface. The present study evaluated the effect of preheating cycles of silorane- and dimethacrylate-based composite resins on gap formation at the gingival margins of Class V restorations. Methods. In this in vitro study, standard Class V cavities were prepared on the buccal surfaces of 48 bovine incisors. For restorative procedure, the samples were randomly divided into 2 groups based on the type of composite resin (group 1: di-methacrylate composite [Filtek Z250]; group 2: silorane composite [Filtek P90]) and each group was randomly divided into 2 subgroups based on the composite temperature (A: room temperature; B: after 40 preheating cycles up to 55°C). Marginal gaps were measured using a stereomicroscope at ×40 and analyzed with two-way ANOVA. Inter- and intra-group comparisons were analyzed with post-hoc Tukey tests. Significance level was defined at P composite resin type, preheating and interactive effect of these variables on gap formation were significant (Pcomposite resins (Pcomposite resins at room temperature compared to composite resins after 40 preheating cycles (Pcomposite re-sins. Preheating of silorane-based composites can result in the best marginal adaptation.

Bio-active glass air-abrasion has the potential to remove resin composite restorative material selectively

International Nuclear Information System (INIS)

Milly, Hussam; Andiappan, Manoharan; Thompson, Ian; Banerjee, Avijit

2014-01-01

The aims of this study were to assess: (a) the chemistry, morphology and bioactivity of bio-active glass (BAG) air-abrasive powder, (b) the effect of three air-abrasion operating parameters: air pressure, powder flow rate (PFR) and the abrasive powder itself, on the selective removal of resin composite and (c) the required “time taken”. BAG abrasive particles were characterised using scanning electron microscopy-energy dispersive X-ray spectrometry (SEM-EDX) and Fourier-transform infrared spectroscopy (FTIR). Standardised resin composite restorations created within an enamel analogue block (Macor™) in vitro, were removed using air-abrasion undersimulated clinical conditions. 90 standardised cavities were scanned before and after resin composite removal using laser profilometry and the volume of the resulting 3D images calculated. Multilevel linear model was used to identify the significant factors affecting Macor™ removal. BAG powder removed resin composite more selectively than conventional air-abrasion alumina powder using the same operating parameters (p < 0.001) and the effect of altering the unit's operating parameters was significant (p < 0.001). In conclusion, BAG powder is more efficient than alumina in the selective removal of resin composite particularly under specific operating parameters, and therefore may be recommended clinically as a method of preserving sound enamel structure when repairing and removing defective resin composite restorations.

Candida albicans adherence to resin-composite restorative dental material: influence of whole human saliva.

Science.gov (United States)

Maza, José Luis; Elguezabal, Natalia; Prado, Carlota; Ellacuría, Joseba; Soler, Iñaki; Pontón, José

2002-11-01

Attachment of Candida albicans to oral surfaces is believed to be a critical event in the colonization of the oral cavity and in the development of oral diseases such as Candida-associated denture stomatitis. Although there is considerable information about the adhesion of C albicans to buccal epithelial cells and prosthetic materials, there is very little information about the adhesion of C albicans to composite restorative materials. The purpose of this study was to investigate the degree of adhesion of C albicans to a resin-composite restorative material (Herculite). The adhesion of 2 strains of C albicans, a germinative and a germ tube-deficient mutant, was studied by a visual method after incubating the fungus and the resin with and without human whole saliva. In absence of saliva, the adhesion of the C albicans germinative isolate to the resin showed an increase in parallel with the germination, reaching a maximum at the end of the experiment (120 minutes). However, no significant differences were observed in the adhesion of the agerminative mutant during the period of time studied. In the presence of saliva, the adhesion of both isolates to the resin was significantly lowered. Germination and the presence of human whole saliva are important factors in the adhesion of C albicans to the resin-composite restorative material Herculite.

Effect of bulk-fill base material on fracture strength of root-filled teeth restored with laminate resin composite restorations.

Science.gov (United States)

Taha, N A; Maghaireh, G A; Ghannam, A S; Palamara, J E

2017-08-01

To evaluate the effect of using a bulk-fill flowable base material on fracture strength and fracture patterns of root-filled maxillary premolars with MOD preparations restored with laminate restorations. Fifty extracted maxillary premolars were selected for the study. Standardized MOD cavities with endodontic treatment were prepared for all teeth, except for intact control. The teeth were divided randomly into five groups (n=10); (Group 1) sound teeth, (Group 2) unrestored teeth; (Group 3) MOD cavities with Vitrebond base and resin-based composite (Ceram. X One Universal); (Group 4) MOD cavities with 2mm GIC base (Fuji IX GP) and resin-based composite (Ceram. X One Universal) open laminate, (Group 5) MOD cavities were restored with 4mm of bulk-fill flowable base material (SDR) and resin-based composite (Ceram. X One Universal). All teeth were thermocycled and subjected to a 45° ramped oblique load in a universal testing machine. Fracture load and fracture patterns were recorded. Data were analyzed using one-way ANOVA and Dunnett's T3 test. Restoration in general increased the fracture strength compared to unrestored teeth. The fracture strength of group 5 (bulk-fill) was significantly higher than the fracture strength of the GIC laminate groups and not significantly different from the intact teeth (355±112N, P=0.118). The type of failure was unfavorable for most of the groups, with the majority being mixed failures. The use of a bulk-fill flowable base material significantly increased the fracture strength of extracted root-filled teeth with MOD cavities; however it did not improve fracture patterns to more favorable ones. Investigating restorative techniques that may improve the longevity of root-filled premolar teeth restored with direct resin restorations. Copyright © 2017 Elsevier Ltd. All rights reserved.

Bio-active glass air-abrasion has the potential to remove resin composite restorative material selectively

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Milly, Hussam [Biomaterials, Biomimetics and Biophotonics Research Group, Kings College London Dental Institute at Guy' s Hospital, King' s Health Partners, London (United Kingdom); Andiappan, Manoharan [Unit of Dental Public Health, Kings College London Dental Institute at Guy' s Hospital, King' s Health Partners, London (United Kingdom); Thompson, Ian [Biomaterials, Biomimetics and Biophotonics Research Group, Kings College London Dental Institute at Guy' s Hospital, King' s Health Partners, London (United Kingdom); Banerjee, Avijit, E-mail: avijit.banerjee@kcl.ac.uk [Biomaterials, Biomimetics and Biophotonics Research Group, Kings College London Dental Institute at Guy' s Hospital, King' s Health Partners, London (United Kingdom); Unit of Conservative Dentistry, King' s College London Dental Institute at Guy' s Hospital, King' s Health Partners, London (United Kingdom)

2014-06-01

The aims of this study were to assess: (a) the chemistry, morphology and bioactivity of bio-active glass (BAG) air-abrasive powder, (b) the effect of three air-abrasion operating parameters: air pressure, powder flow rate (PFR) and the abrasive powder itself, on the selective removal of resin composite and (c) the required “time taken”. BAG abrasive particles were characterised using scanning electron microscopy-energy dispersive X-ray spectrometry (SEM-EDX) and Fourier-transform infrared spectroscopy (FTIR). Standardised resin composite restorations created within an enamel analogue block (Macor™) in vitro, were removed using air-abrasion undersimulated clinical conditions. 90 standardised cavities were scanned before and after resin composite removal using laser profilometry and the volume of the resulting 3D images calculated. Multilevel linear model was used to identify the significant factors affecting Macor™ removal. BAG powder removed resin composite more selectively than conventional air-abrasion alumina powder using the same operating parameters (p < 0.001) and the effect of altering the unit's operating parameters was significant (p < 0.001). In conclusion, BAG powder is more efficient than alumina in the selective removal of resin composite particularly under specific operating parameters, and therefore may be recommended clinically as a method of preserving sound enamel structure when repairing and removing defective resin composite restorations.

Effect of Different Liners on Fracture Resistance of Premolars Restored with Conventional and Short Fiber-Reinforced Composite Resins.

Science.gov (United States)

Shafiei, Fereshteh; Doozandeh, Maryam; Ghaffaripour, Dordaneh

2018-01-11

To see whether applying four different liners under short fiber-reinforced composite (SFRC), everX Posterior, compared to conventional composite resin, Z250, affected their strengthening property in premolar MOD cavities. Mesio-occluso-distal (MOD) cavities were prepared in 120 sound maxillary premolars divided into 10 groups (n = 12) in terms of two composite resin types and 4 liners or no liner. For each composite resin, in 5 groups no liner, resin-modified glass ionomer (RMGI), conventional flowable composite (COFL), self-adhesive flowable composite resin (SAFL), and self-adhesive resin cement (SARC) were applied prior to restoring incrementally. After water storage and thermocycling, static fracture resistance was tested. Data (in Newtons) were analyzed using two-way ANOVA (α = 0.05). Fracture resistance was significantly affected by composite resin type (p = 0.02), but not by the liner (p > 0.05). The interaction of the two factors was not statistically significant (p > 0.05). SFRC exhibited higher fracture strength (1470 ± 200 N) compared to conventional composite resin (1350 ± 290), irrespective of the application of liners. Application of SARC and SAFL liners led to a higher number of restorable fractures for both composite resins. The four liners can be used without interfering with the higher efficacy of SFRC, compared to conventional composite resins, to improve the fracture strength of premolar MOD cavities. © 2018 by the American College of Prosthodontists.

Replacement of Anterior Composite Resin Restorations Using Conservative Ceramics for Occlusal and Periodontal Rehabilitation: An 18-Month Clinical Follow-Up

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Leonardo Fernandes da Cunha

2016-01-01

Full Text Available This case report describes a patient with discolored and fractured composite resin restorations on the anterior teeth in whom substitution was indicated. After wax-up and mock-up, the composite was removed and replaced with minimally invasive ceramic laminates. An established and predictable protocol was performed using resin cement. Minimally invasive ceramic restorations are increasingly being used to replace composite restorations. This treatment improves the occlusal and periodontal aspects during the planning and restorative phases, such as anterior guides, and laterality can be restored easily with ceramic laminates. In addition, the surface smoothness and contour of ceramic restorations do not affect the health of the surrounding periodontal tissues. Here we present the outcome after 18 months of clinical follow-up in a patient in whom composite resin restorations in the anterior teeth were replaced with minimally invasive ceramic laminates.

Survival rates against fracture of endodontically treated posterior teeth restored with full-coverage crowns or resin composite restorations: a systematic review

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Warattama Suksaphar

2017-07-01

Full Text Available This systematic review aims to summarize the current clinical studies that investigated survival rates against fracture of endodontically treated posterior teeth restored with crowns or resin composite restorations. Literature search were performed using keywords. Publications from 1980 to 2016 were searched in PubMed, ScienceDirect, Web of Science, MEDLINE, and SCOPUS. Included studies were selected based on inclusion and exclusion criteria. Three clinical studies were included: 1 randomized controlled trial and 1 prospective and 1 retrospective cohort studies. Pooled survival rates ranged from 94%–100% and 91.9%–100% for crowns and resin composite, respectively. The majority of teeth had no more than 3 surface loss of tooth structure. The studies included were heterogeneous, and were not appropriate for further meta-analysis. Current evidence suggested that the survival rates against the fracture of endodontically treated posterior teeth restored with crowns or resin composites were not significantly different in the teeth with minimum to moderate loss of tooth structure.

Evaluation of proximal contact tightness of Class II resin composite restorations.

NARCIS (Netherlands)

Saber, M.H.; Loomans, B.A.C.; Zohairy, A. El; Dorfer, C.E.; El-Badrawy, W.

2010-01-01

OBJECTIVE: The objective of the current study was to compare in-vitro the proximal contact tightness (PCT) of Class II resin composite restorations (RCR) placed with different established and new placement techniques. METHODS: 105 ivorine lower left first molars with standardized MO cavities were

Randomized 3-year Clinical Evaluation of Class I and II Posterior Resin Restorations Placed with a Bulk-fill Resin Composite and a One-step Self-etching Adhesive

DEFF Research Database (Denmark)

van Dijken, Jan Wv; Pallesen, Ulla

2015-01-01

PURPOSE: To evaluate the 3-year clinical durability of the flowable bulk-fill resin composite SDR in Class I and Class II restorations. MATERIALS AND METHODS: Thirty-eight pairs of Class I and 62 pairs of Class II restorations were placed in 44 male and 42 female patients (mean age 52.4 years......). Each patient received at least two extended Class I or Class II restorations that were as similar as possible. In all cavities, a one-step self-etching adhesive (XenoV+) was applied. One of the cavities of each pair was randomly assigned to receive the flowable bulk-fill resin composite SDR...... in increments up to 4 mm as needed to fill the cavity 2 mm short of the occlusal cavosurface. The occlusal part was completed with an ormocer-based nanohybrid resin composite (Ceram X mono+). In the other cavity, only the resin composite CeramX mono+ was placed in 2 mm increments. The restorations were...

Mechanical fatigue degradation of ceramics versus resin composites for dental restorations.

Science.gov (United States)

Belli, Renan; Geinzer, Eva; Muschweck, Anna; Petschelt, Anselm; Lohbauer, Ulrich

2014-04-01

For posterior partial restorations an overlap of indication exists where either ceramic or resin-based composite materials can be successfully applied. The aim of this study was to compare the fatigue resistance of modern dental ceramic materials versus dental resin composites in order to address such conflicts. Bar specimens of five ceramic materials and resin composites were produced according to ISO 4049 and stored for 14 days in distilled water at 37°C. The following ceramic materials were selected for testing: a high-strength zirconium dioxide (e.max ZirCAD, Ivoclar), a machinable lithium disilicate (e.max CAD, Ivoclar), a pressable lithium disilicate ceramic (e-max Press, Ivoclar), a fluorapatite-based glass-ceramic (e.max Ceram, Ivoclar), and a machinable color-graded feldspathic porcelain (Trilux Forte, Vita). The composite materials selected were: an indirect machinable composite (Lava Ultimate, 3M ESPE) and four direct composites with varying filler nature (Clearfil Majesty Posterior, Kuraray; GrandioSO, Voco; Tetric EvoCeram, Ivoclar-Vivadent; and CeramX Duo, Dentsply). Fifteen specimens were tested in water for initial strength (σin) in 4-point bending. Using the same test set-up, the residual flexural fatigue strength (σff) was determined using the staircase approach after 10(4) cycles at 0.5 Hz (n=25). Weibull parameters σ0 and m were calculated for the σin specimens, whereas the σff and strength loss in percentage were obtained from the fatigue experiment. The zirconium oxide ceramic showed the highest σin and σff (768 and 440 MPa, respectively). Although both lithium disilicate ceramics were similar in the static test, the pressable version showed a significantly higher fatigue resistance after cyclic loading. Both the fluorapatite-based and the feldspathic porcelain showed equivalent initial and cyclic fatigue properties. From the composites, the highest filled direct material Clearfil Majesty Posterior showed superior fatigue performance

Composite resin fillings and inlays: An 11-year evaluation

DEFF Research Database (Denmark)

Pallesen, U.; Qvist, V.

2003-01-01

Clinical trial, composite resin, direct restorations, indirect restorations, long-term behaviour, posterior teeth......Clinical trial, composite resin, direct restorations, indirect restorations, long-term behaviour, posterior teeth...

Marginal microleakage of resin-modified glass-ionomer and composite resin restorations: Effect of using etch-and-rinse and self-etch adhesives

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Maryam Khoroushi

2012-01-01

Full Text Available Objectives: Previous studies have shown that dental adhesives increase the bond strength of resin-modified glass-ionomer (RMGI restorative materials to dentin. This in vitro study has evaluated the effect of etch-and-rinse and self-etch bonding systems v/s cavity conditioner, and in comparison to similar composite resin restorations on maintaining the marginal sealing of RMGI restorations. Materials and Methods: 98 rectangular cavities (2.5×3×1.5 mm were prepared on buccal and palatal aspects of 49 human maxillary premolars, randomly divided into 7 groups (N=14. The cavities in groups 1, 2 and 3 were restored using a composite resin (APX. The cavities in groups 4, 5, 6 and 7 were restored using a resin-modified glass-ionomer (Fuji II LC. Before restoring, adhesive systems (Optibond FL = OFL, three-step etch-and-rinse; One Step Plus = OSP, two-step etch-and-rinse; Clearfil Protect Bond = CPB, two-step self-etch were used as bonding agents in groups 1-6 as follow: OFL in groups 1 and 4, OSP in groups 2 and 5, and CPB in groups 3 and 6, respectively. The specimens in group 7 were restored with GC cavity conditioner and Fuji II LC. All the specimens were thermo-cycled for 1000 cycles. Microleakage scores were determined using dye penetration method. Statistical analyzes were carried out with Kruskal-Wallis and Mann-Whitney U tests (α=0.05. Results: There were significant differences in microleakage scores at both enamel and dentinal margins between the study groups (P<0.05. The lowest microleakage scores at enamel and dentin margins of RMGI restorations were observed in group 6. Conclusion: Use of two-step self-etch adhesive, prior to restoring cervical cavities with RMGIC, seems to be more efficacious than the conventional cavity conditioner in decreasing marginal microleakage.

Comparison of proximal contacts of class II resin composite restorations in vitro.

NARCIS (Netherlands)

Loomans, B.A.C.; Opdam, N.J.M.; Roeters, F.J.M.; Bronkhorst, E.M.; Burgersdijk, R.C.W.

2006-01-01

This study investigated the tightness of the proximal contact when placing posterior resin composite restorations with circumferential and sectional matrix systems in an in vitro model using a special measuring device (Tooth Pressure Meter). A manikin model was used with an artificial first molar in

Color of bulk-fill composite resin restorative materials.

Science.gov (United States)

Barutcigil, Çağatay; Barutcigil, Kubilay; Özarslan, Mehmet Mustafa; Dündar, Ayşe; Yilmaz, Burak

2018-03-01

To evaluate the color stability of novel bulk-fill composite resins. Color measurements of a nanohybrid composite resin (Z550) and 3 bulk-fill composite resins (BLK, AFX, XTF; n = 45) were performed before polymerization. After polymerization, color measurements were repeated and specimens were immersed in distilled water or red wine, or coffee. Color change [CIEDE2000 (ΔE 00 )] was calculated after 24 h, 1 and 3 weeks. Data were analyzed with Kruskal-Wallis, Mann-Whitney U and Wilcoxon tests (α = 0.05). Color changes observed after polymerization were significant for all groups. Color changes observed in distilled water for Z550 and AFX were significant. Color changes after stored in red wine and coffee were significant for all groups. Bulk-fill composite resin color change increased over time for all groups in red wine and coffee (P composite resin and bulk-fill composite resins. AFX had the highest color change in distilled water. The color of tested bulk-fill composite resins significantly changed after immersion in beverages and over time. Color change observed with the nanohybrid composite resin after 1 week was stable. Clinicians should keep in mind that tested composite resins may change color when exposed to water and significantly change color immediately after they are polymerized. In addition, the color change continues over time should the patient is a coffee and/or red wine consumer. © 2017 Wiley Periodicals, Inc.

Push-Out Bond Strength of Restorations with Bulk-Fill, Flow, and Conventional Resin Composites

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Rodrigo Vieira Caixeta

2015-01-01

Full Text Available The aim of this study was to evaluate the bond strengths of composite restorations made with different filler amounts and resin composites that were photoactivated using a light-emitting diode (LED. Thirty bovine incisors were selected, and a conical cavity was prepared in the facial surface of each tooth. All preparations were etched with Scotchbond Etching Gel, the Adper Scotchbond Multipurpose Plus adhesive system was applied followed by photoactivation, and the cavities were filled with a single increment of Filtek Z350 XT, Filtek Z350 XT Flow, or bulk-fill X-tra fil resin composite (n = 10 followed by photoactivation. A push-out test to determine bond strength was conducted using a universal testing machine. Data (MPa were submitted to Student’s t-test at a 5% significance level. After the test, the fractured specimens were examined using an optical microscope under magnification (10x. Although all three composites demonstrated a high prevalence of adhesive failures, the bond strength values of the different resin composites photoactivated by LED showed that the X-tra fil resin composite had a lower bond strength than the Filtek Z350 XT and Filtek Z350 XT Flow resin composites.

Implications of resin-based composite (RBC) restoration on cuspal deflection and microleakage score in molar teeth: Placement protocol and restorative material.

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McHugh, Lauren E J; Politi, Ioanna; Al-Fodeh, Rami S; Fleming, Garry J P

2017-09-01

To assess the cuspal deflection of standardised large mesio-occluso-distal (MOD) cavities in third molar teeth restored using conventional resin-based composite (RBC) or their bulk fill restorative counterparts compared with the unbound condition using a twin channel deflection measuring gauge. Following thermocycling, the cervical microleakage of the restored teeth was assessed to determine marginal integrity. Standardised MOD cavities were prepared in forty-eight sound third molar teeth and randomly allocated to six groups. Restorations were placed in conjunction with (and without) a universal bonding system and resin restorative materials were irradiated with a light-emitting-diode light-curing-unit. The dependent variable was the restoration protocol, eight oblique increments for conventional RBCs or two horizontal increments for the bulk fill resin restoratives. The cumulative buccal and palatal cuspal deflections from a twin channel deflection measuring gauge were summed, the restored teeth thermally fatigued, immersed in 0.2% basic fuchsin dye for 24h, sectioned and examined for cervical microleakage score. The one-way analysis of variance (ANOVA) identified third molar teeth restored using conventional RBC materials had significantly higher mean total cuspal deflection values compared with bulk fill resin restorative restoration (all pmaterial selection is vital in the absence of clinical data. Copyright © 2017 The Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Durability of a low shrinkage TEGDMA/HEMA-free resin composite system in Class II restorations

DEFF Research Database (Denmark)

van Dijken, Jan WV; Pallesen, Ulla

2017-01-01

with a mean age of 53 years (range 29-82). Each participant received at random two, as similar as possible, Class II restorations. In the first cavity of each pair the TEGDMA/HEMA-free resin composite system was placed with its 3-step etch-and-rinse adhesive (cmf-els). In the second cavity a 1-step HEMA......Objective: The objective of this randomized controlled prospective trial was to evaluate the durability of a low shrinkage and TEGDMA/HEMA-free resin composite system in posterior restorations in a 6-year follow up. Material and methods: 139 Class II restorations were placed in 67 patients......-free self-etch adhesive was used (AdheSe One F). The restorations were evaluated using slightly modified USPHS criteria at baseline and then yearly during 6 years. Caries risk and parafunctional habits of the participants were estimated. Results: Three molar teeth showed mild post-operative sensitivity...

Repair Strength in Simulated Restorations of Methacrylate- or Silorane-Based Composite Resins.

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Consani, Rafael Leonardo Xediek; Marinho, Tatiane; Bacchi, Atais; Caldas, Ricardo Armini; Feitosa, Victor Pinheiro; Pfeifer, Carmem Silvia

2016-01-01

The study verified the bond strength in simulated dental restorations of silorane- or methacrylate-based composites repaired with methacrylate-based composite. Methacrylate- (P60) or silorane-based (P90) composites were used associated with adhesive (Adper Single Bond 2). Twenty-four hemi-hourglass-shaped samples were repaired with each composite (n=12). Samples were divided according to groups: G1= P60 + Adper Single Bond 2+ P60; G2= P60 + Adper Single Bond 2 + P60 + thermocycling; G3= P90 + Adper Single Bond 2 + P60; and G4= P90 + Adper Single Bond 2 + P60 + thermocycling. G1 and G3 were submitted to tensile test 24 h after repair procedure, and G2 and G4 after submitted to 5,000 thermocycles at 5 and 55 ?#61616;C for 30 s in each bath. Tensile bond strength test was accomplished in an universal testing machine at crosshead speed of 0.5 mm/min. Data (MPa) were analyzed by two-way ANOVA and Tukey's test (5%). Sample failure pattern (adhesive, cohesive in resin or mixed) was evaluated by stereomicroscope at 30?#61655; and images were obtained in SEM. Bond strength values of methacrylate-based composite samples repaired with methacrylate-based composite (G1 and G2) were greater than for silorane-based samples (G3 and G4). Thermocycling decreased the bond strength values for both composites. All groups showed predominance of adhesive failures and no cohesive failure in composite resin was observed. In conclusion, higher bond strength values were observed in methacrylate-based resin samples and greater percentage of adhesive failures in silorane-based resin samples, both composites repaired with methacrylate-based resin.

Microhardness of resin composite materials light-cured through fiber reinforced composite.

NARCIS (Netherlands)

Fennis, W.M.M.; Ray, N.J.; Creugers, N.H.J.; Kreulen, C.M.

2009-01-01

OBJECTIVES: To compare polymerization efficiency of resin composite basing materials when light-cured through resin composite and fiber reinforced composite (FRC) by testing microhardness. METHODS: Simulated indirect restorations were prepared by application of resin composite (Clearfil AP-X) or FRC

Marginal Leakage of Class V Composite Resin Restorations

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Maryam Khoroushi

2018-01-01

Full Text Available >Introduction: Marginal leakage is one of the significant causes of restoration failure. This in-vitro study was conducted to compare cone beam computed tomography (CBCT and dye-penetration methods for determining marginal leakage at gingival surface of class V resin composite restorations.Materials and Methods: Class V cavities were prepared on the buccal surfaces of nineteen caries-free extracted human molar teeth. Cavities were conditioned and filled. The teeth were immersed in a 50% w/w aqueous silver nitrate solution for 24 h and were taken out and rinsed with distilled water. Then, they were put into a developing solution. Whole specimens were first viewed with CBCT and were then sectioned and evaluated by stereomicroscope.Results: Measurement of agreement between CBCT and stereomicroscope revealed that 15 (78.9% teeth had score 0, 1 (5.3% tooth had score 1, and 1 (5.3% tooth had score 2 in both techniques. Measurement of agreement between CBCT and stereomicroscope techniques, in the detection of marginal leakage, was 89.5% (Kappa coefficient = 0.627, P = 0.00. The Wilcoxon paired rank test revealed no significant difference between the results of CBCT and stereomicroscope in measuring the leakage at gingival margin (P = 0.157.Conclusion: Considering the limitations of the study, there was no significant difference between the results of CBCT and stereomicroscope in measuring the leakage at gingival margin of class V composite restorations. CBCT can be used noninvasively to detect the marginal leakage of gingival wall of class V composite restorations using aqueous silver nitrate solution as a tracer.

A comparison of stresses in molar teeth restored with inlays and direct restorations, including polymerization shrinkage of composite resin and tooth loading during mastication.

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Dejak, Beata; Młotkowski, Andrzej

2015-03-01

Polymerization shrinkage of composites is one of the main causes of leakage around dental restorations. Despite the large numbers of studies there is no consensus, what kind of teeth reconstruction--direct or indirect composite restorations are the most beneficial and the most durable. The aim was to compare equivalent stresses and contact adhesive stresses in molar teeth with class II MOD cavities, which were restored with inlays and direct restorations (taking into account polymerization shrinkage of composite resin) during simulated mastication. The study was conducted using the finite elements method with the application of contact elements. Three 3D models of first molars were created: model A was an intact tooth; model B--a tooth with a composite inlay, and model C--a tooth with a direct composite restoration. Polymerization linear shrinkage 0.7% of a direct composite restoration and resin luting cement was simulated (load 1). A computer simulation of mastication was performed (load 2). In these 2 situations, equivalent stresses according to the modified von Mises criterion (mvM) in the materials of mandibular first molar models with different restorations were calculated and compared. Contact stresses in the luting cement-tooth tissue adhesive interface around the restorations were also assessed and analyzed. Equivalent stresses in a tooth with a direct composite restoration (the entire volume of which was affected by polymerization shrinkage) were many times higher than in the tooth restored with a composite inlay (where shrinkage was present only in a thin layer of the luting cement). In dentin and enamel the stress values were 8-14 times higher, and were 13 times higher in the direct restoration than in the inlay. Likewise, contact stresses in the adhesive bond around the direct restoration were 6.5-7.7 times higher compared to an extraorally cured restoration. In the masticatory simulation, shear contact stresses in the adhesive bond around the direct

Simple direct composite resin restoration on endodontically treated tooth: A case report

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Wahyuni Suci Dwiandhany

2016-06-01

Full Text Available Endodontically treated teeth generally havegreat structure loss so that the resistance to fracture is reduced. Therefore, the post-endodontic restoration design that covers the entire cusp (full cuspal coverage is necessary to increase the resistance of teeth to fracture. The aim of this case report is to present direct onlay restoration technique using composite resin material in non-vital tooth with chronic apical periodontitis. A 74-years-old male patient came to the clinic complaining of discomfort in the lower right posterior tooth related to eating since 1 week ago. Clinical examination revealed a large amalgam restoration on the second lower right molar, the tooth is negative to pulp sensitivity test, and tender to percussion. Radiographically, the tooth showed periapical radiolucency at distal and mesial root. The diagnosis of the tooth was chronic apical periodontitis. The treatment plan is a non-vital root canal treatment with multiple visit. Root canal preparation with rotary files (ProTaper Next, Dentsply, Germany was performed on the first visit and irrigated with NaOCl. On the next visit, during subjective examination, there was no pain complaints and the percussion test was negative so the obturation with a single cone technique can be done. On the final visit, direct onlay restoration using nano-hybrid composite resin material (Polofil NHT, Voco, Germany was performed. In conclusion, after 3 months follow up, the marginal integrity of the restoration remains intact and the tooth were functioned properly.

Cytotoxic evaluation of hydroxyapatite-filled and silica/hydroxyapatite-filled acrylate-based restorative composite resins: An in vitro study.

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Chadda, Harshita; Naveen, Sangeetha Vasudevaraj; Mohan, Saktiswaren; Satapathy, Bhabani K; Ray, Alok R; Kamarul, Tunku

2016-07-01

Although the physical and mechanical properties of hydroxyapatite-filled dental restorative composite resins have been examined, the biocompatibility of these materials has not been studied in detail. The purpose of this in vitro study was to analyze the toxicity of acrylate-based restorative composite resins filled with hydroxyapatite and a silica/hydroxyapatite combination. Five different restorative materials based on bisphenol A-glycidyl methacrylate (bis-GMA) and tri-ethylene glycol dimethacrylate (TEGDMA) were developed: unfilled (H0), hydroxyapatite-filled (H30, H50), and silica/hydroxyapatite-filled (SH30, SH50) composite resins. These were tested for in vitro cytotoxicity by using human bone marrow mesenchymal stromal cells. Surface morphology, elemental composition, and functional groups were determined by scanning electron microscopy (SEM), energy-dispersive x-ray spectroscopy (EDX), and Fourier-transformed infrared spectroscopy (FTIR). The spectra normalization, baseline corrections, and peak integration were carried out by OPUS v4.0 software. Both in vitro cytotoxicity results and SEM analysis indicated that the composite resins developed were nontoxic and supported cell adherence. Elemental analysis with EDX revealed the presence of carbon, oxygen, calcium, silicon, and gold, while the presence of methacrylate, hydroxyl, and methylene functional groups was confirmed through FTIR analysis. The characterization and compatibility studies showed that these hydroxyapatite-filled and silica/hydroxyapatite-filled bis-GMA/TEGDMA-based restorative composite resins are nontoxic to human bone marrow mesenchymal stromal cells and show a favorable biologic response, making them potential biomaterials. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Fracture Resistance of Endodontically Treated Teeth Restored with Biodentine, Resin Modified GIC and Hybrid Composite Resin as a Core Material.

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Subash, Dayalan; Shoba, Krishnamma; Aman, Shibu; Bharkavi, Srinivasan Kumar Indu; Nimmi, Vijayan; Abhilash, Radhakrishnan

2017-09-01

The restoration of a severely damaged tooth usually needs a post and core as a part of treatment procedure to provide a corono - radicular stabilization. Biodentine is a class of dental material which possess high mechanical properties with excellent biocompatibility and bioactive behaviour. The sealing ability coupled with optimum physical properties could make Biodentine an excellent option as a core material. The aim of the study was to determine the fracture resistance of Biodentine as a core material in comparison with resin modified glass ionomer and composite resin. Freshly extracted 30 human permanent maxillary central incisors were selected. After endodontic treatment followed by post space preparation and luting of Glass fibre post (Reforpost, Angelus), the samples were divided in to three groups based on the type of core material. The core build-up used in Group I was Biodentine (Septodont, France), Group II was Resin-Modified Glass Ionomer Cement (GC, Japan) and Group III was Hybrid Composite Resin (TeEconom plus, Ivoclar vivadent). The specimens were subjected to fracture toughness using Universal testing machine (1474, Zwick/Roell, Germany) and results were compared using One-way analysis of variance with Tukey's Post hoc test. The results showed that there was significant difference between groups in terms of fracture load. Also, composite resin exhibited highest mean fracture load (1039.9 N), whereas teeth restored with Biodentine demonstrated the lowest mean fracture load (176.66 N). Resin modified glass ionomer exhibited intermediate fracture load (612.07 N). The primary mode of failure in Group I and Group II was favourable (100%) while unfavourable fracture was seen in Group III (30%). Biodentine, does not satisfy the requirements to be used as an ideal core material. The uses of RMGIC's as a core build-up material should be limited to non-stress bearing areas. Composite resin is still the best core build-up material owing to its high fracture

Influence of Cavity Margin Design and Restorative Material on Marginal Quality and Seal of Extended Class II Resin Composite Restorations In Vitro.

Science.gov (United States)

Soliman, Sebastian; Preidl, Reinhard; Karl, Sabine; Hofmann, Norbert; Krastl, Gabriel; Klaiber, Bernd

2016-01-01

To investigate the influence of three cavity designs on the marginal seal of large Class II cavities restored with low-shrinkage resin composite limited to the enamel. One hundred twenty (120) intact human molars were randomly divided into 12 groups, with three different cavity designs: 1. undermined enamel, 2. box-shaped, and 3. proximal bevel. The teeth were restored with 1. an extra-low shrinkage (ELS) composite free of diluent monomers, 2. microhybrid composite (Herculite XRV), 3. nanohybrid composite (Filtek Supreme XTE), and 4. silorane-based composite (Filtek Silorane). After artificial aging by thermocycling and storage in physiological saline, epoxy resin replicas were prepared. To determine the integrity of the restorations' approximal margins, two methods were sequentially employed: 1. replicas were made of the 120 specimens and examined using SEM, and 2. the same 120 specimens were immersed in AgNO3 solution, and the dye penetration depth was observed with a light microscope. Statistical analysis was performed using the Kruskal-Wallis and the Dunn-Bonferroni tests. After bevel preparation, SEM observations showed that restorations did not exhibit a higher percentage of continuous margin (SEM-analysis; p>0.05), but more leakage was found than with the other cavity designs (pcomposite restorations and is no longer recommended. However, undermined enamel should be removed to prevent enamel fractures.

Masking of Enamel Fluorosis Discolorations and Tooth Misalignment With a Combination of At-Home Whitening, Resin Infiltration, and Direct Composite Restorations.

Science.gov (United States)

Perdigão, J; Lam, V Q; Burseth, B G; Real, C

This clinical report illustrates a conservative technique to mask enamel discolorations in maxillary anterior teeth caused by hypomineralization associated with enamel fluorosis and subsequent direct resin composite to improve the anterior esthetics. The treatment consisted of at-home whitening with 10% carbamide peroxide gel with potassium nitrate and sodium fluoride in a custom-fitted tray to mask the brown-stained areas, followed by resin infiltration to mask the white spot areas. An existing resin composite restoration in the maxillary right central incisor was subsequently replaced after completion of the whitening and resin infiltration procedures, whereas the two misaligned and rotated maxillary lateral incisors were built up with direct resin composite restorations to provide the illusion of adequate arch alignment, as the patient was unable to use orthodontic therapy.

The effect of fiber dowel heights in resin composite cores on restoration failures of endodontically treated teeth.

Science.gov (United States)

Mekayarajjananonth, Trakol; Chitcharus, Nattinee; Winkler, Sheldon; Bogert, Meredith C

2009-01-01

In vitro and in vivo testing suggest that fiber posts may reduce the incidence of root fractures of endodontically treated teeth. The purpose of this in vitro study was to compare the effect of fiber post height in resin composite cores on the fracture resistance of endodontically treated teeth. Forty maxillary central incisors were randomly divided into 2 control groups (Groups 1 and 2) of 5 teeth each, and 3 experimental groups (Groups 3, 4, and 5) of 10 teeth each. The teeth in Group 1 had their opening restored with composite resin, the teeth in Group 2 were restored with quartz fiber posts without resin composite cores, and the teeth in Groups 3, 4, and 5 were restored with quartz fiber posts of 2, 4, and 6 mm high, respectively, in 6-mm resin composite cores. Ceramic crowns were fabricated for the specimens. Specimens were positioned in a mounting device and aligned at a 130-degree angle to the long axis of each tooth. A universal testing machine was used to apply constant load at a crosshead speed of 0.5 mm/min until failure occurred. The highest fracture load and mode of failure of each specimen was recorded. The highest fracture resistance force was observed in Group 2 (290.38 +/- 48.45 N) and decreased, respectively, in Group 1 (238.98 +/-26.26 N), Group 5 (228.35 +/-58.79 N), Group 4 (221.43 +/-38.74 N), and Group 3 (199.05 +/-58.00 N). According to one-way analysis of variance (ANOVA) and Duncan's test (P teeth should be restored with the longest possible post height while preserving maximum tooth structure.

Fracture Resistance of Premolars Restored by Various Types and Placement Techniques of Resin Composites

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Horieh Moosavi

2012-01-01

Full Text Available To verify the fracture resistance of premolars with mesioocclusodistal preparations restored by different resin composites and placement techniques. Sixty premolars were randomly divided into two groups based on type of composite resin: Filtek P60 or Nulite F, and then each group was separated into three subgroups: bulk, centripetal, and fiber insert according to the type of placement method (n=10. Single-bond adhesive system was used as composite bonding according to the manufacturer's instructions. Specimens were restored in Groups 1, 2, and 3 with Filtek P60 and in Groups 4, 5, and 6 with Nulite F. After being stored 24 hours at 37∘C, a 4 mm diameter steel sphere in a universal testing machine was applied on tooth buccal and lingual cusps at a cross-head speed of 5 mm/min until fracture occurred. Groups 3 and 6 showed higher fracture resistance than Groups 1, 2, 4, and 5. Among the placement techniques, the fiber insert method had a significant effect, but the type of composite was ineffective. The insertion technique in contrast to the type of material had a significant influence on the fracture resistance of premolar teeth.

Bulk-Fill Resin Composites

DEFF Research Database (Denmark)

Benetti, Ana Raquel; Havndrup-Pedersen, Cæcilie; Honoré, Daniel

2015-01-01

the restorative procedure. The aim of this study, therefore, was to compare the depth of cure, polymerization contraction, and gap formation in bulk-fill resin composites with those of a conventional resin composite. To achieve this, the depth of cure was assessed in accordance with the International Organization...... for Standardization 4049 standard, and the polymerization contraction was determined using the bonded-disc method. The gap formation was measured at the dentin margin of Class II cavities. Five bulk-fill resin composites were investigated: two high-viscosity (Tetric EvoCeram Bulk Fill, SonicFill) and three low......-viscosity (x-tra base, Venus Bulk Fill, SDR) materials. Compared with the conventional resin composite, the high-viscosity bulk-fill materials exhibited only a small increase (but significant for Tetric EvoCeram Bulk Fill) in depth of cure and polymerization contraction, whereas the low-viscosity bulk...

Fracture Strength of Indirect Resin Composite Laminates to Teeth with Existing Restorations : An Evaluation of Conditioning Protocols

NARCIS (Netherlands)

Mese, Ayse; Ozcan, Mutlu

2009-01-01

Purpose: This study evaluated the fracture strength and failure types of indirect resin-based composite laminates bonded to teeth with aged Class III composite restorations that were conditioned according to various protocols. Materials and Methods: Maxillary central incisors (N = 60) with

Fracture Resistance of Endodontically Treated Teeth Restored with 2 Different Fiber-reinforced Composite and 2 Conventional Composite Resin Core Buildup Materials: An In Vitro Study.

Science.gov (United States)

Eapen, Ashly Mary; Amirtharaj, L Vijay; Sanjeev, Kavitha; Mahalaxmi, Sekar

2017-09-01

The purpose of this in vitro study was to comparatively evaluate the fracture resistance of endodontically treated teeth restored with 2 fiber-reinforced composite resins and 2 conventional composite resin core buildup materials. Sixty noncarious unrestored human maxillary premolars were collected, endodontically treated (except group 1, negative control), and randomly divided into 5 groups (n = 10). Group 2 was the positive control. The remaining 40 prepared teeth were restored with various direct core buildup materials as follows: group 3 teeth were restored with dual-cure composite resin, group 4 with posterior composite resin, group 5 with fiber-reinforced composite resin, and group 6 with short fiber-reinforced composite resin. Fracture strength testing was performed using a universal testing machine. The results were statistically analyzed by 1-way analysis of variance and the post hoc Tukey test. Fracture patterns for each sample were also examined under a light microscope to determine the level of fractures. The mean fracture resistance values (in newtons) were obtained as group 1 > group 6 > group 4 > group 3 > group 5 > group 2. Group 6 showed the highest mean fracture resistance value, which was significantly higher than the other experimental groups, and all the fractures occurred at the level of enamel. Within the limitations of this study, a short fiber-reinforced composite can be used as a direct core buildup material that can effectively resist heavy occlusal forces against fracture and may reinforce the remaining tooth structure in endodontically treated teeth. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Comparison of microleakage in Class II cavities restored with silorane-based and methacrylate-based composite resins using different restorative techniques over time.

Science.gov (United States)

Khosravi, Kazem; Mousavinasab, Seyed-Mostafa; Samani, Mahsa Sahraneshin

2015-01-01

Despite the growing tendency toward tooth-colored restorations in dentistry, polymerization shrinkage and subsequent marginal microleakage remains a problem. The aim of this in vitro study was to compare microleakage between silorane-based and methacrylate-based composite resins at different time intervals and with different restorative techniques. In this in vitro study, 108 sound extracted human molar teeth were used. Mesial and distal proximal class II boxes with dimensions of 1.5 mm depth and 4 mm width were prepared. The gingival margins of all cavities were 1 mm below the cement enamel junction. The teeth were randomly divided into three groups based on test materials. In the first group, the teeth were restored by a nanocomposite (Filtek Z350XT, 3MESPE) and SE Bond adhesive (Kuraray, Japan), in the second group, the teeth were restored with a silorane-based (Filtek P90, 3MESPE) and Filtek P90 Adhesive (3M ESPE, USA) and in the third group, the teeth were restored with a microhybrid posterior composite resin (Filtek P60, 3MESPE) and SE Bond adhesive (Kuraray, Japan). Half of the proximal cavities in each of these three groups were restored in two horizontal layers and the other half in four horizontal layers. After a period of aging (24-h, 3-month and 6-month) in water and then application of 500 thermal cycles, the teeth were immersed for 24-h in 0.5% fuchsin and evaluated under a stereomicroscope at ×36 magnification to evaluate leakage in gingival margin. Data was statistically analyzed using Kruskal-Wallis and Mann-Whitney U-tests. P ≤ 0.05 was considered as significant. In Z350XT statistically significant differences were observed in microleakage in comparison of 24-h and 6-month intervals (P = 0.01) that was higher in 6-month. Comparison of microleakage in P90 and P60 composite resins was also statistically significant and was less in P90. Microleakage was not significantly different between P90 and Z350XT at 24-h. However, this difference was

Volumetric polymerization shrinkage of contemporary composite resins

OpenAIRE

Nagem Filho, Halim; Nagem, Haline Drumond; Francisconi, Paulo Afonso Silveira; Franco, Eduardo Batista; Mondelli, Rafael Francisco Lia; Coutinho, Kennedy Queiroz

2007-01-01

The polymerization shrinkage of composite resins may affect negatively the clinical outcome of the restoration. Extensive research has been carried out to develop new formulations of composite resins in order to provide good handling characteristics and some dimensional stability during polymerization. The purpose of this study was to analyze, in vitro, the magnitude of the volumetric polymerization shrinkage of 7 contemporary composite resins (Definite, Suprafill, SureFil, Filtek Z250, Fill ...

Direct Resin Composite Restoration of Maxillary Central Incisors with Fractured Tooth Fragment Reattachment: Case Report.

Science.gov (United States)

Szmidt, Monika; Górski, Maciej; Barczak, Katarzyna; Buczkowska-Radlińska, Jadwiga

This article presents a clinical protocol to reconstruct two accidentally damaged maxillary central incisors using composite resin material and a fractured tooth component. A patient was referred to the clinic with fracture of the two maxillary central incisors. Clinical examination revealed that both teeth were fractured in the middle third of the crown and that the fractures involved enamel and dentin with no pulp exposure. The patient had also suffered a lower lip laceration. When the lip was evaluated, a fractured fragment of the maxillary right central incisor was found inside the wound. The missing part of the tooth was replaced via adhesive attachment. Due to the damage of the fractured part of the maxillary left central incisor, direct composite restoration of this tooth was performed. With the advent of adhesive dentistry, the process of fragment reattachment has become simplified and more reliable. This procedure provides improved function, is faster to perform, and provides long-lasting effects, indicating that reattachment of a coronal fragment is a realistic alternative to placement of conventional resin composite restorations.

Clinical performance of a hybrid resin composite with and without an intermediate layer of flowable resin composite: a 7-year evaluation

DEFF Research Database (Denmark)

van Dijken, Jan W V; Pallesen, Ulla

2011-01-01

The objective of this prospective clinical follow up was to evaluate the long term clinical performance of a hybrid resin composite in Class II restorations with and without intermediate layer of flowable resin composite....

One-year clinical evaluation of nanohybrid resin composite in the restoration of occlusal and proximo-occlusal cavities in Nigeria

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Lillian Lami Enone

2017-01-01

Full Text Available Background: This study aimed to evaluate the clinical performance of nanocomposites in a Nigerian adult population. Resin composites are becoming the preferred direct restorative material in restoring occlusal and proximo-occlusal cavities due to their aesthetic properties and good clinical service. Materials and Methods: This was a clinical study evaluating the clinical performance of a nanohybrid resin composite in the restoration of occlusal and proximo-occlusal cavities in Nigerian adults. This study was done in the Conservative Dentistry Clinic of the Lagos State University Teaching Hospital, Ikeja, from April 2014 to September 2015. The restorations were evaluated immediately at baseline, 3, 6 and 12 months postoperatively for colour match, marginal discolouration, surface roughness, anatomical form, marginal adaptation, retention, post-operative sensitivity and secondary caries using the modified USPHS criteria. Statistical analysis was performed using Fisher's exact test and a 5% level of significance was considered statistically significant. Results: Males had more proximo-occlusal (26.7 than occlusal (6.7 cavities while the females (43.3 had more occlusal cavities. The nanohybrid occlusal restorations had 100% alpha scores at baseline for anatomical form which dropped to 93.3% at 12 months with 6.7% of the restorations scoring Bravo, whereas all nanohybrid proximo-occlusal restorations had 100% alpha scores from baseline to the 12-month review. All occlusal and proximo-occlusal restorations evaluated for surface texture and marginal adaptation had alpha scores at baseline which dropped to 93.3% at 12 months. Conversely, all nanohybrid occlusal and proximo-occlusal restorations scored 100% for colour match and retention, sensitivity and secondary caries from baseline to 12 months. Conclusion: The clinical performance of natural elegance nanohybrid resin composite (Henry Schein® was satisfactory in the restoration of occlusal and

Evaluation of periodontal status adjacent to interproximal surfaces restored with composite resin, in comparison with non-restored interproximal surfaces

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Elvia Christina Barros de Almeida

2008-01-01

Full Text Available Objective: The purpose of this study was to evaluate the periodontal status of interproximal surfaces restored with composite resin, in comparison with non-restored interproximal surfaces. Methods: In 65 patients, we analyzed 145 restored surfaces and 145 non-restored surfaces. Results: Most of the restored surfaces (54.3% showed radiographic alterations, which was shown to be higher among restorations with clinically detected proximal excess (56.8% x 52.8%; with lack of restorative material (64.5% x 51.4%; in restorations with proximal overhang (67.7% x 44.4%; in teeth with gingival inflammation?/bleeding (55.1% x 40.0% and in teeth with probing depth exceeding 3 mm (64.3% x 52.9%. However, there were no significant associations for these variables. Of the non-restored surfaces, 24.4% showed radiographic alterations, however there were no significant associations. Conclusion: The results showed a statistical significance for radiographic alterations in restored and non-restored surfaces.

The Effect of a Glass Ceramic Insert in Sandwich Technique on Microleakage in Class II Composite Resin Restorations

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Hila Hajizadeh

2015-06-01

Full Text Available Introduction: The aim of the present study was to evaluate the effect of glass ceramic insert in the sandwich technique to reduce microleakage in class II composite resin restorations. Methods: Sixty sound human upper second premolars were selected and randomly divided into six groups (n=10. Class II box-only cavities were prepared in distal aspects of each tooth with gingival margin located approximately 0.5 mm below the CEJ. Group A (Control was restored incrementally with Tetric Ceram and a total-etch bonding technique. Group B and C were restored with sandwich technique using a compomer (Compoglass F or flowable composite resin (Tetric Flow as the lining material at gingival floor, respectively. Group D, E and F were represented in the same way as group A, B and C and a glass ceramic insert was added to the composite bulk. The specimens were thermo-mechanically cycled, and then immersed in 0.5 % basic fuschin for 24 hours. Dye penetration was detected using a sectioning technique. Results: No significant difference was found between total-etch bonding and sandwich techniques. The placement of an insert caused an increase in   microleakage in all groups significantly (P < 0.05. Group D (no liner/ with glass insert showed the highest amount of microleakage and Group A (no liner/ without glass insert resulted in the lowest amount of total microleakage. Conclusion: Placement of glass ceramic insert could not decrease gingival leakage. According to the limitation of this study a composite resin restorations with incremental technique is recommended

Fatigue resistance and crack propensity of large MOD composite resin restorations: direct versus CAD/CAM inlays.

Science.gov (United States)

Batalha-Silva, Silvana; de Andrada, Mauro Amaral Caldeira; Maia, Hamilton Pires; Magne, Pascal

2013-03-01

To assess the influence of material/technique selection (direct vs. CAD/CAM inlays) for large MOD composite adhesive restorations and its effect on the crack propensity and in vitro accelerated fatigue resistance. A standardized MOD slot-type tooth preparation was applied to 32 extracted maxillary molars (5mm depth and 5mm bucco-palatal width) including immediately sealed dentin for the inlay group. Fifteen teeth were restored with direct composite resin restoration (Miris2) and 17 teeth received milled inlays using Paradigm MZ100 block in the CEREC machine. All inlays were adhesively luted with a light curing composite resin (Filtek Z100). Enamel shrinkage-induced cracks were tracked with photography and transillumination. Cyclic isometric chewing (5 Hz) was simulated, starting with a load of 200 N (5000 cycles), followed by stages of 400, 600, 800, 1000, 1200 and 1400 N at a maximum of 30,000 cycles each. Samples were loaded until fracture or to a maximum of 185,000 cycles. Teeth restored with the direct technique fractured at an average load of 1213 N and two of them withstood all loading cycles (survival=13%); with inlays, the survival rate was 100%. Most failures with Miris2 occurred above the CEJ and were re-restorable (67%), but generated more shrinkage-induced cracks (47% of the specimen vs. 7% for inlays). CAD/CAM MZ100 inlays increased the accelerated fatigue resistance and decreased the crack propensity of large MOD restorations when compared to direct restorations. While both restorative techniques yielded excellent fatigue results at physiological masticatory loads, CAD/CAM inlays seem more indicated for high-load patients. Copyright © 2012 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

The effect of surface sealants with different filler content on microleakage of Class V resin composite restorations.

Science.gov (United States)

Hepdeniz, Ozge Kam; Temel, Ugur Burak; Ugurlu, Muhittin; Koskan, Ozgur

2016-01-01

Microleakage is still one of the most cited reasons for failure of resin composite restorations. Alternative methods to prevent microleakage have been investigated increasingly. The aim of this study is to evaluate the microleakage in Class V resin composite restorations with or without application of surface sealants with different filler content. Ninety-six cavities were prepared on the buccal and lingual surfaces with the coronal margins located in enamel and the cervical margins located in dentin. The cavities restored with an adhesive system (Clearfil SE Bond, Kuraray, Tokyo, Japan) and resin composite (Clearfil Majesty ES-2, Kuraray, Tokyo, Japan). Teeth were stored in distilled water for 24 h and separated into four groups according to the surface sealants (Control, Fortify, Fortify Plus, and G-Coat Plus). The teeth were thermocycled (500 cycles, 5-55° C), immersed in basic fuchsine, sectioned, and analyzed for dye penetration using stereomicroscope. The data were submitted to statistical analysis by Kruskal-Wallis and Bonferroni-Dunn test. The results of the study indicated that there was minimum leakage at the enamel margins of all groups. Bonferroni-Dunn tests revealed that Fortify and GC-Coat groups showed significantly less leakage than the Control group and the Fortify Plus group at dentin margins in lingual surfaces (P < 0.05). The all surface sealants used in this study eliminated microleakage at enamel margins. Moreover, unfilled or nanofilled surface sealants were the most effective in decreasing the degree of marginal microleakage at dentin margins. However, viscosity and penetrability of the sealants could be considered for sealing ability besides composition.

A randomized controlled three year evaluation of "bulk-filled" posterior resin restorations based on stress decreasing resin technology

DEFF Research Database (Denmark)

van Dijken, Jan W V; Pallesen, Ulla

2014-01-01

-hybrid resin composite (Ceram X mono) layer. In the second cavity, the hybrid resin composite was placed in 2mm increments. The restorations were evaluated using slightly modified USPHS criteria at baseline and then yearly during 3 years. Caries risk and parafunctional habits of the participants were estimated...

Thermal cycling effects on adhesion of resin-bovine enamel junction among different composite resins.

Science.gov (United States)

Chen, Wen-Cheng; Ko, Chia-Ling; Wu, Hui-Yu; Lai, Pei-Ling; Shih, Chi-Jen

2014-10-01

Thermal cycling is used to mimic the changes in oral cavity temperature experienced by composite resins when used clinically. The purpose of this study is to assess the thermal cycling effects of in-house produced composite resin on bonding strength. The dicalcium phosphate anhydrous filler surfaces are modified using nanocrystals and silanization (w/NP/Si). The resin is compared with commercially available composite resins Filtek Z250, Z350, and glass ionomer restorative material GIC Fuji-II LC (control). Different composite resins were filled into the dental enamel of bovine teeth. The bond force and resin-enamel junction graphical structures of the samples were determined after thermal cycling between 5 and 55°C in deionized water for 600 cycles. After thermal cycling, the w/NP/Si 30wt%, 50wt% and Filtek Z250, Z350 groups showed higher shear forces than glass ionomer GIC, and w/NP/Si 50wt% had the highest shear force. Through SEM observations, more of the fillings with w/NP/Si 30wt% and w/NP/Si 50wt% groups flowed into the enamel tubule, forming closed tubules with the composite resins. The push-out force is proportional to the resin flow depth and uniformity. The push-out tubule pore and resin shear pattern is the most uniform and consistent in the w/NP/Si 50wt% group. Accordingly, this developed composite resin maintains great mechanical properties after thermal cycling. Thus, it has the potential to be used in a clinical setting when restoring non-carious cervical lesions. Copyright © 2014 Elsevier Ltd. All rights reserved.

Effects of Topical Fluoride on the Marginal Microleakage of Composite Resin and Resin-Modified Glass Ionomer Restorations in Primary Molars: An In-vitro Study

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Fatemeh Mir

2017-12-01

Full Text Available Introduction: Topical fluoride may deteriorate dental restorations. The present study aimed to evaluate the effects of topical fluoride on the marginal microleakage of composite resin and resin-modified glass ionomer (RMGI restorations in primary molars. Materials and Methods: In this experimental study, 60 primary molars were randomly divided into six groups of 10 based on the type of the restoration materials and before/after the application of fluoride gel, including FC (fluoride + composite, CF (composite + fluoride, C (composite, FG (fluoride + RMGI, GF (RMGI + fluoride, and G (RMGI. Class V cavities were prepared on the buccal surface, so that the gingival margins were located in cementum. After storing, thermocycling, and immersing the specimens in basic fuchsin, they were sectioned buccolingually and evaluated in terms of dye penetration. Data analysis was performed in SPSS version 18 using Kruskal-Wallis and Mann-Whitney U test at the significance level of 0.05. Results: No significant difference was observed between the three composite groups in terms of microleakage (P>0.05. In the RMGI groups, GF showed a significantly higher microleakage compared to G (P=0.029. However, no significant difference was observed between the other groups in this regard (P>0.05. Moreover, comparison of composite and RMGI groups (matched in terms of fluoride application indicated that microleakage was significantly higher in FG than FC (P=0.024, as well as in GF than CF (P=0.002. However, no significant difference was observed between groups C and G in this regard (P=0.268. Conclusion: According to the results, the marginal seal of composite restorations in the primary molars were not affected by the acidic fluoride gel. On the other hand, applying the acidic fluoride gel was associated with a higher microleakage in the cavities restored with RMGI.

Effect of fiber inserts on gingival margin microleakage of Class II bulk-fill composite resin restorations.

Science.gov (United States)

Shafiei, Fereshteh; Doozandeh, Maryam; Karimi, Vahid

2018-01-01

This study evaluated the effect of fiber inserts combined with composite resins on enamel and dentin margin microleakage. The fiber inserts were used with high- (x-tra fil) and low-viscosity (x-tra base) bulk-fill composite resins and as well as conventional composite resins (Grandio and Grandio Flow). In 96 sound, recently extracted molars, 2 standardized Class II cavities were prepared. The teeth were randomly divided into 8 groups of 12 teeth each, based on composite resin type and presence or absence of fiber inserts: groups 1 and 2, x-tra fil with and without fiber inserts, respectively; groups 3 and 4, x-tra base with and without fiber inserts; groups 5 and 6, Grandio with and without fiber inserts; and groups 7 and 8, Grandio Flow liner (gingival floor)/Grandio (remainder of cavity) with and without fiber inserts. In all the groups, a 2-step etch-and-rinse adhesive was used. The specimens were processed in a dye penetration technique to determine microleakage percentages. Data were analyzed with analysis of variance, Tukey, and t tests. There was significantly less leakage at the enamel margins than the dentin margins. Fiber reinforcement significantly decreased enamel microleakage in all the groups, with no significant differences among the groups. Concerning dentin microleakage, there were no significant differences among the 4 groups without fiber inserts, while a significant difference was detected in groups 2 (x-tra fil plus fiber) and 8 (Grandio Flow plus fiber/Grandio). Fibers significantly improved dentin sealing in groups 2 and 8. These findings suggest that a fiber insert reinforcing bulk-fill and conventional composite resins might improve enamel sealing in shallow Class II cavi-ties. The effect of fiber reinforcement on the dentin margins of deep cavities depended on the viscosity of the composite resins; fiber reinforcement was effective for flowable bulk-fill and conventional composite resin restorations.

Effect of Different Surface Treatments on the Bond Strength of Repaired Resin Restorations

International Nuclear Information System (INIS)

Engy Fahmy Ismaiel Fekry Abaza

2010-01-01

In the last decade, growing demands by patients for mercury-free esthetic restorations had markedly increased the use of resin composites in restorative dentistry. However, despite the continuing development of resin composites with improved properties, several factors, such as discoloration, color mismatch, wear; chipping or bulk fracture might present clinical problems (Mjor and Gordan. 2002, Vichi et al. 2004 and Kolbeck et al. 2006). As a result, the clinician should decide whether to replace or simply repair these restorations. Total replacement of the restoration might be regarded as over-treatment since in most cases, large portions of the restorations might be clinically and radio graphically considered free of failure. Moreover, complete removal of the restoration inevitably resulted in weakening of the tooth, unnecessary removal of intact dental tissues, more money and time consuming. For these reasons, the repair of the restoration instead of its removal would be a favorable procedure (Lucena-Martin et al. 2001, Frankenberger et al. 2003 a and Oztas et al. 2003). The key element in the determination of successful repair procedures was the adequate bond strength between the existing resin composite and the new one. Various methods have been suggested to improve the bond strength of the repaired resin restorations (Tezvergil et al. 2003 and Bonstein et al. 2005). Mechanical and/or chemical treatments had been investigated for preparation of the aged resin restorations to be repaired (Tezvergil et al. 2003, Ozcan et al. 2005 and Hannig et al. 2006). These treatments were introduced to counteract the problems of aged resin restorations which were limited amount of residual free radicals available for reaction with the repair material, contaminated surface, and highly cross-linked resin matrix ( Dall Oca et al. 2006 and Papacchini et al. 2007 a) Previous studies emphasized that mechanical treatments are the most important factor in obtaining optimal repair

Class II glass ionomer cermet tunnel, resin sandwich and amalgam restorations over 2 years.

Science.gov (United States)

Wilkie, R; Lidums, A; Smales, R

1993-08-01

This study compared the clinical behavior of a glass ionomer (polyalkenoate) silver cermet, a posterior resin composite used with the "tunnel" technique, a posterior resin composite used with the "closed sandwich" technique, and a high-copper amalgam for restoring small, proximal surface carious lesions. Two dentists placed 86 restorations in the posterior permanent teeth of 26 adults treated at a dental hospital. Restorations were assessed at 6-month intervals over 2 years for gingivitis adjacent to them, the tightness of proximal contacts, occlusal wear, surface voids, roughness and cracking, surface and marginal staining, and marginal fracture. Small filling defects, surface voids and occlusal wear were obvious with the cermet material, with surface crazing and cracking present in 48% of the tunnel restorations. Two of the posterior resin composites, but none of the amalgam restorations, also failed. The cermet cannot be recommended as a long-term permanent restorative material in situations where it is likely to be subjected to heavy occlusal stresses and abrasive wear.

Compressive strength and failure types of cusp replacing direct resin composite restorations in previously amalgam-filled premolars versus sound teeth

NARCIS (Netherlands)

Scholtanus, Johannes Durk; Zaia, John; Oezcan, Mutlu

2017-01-01

This study evaluated the fracture resistance of cusp replacing direct resin composite restorations (DCR) in premolars that had been previously filled with amalgam mesial-occlusal-distal (MOD) restorations and compared their fracture resistance with those made on sound dentin and intact teeth.

Clinical Effect of Dental Adhesive on Marginal Integrity in Class I And Class II Resin-Composite Restorations

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Manchorova-Veleva Neshka A.

2015-12-01

Full Text Available BACKGROUND: Dental adhesives are believed to influence marginal adaptation and marginal discoloration when used under posterior resin-based composite restorations. Studies on the latest adhesive systems reveal that the group of the three-step etch-and-rinse adhesive (3-E&RA and the one-step self-etch adhesive (1-SEA have entirely different bonding mechanisms, as well as different bond strength and resistance to chemical, thermal and mechanical factors. STUDY OBJECTIVES: A hypothesis that a 1-SEA would result in greater enamel marginal discoloration and poorer marginal adaptation than a 3-E&RA was tested. MATERIAL AND METHODS: One hundred restorations were placed with a 1-SEA and 100 restorations with a 3-E&RA. Teeth were restored with Filtek Supreme nanofilled resin-composite and were evaluated for marginal adaptation and marginal discoloration at baseline, and 6 months, 12 months, and 36 months postoperatively. RESULTS: The statistical analysis revealed significant differences in marginal integrity between test groups. The 1-SEA resulted in greater enamel marginal discoloration and poorer marginal adaptation than the 3-E&RA at any recall time. CONCLUSIONS: Marginal adaptation and marginal discoloration depend on the type of dentin adhesive used. The restorations with Filtek Supreme and Scotchbond MP are better than the restorations with Adper Prompt L-Pop with regard to the marginal adaptation and marginal discoloration at 6-, 12- and 36-month evaluations.

A new methodology for fluorescence analysis of composite resins used in anterior direct restorations.

Science.gov (United States)

de Lima, Liliane Motta; Abreu, Jessica Dantas; Cohen-Carneiro, Flavia; Regalado, Diego Ferreira; Pontes, Danielson Guedes

2015-01-01

The aim of this study was to use a new methodology to evaluate the fluorescence of composite resins for direct restorations. Microhybrid (group 1, Amelogen; group 2, Opallis; group 3, Filtek Z250) and nanohybrid (group 4, Filtek Z350 XT; group 5, Brilliant NG; group 6, Evolu-X) composite resins were analyzed in this study. A prefabricated matrix was used to prepare 60 specimens of 7.0 × 3.0 mm (n = 10 per group); the composite resin discs were prepared in 2 increments (1.5 mm each) and photocured for 20 seconds. To establish a control group of natural teeth, 10 maxillary central incisor crowns were horizontally sectioned to create 10 discs of dentin and enamel tissues with the same dimensions as the composite resin specimens. The specimens were placed in a box with ultraviolet light, and photographs were taken. Aperture 3.0 software was used to quantify the central portion of the image of each specimen in shades of red (R), green (G), and blue (B) of the RGB color space. The brighter the B shade in the evaluated area of the image, the greater the fluorescence shown by the specimen. One-way analysis of variance revealed significant differences between the groups. The fluorescence achieved in group 1 was statistically similar to that of the control group and significantly different from those of the other groups (Bonferroni test). Groups 3 and 4 had the lowest fluorescence values, which were significantly different from those of the other groups. According to the results of this study, neither the size nor the amount of inorganic particles in the evaluated composite resin materials predicts if the material will exhibit good fluorescence.

Marginal adaptation of composite resins under two adhesive techniques.

Science.gov (United States)

Dačić, Stefan; Veselinović, Aleksandar M; Mitić, Aleksandar; Nikolić, Marija; Cenić, Milica; Dačić-Simonović, Dragica

2016-11-01

In the present research, different adhesive techniques were used to set up fillings with composite resins. After the application of etch and rinse or self etch adhesive technique, marginal adaptation of composite fillings was estimated by the length of margins without gaps, and by the microretention of resin in enamel and dentin. The study material consisted of 40 extracted teeth. Twenty Class V cavities were treated with 35% phosphorous acid and restored after rinsing by Adper Single Bond 2 and Filtek Ultimate-ASB/FU 3M ESPE composite system. The remaining 20 cavities were restored by Adper Easy One-AEO/FU 3M ESPE composite system. Marginal adaptation of composite fillings was examined using a scanning electron microscope (SEM). The etch and rinse adhesive technique showed a significantly higher percentage of margin length without gaps (in enamel: 92.5%, in dentin: 57.3%), compared with the self-etch technique with lower percentage of margin length without gaps, in enamel 70.4% (p resin tugs in interprismatic spaces of enamel, while the dentin microretention was composed of adhesive and hybrid layers with resin tugs in dentin canals. In the second technique, resin tugs were rarely seen and a microgap was dominant along the border of restoration margins. The SEM analysis showed a better marginal adaptation of composite resin to enamel and dentin with better microretention when the etch and rinse adhesive procedure was applied. © 2016 Wiley Periodicals, Inc.

Effects of air-polishing powders on color stability of composite resins.

Science.gov (United States)

Güler, Ahmet Umut; Duran, Ibrahim; Yücel, Ali Çağin; Ozkan, Pelin

2011-10-01

The purpose of this study was to investigate the effect of different air-polishing powders on the color stability of different types of composite resin restorative materials. Thirty cylindrical specimens (15×2 mm) were prepared for each of 7 composite resin restorative materials. All specimens were polished with a series of aluminum oxide polishing discs (Sof-Lex). The prepared specimens of each composite resin were randomly divided into 3 groups of 10 specimens each, for control (Group-C) and two air-powder applications (Group-CP: Cavitron Prophy-Jet; Group-PS: Sirona ProSmile prophylaxis powder). A standard air-polishing unit (ProSmile Handly) was used. All specimens were air-powdered for 10 s at 4-bar pressure. The distance of the spray nosel from the specimens was approximately 10 mm and angulation of the nosel was 90°. Specimens were stored in 100 mL of coffee (Nescafe Classic) for 24 h at 37°C. Color measurement of all specimens was recorded before and after exposure to staining agent with a colorimeter (Minolta CR-300). Color differences (∆E*) between the 2 color measurements (baseline and after 24 h storage) were calculated. The data were analyzed with a 2-way ANOVA test, and mean values were compared by the Tukey HSD test (p.05) and these groups demonstrated the highest ∆E* values. For Filtek Silorane and IntenS, the highest ∆E* values were observed in Group-PS. The lowest ∆E* values for all composite resin groups were observed in Group-C. When comparing the 7 composite resin restorative materials, Aelite Aesthetic Enemal demonstrated significantly less ∆E* values than the other composite resins tested. The highest ∆E* values were observed in Quixfil. Except for Quixfil, all control groups of composite resins that were polished Sof-Lex exhibited clinically acceptable ∆E values (<3.7). Air-polishing applications increased the color change for all composite resin restorative materials tested. Composite restorations may require re

Effects of air-polishing powders on color stability of composite resins

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Ahmet Umut Güler

2011-10-01

Full Text Available OBJECTIVES: The purpose of this study was to investigate the effect of different air-polishing powders on the color stability of different types of composite resin restorative materials. MATERIAL AND METHODS: Thirty cylindrical specimens (15×2 mm were prepared for each of 7 composite resin restorative materials. All specimens were polished with a series of aluminum oxide polishing discs (Sof-Lex. The prepared specimens of each composite resin were randomly divided into 3 groups of 10 specimens each, for control (Group-C and two air-powder applications (Group-CP: Cavitron Prophy-Jet; Group-PS: Sirona ProSmile prophylaxis powder. A standard air-polishing unit (ProSmile Handly was used. All specimens were air-powdered for 10 s at 4-bar pressure. The distance of the spray nosel from the specimens was approximately 10 mm and angulation of the nosel was 90°. Specimens were stored in 100 mL of coffee (Nescafe Classic for 24 h at 37°C. Color measurement of all specimens was recorded before and after exposure to staining agent with a colorimeter (Minolta CR-300. Color differences (∆E* between the 2 color measurements (baseline and after 24 h storage were calculated. The data were analyzed with a 2-way ANOVA test, and mean values were compared by the Tukey HSD test (p.05 and these groups demonstrated the highest ∆E* values. For Filtek Silorane and IntenS, the highest ∆E* values were observed in Group-PS. The lowest ∆E* values for all composite resin groups were observed in Group-C. When comparing the 7 composite resin restorative materials, Aelite Aesthetic Enemal demonstrated significantly less ∆E* values than the other composite resins tested. The highest ∆E* values were observed in Quixfil. CONCLUSION: Except for Quixfil, all control groups of composite resins that were polished Sof-Lex exhibited clinically acceptable ∆E values (<3.7. Air-polishing applications increased the color change for all composite resin restorative materials

Polymerization shrinkage stress of composite resins and resin cements - What do we need to know?

Science.gov (United States)

Soares, Carlos José; Faria-E-Silva, André Luis; Rodrigues, Monise de Paula; Vilela, Andomar Bruno Fernandes; Pfeifer, Carmem Silvia; Tantbirojn, Daranee; Versluis, Antheunis

2017-08-28

Polymerization shrinkage stress of resin-based materials have been related to several unwanted clinical consequences, such as enamel crack propagation, cusp deflection, marginal and internal gaps, and decreased bond strength. Despite the absence of strong evidence relating polymerization shrinkage to secondary caries or fracture of posterior teeth, shrinkage stress has been associated with post-operative sensitivity and marginal stain. The latter is often erroneously used as a criterion for replacement of composite restorations. Therefore, an indirect correlation can emerge between shrinkage stress and the longevity of composite restorations or resin-bonded ceramic restorations. The relationship between shrinkage and stress can be best studied in laboratory experiments and a combination of various methodologies. The objective of this review article is to discuss the concept and consequences of polymerization shrinkage and shrinkage stress of composite resins and resin cements. Literature relating to polymerization shrinkage and shrinkage stress generation, research methodologies, and contributing factors are selected and reviewed. Clinical techniques that could reduce shrinkage stress and new developments on low-shrink dental materials are also discussed.

Fiber-reinforced Composite Resin Prosthesis to Restore Missing ...

African Journals Online (AJOL)

A fiber-reinforced composite inlay-onlay FPD was used for a single posterior tooth replacement in a patient refusing implant for psychological reasons. The FRC-FPD was made of pre-impregnated E-glass fibers (everStick, StickTeck, Turku, Finland) embedded in a resin matrix (Stick Resin, StickTeck, Turku, Finland).

A study on the radiopacity of cavity lining materials for posterior composite resin restoration

International Nuclear Information System (INIS)

Moon, Joo Hoon; Choi, Eui Hwan

2000-01-01

The aim of this study was to determine the relative radiopacities of cavity lining materials (Resin-modified Glass Ionomer cement, Compomer and Flowable resin) for posterior composite resin restoration. Resin-modified glass ionomer cement (Fuji II LC, Vitrebond (TM)), Compomers (Dyract , Compoglass, F2000, Dyract(R) flow Compoglass Flow) and Flowable resins (Tetric (R) flow, Aeliteflo (TM) Revolution (TM)) were used. Five specimens of 5 mm in diameter and 2 mm thick were fabricated with each material. Human molars were horizontally sectioned 2 mm thick to include both enamel and dentin. The radiopacities of enamel, dentin, cavity lining materials, aluminum step wedge were obtained from conventional radiograph and NIH image program. All the tested lining materials showed levels of radiopacity the same as or greater than that of dentin. All compomer tested (Dyract (R), Compoglass, F2000, Dyract (R) flow, Compoglass Flow) and Vitrebond (TM), Tetric (R) flow were more radiopaque than enamel. The radiopacities of Fuji II LC and Revolution (TM) were between enamel and dentin and resin-modified glass ionomer cement, Compomer and Tetric (R) flow were greater than those of Revolution (TM), Aeliteflo (TM) or dentin. The level of radiopacity of the tested materials was variable; those with low radiopacity should be avoided in class II restorations, where a clear determination of recurrent caries by the examining clinician could be compromised. Clinician should be able to distinguish these cavity lining materials radiographically from recurrent decay, voids, gaps, or other defects that lead to clinical failure. Utilization of materials ranked more radiopaque than enamel would enable clinicians to distinguish the lining material from tooth structure.

A study on the radiopacity of cavity lining materials for posterior composite resin restoration

Energy Technology Data Exchange (ETDEWEB)

Moon, Joo Hoon [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Chosun University, Kwangju (Korea, Republic of); Choi, Eui Hwan [Dept. of Conservative Dentistry, College of Dentistry, Chosun University, Kwangju (Korea, Republic of)

2000-12-15

The aim of this study was to determine the relative radiopacities of cavity lining materials (Resin-modified Glass Ionomer cement, Compomer and Flowable resin) for posterior composite resin restoration. Resin-modified glass ionomer cement (Fuji II LC, Vitrebond (TM)), Compomers (Dyract , Compoglass, F2000, Dyract(R) flow Compoglass Flow) and Flowable resins (Tetric (R) flow, Aeliteflo (TM) Revolution (TM)) were used. Five specimens of 5 mm in diameter and 2 mm thick were fabricated with each material. Human molars were horizontally sectioned 2 mm thick to include both enamel and dentin. The radiopacities of enamel, dentin, cavity lining materials, aluminum step wedge were obtained from conventional radiograph and NIH image program. All the tested lining materials showed levels of radiopacity the same as or greater than that of dentin. All compomer tested (Dyract (R), Compoglass, F2000, Dyract (R) flow, Compoglass Flow) and Vitrebond (TM), Tetric (R) flow were more radiopaque than enamel. The radiopacities of Fuji II LC and Revolution (TM) were between enamel and dentin and resin-modified glass ionomer cement, Compomer and Tetric (R) flow were greater than those of Revolution (TM), Aeliteflo (TM) or dentin. The level of radiopacity of the tested materials was variable; those with low radiopacity should be avoided in class II restorations, where a clear determination of recurrent caries by the examining clinician could be compromised. Clinician should be able to distinguish these cavity lining materials radiographically from recurrent decay, voids, gaps, or other defects that lead to clinical failure. Utilization of materials ranked more radiopaque than enamel would enable clinicians to distinguish the lining material from tooth structure.

Effect of gingival fluid on marginal adaptation of Class II resin-based composite restorations.

Science.gov (United States)

Spahr, A; Schön, F; Haller, B

2000-10-01

To evaluate in vitro the marginal quality of Class II composite restorations at the gingival enamel margins as affected by contamination of the cavities with gingival fluid (GF) during different steps of resin bonding procedures. 70 Class II cavities were prepared in extracted human molars and restored with composite using a multi-component bonding system (OptiBond FL/Herculite XRV; OPTI) or a single-bottle adhesive (Syntac Sprint/Tetric Ceram; SYN). The cavities were contaminated with human GF: C1 after acid etching, C2 after application of the primer (OPTI) or light-curing of the primer-adhesive (SYN), and C3 after light-curing of the resin adhesive (OPTI). Uncontaminated cavities were used as the control (C0). The restored teeth were subjected to thermocycling (TC) and replicated for SEM analysis of marginal gap formation. Microleakage at the gingival margins was determined by dye penetration with basic fuchsin. non-parametric tests (Kruskal-Wallis test, Mann-Whitney test with Bonferroni correction). In both bonding systems, contamination with GF after acid etching (C1) did not impair the marginal quality; the mean percentages of continuous margin/mean depths of dye penetration were: OPTI: C0: 88.5%/0.10 mm, C1: 95.6%/0.04 mm; SYN: C0: 90.9%/0.08 mm, C1: 97.0%/0.05 mm. Marginal adaptation was adversely affected when GF contamination was performed after

Longterm survival and reason for failure of anterior composite restoration

Directory of Open Access Journals (Sweden)

Nina Djustiana

2016-06-01

Full Text Available Composites resin restorations have been used for repairing and restoring anterior teeth for decades due to the growing needs for a cost- effective aesthetic restoration and the advancement in dental material and polymer technology. Failure of composite restorations cannot be neglected, due to multiple factors, i.e. failure to diagnose the gingival tissue, inadequate tissue management, quality of remaining tooth structure, and inadequate preparation. The aim of this review is to improve clinical performances of direct composite as permanent restorations. Long lasting aesthetic composite restorations required proper mouth preparations ,which  includes supporting and dental hard tissue preparations, tooth preparation, proper isolation, bonding procedures, light cure unit, and the resin composite itself.

Resin-composite blocks for dental CAD/CAM applications.

Science.gov (United States)

Ruse, N D; Sadoun, M J

2014-12-01

Advances in digital impression technology and manufacturing processes have led to a dramatic paradigm shift in dentistry and to the widespread use of computer-aided design/computer-aided manufacturing (CAD/CAM) in the fabrication of indirect dental restorations. Research and development in materials suitable for CAD/CAM applications are currently the most active field in dental materials. Two classes of materials are used in the production of CAD/CAM restorations: glass-ceramics/ceramics and resin composites. While glass-ceramics/ceramics have overall superior mechanical and esthetic properties, resin-composite materials may offer significant advantages related to their machinability and intra-oral reparability. This review summarizes recent developments in resin-composite materials for CAD/CAM applications, focusing on both commercial and experimental materials. © International & American Associations for Dental Research.

Sealing of adhesive systems in ferric sulfate-contaminated dentinal margins in class V composite resin restorations

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Niloofar Shadman

2016-03-01

Full Text Available Background. Hemostatic agents are applied to prepare an isolated bleeding-free condition during dental treatments and can influence adhesive restorations. This study evaluated the effect of a hemostatic agent (ViscoStat on microleakage of contaminated dentinal margin of class V composite resin restorations with three adhesives. Methods. Sixty freshly extracted human molars were selected and class V cavities (3×3×1.5 mm were prepared on buccal and lingual surfaces. Gingival margins of the cavities were placed below the cementoenamel junction. The teeth were divided into six groups randomly. The adhesives were Excite, AdheSE and AdheSE One. In three groups, the gingival walls of the cavities were contaminated with ViscoStat and then rinsed. The cavities were restored with composite resin and light-cured. After storage in distilled water (37°C for 24 hours and polishing, the samples were thermocycled and sealed with nail varnish. Then they were stored in 1% basic fuchsin for 24 hours, rinsed and mounted in self-cured acryl resin, followed by sectioning buccolingually. Dye penetration was observed under a stereomicroscope and scored. Data were statistically analyzed with Kruskal-Wallis and Mann-Whitney U tests. P 0.05. In the contaminated groups, Excite had significantly less microleakage than the others (P = 0.003. AdheSE and AdheSE One did not exhibit significant difference in microleakage (P > 0.05. Conclusion. ViscoStat hemostatic agent increased dentinal microleakage in AdheSE and AdheSE One adhesives with no effect on Excite.

Fracture resistance of weakened teeth restored with condensable resin with and without cusp coverage

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Rafael Francisco Lia Mondelli

2009-06-01

Full Text Available OBJECTIVES: This in vitro study evaluated the fracture resistance of weakened human premolars (MOD cavity preparation and pulp chamber roof removal restored with condensable resin composite with and without cusp coverage. MATERIAL AND METHODS: Thirty human maxillary premolars were divided into three groups: Group A (control, sound teeth; Group B, wide MOD cavities prepared and the pulp chamber roof removed and restored with resin composite without cusp coverage; Group C, same as Group B with 2.0 mm of buccal and palatal cusps reduced and restored with the same resin. The teeth were included in metal rings with self-curing acrylic resin, stored in water for 24 h and thereafter subjected to a compressive axial load in a universal testing machine at 0.5 mm/min. RESULTS: The mean fracture resistance values ± standart deviation (kgf were: group A: 151.40 ± 55.32, group B: 60.54 ± 12.61, group C: 141.90 ± 30.82. Statistically significant differences were found only between Group B and the other groups (p<0.05. The condensable resin restoration of weakened human premolars with cusp coverage significantly increased the fracture resistance of the teeth as compared to teeth restored without cusp coverage. CONCLUSION: The results showed that cusp coverage with condensable resin might be a safe option for restoring weakened endodontically treated teeth.

Polymerization shrinkage stress of composite resins and resin cements – What do we need to know?

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Carlos José SOARES

2017-08-01

Full Text Available Abstract Polymerization shrinkage stress of resin-based materials have been related to several unwanted clinical consequences, such as enamel crack propagation, cusp deflection, marginal and internal gaps, and decreased bond strength. Despite the absence of strong evidence relating polymerization shrinkage to secondary caries or fracture of posterior teeth, shrinkage stress has been associated with post-operative sensitivity and marginal stain. The latter is often erroneously used as a criterion for replacement of composite restorations. Therefore, an indirect correlation can emerge between shrinkage stress and the longevity of composite restorations or resin-bonded ceramic restorations. The relationship between shrinkage and stress can be best studied in laboratory experiments and a combination of various methodologies. The objective of this review article is to discuss the concept and consequences of polymerization shrinkage and shrinkage stress of composite resins and resin cements. Literature relating to polymerization shrinkage and shrinkage stress generation, research methodologies, and contributing factors are selected and reviewed. Clinical techniques that could reduce shrinkage stress and new developments on low-shrink dental materials are also discussed.

Tensile bond strength of indirect composites luted with three new self-adhesive resin cements to dentin

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Cafer Türkmen

2011-08-01

Full Text Available OBJECTIVE: The aims of this study were to evaluate the tensile bond strengths between indirect composites and dentin of 3 recently developed self-adhesive resin cements and to determine mode of failure by SEM. MATERIAL AND METHODS: Exposed dentin surfaces of 70 mandibular third molars were used. Teeth were randomly divided into 7 groups: Group 1 (control group: direct composite resin restoration (Alert with etch-and-rinse adhesive system (Bond 1 primer/adhesive, Group 2: indirect composite restoration (Estenia luted with a resin cement (Cement-It combined with the same etch-and-rinse adhesive, Group 3: direct composite resin restoration with self-etch adhesive system (Nano-Bond, Group 4: indirect composite restoration luted with the resin cement combined with the same self-etch adhesive, Groups 5-7: indirect composite restoration luted with self-adhesive resin cements (RelyX Unicem, Maxcem, and Embrace WetBond, respectively onto the non-pretreated dentin surfaces. Tensile bond strengths of groups were tested with a universal testing machine at a constant speed of 1 mm/min using a 50 kgf load cell. Results were statistically analyzed by the Student's t-test. The failure modes of all groups were also evaluated. RESULTS: The indirect composite restorations luted with the self-adhesive resin cements (groups 5-7 showed better results compared to the other groups (p0.05. The surfaces of all debonded specimens showed evidence of both adhesive and cohesive failure. CONCLUSION: The new universal self-adhesive resins may be considered an alternative for luting indirect composite restorations onto non-pretreated dentin surfaces.

Effect of At-home and In-office Bleaching on Marginal Microleakage in Composite Resin Restorations using Two Adhesive Systems.

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Klein, Celso A; da Silva, Douglas; Reston, Eduardo G; Borghetti, Diana Lb; Zimmer, Roberto

2018-03-01

The aim of this study is to assess marginal microleakage of cervical cavities restored with composite resins and two different adhesive techniques subjected to at-home and in-office bleaching. In this randomized, blind laboratory experiment, 60 bovine teeth recently extracted were collected and divided into six groups (n = 10 each group). The teeth received cervical cavity preparations (2 mm × 3 mm × 1 mm) with enamel margins. Two different adhesive systems were used (Single Bond 2 and Clearfil SE Bond), in addition to composite resin (Z250). Restored teeth received two different bleaching gels (Opalescence PF and Opalescence Boost). Teeth were thermo-cycled and analyzed under confocal laser scanning microscopy. No significant differences were observed (p > 0.05) in microleakage scores between the two groups not subjected to bleaching nor between the four groups that received bleaching treatment (p > 0.05), regardless of the gel and adhesive system employed. However, when comparing nonbleached with bleached teeth, those not subjected to bleaching showed statistically lower marginal microleakage scores (p bleaching agents used both at-home and in-office, regardless of the adhesive system employed (total-etch or self-etch). Both at-home and in-office bleaching agents have an influence on the adhesive interface of resin restorations, producing changes and inducing marginal leakage.

Effect of in-office bleaching agents on physical properties of dental composite resins.

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Mourouzis, Petros; Koulaouzidou, Elisabeth A; Helvatjoglu-Antoniades, Maria

2013-04-01

The physical properties of dental restorative materials have a crucial effect on the longevity of restorations and moreover on the esthetic demands of patients, but they may be compromised by bleaching treatments. The purpose of this study was to evaluate the effects of in-office bleaching agents on the physical properties of three composite resin restorative materials. The bleaching agents used were hydrogen peroxide and carbamide peroxide at high concentrations. Specimens of each material were prepared, cured, and polished. Measurements of color difference, microhardness, and surface roughness were recorded before and after bleaching and data were examined statistically by analysis of variance (ANOVA) and Tukey HSD post-hoc test at P composite resin altered after the bleaching procedure (P composite resins tested (P > .05). The silorane-based composite resin tested showed some color alteration after bleaching procedures. The bleaching procedure did not alter the microhardness and the surface roughness of all composite resins tested.

A resin composite material containing an eugenol derivative for intracanal post cementation and core build-up restoration.

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Almaroof, A; Rojo, L; Mannocci, F; Deb, S

2016-02-01

To formulate and evaluate new dual cured resin composite based on the inclusion of eugenyl methacrylate monomer (EgMA) with Bis-GMA/TEGDMA resin systems for intracanal post cementation and core build-up restoration of endodontically treated teeth. EgMA was synthesized and incorporated at 5% (BTEg5) or 10% (BTEg10) into dual-cure formulations. Curing properties, viscosity, Tg, radiopacity, static and dynamic mechanical properties of the composites were determined and compared with Clearfil™DC Core-Plus, a commercial dual-cure, two-component composite. Statistical analysis of the data was performed with ANOVA and the Tukey's post-hoc test. The experimental composites were successfully prepared, which exhibited excellent curing depths of 4.9, 4.7 and 4.2 mm for BTEg0, BTEg5 and BTEg10 respectively, which were significantly higher than Clearfil™DC. However, the inclusion of EgMA initially led to a lower degree of cure, which increased when measured at 24 h with values comparable to formulations without EgMA, indicating post-curing. The inclusion of EgMA also lowered the polymerization exotherm thereby reducing the potential of thermal damage to host tissue. Both thermal and viscoelastic analyses confirmed the ability of the monomer to reduce the stiffness of the composites by forming a branched network. The compressive strength of BTEg5 was significantly higher than the control whilst flexural strength increased significantly from 95.9 to 114.8 MPa (BTEg5) and 121.9 MPa (BTEg10). Radiopacity of the composites was equivalent to ∼3 mm Al allowing efficient diagnosis. The incorporation of EgMA within polymerizable formulations provides a novel approach to prepare reinforced resin composite material for intracanal post cementation and core build-up and the potential to impart antibacterial properties of eugenol to endodontic restorations. Copyright © 2015 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Relationship between Color and Translucency of Multishaded Dental Composite Resins

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Homan Naeimi Akbar

2012-01-01

Full Text Available The aim of the present study was to compare the translucency of different shades of two highly aesthetic multilayered restorative composite resins. In total nine shades from Esthet.X and ten shades from Filtek Supreme composite resins were chosen. Discs of each shade were prepared (N=3 and light-cured. Total and diffuse transmittance values for each sample were measured. Statistical analysis showed that the opaque dentine shades of both composites were the least translucent and the enamel shades had the highest translucency. There was a significant decrease in translucency from A2 to C2 of regular body shades and also from A4 to C4 of opaque dentine shades of Esthet.X composite resin. Grey enamel shade had a significantly higher diffuse translucency compared to clear and yellow enamel shades. There was a significant decrease in translucency from A2B to D2B and also in diffuse translucency from A4D to C6D shades of Filtek Supreme composite resin. It can be concluded that the color of the composite resins tested in this study had a significant effect on their translucency. Information on the translucency of different shades of composite resins can be very useful for the clinicians in achieving optimal esthetic restorative outcome.

Wear of resin composites: Current insights into underlying mechanisms, evaluation methods and influential factors

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Akimasa Tsujimoto

2018-05-01

Full Text Available Summary: The application of resin composites in dentistry has become increasingly widespread due to the increased aesthetic demands of patients, improvements in the formulation of resin composites, and the ability of these materials to bond to tooth structures, together with concerns about dental amalgam fillings. As resistance to wear is an important factor in determining the clinical success of resin composite restoratives, this review article defines what constitutes wear and describes the major underlying phenomena involved in this process. Insights are further included on both in vivo and in vitro tests used to determine the wear resistance of resin composite and the relationships between these tests. The discussion focuses on factors that contribute to the wear of resin composite. Finally, future perspectives are included on both clinical and laboratory tests and on the development of resin composite restorations. Keywords: Resin composites, Wear resistance, Wear testing

Two years survival rate of class II composite resin restorations prepared by ART with and without a chemomechanical caries removal gel in primary molars.

NARCIS (Netherlands)

Topaloglu-Ak, A.; Eden, E.; Frencken, J.E.F.M.; Oncag, O.

2009-01-01

The aim was to test the null hypotheses that there is no difference: (1) in carious lesion development at the restoration margin between class II composite resin restorations in primary molars produced through the atraumatic restorative treatment (ART) with and without a chemomechanical caries

Three-year randomized controlled clinical study of a one step universal adhesive and a two-step self-etch adhesive in Class II resin composite restorations

DEFF Research Database (Denmark)

van Dijken, Jan WV; Pallesen, Ulla

2017-01-01

Purpose: To evaluate in a randomized clinical evaluation the 3-year clinical durability of a one-step universal adhesive bonding system and compare it intraindividually with a 2-step self-etch adhesive in Class II restorations. Materials and Methods: Each of 57 participants (mean age 58.3 yr......) received at least two, as similar as possible, extended Class II restorations. The cavities in each of the 60 individual pairs of cavities were randomly distributed to the 1-step universal adhesive (All Bond Universal: AU) and the control 2-step self-etch adhesive (Optibond XTR: OX). A low shrinkage resin......) success rates (p>0.05). Annual failure rates were 1.8% and 2.6%, respectively.The main reason for failure was resin composite fracture. Conclusion: Class II resin composite restorations placed with a one-step universal adhesive showed good short time effectiveness....

Resistance of Bonded Composite Restorations on Fractures of Endodontically Treated Teeth

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AR Daneshkazemi

2005-01-01

Full Text Available Introduction: This study was performed to evaluate the effect of dentine bonding agents and Glass Ionomer cement beneath composite restorations and its resistance on fractures of endodontically treated teeth. Material and Methods: Forty sound maxillary teeth were selected; ten of them for positive control, and on the rest, RCT and MOD cavity preparations were done with standard methods. Then, the teeth were divided to four groups: 1-Sound teeth for positive control. 2-Prepared without any restoration for negative control. 3-Prepared and restored with Vitrabond(3M, USA, Single bond(3M, USA and Z100(3M, USA resin composite. 4-Prepared and restored by Single bond and Z100 resin composite. Specimens were subjected to compressive load by Instron 8502 until fracture occurred. Results: Group 1 showed the highest resistance to compressive forces followed by group 4,3&2 respectively. ANOVA, t test and Chi-square tests indicated significant difference between all the groups. Conclusion: Use of dentine bonding agents and resin composite increases resistance of endodontically treated teeth to fractures more than teeth restored with sandwich of glass ionomer cements, dentine bonding agents and resin composite.

Antibacterial effect of composite resins containing quaternary ammonium polyethyleneimine nanoparticles

International Nuclear Information System (INIS)

Yudovin-Farber, Ira; Beyth, Nurit; Weiss, Ervin I.; Domb, Abraham J.

2010-01-01

Quaternary ammonium polyethyleneimine (QA-PEI)-based nanoparticles were synthesized by crosslinking with dibromopentane followed by N-alkylation with various alkyl halides and further N-methylation with methyl iodide. Insoluble pyridinium-type particles were prepared by suspension polymerization of 4-vinyl pyridine followed by N-alkylation with alkyl halides. Polyamine-based nanoparticles embedded in restorative composite resin at 1% w/w were tested for antibacterial activity against Streptococcus mutans using direct contact test. Activity analysis revealed that the alkyl chain length of the QA-PEI nanoparticles plays a significant role in antibacterial activity of the reagent. The most potent compound was octyl-alkylated QA-PEI embedded in restorative composite resin at 1% w/w that totally inhibited S. mutans growth in 3-month-aged samples. This data indicates that restorative composite resin with antibacterial properties can be produced by the incorporation of QA-PEI nanoparticles.

Antibacterial effect of composite resins containing quaternary ammonium polyethyleneimine nanoparticles

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Yudovin-Farber, Ira [Hebrew University of Jerusalem, Department of Medicinal Chemistry and Natural Products, School of Pharmacy, Faculty of Medicine (Israel); Beyth, Nurit; Weiss, Ervin I. [Hebrew University of Jerusalem, Department of Prosthodontics, Faculty of Dentistry (Israel); Domb, Abraham J., E-mail: avid@ekmd.huji.ac.i [Hebrew University of Jerusalem, Department of Medicinal Chemistry and Natural Products, School of Pharmacy, Faculty of Medicine (Israel)

2010-02-15

Quaternary ammonium polyethyleneimine (QA-PEI)-based nanoparticles were synthesized by crosslinking with dibromopentane followed by N-alkylation with various alkyl halides and further N-methylation with methyl iodide. Insoluble pyridinium-type particles were prepared by suspension polymerization of 4-vinyl pyridine followed by N-alkylation with alkyl halides. Polyamine-based nanoparticles embedded in restorative composite resin at 1% w/w were tested for antibacterial activity against Streptococcus mutans using direct contact test. Activity analysis revealed that the alkyl chain length of the QA-PEI nanoparticles plays a significant role in antibacterial activity of the reagent. The most potent compound was octyl-alkylated QA-PEI embedded in restorative composite resin at 1% w/w that totally inhibited S. mutans growth in 3-month-aged samples. This data indicates that restorative composite resin with antibacterial properties can be produced by the incorporation of QA-PEI nanoparticles.

Posterior composite restoration update: focus on factors influencing form and function

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Bohaty, Brenda S; Ye, Qiang; Misra, Anil; Sene, Fabio; Spencer, Paulette

2013-01-01

Restoring posterior teeth with resin-based composite materials continues to gain popularity among clinicians, and the demand for such aesthetic restorations is increasing. Indeed, the most common aesthetic alternative to dental amalgam is resin composite. Moderate to large posterior composite restorations, however, have higher failure rates, more recurrent caries, and increased frequency of replacement. Investigators across the globe are researching new materials and techniques that will improve the clinical performance, handling characteristics, and mechanical and physical properties of composite resin restorative materials. Despite such attention, large to moderate posterior composite restorations continue to have a clinical lifetime that is approximately one-half that of the dental amalgam. While there are numerous recommendations regarding preparation design, restoration placement, and polymerization technique, current research indicates that restoration longevity depends on several variables that may be difficult for the dentist to control. These variables include the patient’s caries risk, tooth position, patient habits, number of restored surfaces, the quality of the tooth–restoration bond, and the ability of the restorative material to produce a sealed tooth–restoration interface. Although clinicians tend to focus on tooth form when evaluating the success and failure of posterior composite restorations, the emphasis must remain on advancing our understanding of the clinical variables that impact the formation of a durable seal at the restoration–tooth interface. This paper presents an update of existing technology and underscores the mechanisms that negatively impact the durability of posterior composite restorations in permanent teeth. PMID:23750102

Understanding of the color in composite resin

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Jeong-Won Park

2011-07-01

Full Text Available In clinic, esthetic restoration of a defective natural tooth with composite resin is challenging procedure and needs complete understanding of the color of tooth itself and materials used. The optical characteristics of the composites are different because the chemical compositions and microstructures are not same. This review provided basic knowledge of the color and the color measurement devices, and analyze the color of the natural tooth. Further, the accuracy of the shade tab, color of the composite resins before and after curing, effect of the water, food and bleaching agent, and translucency, opalescence, and fluorescence effects were evaluated.

Volumetric polymerization shrinkage of contemporary composite resins

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Halim Nagem Filho

2007-10-01

Full Text Available The polymerization shrinkage of composite resins may affect negatively the clinical outcome of the restoration. Extensive research has been carried out to develop new formulations of composite resins in order to provide good handling characteristics and some dimensional stability during polymerization. The purpose of this study was to analyze, in vitro, the magnitude of the volumetric polymerization shrinkage of 7 contemporary composite resins (Definite, Suprafill, SureFil, Filtek Z250, Fill Magic, Alert, and Solitaire to determine whether there are differences among these materials. The tests were conducted with precision of 0.1 mg. The volumetric shrinkage was measured by hydrostatic weighing before and after polymerization and calculated by known mathematical equations. One-way ANOVA (a or = 0.05 was used to determine statistically significant differences in volumetric shrinkage among the tested composite resins. Suprafill (1.87±0.01 and Definite (1.89±0.01 shrank significantly less than the other composite resins. SureFil (2.01±0.06, Filtek Z250 (1.99±0.03, and Fill Magic (2.02±0.02 presented intermediate levels of polymerization shrinkage. Alert and Solitaire presented the highest degree of polymerization shrinkage. Knowing the polymerization shrinkage rates of the commercially available composite resins, the dentist would be able to choose between using composite resins with lower polymerization shrinkage rates or adopting technical or operational procedures to minimize the adverse effects deriving from resin contraction during light-activation.

Effect of Ingested Liquids on Color Change of Composite Resins.

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Malek Afzali, Beheshteh; Ghasemi, Amir; Mirani, Asrin; Abdolazimi, Zahra; Akbarzade Baghban, Alireza; Kharazifard, Mohammad Javad

2015-08-01

Color change of composite restorations is well known to dentists. However, the effect of commonly consumed drinks on discoloration of composite resins has yet to be determined. This study sought to assess the color change of a nanofilled (Premise) and a flowable composite resin (Premise flowable) following simulated consumption of tea, cola, iron drops and multivitamin syrup. Forty disk-shaped specimens (7 mm in diameter and 2 mm thick) were fabricated from each composite resin. The baseline color values were measured according to the CIE L*a*b* system using digital imaging. The specimens of each restorative material were randomly divided into five groups (eight each) according to the storage media namely tea, cola, iron drops, multivitamin syrup or distilled water (control). The specimens were immersed in staining solutions for three hours daily over a 40-day test period. Following this, the color change values (ΔE*) were calculated. For statistical analyses, the color differences were analyzed using two-way ANOVA and Tukey's test (Pcomposite resins (P>0.05). In both composite materials, the difference among the solutions was not significant (P>0.05). Under the tested experimental conditions, both restorative materials were susceptible to discoloration by all four staining solutions. The color change values were not related to the solution or the type of material used.

A six-year prospective randomized study of a nano-hybrid and a conventional hybrid resin composite in Class II restorations

DEFF Research Database (Denmark)

van Dijken, Jan W V; Pallesen, Ulla

2013-01-01

The objective of this 6 year prospective randomized equivalence trial was to evaluate the long-term clinical performance of a new nano-hybrid resin composite (RC) in Class II restorations in an intraindividual comparison with its well-established conventional hybrid RC predecessor....

Bulk-fill resin composites: polymerization contraction, depth of cure, and gap formation.

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Benetti, A R; Havndrup-Pedersen, C; Honoré, D; Pedersen, M K; Pallesen, U

2015-01-01

The bulk-filling of deep, wide dental cavities is faster and easier than traditional incremental restoration. However, the extent of cure at the bottom of the restoration should be carefully examined in combination with the polymerization contraction and gap formation that occur during the restorative procedure. The aim of this study, therefore, was to compare the depth of cure, polymerization contraction, and gap formation in bulk-fill resin composites with those of a conventional resin composite. To achieve this, the depth of cure was assessed in accordance with the International Organization for Standardization 4049 standard, and the polymerization contraction was determined using the bonded-disc method. The gap formation was measured at the dentin margin of Class II cavities. Five bulk-fill resin composites were investigated: two high-viscosity (Tetric EvoCeram Bulk Fill, SonicFill) and three low-viscosity (x-tra base, Venus Bulk Fill, SDR) materials. Compared with the conventional resin composite, the high-viscosity bulk-fill materials exhibited only a small increase (but significant for Tetric EvoCeram Bulk Fill) in depth of cure and polymerization contraction, whereas the low-viscosity bulk-fill materials produced a significantly larger depth of cure and polymerization contraction. Although most of the bulk-fill materials exhibited a gap formation similar to that of the conventional resin composite, two of the low-viscosity bulk-fill resin composites, x-tra base and Venus Bulk Fill, produced larger gaps.

Clinical Evaluation of Microhybrid Composite and Glass lonomer Restorative Material in Permanent Teeth.

Science.gov (United States)

Kharma, Khalil; Zogheib, Tatiana; Bhandi, Shilpa; Mehanna, Carina

2018-02-01

The aim of this study was to clinically compare glass ionomer cement (GIC) with microhybrid composite resin used in class I cavities on permanent teeth over a period of 9 months. A total of 40 teeth with class I cavities were divided into two groups (n = 20) and restored with GIC (EQUIA; GC) and microhybrid resin composite (Amelogen Plus; Ultradent). Restorations were evaluated at ×4.5 magnification using the United States Public Health Service (USPHS) criteria every 3 months. Statistical analysis was performed using the Fisher's exact test (a material handling, adaptation, and marginal staining. The results of this clinical study showed that GIC (EQUIA; GC) can be used for the restoration of permanent teeth and may be more appropriate for certain clinical situations than the resin composite material. EQUIA (GIC) is a viable alternative to resin composite in restoring class I cavities in permanent teeth.

Efficacy of Hydrophobic Layer On Sealing Ability of Dentin Adhesive Systems in Class V Composite Resin Restorations

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Fatemeh Maleknejad

2011-03-01

Full Text Available Background and aims. Adhesive permeability is hindered by application of an additional layer of hydrophobic resin, which increases its concentration within the hydrophilic layer, reduces its affinity to water, and enhances its physical properties. The aim of the present study was to evaluate the effect of a hydrophobic layer on the microleakage of class V composite restorations using different adhesives. Materials and methods. The adhesives including total-etch Scotchbond MP and Single Bond, and the self-etch Clearfil SE Bond and Clearfil S3 Bond were applied to 80 class V cavities in vitro on the buccal surface in CEJ and then were followed by hydrophobic resin (Margin Bond in half of the cavities in each group (n=10. After restoration with microhybrid composite, Z100 and immersion in fuchsine, the degree of microleakage was assessed. Data were analyzed using the Kruskal-Wallis, Man-Whitney, and Wilcoxon tests. Results. The hydrophobic layer significantly reduced the microleakage of Clearfil SE Bond and Clearfil S3 Bond only in dentin (p0.05. Conclusion. Within the limitation of this study, only Clearfil S3 Bond could demonstrate the identical values of microleakage in enamel and dentinal margins.

A review of devices used for photocuring resin-based composites.

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Small, B W

2001-01-01

Composite resin shrinks up to 5% by volume upon curing. This shrinkage and the associated contraction stress remain the two most significant clinical problems with curing resin composite restorations. Many patients continue to experience sensitivity following placement of direct composites and seating of indirect restorations utilizing resin cements. Unfortunately, some claims made by manufacturers or certain clinicians that promise to alleviate these problems are made from a marketing standpoint, with no refereed literature to support those claims. Even within the literature, contradictory results have been reported, perpetuating the confusion. It is of utmost importance that all practicing dentists be aware of the various types of curing systems available and the advantages and disadvantages of each system. It is the opinion of the author that no existing system will alleviate every problem. Until new composite systems are perfected, such as the cyclopolymerizable resins and expanding polymers, we will continue to have shrinkage and stress. Be aware of false claims, read and interpret the literature, and, most importantly, do what is best for your patients.

The effect of additional enamel etching and a flowable composite to the interfacial integrity of Class II adhesive composite restorations.

Science.gov (United States)

Belli, S; Inokoshi, S; Ozer, F; Pereira, P N; Ogata, M; Tagami, J

2001-01-01

This in vitro study evaluated the interfacial integrity of Class II resin composite restorations. The influence of a flowable composite and additional enamel etching was also evaluated. Deep, saucer-shaped Class II cavities were prepared in the mesial and distal proximal surfaces of 25 extracted human molars and assigned to five treatment groups. The gingival margins were extended to approximately 1 mm above the CEJ in 40 cavities and below the CEJ in 10 cavities. The prepared cavities were then restored with a self-etching primer system (Clearfil Liner Bond II) and a hybrid resin composite (Clearfil AP-X), with and without a flowable composite (Protect Liner F) and additional enamel etching with 37% phosphoric acid gel (K-etchant). After finishing, polishing and thermocycling (4 and 60 degrees C, x300), the samples were longitudinally sectioned through the restorations and resin-tooth interfaces were observed directly under a laser scanning microscope. Statistical analysis indicated that the use of a flowable composite produced significantly more (p = 0.04) gap-free resin-dentin interfaces than teeth restored without the flowable composite. However, both flowable composite and enamel etching could not prevent gap formation at enamel-resin interfaces and crack formation on enamel walls.

Development of a novel oxirane-acrylate composite restorative resin material

Science.gov (United States)

Sripathi Panditaradhyula, Anuhya

The need for resin with a long clinical life can be satiated through the novel formulation of varying concentrations of oxirane and acrylate monomers with an increase in filler loading in the sample, which will allow the creation of a resin that is less susceptible to chemical degradation along with improved mechanical properties. Various concentrations of oxirane and acrylate monomers with a three-component photoinitiation system, which is capable of both free radical (acrylate) and cationic (oxirane) initiation, are used. The resin composites were placed in the Speedmixer for 30 seconds and gravitation convection oven for one minute, repeated 5-7 times. The resin composites were used to create a 9.525 mm diameter * 1.5875 mm thick resin mold. The mold was then photocured for twenty seconds on both sides using VALO blue LED light. The Rockwell hardness and shore D durometer hardness served as relative measures of bonding between the monomers. The ideal formulation of oxirane and acrylate concentrations were used to perform the Instron 3 point bend test, as well as contact angle determination. The goal is to identify a resin with a clinical life twice that of the resins being used in practice. Potential findings include ideal oxirane and acrylate concentrations with the highest shore D durometer hardness, Rockwell hardness, contact angle values, and Instron 3 point bend test values. Ideal color, transparency and properties of the resin are taken into account. Optimization of oxirane and acrylate monomers, impact while using various filler components (salination, number of fillers), filler particle size variations and variations in using different filler concentrations are observed. Results of using micro and nano-sized monomers are also studied. Addition of fluorinated acrylate monomer to the micro and nano composite was the next goal. A comparison of all the above stated compositions to the control group 70/30 BisTEG was done. A study on the degradation behavior

Color stability of sealed composite resin restorative materials after ultraviolet artificial aging and immersion in staining solutions.

Science.gov (United States)

Catelan, Anderson; Briso, André Luiz Fraga; Sundfeld, Renato Hermann; Goiato, Marcelo Coelho; dos Santos, Paulo Henrique

2011-04-01

The color alteration of resin-based materials is one of the most common reasons to replace esthetic dental restorations. This study assessed the influence of surface sealant (Biscover) on the color stability of nanofilled (Supreme XT) and microhybrid (Vit-l-escence and Opallis) composite resins after artificial aging. One hundred disc-shaped (6 × 1.5 mm) specimens were made for each composite resin. After 24 hours, all specimens were polished and sealant was applied to 50 specimens of each material. Baseline color was measured according to the CIE L*a*b* system using a reflection spectrophotometer. Ten specimens of each group were aged for 252 h in an ultraviolet (UV)-accelerated aging chamber or immersed for 4 weeks in cola soft drink, orange juice, red wine staining solutions or distilled water as control. Color difference (ΔE) after aging was calculated based on the color coordinates before (baseline) and after aging/staining treatment. Data were analyzed with 2-way ANOVA and Fisher's test (α=.05). The results showed significant changes in color after artificial aging in all the groups (Paging, and the cola soft drink. The lowest values of ΔE were found for specimens stored in distilled water. All composite resins showed some color alteration after the aging methods. The surface sealant did not alter the color stability of the tested materials. Copyright © 2011 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.

Effect of reinforcement with resin composite on fracture strength of structurally compromised roots.

Science.gov (United States)

Fukui, Yuji; Komada, Wataru; Yoshida, Keiichi; Otake, Shiho; Okada, Daizo; Miura, Hiroyuki

2009-09-01

This study was aimed at evaluating the fracture resistance of structurally compromised roots restored with four different post and core systems. Thirty-two bovine roots were uniformly shaped to simulate human mandibular premolar roots. The roots were divided into four groups based on the type of restoration: cemented cast post and core (Group MC), resin composite build-up (Group CR), resin composite and prefabricated glass fiber post build-up (Group FRC), and thick-layer dual-cured resin composite-reinforced small-diameter tapered cast post and core (Group CRM). After a static loading test, the failure mode and fracture resistance were recorded. Group CRM (719.38+/-196.73 N) exhibited a significantly high fracture resistance compared with the other groups (Group MC: 429.56+/-82.43 N; Group CR: 349.56+/-66.21 N; Group FRC: 398.94+/-112.71 N; pCRM exhibited better mechanical properties for structurally compromised roots with no ferrules, although all types of restorations showed non-restorable fracture modes.

Evaluation of internal adaptation of Class V resin composite restorations using three techniques of polymerization

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José Carlos Pereira

2007-02-01

Full Text Available OBJECTIVE: The purpose of this in vitro study was to evaluate the internal adaptation of Class V composite restorations to the cavity walls using three different techniques of polymerization. METHODS: Standard cavities were prepared on the buccal and lingual surfaces of 24 extracted human third molars with margins located above and below the cementoenamel junction. Restorations were placed in one increment using two restorative systems: 3M Filtek A110/ Single Bond (M and 3M Filtek Z250/ Single Bond (H in the same tooth, randomly in the buccal and lingual surfaces. Resin composites were polymerized using three techniques: Group 1 - Conventional (60 s - 600 mW/cm²; Group 2 - Soft-start (20 s - 200 mW/cm² , 40 s - 600 mW/cm²; Group 3 - Pulse Activation (3 s - 200 mW/cm², 3-min hiatus, 57 s - 600 mW/cm². Buccolingual sections were polished, impressions taken and replicated. Specimens were assessed under scanning electron microscopy up to X1000 magnification. Scores were given for presence or absence of gaps (0 - no gap; 1 - gap in one wall; 2 - gap in two walls; 3 - gap in three walls. RESULTS: The mean scores of the groups were (±SD were: G1M-3.0 (± 0.0; G2M-2.43 (± 0.8; G3M- 1.71 (± 0.9; G1H- 2.14 (± 1.2; G2H- 2.00 (± 0.8; G3H- 1.67 (± 1.1. Data were analyzed using Kruskal-Wallis and Dunnet's tests. No statistically significant difference (p>0.05 was found among groups. Gaps were observed in all groups. CONCLUSIONS: The photocuring technique and the type of resin composite had no influence on the internal adaptation of the material to the cavity walls. A positive effect was observed when the slow polymerization techniques were used.

Microshear bond strength of composite resins to enamel and porcelain substrates utilizing unfilled versus filled resins.

Science.gov (United States)

Najafi-Abrandabadi, Ahmad; Najafi-Abrandabadi, Siamak; Ghasemi, Amir; Kotick, Philip G

2014-11-01

Failures such as marginal discoloration and composite chipping are still the problems of tooth-colored restorations on the substrate of enamel and porcelain, which some of these problems are consequently as a result of failures in the bonding layer. Using filled resin has been recently introduced to increase the bond strength of this layer. The aim of this study was to compare the microshear bond strength (μ-SBS) of composite resins to enamel incubated in periods of 24 h and 9 months and porcelain with unfilled resin and flowable composites (filled resin). In this in vitro study, two groups of 75 enamel samples with different storage times (24 h and 9 months) and a group of 75 porcelain samples were used. They were divided into 5 experimental groups of 15 samples in each. Composite cylinders in tygon tubes were bonded on the surface of acid-etched enamel and pretreated porcelain. Wave, Wave MV, Wave HV, Grandioflow and Margin Bond were used as bonding agents. The μ-SBS was measured at the speed of 1.0 mm/min. The bond strengths were analyzed with one-way analysis of variance (ANOVA) test followed by Tukey test. P composites (filled resins) can be used instead of unfilled resins in bonding composite resins to enamel and porcelain substrates.

Posterior composite restoration update: focus on factors influencing form and function

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Bohaty BS

2013-05-01

Full Text Available Brenda S Bohaty,1,2 Qiang Ye,3 Anil Misra,3,4 Fabio Sene,6 Paulette Spencer3,51Department of Pediatric Dentistry, University of Missouri-Kansas City School of Dentistry, Kansas City, MO, USA; 2Department of Pediatric Dentistry, Children's Mercy Hospital, Kansas City, MO, USA; 3Bioengineering Research Center, 4Department of Civil, Environmental, and Architectural Engineering, 5Department of Mechanical Engineering, University of Kansas, Lawrence, KS, USA; 6Department of Restorative Dentistry, State University of Londrina, School of Dentistry, Londrina, BrazilAbstract: Restoring posterior teeth with resin-based composite materials continues to gain popularity among clinicians, and the demand for such aesthetic restorations is increasing. Indeed, the most common aesthetic alternative to dental amalgam is resin composite. Moderate to large posterior composite restorations, however, have higher failure rates, more recurrent caries, and increased frequency of replacement. Investigators across the globe are researching new materials and techniques that will improve the clinical performance, handling characteristics, and mechanical and physical properties of composite resin restorative materials. Despite such attention, large to moderate posterior composite restorations continue to have a clinical lifetime that is approximately one-half that of the dental amalgam. While there are numerous recommendations regarding preparation design, restoration placement, and polymerization technique, current research indicates that restoration longevity depends on several variables that may be difficult for the dentist to control. These variables include the patient's caries risk, tooth position, patient habits, number of restored surfaces, the quality of the tooth–restoration bond, and the ability of the restorative material to produce a sealed tooth–restoration interface. Although clinicians tend to focus on tooth form when evaluating the success and failure of

In vitro marginal adaptation of high-viscosity resin composite restorations bonded to dentin cavities.

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Rahiotis, Christos; Tzoutzas, John; Kakaboura, Afrodite

2004-01-01

The aim of this study was to evaluate the marginal adaptation of high-viscosity resin composite restoratives bonded to dentin in a cylindrical cavity model. The buccal enamel of 64 human premolars was removed and cylindrical cavities 3 mm in diameter and 1.3 mm in depth were prepared on each dentin surface. The cavities were divided into 8 groups of 8 cavities each and restored according to the manufacturers' instructions with the following adhesive/composite systems: Bond 1/Alert, Stae/Glacier, OptiBond Solo/Prodigy Condensable, One-Step/Pyramid, Solidbond/Solitaire, Prime&Bond NT/Surefil, One Coat Bond/Synergy, and Scotchbond 1/Z250. The composite surfaces were pressed against mylar strips, covered with cover slips, and photopolymerized in a single increment for 40 s. The restorations were polished with wet SiC papers of 320 to 1000 grit size to expose dentin margins. The marginal adaptation was evaluated immediately after photopolymerization and again after 1 week of storage in water at 37 +/- 1 degrees C. Evaluation was performed under a metallographic microscope at 200X magnification by recording the frequency of gap-free restorations (GF), the percentage length of the debonded margins relative to the cavity periphery (DM), the width of the maximum marginal gap (MG), and the marginal index (MI = MG x DM / 100). The results were statistically analyzed with one-way ANOVA and the Mann-Whitney U-test at alpha = 0.05. No incidence of gaps was found in 62.5% of One Coat Bond/Synergy and 37.5% of OptiBond Solo/Prodigy Condensable restorations. All the other restorative systems exhibited restorations with gaps. One Coat Bond/Synergy, Scotchbond 1/Z250, and OptiBond Solo/Prodigy Condensable were the groups with the lowest DM values, while Stae/Glacier showed the highest DM values. One Coat Bond/Synergy and OptiBond Solo/Prodigy Condensable revealed the lowest MI values and Stae/Glacier the highest. No statistically significant differences were recorded between

Assessment of polymerization contraction stress of three composite resins

NARCIS (Netherlands)

Cadenaro, M.; Biasotto, M.; Scuor, N.; Breschi, L.; Davidson, C.L.; Di Lenarda, R.

2008-01-01

Objectives: The purpose of this study was to measure the development of contraction stress of three composite resin restorative materials during photo-polymerization: a micro-hybrid composite (Filtek Z250, 3M ESPE, St. Paul, MN, USA); a nano-filled composite (Filtek Supreme, 3M ESPE, St. Paul, MN,

Bonding of Glass Ceramic and Indirect Composite to Non-aged and Aged Resin Composite

NARCIS (Netherlands)

Gresnigt, Marco; Ozcan, Mutlu; Muis, Maarten; Kalk, Warner

2012-01-01

Purpose: Since adhesion of the restorative materials to pre-polymerized or aged resin composites presents a challenge to the clinicians, existing restorations are often removed and remade prior to cementation of fixed dental prostheses (FDPs). This study evaluated bond strength of non-aged and aged

Compressive fracture resistance of the marginal ridge in large Class II tunnels restored with cermet and composite resin.

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Ehrnford, L E; Fransson, H

1994-01-01

Compressive fracture resistance of the marginal ridge was studied in large tunnel preparations, before and after restoration with cermet (Ketac Silver, ESPE), a universal hybrid composite (Superlux, DMG) and an experimental composite. Each group was represented by six tunnels in extracted upper premolars. The tunnels were prepared by the use of round burs up to size #6. Remaining ridge width was 1.5 mm and ridge height 1.7 mm in the contact area. The ridge was loaded to fracture by a rod placed perpendicular to the ridge. Generally this resulted in a shear fracture of the restoration. There was no significant reinforcement of the ridge by the cermet whereas the composites both reinforced by the same magnitude, averaging 62%. It was concluded that the ridge could be considered a "megafiller" where contact need to be preserved and contour protected against proximal and occlusal wear of the restoration. Clinically there would therefore be good reasons to save even ridge areas with very low inherent strength. Based on the present study composite resin might therefore be the filling material of choice for such tunnel preparations.

Impairment of resin cement application on the bond strength of indirect composite restorations

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Jovito Adiel SKUPIEN

2015-01-01

Full Text Available The aims of this study were to evaluate the effect of immediate and delayed resin cement application on the microtensile bond strength of indirect composite resin restorations and, to evaluate adhesive strategies (for regular resin cement or humidity parameters for self-adhesive resin cement. Forty-five enamel/dentin discs (0.5 mm height and 10 mm of diameter obtained from bovine teeth were divided into nine groups (n = 5. For regular cement, the variation factors were cementation technique at three levels (immediate cementation, 5 or 30 min after adhesive system application; and type of adhesive system at two levels (three- or two-step. For self-adhesive cement, the dentin moisture was the source of variation at three levels (normal, dry, or wet cementation. The specimens were submitted to microtensile bond strength (μTBS testing using a universal testing machine. Data were analyzed by ANOVA, Tukey’s test, and linear regression. Regular cement and three-step etch-and-rinse adhesive system showed the highest values of bond strength (25.21 MPa–30 min of delay. Only for this condition, three-step adhesive showed higher bond strength than the two-step adhesive. Nevertheless, the linear regression showed that irrespective of the strategy, the use of the two-step approach when compared with three-step adhesive system decreased μTBS (p < 0.001. The failure analysis showed predominant adhesive failures for all tested groups. All groups had comparable values of bond strength to bovine dentin when the same materials were used, even in suboptimal clinical conditions.

Lateral-access Class II restoration using resin-modified glass-ionomer or silver-cermet cement.

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Croll, T P

1995-02-01

Direct-access preparation of a carious proximal surface is perhaps the most conservative approach to restoration. Physical properties and handling characteristics of silver amalgam and of resin composite and lack of fluoride ion release make these materials unsuitable for direct buccal- or lingual-access proximal restoration. Insufficient strengths and radiolucency of self-hardening glass-ionomer cements preclude their use for Class II restorations. However, glass-ionomer silver-cermet cement and some resin-modified glass-ionomer materials are proving useful for non-stress-bearing Class II restorations and may have applications in preventive dentistry. This article describes lateral-access Class II restoration with modified glass-ionomer cements. Emphasis is placed on careful handling of materials, maintenance of an ideal operative field, and conservation of tooth structure.

A comparative evaluation of fracture resistance of endodontically treated teeth, with variable marginal ridge thicknesses, restored with composite resin and composite resin reinforced with Ribbond: An in vitro study

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Vaishali Kalburge

2013-01-01

Full Text Available Background: The anatomic shape of maxillary premolars show a tendency towards separation of their cusps during mastication after endodontic treatment. Preservation of the marginal ridge of endodontically treated and restored premolars can act as a strengthening factor and improve the fracture resistance. Objectives: To evaluate the effect of varying thickness of marginal ridge on the fracture resistance of endodontically treated maxillary premolars restored with composite and Ribbond reinforced composites. Materials and Methods: One hundred and twenty, freshly extracted, non carious human mature maxillary premolars were selected for this experimental in vitro study. The teeth were randomly assigned in to twelve groups ( n = 10. Group 1 received no preparation. All the premolars in other groups were root canal treated. In subgroups of 3 and 4, DO cavities were prepared while MOD cavities were prepared for all subgroups of group 2, the dimensions of the proximal boxes were kept uniform. In group 3 and 4 the dimensions of the mesial marginal ridge were measured using a digital Vernier caliper as 2 mm, 1.5 mm, 1 mm and 0.5 mm in the respective subgroups. All samples in groups 2.2 and all the subgroups of 3 were restored with a dentin bonding agent and resin composite. The teeth in group 2.3 and all subgroups of 4 were restored with composite reinforced with Ribbond fibers. The premolars were submitted to axial compression up to failure at 45 degree angle to a palatal cusp in universal testing machine. The mean load necessary to fracture was recorded in Newtons and the data was analysed. Results: There was a highly significant difference between mean values of force required to fracture teeth in group 1 and all subgroups of group 2, 3 and 4 (i.e., P < 0.01 Conclusion: On the basis of static loading, preserving the mesial marginal ridge with thicknesses of mm, 1.5 mm, 1 mm and 0.5 mm, composite restored and Ribbond reinforced composite restored

A prospective 8-year follow-up of posterior resin composite restorations in permanent teeth of children and adolescents in Public Dental Health Service: reasons for replacement

DEFF Research Database (Denmark)

Pallesen, Ulla; van Dijken, Jan W.V.; Halken, Jette

2014-01-01

in general practice showed a good durability with annual failure rates of 2 %. The main reason for failure was secondary caries followed by post-operative sensitivity and resin composite fracture. A high proportion of replaced/repaired RC restorations were caused by primary caries in a non-filled surface......Objectives: the aim of the study was to investigate reasons for replacement and repair of posterior resin composite (RC) restorations placed in permanent teeth of children and adolescents attending Public Dental Health Service in Denmark. Material and method: all posterior RC placed consecutively...... by 115 dentists over a period of 4 years were evaluated at baseline and up to 8 years later. The endpoint of each restoration was defined when repair or replacement was performed. The influence of patient, dentist and material factors on reasons for repair or replacement was investigated. Results...

Effect of various teas on color stability of resin composites.

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Dinç Ata, Gül; Gokay, Osman; Müjdeci, Arzu; Kivrak, Tugba Congara; Mokhtari Tavana, Armin

2017-12-01

To investigate the effect of various teas on color stability of resin composites. Two methacrylate-based (Arabesk Top, Grandio) and a silorane-based (Filtek Silorane) resin composites were used. 110 cylindrical samples of each resin composite were prepared (2 mm thickness and 8 mm diameter), polished and stored in distilled water (37°C for 24 hours). They were randomly divided into 11 groups (n= 10) and color measurements were taken. Then the samples were immersed in tap water (control), a black tea, a green tea or one of the eight herbal-fruit teas (37°C for 1 week) and subsequently subjected to the final color measurements. The color change of samples (ΔE*) was calculated, data were subjected to two-way ANOVA and Tukey's HSD tests. Teas, resin composites and their interactions were significant (P= 0.000). All the teas and control caused color changes in all three resin composites. Rosehip tea caused the most color changes, while tap water showed the least in all resin composites. Arabesk Top had the most staining potential in all the teas and control, whereas Filtek Silorane was the most stain resistant except Grandio immersed in sage tea. Color stability of all resin composites used were affected from both structure of resin materials and constituents of teas used. All resin composites were susceptible to staining by all teas especially rosehip tea. Arabesk Top composite showed the greatest color susceptibility in all teas and Filtek Silorane the least with one exception. Color of resin composites can be negatively affected from teas consumed. Clinicians should advise patients that drinking different kind of teas could intensify surface staining of resin based restorations.

Comparison of Mechanical Properties of Resin Composites with Resin Modified Glass Ionomers

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Taha NA

2015-06-01

Full Text Available Statement of Problem: There are controversial reports regarding physical and mechanical properties of resin composites and glass ionomer cements. Some revealed higher strength and hardness for resin composites while others showed a comparable value for glass ionomer cements. Evaluation of mechanical properties of different types of resin composites in comparison with resin modified glass ionomers is not widely studied. Objectives: To measure and compare the flexural strength and Vickers hardness of three resin composites and two resins modified glass ionomer cements before and after ageing. Materials and Methods: Three resin composites, i.e. Filtek Supreme XTE (3M ESPE, Ice (SDI, Gradia (GC, and two resins modified glass ionomers, i.e. Fuji II LC (GC and Riva Light Cure (SDI, were selected. Ten barshaped specimens were prepared for each material and cured using LED curing light. After 24 hours storage in distilled water at 37oC, the specimens were randomly divided into two equal groups (n=5. The first group was tested as a baseline and the second group was restored at 37oC for another 29 days. Flexural strength was performed by four-point bending test using universal testing machine at crosshead speed of 0.5mm/min, and the maximum load at failure was recorded. The specimen’s halves were used for evaluating Vickers hardness, using a Digital Hardness Tester (300 g/15 sec and the Vickers hardness number (VHN was recorded. Data were analyzed using one-way analysis of variance (ANOVA, Tukey’s and student’s t-test. Results: After 24 hours of immersion, the highest hardness number was found for Filtek Supreme and Ice and the highest flexural strength was obtained for Gradia. After 30 days of storage, hardness of Fuji II LC and Gradia showed a significant decrease; flexural strength of Ice and Fuji II LC revealed a significant increase while Gradia and Filtek Supreme showed a significant decrease. Conclusions: Resin modified glass ionomers showed

Effect of light-curing units on microleakage under dental composite resins

Science.gov (United States)

Queiroz, R. S.; Bandéca, M. C.; Calixto, L. R.; Saade, E. G.; Nadalin, M. R.; Andrade, M. F.; Porto-Neto, S. T.

2009-09-01

The aim of this study was to determine the effect of two light-curing units (QTH and LED) on microleakage of Class II composite resin restorations with dentin cavosurface margins. Twenty extracted mandibular first premolars, free of caries and fractures were prepared two vertical “slot” cavities in the occluso-mesial and -destal surfaces (2 mm buccal-lingually, 2 mm proximal-axially and cervical limit in enamel) and divided into 4 equal groups ( n = 8): GI and GII: packable posterior composite light-activated with LED and QTH, respectively; GIII and GIV: micro-hybrid composite resin light-activated with LED and QTH, respectively. The composite resins were applied following the manufacturer’s instructions. After 24 h of water storage specimens were subjected to thermocycling for a total of 500 cycles at 5 and 55°C and the teeth were then sealed with impermeable material. Teeth were immersed in 0.5% Basic fuchsin during 24 h at room temperature, and zero to three levels of penetration score were attributed. The Mann-Whitney and Kruskal-Wallis tests showed significant statistically similar ( P > 0.05) from GI to GII and GIII to GIV, which the GII (2.750) had the highest mean scores and the GIII and GIV (0.875) had lowest mean scores. The use of different light-curing units has no influence on marginal integrity of Class II composite resin restorations and the proprieties of composite resins are important to reduce the microleakage.

Can pulpal floor debonding be detected from occlusal surface displacement in composite restorations?

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Novaes, João Batista; Talma, Elissa; Las Casas, Estevam Barbosa; Aregawi, Wondwosen; Kolstad, Lauren Wickham; Mantell, Sue; Wang, Yan; Fok, Alex

2018-01-01

Polymerization shrinkage of resin composite restorations can cause debonding at the tooth-restoration interface. Theory based on the mechanics of materials predicts that debonding at the pulpal floor would half the shrinkage displacement at the occlusal surface. The aim of this study is to test this theory and to examine the possibility of detecting subsurface resin composite restoration debonding by measuring the superficial shrinkage displacements. A commercial dental resin composite with linear shrinkage strain of 0.8% was used to restore 2 groups of 5 model Class-II cavities (8-mm long, 4-mm wide and 4-mm deep) in aluminum blocks (8-mm thick, 10-mm wide and 14-mm tall). Group I had the restorations bonded to all cavity surfaces, while Group II had the restorations not bonded to the cavity floor to simulate debonding. One of the proximal surfaces of each specimen was sprayed with fine carbon powder to allow surface displacement measurement by Digital Image Correlation. Images of the speckled surface were taken before and after cure for displacement calculation. The experiment was simulated using finite element analysis (FEA) for comparison. Group I showed a maximum occlusal displacement of 34.7±6.7μm and a center of contraction (COC) near the pulpal floor. Group II had a COC coinciding with the geometric center and showed a maximum occlusal displacement of 17.4±3.8μm. The difference between the two groups was statistically significant (p-value=0.0007). Similar results were obtained by FEA. The theoretical shrinkage displacement was 44.6 and 22.3μm for Group I and II, respectively. The lower experimental displacements were probably caused by slumping of the resin composite before cure and deformation of the adhesive layer. The results confirmed that the occlusal shrinkage displacement of a resin composite restoration was reduced significantly by pulpal floor debonding. Recent in vitro studies seem to indicate that this reduction in shrinkage displacement

Fatigue resistance of teeth restored with cuspal-coverage composite restorations.

NARCIS (Netherlands)

Fennis, W.M.M.; Kuijs, R.H.; Kreulen, C.M.; Verdonschot, N.J.J.; Creugers, N.H.J.

2004-01-01

PURPOSE: This study assessed the influence of palatal cuspal coverage on the in vitro fatigue resistance and failure mode of Class II resin composite restorations including replacement of the buccal cusp in premolars. MATERIALS AND METHODS: A master model was made of a maxillary premolar with an MOD

Distance and protective barrier effects on the composite resin degree of conversion

Science.gov (United States)

Coutinho, Margareth; Trevizam, Natália Carvalho; Takayassu, Renata Nakase; Leme, Ariene Arcas; Soares, Giulliana Panfiglio

2013-01-01

Context: The food wrap films are used to cover the tip of curing light units in order to avoid contamination and prevent damage to the light guide. However, their effects on resin polymerization are not fully known. Aims: We investigated the effects on restoration efficiency of a food wrap protective barrier used on the tip of curing light units. Materials and Methods: For each treatment, five replications were performed, a total of 60 bovine incisor. The degree of conversion (%DC) of restorations with the composite resin Opallis EA2 was evaluated using 3 curing light devices (Optilux 501, Optilight and Ultra LED) and 2 curing distances (0 and 5 mm). The composite resin was tested for restoration of cavities in bovine crowns. %DC values were measured by the Fourier transform infrared spectroscopy-attenuated total reflectance technique. Statistical Analysis Used: The data were analyzed using 3-way ANOVA and Tukey's test. Results: Use of the protective film lowered %DC (F = 4.13; P = 0.05), and the effects of curing distance were associated to the curing light device (F = 3.61; P = 0.03). Conclusions: The distance from the light curing tip and use of a translucent protective barrier on the light-cure device can both impair composite resin %DC. PMID:24015001

A comparative study to determine strength of autopolymerizing acrylic resin and autopolymerizing composite resin influenced by temperature during polymerization: An In Vitro study

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Anuj Chhabra

2017-01-01

Full Text Available Aim: Temporary coverage of a prepared tooth is an important step during various stages of the fixed dental prosthesis. Provisional restorations should satisfy proper mechanical requirements to resist functional and nonfunctional loads. A few studies are carried out regarding the comparison of the effect of curing environment, air and water, on mechanical properties of autopolymerizing acrylic and composite resin. Hence, the aim of this study was to compare the transverse strength of autopolymerizing acrylic resin and autopolymerizing composite resin as influenced by the temperature of air and water during polymerization. Materials and Methods: Samples of autopolymerizing acrylic resin and composite resin were prepared by mixing as per manufacturer's instructions and were placed in a preformed stainless steel mold. The mold containing the material was placed under different controlled conditions of water temperature and air at room temperature. Polymerized samples were then tested for transverse strength using an Instron universal testing machine. Results: Alteration of curing condition during polymerization revealed a significant effect on the transverse strength. The transverse strength of acrylic resin specimens cured at 60°C and composite resin specimens cured at 80°C was highest. Polymerizing the resin in cold water at 10°C reduced the mechanical strength. Conclusions: Polymerization of the resin in hot water greatly increased its mechanical properties. The method of placing resin restoration in hot water during polymerization may be useful for improving the mechanical requirements and obtaining long-lasting performance.

Compatibility between dental adhesive systems and dual-polymerizing composite resins.

Science.gov (United States)

Michaud, Pierre-Luc; MacKenzie, Alexandra

2016-10-01

Information is lacking about incompatibilities between certain types of adhesive systems and dual-polymerizing composite resins, and universal adhesives have yet to be tested with these resins. The purpose of this in vitro study was to investigate the bonding outcome of dual-polymerizing foundation composite resins by using different categories of adhesive solutions and to determine whether incompatibilities were present. One hundred and eighty caries-free, extracted third molar teeth were allocated to 9 groups (n=20), in which 3 different bonding agents (Single Bond Plus [SB]), Scotchbond Multi-purpose [MP], and Scotchbond Universal [SU]) were used to bond 3 different composite resins (CompCore AF [CC], Core Paste XP [CP], and Filtek Supreme Ultra [FS]). After restorations had been fabricated using an Ultradent device, the specimens were stored in water at 37°C for 24 hours. The specimens were tested under shear force at a rate of 0.5 mm/min. The data were analyzed with Kruskal-Wallis tests and post hoc pairwise comparisons (α=.05). All 3 composite resins produced comparable shear bond strengths when used with MP (P=.076). However, when either SB or SU was used, the light-polymerized composite resin (FS) and 1 dual-polymerized foundation composite resin (CC) bonded significantly better than the other dual-polymerized foundation composite resin (CP) (Pincompatibilities exist between different products. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Microtensile bond strength of bulk-fill restorative composites to dentin.

Science.gov (United States)

Mandava, Jyothi; Vegesna, Divya-Prasanna; Ravi, Ravichandra; Boddeda, Mohan-Rao; Uppalapati, Lakshman-Varma; Ghazanfaruddin, M D

2017-08-01

To facilitate the easier placement of direct resin composite in deeper cavities, bulk fill composites have been introduced. The Mechanical stability of fillings in stress bearing areas restored with bulk-fill resin composites is still open to question, since long term clinical studies are not available so far. Thus, the objective of the study was to evaluate and compare the microtensile bond strength of three bulk-fill restorative composites with a nanohybrid composite. Class I cavities were prepared on sixty extracted mandibular molars. Teeth were divided into 4 groups (n= 15 each) and in group I, the prepared cavities were restored with nanohybrid (Filtek Z250 XT) restorative composite in an incremental manner. In group II, III and IV, the bulk-fill composites (Filtek, Tetric EvoCeram, X-tra fil bulk-fill restoratives) were placed as a 4 mm single increment and light cured. The restored teeth were subjected to thermocycling and bond strength testing was done using instron testing machine. The mode of failure was assessed by scanning electron microscope (SEM). The bond strength values obtained in megapascals (MPa) were subjected to statistical analysis, using SPSS/PC version 20 software.One-way ANOVA was used for groupwise comparison of the bond strength. Tukey's Post Hoc test was used for pairwise comparisons among the groups. The highest mean bond strength was achieved with Filtek bulk-fill restorative showing statistically significant difference with Tetric EvoCeram bulk-fill ( p composites. Adhesive failures are mostly observed with X-tra fil bulk fill composites, whereas mixed failures are more common with other bulk fill composites. Bulk-fill composites exhibited adequate bond strength to dentin and can be considered as restorative material of choice in posterior stress bearing areas. Key words: Bond strength, Bulk-fill restoratives, Configuration factor, Polymerization shrinkage.

Fatigue resistance and crack propensity of novel "super-closed" sandwich composite resin restorations in large MOD defects.

Science.gov (United States)

Magne, Pascal; Silva, Silvana; Andrada, Mauro de; Maia, Hamilton

2016-01-01

To assess the influence of conventional glass ionomer cement (GIC) vs resin-modified GIC (RMGIC) as a base material for novel, super-closed sandwich restorations (SCSR) and its effect on shrinkage-induced crack propensity and in vitro accelerated fatigue resistance. A standardized MOD slottype tooth preparation was applied to 30 extracted maxillary molars (5 mm depth/5 mm buccolingual width). A modified sandwich restoration was used, in which the enamel/dentin bonding agent was applied first (Optibond FL, Kerr), followed by a Ketac Molar (3M ESPE)(group KM, n = 15) or Fuji II LC (GC) (group FJ, n = 15) base, leaving 2 mm for composite resin material (Miris 2, Coltène-Whaledent). Shrinkageinduced enamel cracks were tracked with photography and transillumination. Samples were loaded until fracture or to a maximum of 185,000 cycles under isometric chewing (5 H z), starting with a load of 200 N (5,000 X), followed by stages of 400, 600, 800, 1,000, 1,200, and 1,400 N at a maximum of 30,000 X each. Groups were compared using the life table survival analysis (α = .008, Bonferroni method). Group FJ showed the highest survival rate (40% intact specimens) but did not differ from group KM (20%) or traditional direct restorations (13%, previous data). SCSR generated less shrinkage-induced cracks. Most failures were re-restorable (above the cementoenamel junction [CEJ]). Inclusion of GIC/RMGIC bases under large direct SCSRs does not affect their fatigue strength but tends to decrease the shrinkage-induced crack propensity. The use of GIC/ RMGIC bases and the SCSR is an easy way to minimize polymerization shrinkage stress in large MOD defects without weakening the restoration.

Color change of CAD-CAM materials and composite resin cements after thermocycling.

Science.gov (United States)

Gürdal, Isil; Atay, Ayse; Eichberger, Marlis; Cal, Ebru; Üsümez, Aslihan; Stawarczyk, Bogna

2018-04-24

The color of resin cements and computer-aided-design and computer-aided-manufacturing (CAD-CAM) restorations may change with aging. The purpose of this in vitro study was to analyze the influence of thermocycling on the color of CAD-CAM materials with underlying resin cement. Seven different CAD-CAM materials, composite resins and glass-ceramics were cut into 0.7-mm and 1.2-mm thicknesses (n=10) and cemented with a dual-polymerizing resin cement, a light-polymerizing resin cement, and a preheated composite resin (N=420). Color values were measured by using spectrophotometry. Specimens were subjected to thermocycling (5°C and 55°C; 5000 cycles). The measured color difference (ΔE) data were analyzed by using descriptive statistics. Normality of data distribution was tested by using the Kolmogorov-Smirnov test. Three-way and 1-way ANOVA followed by the Scheffé post-hoc test and unpaired 2-sample Student t test were computed to determine the significant differences among the tested parameters (α=.05). ΔE values were significantly influenced by the CAD-CAM material (η p 2 =0.85, Pcement (η P 2 =0.03, P=.003) but were not influenced by thickness (P=.179). Significant interactions were present among thickness, cement, and CAD-CAM materials (Pcement showed significantly lower ΔE values than the preheated composite resin (P=.003). Restoration materials and composite resin cement types used for cementation influence the amount of color change due to aging. Copyright © 2018 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Creep deformation of restorative resin-composites intended for bulk-fill placement.

Science.gov (United States)

El-Safty, S; Silikas, N; Watts, D C

2012-08-01

To determine the creep deformation of several "bulk-fill" resin-composite formulations in comparison with some other types. Six resin-composites; four bulk-fill and two conventional were investigated. Stainless steel split molds (4 mm × 6 mm) were used to prepare cylindrical specimens for creep testing. Specimens were thoroughly irradiated with 650 mW cm(-2). A total of 10 specimens for each material were divided into two groups (n = 5) according to the storage condition; Group A stored dry at 37 °C for 24h and Group B stored in distilled water at 37 °C in an incubator for 24h. Each specimen was loaded (20 MPa) for 2h and unloaded for 2h. The strain deformation was recorded continuously for 4h. Statistical analysis was performed using a two-way ANOVA followed by one-way ANOVA and the Bonferroni post hoc test at a significance level of a = 0.05. The maximum creep strain % ranged from 0.72% up to 1.55% for Group A and the range for Group B increased from 0.79% up to 1.80% due to water sorption. Also, the permanent set ranged from 0.14% up to 0.47% for Group A and from 0.20% up to 0.59% for Group B. Dependent on the material and storage condition, the percentage of creep strain recovery ranged between 64% and 81%. Increased filler loading in the bulk-fill materials decreased the creep strain magnitude. Creep deformation of all studied resin-composites increased with wet storage. The "bulk-fill" composites exhibited an acceptable creep deformation and within the range exhibited by other resin-composites. Copyright © 2012 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Can repair increase the longevity of composite resins? Results of a 10-year clinical trial.

Science.gov (United States)

Fernández, E; Martín, J; Vildósola, P; Oliveira Junior, O B; Gordan, V; Mjor, I; Bersezio, C; Estay, J; de Andrade, M F; Moncada, G

2015-02-01

The aim of this double-blind clinical trial was to assess the longevity of repairs to localized clinical defects in composite resin restorations that were initially planned to be treated with a restoration replacement. Twenty-eight patients aged 18-80 years old with 50 composite resin restorations (CR) were recruited. The restorations with localized, marginal, anatomical deficiencies and/or secondary caries adjacent to CR that were "clinically judged" to be suitable for repair or replacement according to the USPHS criteria were randomly assigned to Repair (n=25) or Replacement (n=25) groups, and the quality of the restorations was scored according to the modified USPHS criteria. The restorations were blind and two examiners scored them at baseline (Cohen Kappa agreement score 0.74) and at ten years (Cohen Kappa agreement score 0.87) restorations. Wilcoxon tests were performed for comparisons within the same group (95% CI), and Friedman tests were utilized for multiple comparisons between the different years within each group. Over the decade, the two groups behaved similarly on the parameters of marginal adaptation (MA) (p>0.05), secondary caries (SC) (p>0.05), anatomy (A) (p0.05). Given that the MA, SC, A and C parameters behaved similarly in both groups, the repair of composite resins should be elected when clinically indicated, because it is a minimally invasive treatment that can consistently increase the longevity of restorations. The repair of defective composite resins as an alternative treatment to increase their longevity proved to be a safe and effective treatment in the long term. Copyright © 2014 Elsevier Ltd. All rights reserved.

Interpenetrating network ceramic-resin composite dental restorative materials.

Science.gov (United States)

Swain, M V; Coldea, A; Bilkhair, A; Guess, P C

2016-01-01

This paper investigates the structure and some properties of resin infiltrated ceramic network structure materials suitable for CAD/CAM dental restorative applications. Initially the basis of interpenetrating network materials is defined along with placing them into a materials science perspective. This involves identifying potential advantages of such structures beyond that of the individual materials or simple mixing of the components. Observations from a number of recently published papers on this class of materials are summarized. These include the strength, fracture toughness, hardness and damage tolerance, namely to pointed and blunt (spherical) indentation as well as to burr adjustment. In addition a summary of recent results of crowns subjected to simulated clinical conditions using a chewing simulator are presented. These results are rationalized on the basis of existing theoretical considerations. The currently available ceramic-resin IPN material for clinical application is softer, exhibits comparable strength and fracture toughness but with substantial R-curve behavior, has lower E modulus and is more damage tolerant than existing glass-ceramic materials. Chewing simulation observations with crowns of this material indicate that it appears to be more resistant to sliding/impact induced cracking although its overall contact induced breakage load is modest. Copyright © 2015 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Foam, Foam-resin composite and method of making a foam-resin composite

Science.gov (United States)

Cranston, John A. (Inventor); MacArthur, Doug E. (Inventor)

1995-01-01

This invention relates to a foam, a foam-resin composite and a method of making foam-resin composites. The foam set forth in this invention comprises a urethane modified polyisocyanurate derived from an aromatic amino polyol and a polyether polyol. In addition to the polyisocyanurate foam, the composite of this invention further contains a resin layer, wherein the resin may be epoxy, bismaleimide, or phenolic resin. Such resins generally require cure or post-cure temperatures of at least 350.degree. F.

Resistance to fracture of endodontically treated premolars restored with glass ionomer cement or acid etch composite resin: An in vitro study

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B Ranga

2010-01-01

Full Text Available Aim: Due to the weakness of endodontically treated posterior teeth requires more strengthened restoration to withstand occlusal forces. The purpose of the present study was to determine and compare the resistance to fracture of endodontically treated maxillary 1 st premolars restored with different materials in mesio-occluso-distal (MOD cavity preparations. Materials and Methods: MOD cavity preparations in 80 endodontically treated maxillary 1 st premolars were restored using four different methods. Fiber rings were filled with stone plaster and the teeth were placed into the plaster up to the level of cemento-enamel junction. The teeth were grouped according to restorative method, mounted in an Instrom T.T. machine, and the buccal walls subjected to a slowly increasing compressive force until fracture occurred. Result: The force of fracture of the walls of each tooth was recorded and the results in the various groups compared. All teeth fractured in a similar manner irrespective of the restorative method used. Conclusion: The resistance to the fracture of the teeth was the same when they were stored with glass ionomer cement as a base over which composite resin was placed. When the entire cavities were filled with glass ionomer cement, the resistance to fracture of the teeth decreased significantly compared with the acid etch resin technique.

Influence of salivary enzymes and alkaline pH environment on fatigue behavior of resin composites

NARCIS (Netherlands)

Mirmohammadi, H.; Kleverlaan, C.J.; Aboushelib, M.N.; Feilzer, A.J.

2011-01-01

Purpose: To evaluate the effect of enzymatic activity and alkaline medium on flexural strength and rotary fatigue resistance of direct and indirect resin composite restorative materials. Methods: Three direct resin composite materials Filtek Z100, Filtek Z250 and Filtek Silorane (3M ESPE), and two

Effects of polishing procedures on color stability of composite resins

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Ahmet Umut Güler

2009-04-01

Full Text Available The purpose of this study was to investigate the effect of different polishing methods on color stability of posterior, universal and nanohybrid composite resin restorative materials upon exposure to a staining agent. Twenty-five specimens were prepared for each of 5 different composite resins (Filtek Z250, Filtek P60, Quadrant LC, Grandio and Filtek Supreme. Specimens were divided into 5 groups and different polishing procedures, including polishing discs (Pd, polishing discs then diamond polishing paste (PdP, polishing discs then a liquid polishing system (Biscover (PdB, and combinations of these (PdPB were used. Unpolished specimens served as the control (C. The specimens were stored for 48 h in a coffee solution. The color of all specimens was measured before and after exposure with a colorimeter, and total color change (DE* were calculated. The data were analyzed with a two-way ANOVA and the means were compared by Tukey HSD test (a=0.05. The lowest color difference was observed in the groups PdP and C, while the highest color difference was observed in PdPB, and PdB. When comparing the five different restorative materials, no significant difference was observed between FiltekP60 and FiltekZ250, and these materials demonstrated significantly less color change than Quadrant LC and the nanohybrid materials (Grandio, Filtek Supreme. The posterior (Filtek P60 and universal (Filtek Z250 composite resin restorative materials, which do not contain tetraethyleneglycol dimethacrylate (TEGDMA, were found to be less stainable than the nanohybrid (Grandio, Filtek Supreme and universal (Quadrant LC composite resins, which contain TEGDMA. The use of diamond polishing paste after polishing with polishing discs significantly decreased staining when compared to the groups that used polishing discs alone, for all restorative materials tested. The highest color change values were obtained for the specimens that were polished with the Biscover liquid polish

Effect of Various Surface Treatment on Repair Strength of Composite Resin

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Y. Alizade

2004-12-01

Full Text Available Statement of Problem: In some clinical situations, repair of composite restorations is treatment of choice. Improving the bond strength between one new and old composite usually requires increased surface roughness to promote mechanical interlocking sincechemical bonding might not be adequate. Similarly, the treatment of a laboratory fabricated resin composite restoration involves the same procedures, and there is a need to create the strongest possible bond of a resin cement to a previously polymerized composite.Purpose: The aim of this study was to evaluate the effect of various surface treatments on the shear bond strength of repaired to aged composite resin.Materials and Methods: Eighty four cylindrical specimens of a composite resin were fabricated and stored in distilled water for 100 days prior to surface treatment. Surface treatment of old composite was done in 6 groups as follow:1- Air abrasion with CoJet sand particles with micoretcher + silane + dentin bonding agent2- Air abrasion with 50μm Al2O3 particles+ phosphoric acid+ silane+ dentin bonding agent3- Air abrasion with 50μm Al2O3 particles + phosphoric acid + dentin bonding agent4- Diamond bur + phosphoric acid + silane + dentin bonding agent5- Diamond bur + phosphoric acid + dentin bonding agent6- Diamond bur + phosphoric acid + composite activator + dentin bonding agentThen fresh composite resin was bonded to treated surfaces. Twelve specimens were also fabricated as control group with the same diameter but with the height twice as much as other specimens. All of the specimens were thermocycled prior to testing for shear bondstrength. The bond strength data were analyzed statistically using one way ANOVA test, t test and Duncan's grouping test.Results: One-way ANOVA indicated no significant difference between 7 groups (P=0.059. One-way ANOVA indicated significant difference between the three diamond bur groups (P=0.036. Silane had a significant effect on the repair bond

Biphenyl liquid crystalline epoxy resin as a low-shrinkage resin-based dental restorative nanocomposite.

Science.gov (United States)

Hsu, Sheng-Hao; Chen, Rung-Shu; Chang, Yuan-Ling; Chen, Min-Huey; Cheng, Kuo-Chung; Su, Wei-Fang

2012-11-01

Low-shrinkage resin-based photocurable liquid crystalline epoxy nanocomposite has been investigated with regard to its application as a dental restoration material. The nanocomposite consists of an organic matrix and an inorganic reinforcing filler. The organic matrix is made of liquid crystalline biphenyl epoxy resin (BP), an epoxy resin consisting of cyclohexylmethyl-3,4-epoxycyclohexanecarboxylate (ECH), the photoinitiator 4-octylphenyl phenyliodonium hexafluoroantimonate and the photosensitizer champhorquinone. The inorganic filler is silica nanoparticles (∼70-100 nm). The nanoparticles were modified by an epoxy silane of γ-glycidoxypropyltrimethoxysilane to be compatible with the organic matrix and to chemically bond with the organic matrix after photo curing. By incorporating the BP liquid crystalline (LC) epoxy resin into conventional ECH epoxy resin, the nanocomposite has improved hardness, flexural modulus, water absorption and coefficient of thermal expansion. Although the incorporation of silica filler may dilute the reinforcing effect of crystalline BP, a high silica filler content (∼42 vol.%) was found to increase the physical and chemical properties of the nanocomposite due to the formation of unique microstructures. The microstructure of nanoparticle embedded layers was observed in the nanocomposite using scanning and transmission electron microscopy. This unique microstructure indicates that the crystalline BP and nanoparticles support each other and result in outstanding mechanical properties. The crystalline BP in the LC epoxy resin-based nanocomposite was partially melted during exothermic photopolymerization, and the resin expanded via an order-to-disorder transition. Thus, the post-gelation shrinkage of the LC epoxy resin-based nanocomposite is greatly reduced, ∼50.6% less than in commercialized methacrylate resin-based composites. This LC epoxy nanocomposite demonstrates good physical and chemical properties and good biocompatibility

Failure in a composite resin-dentin adhesive bond

Energy Technology Data Exchange (ETDEWEB)

Rezgui, B. (Dept. de Genie Mecanique, Ecole Nationale d' Ingenieurs de Monastir, Monastir (Tunisia)); Abdennagi, H. (Dept. de Genie Mecanique, Ecole Nationale d' Ingenieurs de Monastir, Monastir (Tunisia)); Sahtout, S. (Dept. de Genie Mecanique, Ecole Nationale d' Ingenieurs de Monastir, Monastir (Tunisia) Dept. d' Odontologie, Faculte de Chirurgie Dentaire de Monastir (Tunisia)); Belkhir, M.S. (Dept. de Genie Mecanique, Ecole Nationale d' Ingenieurs de Monastir, Monastir (Tunisia) Dept. d' Odontologie, Faculte de Chirurgie Dentaire de Monastir (Tunisia))

1993-11-01

Composites are drawing more and more attention as preferred materials for teeth restoration. The success of teeth restoration has been generally limited by the Composite Resin-Dentin bond strength. A testing device has been developped to allow a satisfactory testing method for evaluating bonding strength in tension and shear, which led to reproducible results. A comparaison between different bond systems has shown no significant difference in the tensile and the shear strength as well as in the fracture behavior. Moreover, results showed difference between tensile and shear strength, when considering one same bond system. Failure mode examination turned out to be, either cohesive (composite rupture), or adhesive (interface rupture) or both (mixed rupture). (orig.).

SORPTION AND SOLUBILITY OF LOW-SHRINKAGE RESIN-BASED DENTAL COMPOSITES

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Sevda Yantcheva

2016-04-01

Full Text Available Background: Resin-based composites are well-established restorative materials. However, these materials may absorb significant amounts of water when exposed to aqueous environments. Sorption and solubility are affecting composite restorations by two different mechanisms; the first is the up taking of water producing an increased weight and the second is the dissolution of materials in water, leading to a weight reduction of the final conditioned samples. Objective: To measure the water sorption and solubility of different low-shrinkage resin-based composites. Six materials were selected: Filtek P60, Filtek Ultimate, SonicFill, Filtek Silorane, Kalore and Venus Diamond. Materials and methods: Five disc specimens were prepared of each material and polymerized with diode light-curing unit. Water sorption and solubility of the different materials were were calculated by means of weighting the samples before and after water immersion and desiccation. Data were statistically analyzed using Shapiro-Wilk One Way Analysis of Variance followed by the Holm-Sidak comparison test . Results: There were significant differences (p<=0.001 between materials regarding sorption and solubility. Regarding sorption F. Silorane showed lowest values, followed by SonicFill, without significant difference between them. Statistical significant differences exist between F. Silorane and F.P60, F. Ultimate, Kalore. Significant differences exist between SonicFill and F. Ultimate. F.Silorane (-0.018 and Kalore (-0.010 showed lowest values of solubility but there were marginal difference among all composites investigated. Conclusions: 1.The material with lowest values of sorption and solubility was F.Silorane. 2. The attained sorption and solubility values for composites are influenced by the differences in resin matrix composition and filler contend. 3. Modifications of dimethacrylate matrix did not minimize significantly sorption and solubility of composites. 4. Besides water

Resin bond to indirect composite and new ceramic/polymer materials: a review of the literature.

Science.gov (United States)

Spitznagel, Frank A; Horvath, Sebastian D; Guess, Petra C; Blatz, Markus B

2014-01-01

Resin bonding is essential for clinical longevity of indirect restorations. Especially in light of the increasing popularity of computer-aided design/computer-aided manufacturing-fabricated indirect restorations, there is a need to assess optimal bonding protocols for new ceramic/polymer materials and indirect composites. The aim of this article was to review and assess the current scientific evidence on the resin bond to indirect composite and new ceramic/polymer materials. An electronic PubMed database search was conducted from 1966 to September 2013 for in vitro studies pertaining the resin bond to indirect composite and new ceramic/polymer materials. The search revealed 198 titles. Full-text screening was carried out for 43 studies, yielding 18 relevant articles that complied with inclusion criteria. No relevant studies could be identified regarding new ceramic/polymer materials. Most common surface treatments are aluminum-oxide air-abrasion, silane treatment, and hydrofluoric acid-etching for indirect composite restoration. Self-adhesive cements achieve lower bond strengths in comparison with etch-and-rinse systems. Thermocycling has a greater impact on bonding behavior than water storage. Air-particle abrasion and additional silane treatment should be applied to enhance the resin bond to laboratory-processed composites. However, there is an urgent need for in vitro studies that evaluate the bond strength to new ceramic/polymer materials. This article reviews the available dental literature on resin bond of laboratory composites and gives scientifically based guidance for their successful placement. Furthermore, this review demonstrated that future research for new ceramic/polymer materials is required. © 2014 Wiley Periodicals, Inc.

Physical properties of a new sonically placed composite resin restorative material.

Science.gov (United States)

Ibarra, Emily T; Lien, Wen; Casey, Jeffery; Dixon, Sara A; Vandewalle, Kraig S

2015-01-01

A new nanohybrid composite activated by sonic energy has been recently introduced as a single-step, bulk-fill restorative material. The purpose of this study was to compare the physical properties of this new composite to various other composite restorative materials marketed for posterior or bulk-fill placement. The following physical properties were examined: depth of cure, volumetric shrinkage, flexural strength, flexural modulus, fracture toughness, and percent porosity. A mean and standard deviation were determined per group. One-way ANOVA and Tukey's post hoc tests were performed per property (α = 0.05). Percent porosity was evaluated with a Kruskal-Wallis/Mann-Whitney test (α = 0.005). Significant differences were found between groups (P composite restorative materials, the new nanohybrid composite showed low shrinkage and percent porosity, moderate fracture toughness and flexural modulus, and high flexural strength. However, it also demonstrated a relatively reduced depth of cure compared to the other composites.

Longevity of posterior resin composite restorations in permanent teeth in Public Dental Health Service

DEFF Research Database (Denmark)

Pallesen, Ulla; van Dijken, Jan W V; Halken, Jette

2013-01-01

To investigate in a prospective follow up the longevity of posterior resin composites (RC) placed in permanent teeth of children and adolescents attending Public Dental Health Service.......To investigate in a prospective follow up the longevity of posterior resin composites (RC) placed in permanent teeth of children and adolescents attending Public Dental Health Service....

Degradation of dental resin composites during intra-oral wear

NARCIS (Netherlands)

Yulianto, Heribertus Dedy Kusuma

2017-01-01

Dental resin composites have become an integral part of modern dentistry and used worldwide to restore missing tooth structures, to modify tooth color and anatomical contour, and to enhance aesthetics and function. The dentist should be aware that, the aggressive complexity of the oral environment

Perlekatan koloni Streptococcus mutans pada permukaan resin komposit sinar tampak (The adherence of Streptococcus mutans colony to surface visible light composite resins

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Ajeng Anggraeni

2005-03-01

Full Text Available Visible light composite resins was used to restore anterior and posterior teeth, and it is always covered by saliva pellicle. S. mutans can adhere to all of the surface of oral cavity and visible light composite resins. The aim of this study was to know the amount of S. mutans colony adherence to visible light composite resins surface. The sample of 5 mm diameter and 3 mm in thickness was immersed in saliva for one hour, than the samples were put into bacteria suspension, incubated for 24 hours at 37° C. The amount of S. mutans was determined by direct count using microscope. The data were statistically analyzed by using t test. The result showed a significance difference of S. mutans colony between hybrid and micro fill visible light composite resins. The conclusion was that the amount of S. mutans adherence on the surface of hybrid was higher than the micro fill visible light composite resins.

Does the adhesive strategy influence the post-operative sensitivity in adult patients with posterior resin composite restorations?: A systematic review and meta-analysis.

Science.gov (United States)

Reis, Alessandra; Dourado Loguercio, Alessandro; Schroeder, Marcos; Luque-Martinez, Issis; Masterson, Danielle; Cople Maia, Lucianne

2015-09-01

A systematic review and meta-analysis were performed on the risk and intensity of postoperative sensitivity (POS) in posterior resin composite restorations bonded with self-etch (SE) and etch-and-rinse (ER) adhesives. A comprehensive search was performed in the MEDLINE via PubMeb, Scopus, Web of Science, LILACS, BBO and Cochrane Library and SIGLE without restrictions. The abstracts of the annual conference of the IADR (1990-2014), unpublished and ongoing trials registry were also searched. Dissertations and theses were searched using the ProQuest Dissertations and Periodicos Capes Theses databases. We included randomized clinical trials that compared the clinical effectiveness of SE and ER used for direct resin composite restorations in permanent dentition of adult patients. The risk/intensity of POS was the primary outcome. The risk of bias tool of the Cochrane Collaboration was used. The meta-analysis was performed on the studies considered 'low' risk of bias. After duplicates removal, 2600 articles were identified but only 29 remained in the qualitative synthesis. Five were considered to be 'high' risk of bias and eleven were considered to be 'unclear' in the key domains, yielding 13 studies for meta-analysis. The overall relative risk of the spontaneous POS was 0.63 (95% CI 0.35 to 1.15), while the stimuli-induced POS was 0.99 (95% CI 0.63 to 1.56). The overall standardized mean difference was 0.08 (95%CI -0.19 to 0.35). No overall effect was revealed in the meta-analyses, meaning that no influence of the ER or SE strategy on POS. The type of adhesive strategy (ER or SE) for posterior resin composite restorations does not influence the risk and intensity of POS. CRD42014006617. Copyright © 2015 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Polymerization shrinkage of different types of composite resins and microleakage with and without liner in class II cavities.

Science.gov (United States)

Karaman, E; Ozgunaltay, G

2014-01-01

To determine the volumetric polymerization shrinkage of four different types of composite resin and to evaluate microleakage of these materials in class II (MOD) cavities with and without a resin-modified glass ionomer cement (RMGIC) liner, in vitro. One hundred twenty-eight extracted human upper premolar teeth were used. After the teeth were divided into eight groups (n=16), standardized MOD cavities were prepared. Then the teeth were restored with different resin composites (Filtek Supreme XT, Filtek P 60, Filtek Silorane, Filtek Z 250) with and without a RMGIC liner (Vitrebond). The restorations were finished and polished after 24 hours. Following thermocycling, the teeth were immersed in 0.5% basic fuchsin for 24 hours, then midsagitally sectioned in a mesiodistal plane and examined for microleakage using a stereomicroscope. The volumetric polymerization shrinkage of materials was measured using a video imaging device (Acuvol, Bisco, Inc). Data were statistically analyzed with Kruskal-Wallis and Mann-Whitney U-tests. All teeth showed microleakage, but placement of RMGIC liner reduced microleakage. No statistically significant differences were found in microleakage between the teeth restored without RMGIC liner (p>0.05). Filtek Silorane showed significantly less volumetric polymerization shrinkage than the methacrylate-based composite resins (pcomposite resin restorations resulted in reduced microleakage. The volumetric polymerization shrinkage was least with the silorane-based composite.

Longevity of posterior composite restorations: not only a matter of materials

NARCIS (Netherlands)

Demarco, F.F.; Correa, M.B.; Cenci, M.S.; Moraes, R.R.; Opdam, N.J.

2012-01-01

Resin composites have become the first choice for direct posterior restorations and are increasingly popular among clinicians and patients. Meanwhile, a number of clinical reports in the literature have discussed the durability of these restorations over long periods. In this review, we have

The effect of time between curing and tea immersion on composite resin discoloration.

Science.gov (United States)

Esmaeili, Behnaz; Afkhami, Solaleh; Abolghasemzadeh, Faezeh

2018-01-01

One common cause for the replacement of a composite restoration is discoloration. This in vitro study evaluated the effect of tea solution on the discoloration of 3 types of composites at different timepoints after curing. For this study, 150 disc-shaped specimens of 3 types of composite resin-a nanohybrid (Filtek Z350), a microhybrid (Filtek Z250), and a microfilled material (Heliomolar)-were prepared. Specimens were randomly divided into 5 subgroups (n = 10) according to the type of composite and the time from curing to immersion in a tea solution (none [immersed immediately], 1 hour, 6 hours, 12 hours, or 24 hours postcuring). The color for all specimens was measured before and after immersion in tea. Color change (ΔE*) for all specimens was measured, and a ΔE* value of less than 3.3 was considered clinically acceptable. Analysis of variance and a post hoc Tukey test were used to analyze the data (α = 0.05). Immediately after curing, the levels of composite discoloration were deemed clinically acceptable (ΔE* composites, the greatest color change was found immediately after curing (P composite resin specimens was significantly greater than that of Heliomolar specimens (P composite group than in the Heliomolar group (P composites were not significantly different from each other (P > 0.05), except with 12-hour postcure immersion. The results suggest that patients should avoid the intake of staining foods or beverages for at least 12 hours after placement of a composite resin restoration, although this restriction may be reduced to 1 hour for microfilled composite resins.

Marginal integrity of resin composite restorations restored with PPD initiatorcontaining resin composite cured by QTH, monowave and polywave LED units.

Science.gov (United States)

Bortolotto, Tissiana; Betancourt, Francisco; Krejci, Ivo

2016-12-01

This study evaluated the influence of curing devices on marginal adaptation of cavities restored with self-etching adhesive containing CQ and PPD initiators and hybrid composite. Twenty-four class V (3 groups, n=8) with margins located on enamel and dentin were restored with Clearfil S3 Bond and Clearfil APX PLT, light-cured with a monowave LED, multiwave LED and halogen light-curing unit (LCU). Marginal adaptation was evaluated with SEM before/after thermo-mechanical loading (TML). On enamel, significantly lower % continuous margins (74.5±12.6) were found in group cured by multiwave LED when compared to monowave LED (87.6±9.5) and halogen LCU (94.4±9.1). The presence of enamel and composite fractures was significantly higher in the group light-cured with multiwave LED, probably due to an increased materials' friability resulted from an improved degree of cure. The clinician should aware that due to a distinct activation of both initiators, marginal quality may be influenced on the long-term.

Longevity of posterior composite restorations: A systematic review and meta-analysis

DEFF Research Database (Denmark)

Opdam, Niek; van de Sande, Francoise; Bronkhorst, Ewald

2014-01-01

including all restorations was constructed and a Multivariate Cox’s regression method was used to analyze variables of interest [patient (age; gender; caries-risk-status), jaw (upper; lower), number of restored surfaces, resin composite and adhesive materials and use of glass-ionomer cement as base...

Effect of different composite core materials on fracture resistance of endodontically treated teeth restored with FRC posts

OpenAIRE

PANITIWAT, Prapaporn; SALIMEE, Prarom

2017-01-01

Abstract Objective This study evaluated the fracture resistance of endodontically treated teeth restored with fiber reinforced composite posts, using three resin composite core build-up materials, (Clearfil Photo Core (CPC), MultiCore Flow (MCF), and LuxaCore Z-Dual (LCZ)), and a nanohybrid composite, (Tetric N-Ceram (TNC)). Material and Methods Forty endodontically treated lower first premolars were restored with quartz fiber posts (D.T. Light-Post) cemented with resin cement (Panavia F2...

Evaluation of Surface Roughness of Ceramic and Resin Composite Material Used for Conservative Indirect Restorations, after Repolishing by Intraoral Means.

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Vrochari, Areti D; Petropoulou, Aikaterini; Chronopoulos, Vasilios; Polydorou, Olga; Massey, Ward; Hellwig, Elmar

2017-06-01

To evaluate and compare the mean surface roughness (Ra) of one ceramic and one resin composite material used for indirect restorations, after grinding and repolishing by intraoral means. The materials used were the lithium disilicate glass ceramic IPS e.max Press (EMP) and the indirect resin composite restoration system Gradia (GR). Twelve specimen disks were prepared from each material according to the manufacturer of each material. Five initial measurements of the Ra (Ra 1 ) were made on each specimen as a referral basis, and the specimens were ground with a fine (red) diamond bur. The specimens were repolished using (a) Komet Dialite Polishing Kit for EMP and (b) Enhance Finishing and Polishing System and Prisma Gloss Polishing Paste for GR. Five final Ra (Ra 2 ) measurements were performed on each specimen. All measurements were made using a laser profilometer. Scanning electron microscopy (SEM) was also used to visualize the initial surface morphology and the morphological changes on the specimens' surface after repolishing. A highly significant difference was found between Ra 1EMP and Ra 2EMP (p materials exhibited Ra 2 above the critical threshold for increased plaque accumulation and periodontal inflammation. If enamel-to-enamel roughness found in occlusal contact areas is considered as baseline, both materials were clinically acceptable after repolishing. © 2015 by the American College of Prosthodontists.

Effect of Home Bleaching on Microleakage of Fiber-reinforced and Particle-filled Composite Resins

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Farahnaz Sharafeddin

2013-12-01

Full Text Available Background and aims. Bleaching may exert some negative effects on existing composite resin restorations. The aim of this study was to evaluate the effect of home bleaching on microleakage of fiber-reinforced and particle-filled composite resins. Materials and methods. Ninety class V cavities (1.5×2×3 mm were prepared on the buccal surfaces of 90 bovine teeth. The teeth were randomly divided into 6 groups (n=15 and restored as follows: Groups 1 and 2 with Z100, groups 3 and 4 with Z250, and groups 5 and 6 with Nulite F composite resins. All the specimens were thermocycled. Groups 1, 3 and 5 were selected as control groups (without bleaching and the experimental groups 2, 4 and 6 were bleached with 22% carbamide peroxide gel. All the samples were immersed in 2% basic fuchsin dye for 24 hours and then sectioned longitudinally. Dye penetration was evaluated under a stereomicroscope (×25, at both the gingival and incisal margins. Data were analyzed using Kruskal-Wallis, Mann-Whitney and Wilcoxon tests (α=0.05. Results. Statistical analyses revealed that bleaching gel increased microleakage only at gingival margins with Z250 (P=0.007. Moreover, the control groups showed a statistically significant difference in microleakage at their gingival margins. Nulite F had the maximum microleakage while Z250 showed the minimum (P=0.006. Conclusion. Microleakage of home-bleached restorations might be related to the type of composite resin used.

Optical properties of composite restorations influenced by dissimilar dentin restoratives.

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Marjanovic, Jovana; Veljovic, Djordje N; Stasic, Jovana N; Savic-Stankovic, Tatjana; Trifkovic, Branka; Miletic, Vesna

2018-05-01

To evaluate optical properties (color and translucency) of 'sandwich' restorations of resin-based composites and esthetically unfavorable dentin restoratives. Cylindrical 'dentin' specimens (8mm in diameter and 2mm thick, N=5/group) were prepared using EverX Posterior (GC), Biodentine (Septodont), experimental hydroxyapatite (HAP) or conventional composites (Gradia Direct Posterior, GC; Filtek Z250 and Filtek Z500, 3M ESPE). Capping 'enamel' layers were prepared using composites (Gradia Direct Posterior, Filtek Z250 or Z550) of A1 or A3 shade and the following thickness: 0.6, 1 or 2mm. Color (ΔE) and translucency parameter (TP) were determined using a spectrophotometer (VITA Easyshade Advance 4.0, VITA Zahnfabrik). Data were statistically analyzed using analysis of variance with Tukey's post-hoc tests (α=0.05). TP was greatly affected by layer thickness, whilst ΔE depended on shade and layer thickness of the capping composite. HAP and Biodentine showed significantly lower TP and higher ΔE (deviation from 'ideal white') than composites (p<0.05). Greater TP was seen in EverX_composite groups than in corresponding control groups of the same shade and thickness. TP of composites combined with Biodentine or HAP was below 2, lower than the corresponding control groups (p<0.05). Within-group differences of ΔE were greatest in HAP_composite groups. EverX_Gradia and EverX_FiltekZ250 combinations showed the most comparable ΔE with the control groups. A 2mm thick layer of composite covering dentin restoratives with unfavorable esthetics is recommended for a final 'sandwich' restoration that is esthetically comparable to a conventional, mono-composite control restoration. Copyright © 2018 The Academy of Dental Materials. Published by Elsevier Inc. All rights reserved.

Shear bond strength evaluation of resin composite to resin-modified glass-ionomer cement using three different resin adhesives vs. glass-ionomer based adhesive

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Mostafa Sadeghi

2015-12-01

Full Text Available Background: The clinical success of sandwich technique depends on the strength of resin-modified glass ionomer cement (RMGIC bonding to both dentin and resin composite. Therefore, the shear bond strength (SBS of resin composite bonded to RMGIC utilizing different resin adhesives versus a GIC-based adhesive was compared. Materials and methods: In this in vitro study, 84 holes (5×2 mm were prepared in acrylic blocks, randomly divided into seven groups (n=12 and filled with RMGIC (Light-Cured Universal Restorative, GC. In the Group I; no adhesive was applied on the RMGIC. In the Group II, non-etched and Group III was etched with phosphoric acid. In groups II and III, after rinsing, etch-and-rinse adhesive (OptiBond Solo Plus; in the Group IV; a two-step self-etch adhesive (OptiBond XTR and in Group V; a one-step self-etch (OptiBond All-in-One were applied on the cement surfaces. Group VI; a GIC-based adhesive (Fuji Bond LC was painted over the cement surface and cured. Group VII; the GIC-based adhesive was brushed over RMGIC followed by the placement of resin composite and co-cured. Afterward; resin composite (Point 4 cylinders were placed on the treated cement surfaces. The specimens were placed in 100% humidity at 37 ± 1°C and thermo cycled. The shear bond test was performed at a cross-head speed of 1 mm/min and calculated in MPa; the specimens were examined to determine mode of failure. The results were analyzed using one-way ANOVA and Tukey test. Results: The maximum (24.62±3.70 MPa and minimum (18.15±3.38 MPa SBS mean values were recorded for OptiBond XTR adhesive and the control group, respectively. The pairwise comparisons showed no significant differences between the groups that bonded with different adhesives. The adhesive failure was the most common failure mode observed. Conclusion: This study suggests that GIC-based adhesive could be applied over RMGIC as co-cure technique for sandwich restorations in lieu of employing the resin

Vickers microhardness comparison of 4 composite resins with different types of filler.

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René García-Contreras

2015-10-01

Full Text Available Composite resins are the material of choice to restore minimal invasive cavities; conversely, it is important to explore the mechanical properties of commercially available dental materials. Objective: To compare the Vickers microhardness (VHN of four available commercial composite resins using standardized samples and methods. Methodology: Composite cylinders were manufactured in a Teflon mould. We used the follow composite resins (n=4/gp: Microhybrid resins [Feeling Lux (Viarden and Amelogen Plus (Ultradent], Hybrid resin [Te-Econom Plus (Ivoclar] and Nanohybrid resin [Filtek Z350 (3M ESPE]. All samples were incubated in distilled water at 37ºC for five days. The test was carried out with microhardness indenter at 10 N, and a dwelling time of 10 s for 9 indentations across the specimens resulting in a total of 36 indentations for each group. Data were subjected to Kolmogorov-Smirnov normality test and ANOVA (post-hoc Tukey test. Results: The VHN mean values ranged from harder to softer as follows: Filtek Z350 (71.96±6.44 (p Amelogen Plus (59.90±4.40 (p Feeling lux (53.52±5.72> Te-Econom Plus (53.26±5.19. Conclusion: According to our results, the microhardness of the evaluated conventional composite resins can withstand the masticatory forces; however nanohybrid composite resins showed better Vickers microhardness and therefore are a more clinically suitable option for minimal invasion treatments.

Aesthetic guidelines for second-generation indirect inlay and onlay composite restorations.

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Miara, P

1998-05-01

Recent innovations in indirect composite technology and adhesive bonding procedures have resulted in the development of advanced materials particularly suited for inlay and onlay restorations. Microhybrid composite resins are characterized by a filler/matrix ratio that is significantly greater than that of earlier materials. This article reviews the physical properties and clinical application of these "second-generation" composite resins, with emphasis on a system that utilizes a heat-curing process in conjunction with nitrogen pressure to fabricate a material with improved mechanical and aesthetic properties.

A medicated polycarboxylate cement to prevent complications in composite resin therapy

International Nuclear Information System (INIS)

Okamoto, Y.; Shintani, H.; Yamaki, M.

1990-01-01

Preparative treatment is the preferred method to protect the dentin and pulp from complications in composite resin therapy. This study investigated the in vivo effects of the polycarboxylate cement containing zinc fluoride and tannic acid in composite resin restorations. Scanning electron micrographs established that the composite resin failed to contact the axial wall. The gaps varied from 10 to 60 microns. However, this polycarboxylate cement was shown to provide excellent adaptation to dentin when used as a base and its chemical adhesion allowed it to make close contact with the unetched dentin. The newly developed electron probe x-ray microanalyzer revealed that the in vivo penetration of fluoride and zinc occurred through the dentinal tubules. When this polycarboxylate cement was used, the orifices of dentinal tubules were partially occluded, possibly with the smear layer fixed by tannic acid. In addition, by releasing the components, this polycarboxylate cement adds acid resistance to dentin and increases the resistance of dentin collagen to proteolytic enzymes. As such this polycarboxylate cement offers advantages as a base to composite resin therapy

Marginal integrity of low-shrinkage and methacrylate-based composite resins: Effect of three different hemostatic agents

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Khoroushi, Maryam; Sahraneshin-Samani, Mahsa

2016-01-01

Background Moisture control is very important in restorative procedures in dentistry. Use of hemostatic agents helps control moisture; however, they might result in changes on enamel and dentin surfaces, affecting composite resin bond quality. The aim of this in vitro study was to evaluate the marginal microleakage of two different composite resins with the use of three different hemostatic agents. Material and Methods Standardized Class V cavities were prepared on the buccal and lingual surfaces of 48 premolars with cervical margins 1 mm apical to the cementoenamel junction (CEJ). The samples were randomly divided into 8 groups. In groups 1 to 4, an etch-and-rinse adhesive (Adper Single Bond) was applied as the bonding system, followed by exposure to different hemostatic agent: group 1: no hemostatic agent (control); group 2: ViscoStat; group 3: ViscoStat Clear; and group 4: trichloracetic acid, as hemostatic agents. The cavities were restored with Z-250 composite resin. In group 5 to 8 Silorane System Adhesive (Filtek P90 Adhesive) was applied as a bonding agent, followed by exposure to different hemostatic agents in a manner similar to that in groups 1to 4. The cavities were restored with Filtek P90, a low-shrinkage composite resin. The samples in each group were evaluated for dye penetration under a stereomicroscope at ×36 after 24 hours and a 500-round thermocycling procedure at enamel and dentin margins. Statistical analysis was carried out using Kruskal-Wallis and Mann-Whitney tests (α=0.05). Results Z-250 composite resin exhibited significantly higher dentin microleakage scores compared to Filtek P90 (P = 0.004). Trichloracetic acid increased dentin microleakage with Filtek P90 (P=0.033). Conclusions Under the limitations of this in vitro study, application of hemostatic agents did not affect microleakage of the two tested composite resins except for trichloracetic acid that increased marginal microleakage when used with Filtek P90. Key words:Composite

Effect of Sandblasting on Shear Bond Strength Composite Resin Veneer

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Octarina Octarina

2013-07-01

Full Text Available Attachment between restoration and enamel surface in indirect resin composite veneer restoration (IRCV is obtained using multi-step (MS resin cement. Recently, a one step self-adhesive dual-cured resin cement (SADRC was introduced. Objective: To determine the effect of sandblasting on shear bond strength (SBS of IRCV to enamel using MS resin cement and SADRC. Methods: Forty specimens of buccal surface of enamel human were light-cured in Solidilite chamber and were divided into two groups: IRCV without sandblasting (n=20 and with sandblasting for 10 seconds (n=20 and then bonded to enamel using MS (n=10 and SADRC (n=10, respectively. After 24h SBS of specimens were tested using a Universal Testing Machine. Data were analyzed statistically by one-way ANOVA. Results: The average SBS value of IRCV without SB and bonded with MS was 18.95+7.80MPa and MS with SB was 19.30+ SB (4.85+2.12MPa and SADRC with SB (9.57+3.45MPa(p<0.05. Conclusion: increased SBS VIRK to enamel using MS resin cement than SADRC.  

Bond strength of resin composite to differently conditioned amalgam

NARCIS (Netherlands)

Ozcan, M; Vallittu, PK; Huysmans, MC; Kalk, W; Vahlberg, T

Bulk fracture of teeth, where a part of the amalgam restoration and/or the cusp is fractured, is a common clinical problem. The aim of this study was to evaluate the effect of different surface conditioning methods on the shear bond strength of a hybrid resin composite to fresh amalgam. Amalgams (N

A long-term laboratory test on staining susceptibility of esthetic composite resin materials

NARCIS (Netherlands)

Ardu, S.; Braut, V.; Gutemberg, D.; Krejci, I.; Dietschi, D.; Feilzer, A.J.

2010-01-01

Objective: To evaluate the color stability of composite resin types designed for esthetic anterior restorations when continuously exposed to various staining agents. Method and Materials: Thirty-six disk-shaped specimens were made of each of 12 composite materials (1 microfilled and 11 hybrid

Finite Element Analysis of the Effect of Proximal Contour of Class II Composite Restorations on Stress Distribution

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Hossein Abachizadeh

2012-09-01

Full Text Available Introduction: The aim of this study was to evaluate the effect of proximal contour of class II composite restorations placed with straight or contoured matrix band using composite resins with different modulus of elasticity on stress distribution by finite element method. Methods: In order to evaluate the stress distribution of class II composite restorations using finite element method, upper right first molar and second premolar were modeled. Proximal boxes were designed and restored with universal Z250 and packable P60 composite resins (3M ESPE using two matrix systems: flat Tofflemire matrix and precurved sectional matrix. Finally models were evaluated under loads of 200 and 400 Newton at 90 degrees angle and the results were graphically illustrated in the form of Von Misses stresses. Results: In general the stress obtained under 400 Newton load was significantly greater than the stress of models under 200 Newton load. Von Misses stress distribution pattern of two different Z250 and P60 composites were very similar in all modes of loading and proximal contour. In all analyzed models there was a significant difference between models restored with Tofflemire matrix with flat contour and models restored with sectional matrix with curved contour. This difference was greater in first molar than second premolar. Conclusion: Use of a contoured matrix band results in less stress in class II composite resin restorations.

Aesthetic Closure of Maxillary and Mandibular Anterior Spaces Using Direct Composite Resin Build-Ups: A Case Report

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Schick Simona-Georgiana

2016-07-01

Full Text Available The presence of multiple spaces in the anterior aesthetic zone can produce discomfort for patients and its treatment can be difficult for dental professionals. A variety of treatment options are available and these include orthodontic movement, prosthetic indirect restorations or direct composite resin build-ups. Among these, the closure of interdental spaces using composite build-ups combined with orthodontic treatment is considered to be most conservative. This type of treatment has several advantages like the maximum preservation of tooth substance (no tooth preparation, no need for anesthesia, no multiple time-consuming visits, no provisional restorations and also comparably low costs. Clinical Consideration: This case report describes the clinical restorative procedure of direct composite resin build-ups for the closure of multiple anterior spaces.

Surface roughness comparison of methacrylate and silorane-based composite resins after 40% hydrogen peroxide application

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Rori Sasmita

2018-01-01

Full Text Available The change of the tooth colour could be restored with bleaching. The tooth bleaching will affects the surface roughness of the composite resins. Recently, the material basis for composite resins has developed, among others are methacrylate-based and silorane based composite resins. The objective of this study was to distinguish the surface roughness value of methacrylate-based composite resin and silorane based composite resins. This research was quasi-experimental. The sample used in this study were methacrylate and silorane based composite resins in discs form, with the size of 6 mm and the thickness of 3 mm, manufactured into 20 specimens and divided into 2 groups. The control group was immersed in the artificial saliva, and the treatment group was applied with 40% hydrogen peroxide. The result of the experiment analyzed using unpaired sample t-test showed significant differences in the average value of the surface roughness after the application of 40% hydrogen peroxide. The average value of methacrylate and silorane based composite resins were 2.744 μm and 3.417 μm, respectively. There was a difference in the surface roughness of methacrylate and silorane based composite resin compounds after the application of 40% hydrogen peroxide. The surface roughness value of the silorane-based composite resin was higher than the methacrylate-based.

Restoration of Strip Crown with a Resin-Bonded Composite Cement in Early Childhood Caries

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Mi-ae Jeong

2013-01-01

Full Text Available Background. Early childhood caries is a widely prevalent disease throughout the world. It is necessary to treat this condition in early childhood; however, child behavior management may be particularly challenging during treatment. To overcome this challenge, we used Carigel to remove caries and RelyX Unicem resin cement for strip crown restoration. It not only has the desired aesthetic effect but is also more effective for primary teeth, which are used for a shorter period than permanent teeth are. Case Presentation. We report a case of three pediatric patients with early childhood caries, in whom caries was removed by using Carigel to avoid the risk of pulpal exposure associated with high-speed handpieces. Subsequently, aesthetic restoration was performed using strip crown with RelyX Unicem self-adhesive resin cement. Conclusion. RelyX Unicem has the following advantages: (1 not requiring have any special skills for the dentist for performing the procedure, (2 decreased occurrence of bubbles during injection of the cement, and (3 overall short duration of the procedure. Thus, it is appropriate for the treatment of pediatric patients whose behavior is difficult to manage. However, further studies are required in order to establish the use of RelyX Unicem as a stable restorative material in early childhood caries.

Influence of Bleaching Agents on Color and Translucency of Aged Resin Composites.

Science.gov (United States)

Lago, Maristela; Mozzaquatro, Lisandra R; Rodrigues, Camila; Kaizer, Marina R; Mallmann, André; Jacques, Letícia B

2017-09-01

Evaluate the influence of two bleaching agents (16% carbamide peroxide-CP and 35% hydrogen peroxide-HP) on color and translucency of one resin composite (Filtek Z350 XT) in two opacities (enamel and dentin) previously aged in deionized water or red wine. Sixty specimens of each material were divided in two groups (n = 30): aged in water or red wine for 14 days. Then the specimens were divided in three subgroups (n = 10): control/no treatment, treated with 16% carbamide peroxide (Mix Night), treated with 35% hydrogen peroxide (Mix One). Color readings were performed 24 hours after polishing (baseline); after the 14 days of aging; and after bleaching treatment. Color coordinates CIE L*a*b* were measured using a spectrophotometer (SP60 X-Rite). Color change (CIEDE2000) and translucency parameter were calculated. Data were analyzed with repeated measures two-way ANOVA, and Student-Newman-Keuls tests (5%). Bleaching decreased color change in stained resin composites (aged in red wine), whereas increased it in non-stained enamel resin composites (aged in water). CP had better bleaching results with stained resin composites than HP. Translucency of non-stained dentin resin composite decreased with aging, but did not change with bleaching. For stained resin composites, aging caused reduced translucency, whereas bleaching increased it. Effective bleaching of discolored resin composites aged in an acidic and alcoholic media rich in staining agents was achieved, improving color and translucency. Carbamide peroxide showed better performance than hydrogen peroxide for the bleaching of stained resin composites. (J Esthet Restor Dent 29:368-377, 2017). © 2016 Wiley Periodicals, Inc.

Class I and Class II restorations of resin composite: an FE analysis of the influence of modulus of elasticity on stresses generated by occlusal loading

DEFF Research Database (Denmark)

Asmussen, Erik; Peutzfeldt, Anne

2008-01-01

the restoration was left nonbonded. The resin composite was modelled with a modulus of elasticity of 5, 10, 15 or 20 GPa and loaded occlusally with 100 N. By means of the soft-ware program ABAQUS the von Mises stresses in enamel and dentin were calculated. RESULTS: In the bonded scenario, the maximum stresses...

Amalgam stained dentin: a proper substrate for bonding resin composite?

NARCIS (Netherlands)

Scholtanus, J.D.

2016-01-01

Nowadays the use of dental amalgam is mostly abandoned and substituted by tooth colored resin composites that can be bonded to teeth tissues by adhesive techniques. The aim of this thesis was to find out whether dark stained dentin, as often observed after removal of amalgam restorations and

[The influence of the chemo-mechanical removal of the smear-layer and the use of a dentin adhesive on microleakage of composite resin restorations].

Science.gov (United States)

de la Macorra García, J C; Gómez Martínez, A; Gutiérrez Argumosa, B

1989-02-01

We present an "in vitro" study of microfiltration in composite resin restorations with a perimetral seal placed totally in cement. We compare the sealing capability of a dentin adhesive (ScotchBond I) used in two ways: habitual, without conditioning dentin and conditioning it by means of the Caridex system. This produced no increasing of sealing capability under the study conditions.

The influence of FRCs reinforcement on marginal adaptation of CAD/CAM composite resin endocrowns after simulated fatigue loading.

Science.gov (United States)

Rocca, Giovanni Tommaso; Saratti, Carlo Massimo; Poncet, Antoine; Feilzer, Albert J; Krejci, Ivo

2016-05-01

To evaluate the marginal adaptation of endodontically treated molars restored with CAD/CAM composite resin endocrowns either with or without reinforcement by fibre reinforced composites (FRCs), used in different configurations. 32 human endodontically treated molars were cut 2 mm over the CEJ. Two interproximal boxes were created with the margins located 1 mm below the CEJ (distal box) and 1 mm over the CEJ (mesial box). All specimens were divided in four groups (n = 8). The pulp chamber was filled with: group 1 (control), hybrid resin composite (G-aenial Posterior, GC); group 2, as group 1 but covered by 3 meshes of E-glass fibres (EverStick NET, Stick Tech); group 3, FRC resin (EverX Posterior, GC); group 4, as group 3 but covered by 3 meshes of E-glass fibres. The crowns of all teeth were restored with CAD/CAM composite resin endocrowns (LAVA Ultimate, 3M). All specimens were thermo-mechanically loaded in a computer-controlled chewing machine (600,000 cycles, 1.6 Hz, 49 N and simultaneously 1500 thermo-cycles, 60 s, 5-55 °C). Marginal analysis before and after the loading was carried out on epoxy replicas by SEM at 200× magnification. For all the groups, the percentage values of perfect marginal adaptation after loading were always significantly lower than before loading (p marginal adaptation before and after loading was not significantly different between the experimental groups (p > 0.05). Within the limitations of this in vitro study, the use of FRCs to reinforce the pulp chamber of devitalized molars restored with CAD/CAM composite resin restorations did not significantly influenced their marginal quality.

The Effect of Resin-modified Glass-ionomer Cement Base and Bulk-fill Resin Composite on Cuspal Deformation.

Science.gov (United States)

Nguyen, K V; Wong, R H; Palamara, J; Burrow, M F

2016-01-01

This study investigated cuspal deformation in teeth restored with different types of adhesive materials with and without a base. Mesio-occluso-distal slot cavities of moderately large dimension were prepared on extracted maxillary premolars (n=24). Teeth were assigned to one of four groups and restored with either a sonic-activated bulk-fill resin composite (RC) (SonicFill), or a conventional nanohybrid RC (Herculite Ultra). The base materials used were a flowable nanofilled RC (Premise Flowable) and a high-viscosity resin-modified glass-ionomer cement (RMGIC) (Riva Light-Cure HV). Cuspal deflection was measured with two direct current differential transformers, each contacting a buccal and palatal cusp. Cuspal movements were recorded during and after restoration placement. Data for the buccal and palatal cusp deflections were combined to give the net cuspal deflection. Data varied widely. All teeth experienced net inward cuspal movement. No statistically significant differences in cuspal deflection were found among the four test groups. The use of a flowable RC or an RMGIC in closed-laminate restorations produced the same degree of cuspal movement as restorations filled with only a conventional nanohybrid or bulk-fill RC.

Cosmetic Remodeling of the Smile: Combining Composite Resin and Ceramics over Teeth and Implants

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Leonardo Fernandes da Cunha

2017-01-01

Full Text Available The aim of this paper is to describe a restorative approach to the cosmetic remodeling of the teeth of a young adult patient with right maxillary lateral hypodontia and left lateral microdontia. A conservative restorative management was proposed to improve smile esthetics by combining direct composite resins and ceramics. Initially, periodontal therapy and dental bleaching were performed. Subsequently, direct composite resins were applied to the central incisors and canines to reestablish the sizes and shapes of these teeth. Finally, ceramics were placed on the implant and the microdontia to unite with the new alignment and color of the anterior teeth. Thus, conservative remodeling to improve the harmony of the smile was provided.

Mechanical behavior of bulk direct composite versus block composite and lithium disilicate indirect Class II restorations by CAD-FEM modeling.

Science.gov (United States)

Ausiello, Pietro; Ciaramella, Stefano; Fabianelli, Andrea; Gloria, Antonio; Martorelli, Massimo; Lanzotti, Antonio; Watts, David C

2017-06-01

To study the influence of resin based and lithium disilicate materials on the stress and strain distributions in adhesive class II mesio-occlusal-distal (MOD) restorations using numerical finite element analysis (FEA). To investigate the materials combinations in the restored teeth during mastication and their ability to relieve stresses. One 3D model of a sound lower molar and three 3D class II MOD cavity models with 95° cavity-margin-angle shapes were modelled. Different material combinations were simulated: model A, with a 10μm thick resin bonding layer and a resin composite bulk filling material; model B, with a 70μm resin cement with an indirect CAD-CAM resin composite inlay; model C, with a 70μm thick resin cement with an indirect lithium disilicate machinable inlay. To simulate polymerization shrinkage effects in the adhesive layers and bulk fill composite, the thermal expansion approach was used. Shell elements were employed for representing the adhesive layers. 3D solid CTETRA elements with four grid points were employed for modelling the food bolus and tooth. Slide-type contact elements were used between the tooth surface and food. A vertical occlusal load of 600 N was applied, and nodal displacements on the bottom cutting surfaces were constrained in all directions. All the materials were assumed to be isotropic and elastic and a static linear analysis was performed. Displacements were different in models A, B and C. Polymerization shrinkage hardly affected model A and mastication only partially affected mechanical behavior. Shrinkage stress peaks were mainly located marginally along the enamel-restoration interface at occlusal and mesio-distal sites. However, at the internal dentinal walls, stress distributions were critical with the highest maximum stresses concentrated in the proximal boxes. In models B and C, shrinkage stress was only produced by the 70μm thick resin layer, but the magnitudes depended on the Young's modulus (E) of the inlay

Long-term evaluation of extensive restorations in permanent teeth

DEFF Research Database (Denmark)

Nieuwenhuysen, J.-P. van; D'hoore, W.D.; Carvalho, J.

2003-01-01

Biostatistics, cast crowns, complex restorations, composite resins, decision making, dental amalgam, metal ceramic crowns, multi-surfaced restorations, prosthodontics, restorative dentistry......Biostatistics, cast crowns, complex restorations, composite resins, decision making, dental amalgam, metal ceramic crowns, multi-surfaced restorations, prosthodontics, restorative dentistry...

Bioinspired Catecholic Primers for Rigid and Ductile Dental Resin Composites.

Science.gov (United States)

Shin, Eeseul; Ju, Sung Won; An, Larry; Ahn, Eungjin; Ahn, Jin-Soo; Kim, Byeong-Su; Ahn, B Kollbe

2018-01-17

In the construction of dental restorative polymer composite materials, surface priming on mineral fillers is essential to improve the mechanical performance of the composites. Here we present bioinspired catechol-functionalized primers for a tougher dental resin composite containing glass fillers. The catecholic primers with different polymerizable end groups were designed and then coated on glass surfaces using a simple drop-casting or dip-coating process. The surface binding ability and possible cross-linking (coupling or chemical bridging between the glass substrate and the dental resin) of the catecholic bifunctional primers were evaluated using atomic force microscopy, contact angle measurements, and the knife shear bonding test and compared to a state-of-the-art silane-based coupling agent. Various mechanical tests including shrinkage and compression tests of the dental resin composites were also conducted. Compression tests of the composites containing the catecholic primed fillers exhibited enhanced mechanical properties, owing to the bidentate hydrogen bonding of catechol moieties to the oxide mineral surface. Furthermore, the superior biocompatibility of the primed surface was confirmed via cell attachment assay, thus providing applicability of catecholic primers for practical dental and biomedical applications.

Effect of CO2 laser on root caries inhibition around composite restorations: an in vitro study.

Science.gov (United States)

de Melo, Jociana Bandeira; Hanashiro, Fernando Seishim; Steagall, Washington; Turbino, Miriam Lacalle; Nobre-dos-Santos, Marinês; Youssef, Michel Nicolau; de Souza-Zaroni, Wanessa Christine

2014-03-01

The aim of the present study was to investigate the in vitro effect of CO2 laser on the inhibition of root surface demineralization around composite resin restorations. For this purpose, 30 blocks obtained from human molar roots were divided into three groups: group 1 (negative control), cavity prepared with cylindrical diamond bur + acid etching + adhesive + composite resin restoration; group 2, cavity prepared with cylindrical diamond bur + CO2 laser (5.0 J/cm(2)) + acid etching + adhesive + composite resin; and group 3, cavity prepared with cylindrical diamond bur + CO2 laser (6.0 J/cm(2)) + acid etching + adhesive + composite resin. After this procedure, the blocks were submitted to thermal and pH cycling. Root surface demineralization around the restorations was measured by microhardness analysis. The hardness results of the longitudinally sectioned root surface were converted into percentage of mineral volume, which was used to calculate the mineral loss delta Z (ΔZ). The percentage of mineral volume, ΔZ, and the percentage of demineralization inhibition of the groups were statistically analyzed by using analysis of variance and Tukey-Kramer test. The percentage of mineral volume was higher in the irradiated groups up to 80 μm deep. The ΔZ was significantly lower in the irradiated groups than in the control group. The percentage of reduction in demineralization ranged from 19.73 to 29.21 in position 1 (50 μm), and from 24.76 to 26.73 in position 2 (100 μm), when using 6 and 5 J/cm(2), respectively. The CO2 laser was effective in inhibiting root demineralization around composite resin restorations.

High performance dental resin composites with hydrolytically stable monomers.

Science.gov (United States)

Wang, Xiaohong; Huyang, George; Palagummi, Sri Vikram; Liu, Xiaohui; Skrtic, Drago; Beauchamp, Carlos; Bowen, Rafael; Sun, Jirun

2018-02-01

the experimental series (0.458GPa) were still above the clinically required threshold of approx. 0.4GPa. Hydrolytic stability, composition-controlled polymerization and the overall enhancement in clinically-relevant properties of the new resin composites make them viable candidates to replace traditional resin composites as a new generation of strong and durable dental restoratives. Copyright © 2017 The Academy of Dental Materials. All rights reserved.

[Bonding of visible light cured composite resins to glass ionomer and Cermet cements].

Science.gov (United States)

Kakaboura, A; Vougiouklakis, G

1990-04-01

The "sandwich" technique involves combination of composite resins to etched glassionomer cements, is used today in restorative dentistry. The purpose of this study is to evaluate the bond strength between several composite resins and glass ionomer or cerment cements. Cylindrical specimens of the cements Ketac-Silver, Ionobond and GC-Lining Ce-ment were inserted in a mold and their flat free surfaces were etched for 30". Cylindrical plastic tubes were set upon each one of these surfaces and filled with the Composite resins Durafill, Brilliant Lux, Estilux posterior, Estilux posterior CVS and Herculite XR. Half of the specimens transferred in tap water for 24 hours and the others after thermocycling in the first month, kept for 4 months. Shear bond strengths were determined in Monsanto Testing Machine and some fractured surfaces were examined under SEM. The results of this investigation indicate that this technique produces bond strengths between composite resins and glassioners and the combination type of resin and type of cement, affects the values of the strength. Glass cermeet--small particle resin provides the most effective strength and glass ionomer--microfill resins the least. Storage time and thermocycling don't significantly effect the bond strength. SEM examination showed that all fracture failures were obtained in the cement while the opposite resin surfaces were covered with particles of the cements.

Effects of toothbrush hardness on in vitro wear and roughness of composite resins.

Science.gov (United States)

Kyoizumi, Hideaki; Yamada, Junji; Suzuki, Toshimitsu; Kanehira, Masafumi; Finger, Werner J; Sasaki, Keiichi

2013-11-01

To investigate and compare the effects of toothbrushes with different hardness on abrasion and surface roughness of composite resins. Toothbrushes (DENT. EX Slimhead II 33, Lion Dental Products Co. Ltd., Tokyo, Japan) marked as soft, medium and hard, were used to brush 10 beam-shaped specimens of each of three composites resins (Venus [VEN], Venus Diamond [VED] and Venus Pearl [VEP]; HeraeusKulzer) with standardized calcium carbonate slurry in a multistation testing machine (2N load, 60 Hz). After each of five cycles with 10k brushing strokes the wear depth and surface roughness of the specimens were determined. After completion of 50k strokes representative samples were inspected by SEM. Data were treated with ANOVA and regression analyses (p composite resins increased linearly with increasing number of brushing cycles (r² > 0.9). Highest wear was recorded for VEN, lowest for VED. Hard brushes produced significantly higher wear on VEN and VEP, whereas no difference in wear by toothbrush type was detected for VED. Significantly highest surface roughness was found on VED specimens (Ra > 1.5 µm), the lowest one on VEN (Ra composite resins produced by toothbrushing with dentifrice depend mainly on the type of restorative resin. Hardness grades of toothbrushes have minor effects only on abrasion and surface roughness of composite resins. No relationship was found between abrasion and surface roughness. The grade of the toothbrush used has minor effect on wear, texture and roughness of the composite resin.

Resin impregnation process for producing a resin-fiber composite

Science.gov (United States)

Palmer, Raymond J. (Inventor); Moore, William E. (Inventor)

1994-01-01

Process for vacuum impregnation of a dry fiber reinforcement with a curable resin to produce a resin-fiber composite, by drawing a vacuum to permit flow of curable liquid resin into and through a fiber reinforcement to impregnate same and curing the resin-impregnated fiber reinforcement at a sufficient temperature and pressure to effect final curing. Both vacuum and positive pressure, e.g. autoclave pressure, are applied to the dry fiber reinforcement prior to application of heat and prior to any resin flow to compact the dry fiber reinforcement, and produce a resin-fiber composite of reduced weight, thickness and resin content, and improved mechanical properties. Preferably both a vacuum and positive pressure, e.g. autoclave pressure, are also applied during final curing.

Four-year clinical evaluation of Class II nano-hybrid resin composite restorations bonded with a one-step self-etch and a two-step etch-and-rinse adhesive

DEFF Research Database (Denmark)

van Dijken, Jan W V; Pallesen, Ulla

2011-01-01

The objective of this prospective clinical trial was to evaluate the 4-year clinical performance of an ormocer-based nano-hybrid resin composite (Ceram X; Dentsply/DeTrey) in Class II restorations placed with a one-step self-etch (Xeno III; Dentsply/DeTrey) and two-step etch-and-rinse adhesive (I...

Resin-modified and conventional glass ionomer restorations in primary teeth: 8-year results

DEFF Research Database (Denmark)

Qvist, V.; Manscher, E.; Teglers, P.T.

2004-01-01

clinical trial, cariostatic effects, dental restorations, glass ionomer cement, long-term behaviour, pedodontics, resin-modified glass ionomer......clinical trial, cariostatic effects, dental restorations, glass ionomer cement, long-term behaviour, pedodontics, resin-modified glass ionomer...

Cytotoxicity Evaluation of Two Bis-Acryl Composite Resins Using Human Gingival Fibroblasts.

Science.gov (United States)

Gonçalves, Fabiano Palmeira; Alves, Gutemberg; Guimarães, Vladi Oliveira; Gallito, Marco Antônio; Oliveira, Felipe; Scelza, Míriam Zaccaro

2016-01-01

Bis-acryl resins are used for temporary dental restorations and have shown advantages over other materials. The aim of this work was to evaluate the in vitro cytotoxicity of two bis-acryl composite resins (Protemp 4 and Luxatemp Star), obtained at 1, 7 and 40 days after mixing the resin components, using a standardized assay employing human primary cells closely related to oral tissues. Human gingival fibroblast cell cultures were exposed for 24 h to either bis-acryl composite resins, polystyrene beads (negative control) and latex (positive control) extracts obtained after incubation by the different periods, at 37 °C under 5% CO2. Cell viability was evaluated using a multiparametric procedure involving sequential assessment (using the same cells) of mitochondrial activity (XTT assay), membrane integrity (neutral red test) and total cell density (crystal violet dye exclusion test). The cells exposed to the resin extracts showed cell viability indexes exceeding 75% after 24 h. Even when cells were exposed to extracts prepared with longer conditioning times, the bis-acryl composite resins showed no significant cytotoxic effects (p>0.05), compared to the control group or in relation to the first 24 h of contact with the products. There were no differences among the results obtained for the bis-acryl composite resins evaluated 24 h, 7 days and 40 days after mixing. It may be concluded that the bis-acryl resins Protemp 4 and Luxatemp Star were cytocompatible with human gingival fibroblasts, suggesting that both materials are suitable for use in contact with human tissues.

A pin-assisted retention technique for resin-bonded restorations.

Science.gov (United States)

Miara, P; Touati, B

1992-09-01

The value of pins for auxiliary retention has been demonstrated many times. The use of pins with resin-bonded restorations allows for improved aesthetics and less tooth reduction while increasing resistance to dislodging forces. Clinical and technical procedures for resin-bonded bridges with pin-assisted retention are presented.

Effect of composite resin placement techniques on the microleakage of two self-etching dentin-bonding agents.

NARCIS (Netherlands)

Santini, A.; Plasschaert, A.J.M.; Mitchell, S.M.

2001-01-01

PURPOSE: To evaluate microleakage of Class V resin-based composites (RBC) bonded with two self-etching dentin adhesive systems. Class V cavities were restored with either one or three increments of RBC to determine whether the restorative method affected microleakage. MATERIALS AND METHODS: 60

Desensitizing bioactive agents improves bond strength of indirect resin-cemented restorations: preliminary results

Directory of Open Access Journals (Sweden)

Fernanda de Carvalho Panzeri Pires-de-Souza

2007-04-01

Full Text Available OBJECTIVE: The aim of this study was to assess the bond strength of indirect composite restorations cemented with a resin-based cement associated with etch-and-rinse and self-etching primer adhesive systems to dentin treated or not with a bioactive material. MATERIALS AND METHOD: Twenty bovine incisor crowns had the buccal enamel removed and the dentin ground flat. The teeth were assigned to 4 groups (n=5: Group I: acid etching + Prime & Bond NT (Dentsply; Group II: application of a bioactive glass (Biosilicato®+ acid etching + Prime & Bond NT; Group III: One-up Bond F (J Morita; Group IV: Biosilicato® + One-up Bond F. Indirect composite resin (Artglass, Kulzer cylinders (6x10mm were fabricated and cemented to the teeth with a dual-cure resin-based cement (Enforce, Dentsply. After cementation, the specimens were stored in artificial saliva at 37ºC for 30 days and thereafter tested in tensile strength in a universal testing machine (EMIC with 50 kgf load cell at a crosshead speed of 1 mm/min. Failure modes were assessed under scanning electron microscopy. Data were analyzed statistically by ANOVA and Tukey's test (95% level of confidence. RESULTS: Groups I, II and III had statistically similar results (p>0.05. Group IV had statistically significant higher bond strength means (p<0.05 than the other groups. The analysis of the debonded surfaces showed a predominance of adhesive failure mode for Group III and mixed failure mode for the other groups. CONCLUSION: The use of desensitizing agent did not affect negatively the bonding of the indirect composite restorations to dentin, independently of the tested adhesive systems.

Inhibitory effect on Streptococcus mutans and mechanical properties of the chitosan containing composite resin

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Ji-Sun Kim

2013-02-01

Full Text Available Objectives This study evaluated the antibacterial effect and mechanical properties of composite resins (LCR, MCR, HCR incorporating chitosan with three different molecular weights (L, Low; M, Medium; H, High. Materials and Methods Streptococcus (S. mutans 100 mL and each chitosan powder were inoculated in sterilized 10 mL Brain-Heart Infusion (BHI solution, and was centrifuged for 12 hr. Absorbance of the supernatent was measured at OD660 to estimate the antibacterial activities of chitosan. After S. mutans was inoculated in the disc shaped chitosan-containing composite resins, the disc was cleansed with BHI and diluted with serial dilution method. S. mutans was spread on Mitis-salivarius bacitracin agar. After then, colony forming unit (CFU was measured to verify the inhibitory effect on S. mutans biofilm. To ascertain the effect on the mechanical properties of composite resin, 3-point bending and Vickers hardness tests were done after 1 and 3 wk water storage, respectively. Using 2-way analysis of variance (ANOVA and Scheffe test, statistical analysis was done with 95% significance level. Results All chitosan powder showed inhibition effect against S. mutans. CFU number in chitosan-containing composite resins was smaller than that of control resin without chitosan. The chitosan containing composite resins did not show any significant difference in flexural strength and Vickers hardness in comparison with the control resin. However, the composite resin, MCR showed a slightly decreased flexural strength and the maximum load than those of control and the other composite resins HCR and LCR. Conclusions LCR and HCR would be recommended as a feasible antibacterial restorative due to its antibacterial nature and mechanical properties.

Adherence of Streptococcus Mutans to Microhybrid and Nanohybrid Resin Composites and Dental Amalgam: An In Vitro Study

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Fariba Motevasselian

2017-12-01

Full Text Available Objectives: Streptococcus mutans (S. mutans is a cariogenic microorganism. The restorative materials which harbor a biofilm with high levels of S. mutans can accelerate the occurrence of dental caries. The purpose of this study was to evaluate the influence of different restorative materials on S. mutans colonization in a simple in-vitro biofilm formation model.Materials and Methods: Thirteen discs of each material (nanohybrid resin composite, microhybrid resin composite, and amalgam were prepared, polished, and sterilized in a gamma radiation chamber. The saliva-free specimens were exposed to the S. mutans bacterial suspension (0.5 McFarland and were incubated for 4 hours. Afterwards, the specimens were rinsed and sonicated in normal saline. 10µl of the obtained suspension was cultured in a sterile blood agar medium. After 24 hours, the number of colony forming units (CFU of S. mutans was counted. A sterility test control was considered for each group of materials. The data were analyzed by one-way ANOVA at 5% significance level.Results: The means and standard deviations of the logarithmic values of the colonies on the surfaces of amalgam, microhybrid, and nanohybrid resin composites were equal to 3.76±0.64, 3.91±0.52 and 3.34±0.74, respectively.Conclusions: There were no significant differences between the restorative materials in terms of S. mutans adhesion rate. The evaluated resin composites showed comparable numbers of CFUs, which could imply the importance of the polishing procedures.

Flowable resin and marginal gap on tooth third medial cavity involving enamel and radicular cementum: A SEM evaluation of two restoration techniques

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G Lo Giudice

2012-01-01

Conclusion: The interposition of a low elastic modulus composite between the adhesive layer and the composite resin allows an improvement of the cementum-restoration interface by the means of a lower shrinkage stress during polymerization.

Polymerization Behavior and Mechanical Properties of High-Viscosity Bulk Fill and Low Shrinkage Resin Composites.

Science.gov (United States)

Shibasaki, S; Takamizawa, T; Nojiri, K; Imai, A; Tsujimoto, A; Endo, H; Suzuki, S; Suda, S; Barkmeier, W W; Latta, M A; Miyazaki, M

The present study determined the mechanical properties and volumetric polymerization shrinkage of different categories of resin composite. Three high viscosity bulk fill resin composites were tested: Tetric EvoCeram Bulk Fill (TB, Ivoclar Vivadent), Filtek Bulk Fill posterior restorative (FB, 3M ESPE), and Sonic Fill (SF, Kerr Corp). Two low-shrinkage resin composites, Kalore (KL, GC Corp) and Filtek LS Posterior (LS, 3M ESPE), were used. Three conventional resin composites, Herculite Ultra (HU, Kerr Corp), Estelite ∑ Quick (EQ, Tokuyama Dental), and Filtek Supreme Ultra (SU, 3M ESPE), were used as comparison materials. Following ISO Specification 4049, six specimens for each resin composite were used to determine flexural strength, elastic modulus, and resilience. Volumetric polymerization shrinkage was determined using a water-filled dilatometer. Data were evaluated using analysis of variance followed by Tukey's honestly significant difference test (α=0.05). The flexural strength of the resin composites ranged from 115.4 to 148.1 MPa, the elastic modulus ranged from 5.6 to 13.4 GPa, and the resilience ranged from 0.70 to 1.0 MJ/m 3 . There were significant differences in flexural properties between the materials but no clear outliers. Volumetric changes as a function of time over a duration of 180 seconds depended on the type of resin composite. However, for all the resin composites, apart from LS, volumetric shrinkage began soon after the start of light irradiation, and a rapid decrease in volume during light irradiation followed by a slower decrease was observed. The low shrinkage resin composites KL and LS showed significantly lower volumetric shrinkage than the other tested materials at the measuring point of 180 seconds. In contrast, the three bulk fill resin composites showed higher volumetric change than the other resin composites. The findings from this study provide clinicians with valuable information regarding the mechanical properties and

Microhardness of dual-polymerizing resin cements and foundation composite resins for luting fiber-reinforced posts.

Science.gov (United States)

Yoshida, Keiichi; Meng, Xiangfeng

2014-06-01

The optimal luting material for fiber-reinforced posts to ensure the longevity of foundation restorations remains undetermined. The purpose of this study was to evaluate the suitability of 3 dual-polymerizing resin cements and 2 dual-polymerizing foundation composite resins for luting fiber-reinforced posts by assessing their Knoop hardness number. Five specimens of dual-polymerizing resin cements (SA Cement Automix, G-Cem LincAce, and Panavia F2.0) and 5 specimens of dual-polymerizing foundation composite resins (Clearfil DC Core Plus and Unifil Core EM) were polymerized from the top by irradiation for 40 seconds. Knoop hardness numbers were measured at depths of 0.5, 2.0, 4.0, 6.0, 8.0, and 10.0 mm at 0.5 hours and 7 days after irradiation. Data were statistically analyzed by repeated measures ANOVA, 1-way ANOVA, and the Tukey compromise post hoc test (α=.05). At both times after irradiation, the 5 resins materials showed the highest Knoop hardness numbers at the 0.5-mm depth. At 7 days after irradiation, the Knoop hardness numbers of the resin materials did not differ significantly between the 8.0-mm and 10.0-mm depths (P>.05). For all materials, the Knoop hardness numbers at 7 days after irradiation were significantly higher than those at 0.5 hours after irradiation at all depths (Presin materials were found to decrease in the following order: DC Core Plus, Unifil Core EM, Panavia F2.0, SA Cement Automix, and G-Cem LincAce (Pcomposite resins were higher than those of the 3 dual-polymerizing resin cements, notable differences were seen among the 5 materials at all depths and at both times after irradiation. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Occlusal glass ionomer cermet, resin sandwich and amalgam restorations: a 2-year clinical study.

Science.gov (United States)

Lidums, A; Wilkie, R; Smales, R

1993-08-01

This study compared the clinical behavior of a glass ionomer silver cermet (Ketac-Silver), a posterior resin composite (Visio-Molar) used with the "sandwich" technique, and a high-copper amalgam (Dispersalloy) for restoring conventional Class I occlusal cavity preparations. Two dentists placed 116 restorations in the posterior permanent teeth of 35 adults treated at a dental hospital. Restorations were assessed at 6-month intervals over 2 years for bulk loss of material and occlusal wear, surface voids, roughness and cracking, surface and marginal staining, and marginal fracture. Losses of material and surface voids were obvious with the cermet material, with surface crazing or cracking being present in 33% of the restorations. The cermet cannot be recommended as a long-term permanent restorative material if the restorations are likely to be subjected to heavy occlusal stresses and abrasive wear.

The effect of soda immersion on nano hybrid composite resin discoloration

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M. Chair Effendi

2014-03-01

Full Text Available Background: Composite resin is the tooth-colored restorative material which most of the people are fond of due to their aesthetic value. The composite resin discoloration may happen because of the intrinsic and extrinsic factors. Soda water is one of the beverages which can cause the composite resin discoloration. Purpose: The study was aimed to determine the effect of soda immersion on nano hybrid composite resin discoloration. Methods: The study was an experimental laboratory study using 100 shade A3 nano hybrid composite resin specimens with the diameter of 5 mm and density of 2mm. The samples were divided into 5 groups, each group was immersed in different beverages. The beverages were mineral water; lemon-flavored soda; strawberry-flavored soda; fruit punch-flavored soda; and orange-flavored soda for 3, 7, 14 and 21 days respectively, in the temperature of 37o C. The discoloration measurement utilizes Spectrophotometer, Vita Easy Shade, and uses CIEL*a*b* method. Results: The result showed that the duration of immersion in soda had an effect on the Nano hybrid composite resin discoloration. Strawberry and fruit punch- flavored soda were the most influential components toward the discoloration. Nevertheless, the generally-occurred discoloration was clinically acceptable (∆E ≤ 3,3. Conclusion: The study suggested that the soda immersion duration has effect on Nano hybrid composite resin discoloration.Latar belakang: Resin komposit adalah material sewarna gigi yang diminati masyarakat karena memiliki nilai estetik yang baik. Perubahan warna resin komposit dapat terjadi karena faktor intrinsik dan ekstrinsik. Minuman soda merupakan salah satu minuman yang dapat menyebabkan perubahan warna pada resin komposit. Tujuan: Tujuan dari penelitian ini untuk meneliti perubahan warna resin komposit nanohibrida akibat perendaman dalam minuman soda. Metode: Metode yang digunakan pada penelitian ini adalah eksperimental laboratorik dengan menggunakan

In-office bleaching efficacy on stain removal from CAD/CAM and direct resin composite materials.

Science.gov (United States)

Alharbi, Amal; Ardu, Stefano; Bortolotto, Tissiana; Krejci, Ivo

2018-01-01

To evaluate the efficacy of in-office bleaching on stain removal from stained resin composite and ceramic computer-assisted design/computer-assisted manufacturing (CAD/CAM) blocks and direct resin composites. Forty disk-shaped samples were fabricated from each of nine materials: six CAD/CAM (VITABLOCS Mark II, Paradigm MZ100, Exp Vita Hybrid Ceramic, VITA ENAMIC, Exp Kerr, and LAVA Ultimate) and three direct resin composites (Filtek Supreme, Venus Diamond, and Filtek Silorane). Samples were randomly divided into five groups (n = 8), each stained with a particular staining solution. Using a calibrated spectrophotometer and a black background, L*a*b* values were assessed before and after 120 days of staining. Samples were subjected to in-office bleaching using 40% hydrogen peroxide gel for one hour. At subsequent assessment, color change (ΔE) was calculated as the difference between L*a*b* values. Both ANOVA and the Duncan test were used to identify differences between groups (α = 0.05). Bleaching resulted in significant differences in ΔE values for all materials (P Bleaching efficacy was highly influenced by material composition and staining solution. Residual color values after bleaching for ceramic and hybrid ceramics ranged from -0.49 to 2.35, within the clinically acceptable maximum of 3.3. Values after bleaching for resin-based CAD/CAM ranged from -0.7 to 7.08 while direct resin composites values ranged from -1.47 to 25.13. Coffee left the greatest residual color on all materials. Based on material nature, 40% hydrogen peroxide bleaching can remove staining. The new resin-based CAD/CAM blocks showed promising results in terms of color stability. Bleaching using 40% hydrogen peroxide can be an effective method to remove stains from dental restorations. In this way, restoration replacement as a result of discoloration may no longer be necessary. © 2017 Wiley Periodicals, Inc.

Effect of different bleaching strategies on microhardness of a silorane-based composite resin.

Science.gov (United States)

Bahari, Mahmoud; Savadi Oskoee, Siavash; Mohammadi, Narmin; Ebrahimi Chaharom, Mohammad Esmaeel; Godrati, Mostafa; Savadi Oskoee, Ayda

2016-01-01

Background. Dentists' awareness of the effects of bleaching agents on the surface and mechanical properties of restorative materials is of utmost importance. Therefore, this in vitro study was undertaken to investigate the effects of different bleaching strategies on the microhardness of a silorane-based composite resin. Methods. Eighty samples of a silorane-based composite resin (measuring 4 mm in diameter and 2 mm in thickness) were prepared within acrylic molds. The samples were polished and randomly assigned to 4 groups (n=20). Group 1 (controls) were stored in distilled water for 2 weeks. The samples in group 2 underwent a bleaching procedure with 15% carbamide peroxide for two weeks two hours daily. The samples in group 3 were bleached with 35% hydrogen peroxide twice 5 days apart for 30 minutes each time. The samples in group 4 underwent a bleaching procedure with light-activated 35% hydrogen peroxide under LED light once for 40 minutes. Then the microhardness of the samples was determined using Vickers method. Data were analyzed with one-way ANOVA and post hoc Tukey tests (P bleaching agents significantly decreased microhardness compared to the control group (P 0.05). Conclusion. Bleaching agents decreased microhardness of silorane-based composite resin restorations, the magnitude of which depending on the bleaching strategy used.

Measurement of opalescence of resin composites.

Science.gov (United States)

Lee, Yong-Keun; Lu, Huan; Powers, John M

2005-11-01

Opalescence is an optical property, where there is light scattering of the shorter wavelengths of the visible spectrum, giving the material a bluish appearance under reflected light and an orange/brown appearance under transmitted light. The objective of this study was to determine the opalescence of resin composites with a color measuring spectrophotometer. Colors of A2 and enamel or translucent shades of four resin composites and of an unfilled resin measured in the reflectance and transmittance modes were compared, and the opalescence parameter (OP) was calculated as the difference in blue-yellow coordinate (Deltab*) and red-green parameter (Deltaa*) between the reflected and transmitted colors of 1-mm thick specimens. The masking effect was calculated as the color difference between the color of a black background and the color of specimen over the black background. The range of OP in resin composites was 5.7-23.7, which was higher than that of the unfilled resin. However, there were significant differences among the brands and shades of the resin composites. Opalescence varied by brand and shade of the resin composites, and contributed to the masking of background color along with translucency parameter. Some of the resin composites actually displayed opalescence.

The effect of gingival wall location on the marginal seal of class ii restorations prepared with a flowable bulk-fill resin-based composite.

Science.gov (United States)

Segal, P; Candotto, V; Ben-Amar, A; Eger, M; Matalon, S; Lauritano, D; Ormianer, Z

2018-01-01

SureFil SDR is a flowable resin-based composite that allows a single incremental bulk placement. The marginal seal of SureFil SDR at the gingival margins of class II restorations located apical to the cemento-enamel-junction (CEJ) has not been adequately evaluated compared to those located occlusal to the CEJ. Forty class II cavities were prepared in human molars. The gingival margins of 20 preparations were located 0.5 mm occlusal to the CEJ, and the other 20 preparations were located 0.5 mm apical to the CEJ. The cavities surfaces were bonded with XenoV dental adhesive and filled with SDR in one bulk increment up to 4 mm, after which they were covered with CeramX. The teeth were subjected to thermo-and load-cycling, and their gingival margins were exposed to 0.5% basic-fuchsin solution. The specimens were sectioned mesio-distally and scored for microleakage. A Wilcoxon test for pairwise comparison was performed to determine significance. Dye penetration was observed in 30% of the 20 restorations with cavo-surface margins located occlusal to the CEJ and in 55% of the 20 restorations with cavo-surface margins located apical to the CEJ. The bulk-fill flowable resin base SureFil SDR with XenoV dental adhesive provided a better marginal seal in class II restorations with gingival margins above the CEJ compared to restorations with gingival margins below the CEJ. SDR should not be recommended for class II cavity preparations with gingival margins located below the CEJ.

Analytical methods for the measurement of polymerization kinetics and stresses of dental resin-based composites: A review

Directory of Open Access Journals (Sweden)

Mehrsima Ghavami-Lahiji

2017-01-01

Full Text Available Resin-based composites are commonly used restorative materials in dentistry. Such tooth-colored restorations can adhere to the dental tissues. One drawback is that the polymerization shrinkage and induced stresses during the curing procedure is an inherent property of resin composite materials that might impair their performance. This review focuses on the significant developments of laboratory tools in the measurement of polymerization shrinkage and stresses of dental resin-based materials during polymerization. An electronic search of publications from January 1977 to July 2016 was made using ScienceDirect, PubMed, Medline, and Google Scholar databases. The search included only English-language articles. Only studies that performed laboratory methods to evaluate the amount of the polymerization shrinkage and/or stresses of dental resin-based materials during polymerization were selected. The results indicated that various techniques have been introduced with different mechanical/physical bases. Besides, there are factors that may contribute the differences between the various methods in measuring the amount of shrinkages and stresses of resin composites. The search for an ideal and standard apparatus for measuring shrinkage stress and volumetric polymerization shrinkage of resin-based materials in dentistry is still required. Researchers and clinicians must be aware of differences between analytical methods to make proper interpretation and indications of each technique relevant to a clinical situation.

[In vitro study of marginal microleakage of Clearfil S3 BOND adhesive systems and Majesty composite resin].

Science.gov (United States)

Wang, Bei; Zhu, Ya-qin

2009-08-01

To evaluate the microleakage of standard box-type cavity filled with Clearfil S3 BOND self-etch adhesive systems and Majesty composite resin. 40 permanent molars were randomly divided into experimental and control groups, 20 of each . The box-type cavities, 3mm in length and width and 2mm in depth, were prepared at the cemento-enamel junction on buccal surface of forty permanent extracted teeth. According to grouping, the experimental group was filled with Clearfil S(3) BOND self-adhesive systems and Majesty composite resin, and the control group was filled with 3M Adper Prompt self-adhesive and Filtek Z350 composite resin. After thermal circulation(2000 times, 5 degrees centigrade-55 degrees centigrade) and soaked for 24 hours in 2% methyl blue solution, the samples were cut through the midline of the restoration and the leakage depth was measured with vernier caliper. The microleakage degrees and microleakage depth of 2 groups were analyzed with SPSS 17.0 software package for Mann-Whitney U test and independent-samples t test. Microleakage was observed in both groups. But the microleakage degrees and microleakage depth of 2 groups had no significant difference (P>0.05). The marginal sealibility of Clearfil S(3) BOND self-adhesive systems and Majesty composite resin is as good as Adper Prompt self-adhesive and Filtek Z350 composite resin,it may be an ideal clinical restoration material.

Repair bond strength of nanohybrid composite resins with a universal adhesive.

Science.gov (United States)

Altinci, Pinar; Mutluay, Murat; Tezvergil-Mutluay, Arzu

2018-01-01

Objective: To investigate the repair bond strength of fresh and aged nanohybrid and hybrid composite resins using a universal adhesive (UA). Materials and methods: Fresh and aged substrates were prepared using two nanohybrid (Venus Pearl, Heraus Kulzer; Filtek Supreme XTE, 3 M ESPE) and one hybrid (Z100, 3 M ESPE) composite resin, and randomly assigned to different surface treatments: (1) no treatment (control), (2) surface roughening with 320-grit (SR), (3) SR + UA (iBOND, Heraus Kulzer), (4) SR + Silane (Signum, Ceramic Bond I, Heraeus Kulzer) + UA, (5) SR + Sandblasting (CoJet, 3 M ESPE) + Silane + UA. After surface treatment, fresh composite resin was added to the substrates at 2 mm layer increments to a height of 5 mm, and light cured. Restored specimens were water-stored for 24 h and sectioned to obtain 1.0 × 1.0 mm beams ( n  = 12), and were either water-stored for 24 h at 37 °C, or water-stored for 24 h, and then thermocycled for 6000 cycles before microtensile bond strength (µTBS) testing. Data were analyzed with ANOVA and Tukey's HSD tests ( p  = .05). Results: Combined treatment of SR, sandblasting, silane and UA provided repair bond strength values comparable to the cohesive strength of each tested resin material ( p  composite resins upto 65% ( p  composite repair. Sandblasting and silane application slightly increases the repair strength for all substrate types.

NaF-loaded core-shell PAN-PMMA nanofibers as reinforcements for Bis-GMA/TEGDMA restorative resins.

Science.gov (United States)

Cheng, Liyuan; Zhou, Xuegang; Zhong, Hong; Deng, Xuliang; Cai, Qing; Yang, Xiaoping

2014-01-01

A kind of core-shell nanofibers containing sodium fluoride (NaF) was produced and used as reinforcing materials for dimethacrylate-based dental restorative resins in this study. The core-shell nanofibers were prepared by coaxial-electrospinning with polyacrylonitrile (PAN) and poly(methyl methacrylate) (PMMA) solutions as core and shell fluids, respectively. The produced PAN-PMMA nanofibers varied in fiber diameter and the thickness of PMMA shell depending on electrospinning parameters. NaF-loaded nanofibers were obtained by incorporating NaF nanocrystals into the core fluid at two loadings (0.8 or 1.0wt.%). Embedment of NaF nanocrystals into the PAN core did not damage the core-shell structure. The addition of PAN-PMMA nanofibers into Bis-GMA/TEGDMA clearly showed the reinforcement due to the good interfacial adhesion between fibers and resin. The flexural strength (Fs) and flexural modulus (Ey) of the composites decreased slightly as the thickness of PMMA shell increasing. Sustained fluoride releases with minor initial burst release were achieved from NaF-loaded core-shell nanofibers and the corresponding composites, which was quite different from the case of embedding NaF nanocrystals into the dental resin directly. The study demonstrated that NaF-loaded PAN-PMMA core-shell nanofibers were not only able to improve the mechanical properties of restorative resin, but also able to provide sustained fluoride release to help in preventing secondary caries. © 2013.

Marginal microleakage of class V resin-based composite restorations bonded with six one-step self-etch systems

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Alfonso Sánchez-Ayala

2013-06-01

Full Text Available This study compared the microleakage of class V restorations bonded with various one-step self-etching adhesives. Seventy class V resin-based composite restorations were prepared on the buccal and lingual surfaces of 35 premolars, by using: Clearfil S 3 Bond, G-Bond, iBond, One Coat 7.0, OptiBond All-In-One, or Xeno IV. The Adper Single Bond etch-and-rinse two-step adhesive was employed as a control. Specimens were thermocycled for 500 cycles in separate water baths at 5°C and 55°C and loaded under 40 to 70 N for 50,000 cycles. Marginal microleakage was measured based on the penetration of a tracer agent. Although the control showed no microleakage at the enamel margins, there were no differences between groups (p = 0.06. None of the adhesives avoided microleakage at the dentin margins, and they displayed similar performances (p = 0.76. When both margins were compared, iBond® presented higher microleakage (p < 0.05 at the enamel margins (median, 1.00; Q3–Q1, 1.25–0.00 compared to the dentin margins (median, 0.00; Q3–Q1, 0.25–0.00. The study adhesives showed similar abilities to seal the margins of class V restorations, except for iBond®, which presented lower performance at the enamel margin.

Porcelain veneer post-bonding crack repair by resin infiltration

NARCIS (Netherlands)

Gresnigt, Marco; Magne, Michel; Magne, Pascal

2017-01-01

Ceramic laminate veneer restorations are indicated in several clinical situations. Indirect restorations are usually chosen if the less-invasive options - bleaching, resin infiltration, or composite resin restorations - are not possible, or when it is too difficult to achieve an esthetically

Evaluation of the surface structure of composite restorations in light of own pilot research

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Chalas Renata

2016-09-01

Full Text Available Research on the dental restorative materials employed in remedying dental cavities has been conducted on many levels and areas, both with application of clinical and laboratory methods. One of the elements that determines whether the restoration may be degraded is the condition of its surface. The aim of the study was to assess the texture surface of composite restorations using a non-contact method of teeth models scanning. In this work, ten medium size cavities on the occlusal surfaces of molars in adult patients were prepared and restored with resin composite. Before undertaking the procedure and after the finishing and polishing of the restorations, impressions were taken and sent into the laboratory so as to prepare plaster casts. Every cast was then scanned utilizing the non-contact 3D surface measurement instrument so as to assess the texture surface of the restoration. The resulting three dimensional analyses of post-restoration models showed the correct marginal adaptation of resin composite dental material to the hard tooth structures and its smooth filling occlusal surface. Additional comparison of scans done before and after restoring the cavities allowed the calculating of differences in volume, mean and maximum heights. The applied method of analysis is thought to be helpful in the detailed evaluation of restoration dental material texture. Moreover, the enabled possibility of continuous observation is expedient for assessing the usefulness of the method in standard dental practice.

Influence of method and period of storage on the microtensile bond strength of indirect composite resin restorations to dentine

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Fernanda Ribeiro Santana

2008-12-01

Full Text Available This study evaluated the influence of the method and period of storage on the adhesive bond strength of indirect composite resin to bovine dentin. Ninety bovine incisors were stored in three different solutions: 0.2% thymol, 10% formalin, and 0.2% sodium azide, during 3 periods of storage: 7 days, 30 days and 6 months, resulting in 9 groups (n = 10. The roots were cut off and the buccal surface was ground with #600-grit silicon carbide paper. The surface was conditioned with 37% phosphoric acid for 15 s and a composite resin restoration (TPH Spectrum was fixed using a one-bottle adhesive system (Adper Single Bond and a dual-cured resinous cement (Rely X ARC under a load of 500 g for 5 minutes. The samples were serially cut perpendicular to the bonded interface to obtain slices of 1.2 mm in thickness. Each slab was trimmed with a cylindrical diamond bur resulting in an hourglass shape with a cross-sectional area of approximately 1 mm². The microtensile bond strength (μTBS testing was performed in a testing machine (EMIC 2000 DL at a 0.5 mm/minute crosshead-speed until failure. After fracture, the specimens were examined under SEM to analyze the mode of fracture. μTBS Means were expressed in MPa and the data were analyzed by two-way ANOVA (3X3 and the Tukey test (α = 0.05. The storage times of 7 and 30 days produced no significant difference irrespective of the solution type. The formalin and thymol solutions, however, did have a negative influence on bond strength when the teeth were stored for 6 months.

Effect of Different Prophylaxis Methods on Microleakage of Microfilled Composite Restorations

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Soodabeh Kimyai

2012-04-01

Full Text Available Background and aims. This study was aimed at evaluating the effect of different prophylaxis methods on microleakage of microfilled composite restorations. Materials and methods. In this in vitro study, class V cavities were prepared on buccal surfaces of 84 bovine teeth. The teeth were restored with Tetric N-Bond adhesive and Heliomolar composite resin. Subsequent to a thermocycling procedure and three months of storage in distilled water, the teeth were randomly assigned to four groups (n=21: (1 prophylaxis with a rubber cup and pumice; (2 prophylaxis with a brush and pumice; (3 prophylaxis with air/powder polishing device; and (4 no prophylaxis (the control group. Then the teeth were immersed in 2% basic fuchsin for 24 hours and sectioned for microleakage evaluation under a stereomicroscope. Data were analyzed using Kruskal-Wallis and Wilcoxon Signed Ranks tests. Statistical significance was defined at p<0.05. Results. There were no statistically significant differences in occlusal and gingival microleakage between the groups (p=0.996 and p=0.860, respectively. In all the groups gingival margins exhibited significantly higher microleakage values compared to occlusal margins (p<0.0005. Conclusion. Prophylaxis methods had no adverse effect on marginal leakage of microfilled composite resin restorations.

Direct composite restoration of permanent anterior teeth uncomplicated crown fractures

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Ashley Evans Nicholas

2018-01-01

Full Text Available An uncomplicated crown fracture is a fracture that involves only the tooth enamel or the dentin and tooth enamel without any damage or exposure to the pulp. Crown fracture of the anterior teeth usually caused by traumatic forces such as falls, accidents, violence, or sports activities. Traumatic injuries of the oral region frequently involve the anterior teeth, especially maxillary incisors due to the anatomic factors which may affect the functional and aesthetical values of the teeth. The objective of this literature study was to know more about uncomplicated crown fracture of the anterior teeth and its restoration. This research was a literature study performed by researching, highlighting various interesting facts and compiling the relevant published journals. The most common and ideal direct restoration of the anterior teeth was the composite resin restoration. The anterior teeth restoration was considered to be a complex and challenging case to solves due to the fact that besides reconstructing the tooth and regaining the function, the aesthetical aspect was also becoming the main objectives. The permanent anterior teeth uncomplicated crown fracture was the most common case of tooth fractures which was mainly caused by traumatic injuries such as falls, accidents, excessive forces, violence, and also sports activities. Dental injuries of the anterior teeth also affected the aesthetical properties and the function of the tooth. Composite resin restoration was able to performed directly on the permanent anterior teeth uncomplicated crown fracture.

Clinical assessment of class II resin-based composites versus preformed metal crowns performed on primary molars in patients at high risk of caries.

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Alyahya, A; Khanum, A; Qudeimat, M

2018-02-01

To compare class II resin composite with preformed metal crowns (PMC) in the treatment of proximal dentinal caries in high caries-risk patients. The charts (270) of paediatric patients with proximal caries of their primary molars were reviewed. Success or failure of a procedure was assessed using the dental notes. Survival analysis was used to calculate the mean survival time (MST) for both procedures. The influence of variables on the mean survival time was investigated. A total of 593 class II resin composites and 243 PMCs were placed in patients ranging between 4-13 years of age. The failure percentage of class II resin composites was 22.6% with the majority having been due to recurrent caries, while the failure percentage of PMCs was 15.2% with the majority due to loss of the crown. There was no significant difference between the MST of class II resin composites and PMCs, 41.3 and 45.6 months respectively (p value = 0.06). In class II resin composites, mesial restorations were associated with lower MST compared to distal restorations (p-value composites and PMCs were comparable when performed on high caries-risk patients.

Effect of Static and Cyclic Loading on Ceramic Laminate Veneers Adhered to Teeth with and Without Aged Composite Restorations

NARCIS (Netherlands)

Gresnigt, Marco M. M.; Ozcan, Mutlu; Kalk, Warner; Galhano, Graziela

2011-01-01

Purpose: Existing composite restorations on teeth are often remade prior to the cementation of fixed dental prostheses. The aim of this study was to evaluate the effect of static and cyclic loading on ceramic laminate veneers adhered to aged resin composite restorations. Materials and Methods:

A comparative effect of various surface chemical treatments on the resin composite-composite repair bond strength

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Shaloo Gupta

2015-01-01

Full Text Available Aim: The aim of this in vitro study was an attempt to investigate the effect of different surface treatments on the bond strength between pre-existing composite and repair composite resin. Materials and Methods: Forty acrylic blocks were prepared in a cuboidal mould. In each block, a well of 5 mm diameter and 5 mm depth was prepared to retain the composite resin (Filtek™ Z350, 3M/ESPE. Aging of the composite discs was achieved by storing them in water at 37°C for 1 week, and after that were divided into 5 groups (n = 8 according to surface treatment: Group I- 37% phosphoric acid, Group II-10% hydrofluoric acid, Group III-30% citric acid, Group IV-7% maleic acid and Group V- Adhesive (no etchant. The etched surfaces were rinsed and dried followed by application of bonding agent (Adper™ Single Bond 2. 3M/ESPE. The repair composite was placed on aged composite, light-cured for 40 seconds and stored in water at 37°C for 1 week. Shear bond strength between the aged and the new composite resin was determined with a universal testing machine (crosshead speed of 0.5 mm/min. Statistical Analysis: The compressive shear strengths were compared for differences using ANOVA test followed by Tamhane′s T2 post hoc analysis. Results: The surface treatment with 10% hydrofluoric acid showed the maximum bond strength followed by 30% citric acid, 7% maleic acid and 37% phosphoric acid in decreasing order. Conclusion: The use of 10% hydrofluoric acid can be a good alternative for surface treatment in repair of composite resin restoration as compared to commonly used 37% orthophosphoric acid.

Eight-year randomized clinical evaluation of Class II nanohybrid resin composite restorations bonded with a one-step self-etch or a two-step etch-and-rinse adhesive

DEFF Research Database (Denmark)

van Dijken, Jan WV; Pallesen, Ulla

2015-01-01

(13.5 %) and nine in the two-step etch-and-rinse group (13.0 %). This resulted in nonsignificant different annual failure rates of 1.69 and 1.63 %, respectively. Fracture of restoration was the main reason for failure. Conclusion: Good clinical performance was shown during the 8-year evaluation....... Results: One hundred and fifty-eight restorations were evaluated after 8 years. Three participants with five restorations (three Xeno III, two Excite) were registered as dropouts. Twenty-one failed restorations (13.3 %) were observed during the follow-up. Twelve in the one-step self-etch adhesive group...... and no significant difference in overall clinical performance between the two adhesives. Fracture was the main reason for failure. Clinical relevance: The one-step self-etch adhesive showed a good long-term clinical effectiveness in combination with the nanohybrid resin composite in Class II restorations....

A conservative approach for restoring anterior guidance: a case report.

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Pontons-Melo, Juan Carlos; Pizzatto, Eduardo; Furuse, Adilson Yoshio; Mondelli, José

2012-06-01

One of the most common dental problems in today's clinics is tooth wear, specifically when related to bruxism. In such cases, the esthetics of anterior teeth may be compromised when excessive wear to the incisal surfaces occurs. Anterior tooth wear resulting from parafunctional bruxism can be conservatively treated with the use of direct resin composite restorations. This restorative approach has the advantages of presenting good predictability, load resistance, acceptable longevity, preservation of healthy dental tissues, and lower cost when compared with indirect restorations. The use of resin composites to solve esthetic problems, however, requires skill and practice. Thus, the present article demonstrates a conservative approach for restoring the esthetics and function of worn anterior teeth with the aid of direct resin composite restorations and selective occlusal adjustment. A conservative approach to restore anterior teeth with excessive wear is possible with direct resin composites. © 2011 Wiley Periodicals, Inc.

Analysis of gap formation at tooth-composite resin interface: effect of C-factor and light-curing protocol

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Gustavo Oliveira dos Santos

2007-08-01

Full Text Available OBJECTIVE: The aim of this study was to evaluate the effect of C-factor and light-curing protocol on gap formation in composite resin restorations. Material and METHODS: Cylindrical cavities with 5.0 mm diameter and three different depths (A=1.0, B=2.0 and C=3.0 mm were prepared on the occlusal surface of 30 human molars and restored in a single increment with P 60. The composite resin was light-cured according to two protocols: standard - 850 mW/cm² / 20 s and gradual - 100 up to 1000 mW/cm² / 10 s + 1000 mW/cm² / 10 s. After storage in distilled water (37°C/7 days, the restorations were cut into three slices in a buccolingual direction and the gap widths were analyzed using a 3D-scanning system. The data were submitted to ANOVA and Student-Newman-Keuls test (alpha=0.05. RESULTS: ANOVA detected a significant influence for the C-factor and light-curing protocol as independent factors, and for the double interaction C-factor vs. light-curing protocol. Cavities with higher C-factor presented the highest gap formation. The gradual light-curing protocol led to smaller gap formation at cavity interfaces. CONCLUSIONS: The findings of this study suggest that the C-factor played an essential role in gap formation. The gradual light-curing protocol may allow relaxation of composite resin restoration during polymerization reaction.

Clinical longevity of extensive direct composite restorations in amalgam replacement : Up to 3.5 years follow-up

NARCIS (Netherlands)

Scholtanus, Johannes D.; Ozcan, Mutlu

Objectives: This prospective clinical trial evaluated the longevity of direct resin composite (DRC) restorations made on stained dentin that is exposed upon removal of existing amalgam restorations in extensive cavities with severely reduced macro-mechanical retention for amalgam replacement.

Mechanical properties and polymerization shrinkage of composite resins light-cured using two different lasers.

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Kim, Tae-Wan; Lee, Jang-Hoon; Jeong, Seung-Hwa; Ko, Ching-Chang; Kim, Hyung-Il; Kwon, Yong Hoon

2015-04-01

The purpose of the present study was to investigate the usefulness of 457 and 473 nm lasers for the curing of composite resins during the restoration of damaged tooth cavity. Monochromaticity and coherence are attractive features of laser compared with most other light sources. Better polymerization of composite resins can be expected. Eight composite resins were light cured using these two lasers and a light-emitting diode (LED) light-curing unit (LCU). To evaluate the degrees of polymerization achieved, polymerization shrinkage and flexural and compressive properties were measured and compared. Polymerization shrinkage values by 457 and 473 nm laser, and LED ranged from 10.9 to 26.8, from 13.2 to 26.1, and from 11.5 to 26.3 μm, respectively. The values by 457 nm laser was significantly different from those by 473 and LED LCU (p0.05). For the tested LCUs, no specific LCU could consistently achieve highest strength and modulus from the specimens tested. Two lasers (457 and 473 nm) can polymerize composite resins to the level that LED LCU can achieve despite inconsistent trends of polymerization shrinkage and flexural and compressive properties of the tested specimens.

Effect of different composite core materials on fracture resistance of endodontically treated teeth restored with FRC posts.

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Panitiwat, Prapaporn; Salimee, Prarom

2017-01-01

This study evaluated the fracture resistance of endodontically treated teeth restored with fiber reinforced composite posts, using three resin composite core build-up materials, (Clearfil Photo Core (CPC), MultiCore Flow (MCF), and LuxaCore Z-Dual (LCZ)), and a nanohybrid composite, (Tetric N-Ceram (TNC)). Forty endodontically treated lower first premolars were restored with quartz fiber posts (D.T. Light-Post) cemented with resin cement (Panavia F2.0). Samples were randomly divided into four groups (n=10). Each group was built-up with one of the four core materials following its manufacturers' instructions. The teeth were embedded in acrylic resin blocks. Nickel-Chromium crowns were fixed on the specimens with resin cement. The fracture resistance was determined using a universal testing machine with a crosshead speed of 1 mm/min at 1350 to the tooth axis until failure occurred. All core materials used in the study were subjected to test for the flexural modulus according to ISO 4049:2009. One-way ANOVA and Bonferroni multiple comparisons test indicated that the fracture resistance was higher in the groups with CPC and MCF, which presented no statistically significant difference (p>0.05), but was significantly higher than in those with LCZ and TNC (paligned with the same tendency of fracture loads. Among the cores used in this study, the composite core with high filler content tended to enhance fracture thresholds of teeth restored with fiber posts more than others.

A comparative evaluation of the staining capacity of microhybrid and nanohybrid resin-based composite to indian spices and food colorants: An In vitro study.

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Usha, Carounanidy; Rao, Sathyanarayanan Rama; George, Geena Mary

2018-01-01

Resin composite restorative materials can mimic the natural color and shade of the tooth. However, exogenous colorants from food and drinks can stain them due to adsorption. The influence of Indian food colorants and spices on resin composite restorations has not been evaluated extensively. This study aims to evaluate the staining capacity of microhybrid and nanohybrid resin-based composites, to saffron extract, tandoori powder, and turmeric powder. Forty samples of microhybrid (Kulzer Charisma) and nanohybrid (3M Filtek Z350) resin composites were prepared using an acrylic template of dimension 5 mm × 3 mm. They were randomly divided into four groups and immersed into solutions of saffron extract, tandoori powder, and turmeric powder. Distilled water was used as the control group. Color values (LFNx01, aFNx01, bFNx01) were measured by colorimeter using the CIE LFNx01aFNx01bFNx01 system before and after 72 h of immersion. Color differences ΔEFNx01ab were statistically analyzed. Two-way ANOVA and post-hoc Tukey (honest significant difference) test were done using IBM SPSS Statistics for Windows, Version 19.0. Armonk, NY: IBM Corp. : All the immersion media changed the color of the resin composites to varying degrees. However, turmeric solution showed the maximum mean color variation ΔEFNx01ab of 14.8 ± 2.57 in microhybrid resin composites and 16.8 ± 3.50 in nanohybrid resin composites. Microhybrid and nanohybrid resin composites tend to stain to Indian food colorants, especially to turmeric powder.

Correlating cytotoxicity to elution behaviors of composite resins in term of curing kinetic.

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Meng, Junquan; Yang, Huichuan; Cao, Man; Li, Lei; Cai, Qing

2017-09-01

Cytotoxicity of photocurable composite resins is a key issue for their safe use in dental restoration. Curing kinetic and elution behaviors of the composite resin would have decisive effects on its cytotoxicity. In this study, composite resins composed of bisphenol-glycidyl dimethacrylate (Bis-GMA), triethyleneglycol dimethacrylate (TEGDMA), camphorquinone (CQ), N,N-dimethylaminoethyl methacrylate (DMAEMA) and barium glass powders were prepared by setting the photoinitiators CQ/DMAEMA at 0.5wt%, 1wt% or 3wt% of the total weight of Bis-GMA/TEGDMA. The ratio of Bis-GMA/TEGDMA was 6:4, the ratio of CQ/DMAEMA was 1:1, and the incorporated inorganic powder was 75wt%. Then, curing kinetics were studied by using real-time Fourier transform infrared spectroscopy (FTIR) and photo-DSC (differential scanning calorimeter). Elution behaviors in both ethanol solution and deionized water were monitored by using liquid chromatogram/mass spectrometry (LC/MS). Cytotoxicity was evaluated by in vitro culture of L929 fibroblasts. Finally, they were all analyzed and correlated in terms of initiator contents. It was found that the commonly used 0.5wt% of photoinitiators was somewhat insufficient in obtaining composite resin with low cytotoxicity. Copyright © 2017. Published by Elsevier B.V.

Effect of resin coating and occlusal loading on microleakage of Class II computer-aided design/computer-aided manufacturing fabricated ceramic restorations: a confocal microscopic study.

Science.gov (United States)

Kitayama, Shuzo; Nasser, Nasser A; Pilecki, Peter; Wilson, Ron F; Nikaido, Toru; Tagami, Junji; Watson, Timothy F; Foxton, Richard M

2011-05-01

To evaluate the effect of resin coating and occlusal loading on microleakage of class II computer-aided design/computer-aided manufacturing (CAD/CAM) ceramic restorations. Molars were prepared for an mesio-occlusal-distal (MOD) inlay and were divided into two groups: non-coated (controls); and resin-coated, in which the cavity was coated with a combination of a dentin bonding system (Clearfil Protect Bond) and a flowable resin composite (Clearfil Majesty Flow). Ceramic inlays were fabricated using the CAD/CAM technique (CEREC 3) and cemented with resin cement (Clearfil Esthetic Cement). After 24 h of water storage, the restored teeth in each group were divided into two subgroups: unloaded or loaded with an axial force of 80 N at a rate of 2.5 cycles/s for 250,000 cycles while stored in water. After immersion in 0.25% Rhodamine B solution, the teeth were sectioned bucco-lingually at the mesial and distal boxes. Tandem scanning confocal microscopy (TSM) was used for evaluation of microleakage. The locations of the measurements were assigned to the cavity walls and floor. Loading did not have a significant effect on microleakage in either the resin-coated or non-coated group. Resin coating significantly reduced microleakage regardless of loading. The cavity floor exhibited greater microleakage compared to the cavity wall. TSM observation also revealed that microleakage at the enamel surface was minimal regardless of resin coating. In contrast, non-coated dentin showed extensive leakage, whereas resin-coated dentin showed decreased leakage. Resin coating with a combination of a dentin-bonding system and a flowable resin composite may be indicated prior to impression-taking when restoring teeth with CAD/CAM ceramic inlays in order to reduce microleakage at the tooth-resin interface.

Antibacterial agents in composite restorations for the prevention of dental caries.

Science.gov (United States)

Pereira-Cenci, Tatiana; Cenci, Maximiliano S; Fedorowicz, Zbys; Azevedo, Marina

2013-12-17

Dental caries is a multifactorial disease in which the fermentation of food sugars by bacteria from the biofilm (dental plaque) leads to localised demineralisation of tooth surfaces, which may ultimately result in cavity formation. Resin composites are widely used in dentistry to restore teeth. These restorations can fail for a number of reasons, such as secondary caries, and restorative material fracture and other minor reasons. From these, secondary caries, which are caries lesions developed adjacent to restorations, is the main cause for restorations replacement. The presence of antibacterials in both the filling material and the bonding systems would theoretically be able to affect the initiation and progression of caries adjacent to restorations. This is an update of the Cochrane review published in 2009. To assess the effects of antibacterial agents incorporated into composite restorations for the prevention of dental caries. We searched the following electronic databases: the Cochrane Oral Health Group's Trials Register (to 23 July 2013), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2013, Issue 6), MEDLINE via OVID (1946 to 23 July 2013) and EMBASE via OVID (1980 to 23 July 2013). We searched the US National Institutes of Health Trials Register (http://clinicaltrials.gov), the metaRegister of Controlled Trials (www.controlled-trials.com) and the World Health Organization International Clinical Trials Registry platform (www.who.int/trialsearch) for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. Randomised controlled trials comparing resin composite restorations containing antibacterial agents with composite restorations not containing antibacterial agents. Two review authors conducted screening of studies in duplicate and independently, and although no eligible trials were identified, the two authors had planned to extract data independently and

In vitro quantitative evaluation of marginal microleakage in class II restorations confected with a glass ionomer cement and two composite resins

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BIJELLA Maria Fernanda Borro

2001-01-01

Full Text Available This study evaluated, in vitro, marginal microleakage in class II restorations confected with the glass ionomer cement Vitremer and with the composite resins Ariston pHc and P-60. The aims of the study were to assess the effect of thermocycling on those materials and to evaluate two methods utilized in the analysis of dye penetration. Sixty premolars divided in three groups were utilized; the teeth had proximal cavities whose cervical walls were located 1 mm below the cementoenamel junction. Half of the test specimens from each group underwent thermocycling; the other half remained in deionized water, at 37ºC. The specimens were immersed, for 24 hours, in a basic 0.5% fuchsin solution at 37ºC. For the analysis of microleakage, the specimens were sectioned in a mesio-distal direction, and the observation was carried out with the software Imagetools. The results were evaluated through the 2-way ANOVA and through the Tukey?s test. All groups presented marginal microleakage. The smallest values were obtained with Vitremer, followed by those obtained with the composite resins P-60 and Ariston pHc. There was no statistically significant difference caused by thermocycling, and the method of maximum infiltration was the best for detecting the extension of microleakage.

Fiber reinforced silicon-containing arylacetylene resin composites

Directory of Open Access Journals (Sweden)

2007-12-01

Full Text Available A silicon-containing arylacetylene resin (SAR, a poly(dimethylsilyleneethynylene phenyleneethynylene (PMSEPE, was synthesized. The PMSEPE is a solid resin at ambient temperature with a softening temperature about 60°C and soluble in some solvents like tetrahydrofuran. The melt viscosity of the PMSEPE resin is less than 1 Pa•s. The resin could cure at the temperature of lower than 200°C. Fiber reinforced PMSEPE composites were prepared from prepregs which were made by the impregnation of fibers in PMSEPE resin solution. The composites exhibit good mechanical properties at room temperature and 250°C. The observation on fracture surfaces of the composites reinforced by glass fibers and carbon fibers demonstrates that the adhesion between the fibers and resin is good. The results from an oxyacetylene flame test show that the composites have good ablation performance and XRD analyses indicate that SiC forms in the residues during the ablation of the composites.

Ballistic properties of bidirectional fiber/resin composites

International Nuclear Information System (INIS)

Dimeski, Dimko; Spaseska, Dijana

2004-01-01

The aim of the research was to make evaluation of the ballistic strength of four different fiber/resin composites intended to be used in manufacturing of ballistic items for personal protection. Research has been performed on glass, ballistic nylon, aramid and HPPE (High Performance Polyethylene) plainly woven fabric based composites. As a matrix system, in all cases, polyvinylbutyral modified phenolic resin was used. For the investigation, areal weight range 2 - 9 kg/m 2 chosen was, which is applicable for personal ballistic protection and the ultimate resin content range 20 - 50 vol.%. Ballistic test of the composites has shown that the best results exhibit HPPE based composites; aramid based composites have been the second best followed by the polyamide based composites. The worst results have been shown by the glass based composites. All composites with lower resin content (20%) have performed much better than their counterparts with higher resin content (50 %).The plot of the ballistic strength (V 50 ) versus areal weight has shown a linear increase of V 50 with the increase of areal weight. The ballistic strength of the composites is highly dependant on the fiber/resin ratio and increases with the increase of the fiber content. (Author)

Conjugation of diisocyanate side chains to dimethacrylate reduces polymerization shrinkage and increases the hardness of composite resins.

Science.gov (United States)

Jan, Yih-Dean; Lee, Bor-Shiunn; Lin, Chun-Pin; Tseng, Wan-Yu

2014-04-01

Polymerization shrinkage is one of the main causes of dental restoration failure. This study tried to conjugate two diisocyanate side chains to dimethacrylate resins in order to reduce polymerization shrinkage and increase the hardness of composite resins. Diisocyanate, 2-hydroxyethyl methacrylate, and bisphenol A dimethacrylate were reacted in different ratios to form urethane-modified new resin matrices, and then mixed with 50 wt.% silica fillers. The viscosities of matrices, polymerization shrinkage, surface hardness, and degrees of conversion of experimental composite resins were then evaluated and compared with a non-modified control group. The viscosities of resin matrices increased with increasing diisocyanate side chain density. Polymerization shrinkage and degree of conversion, however, decreased with increasing diisocyanate side chain density. The surface hardness of all diisocyanate-modified groups was equal to or significantly higher than that of the control group. Conjugation of diisocyanate side chains to dimethacrylate represents an effective means of reducing polymerization shrinkage and increasing the surface hardness of dental composite resins. Copyright © 2012. Published by Elsevier B.V.

Bisphenol A Release: Survey of the Composition of Dental Composite Resins.

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Dursun, Elisabeth; Fron-Chabouis, Hélène; Attal, Jean-Pierre; Raskin, Anne

2016-01-01

Bisphenol A (BPA) is an endocrine disruptor with potential toxicity. Composite resins may not contain pure BPA, but its derivatives are widely used. Several studies found doses of BPA or its derivatives in saliva or urine of patients after composite resin placement. The aims of this study were to establish an exhaustive list of composite resins marketed in Europe and their composition, and to assess the extent of BPA derivatives used. A research on manufacturers' websites was performed to reference all composite resins marketed in Europe, then their composition was determined from both material safety data sheets and a standardized questionnaire sent to manufacturers. Manufacturers had to indicate whether their product contained the monomers listed, add other monomers if necessary, or indicate "not disclosed". 160 composite resins were identified from 31 manufacturers and 23 manufacturers (74.2%) responded to the survey. From the survey and websites, the composition of 130 composite resins (81.2%) was: 112 (86.2%) based on BPA derivatives, 97 (74.7%) on bis-GMA, 17 (13.1%) without monomer derived from BPA (UDMA, sometimes with TEGDMA) and 6 (4.6%) with UDMA (only); 1 (0.8%) did not contain a BPA derivative or UDMA or TEGDMA. Pure BPA was never reported. This work has established a list of 18 composite resins that contain no BPA derivative. Manufacturers should be required to report the exact composition of their products as it often remains unclear or incomplete.

Interaction of LED light with coinitiator-containing composite resins: effect of dual peaks.

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Sim, Jae-Seong; Seol, Hyo-Joung; Park, Jeong-Kil; Garcia-Godoy, Franklin; Kim, Hyung-Il; Kwon, Yong Hoon

2012-10-01

Recently the colour stability of composite resins has been an issue due to the emphasis on the aesthetics of restored teeth. The purpose of the present study was to investigate how dual-peak LED units affect the polymerization of coinitiator-containing composite resins. Five composite resins [coinitiator-containing: Aelite LS Posterior (AL), Tetric EvoCeram (TE), and Vit-l-escence (VI); only CQ-containing: Grandio (GD) and Filtek Z350 (Z3)] were light cured using four different light-curing units (LCUs). Among them, Bluephase G2 (BP) and G-light (GL) were dual-peak LED LCUs. Microhardness, polymerization shrinkage, flexural, and compressive properties were measured. BP and GL had no consistent effect on the microhardness of AL, TE, and VI on the top and bottom surfaces of resin specimens. Among the specimens, AL and VI showed the least (9.86-10.41 μm) and greatest (17.58-19.21 μm) polymerization shrinkage, respectively. However, the effect of BP and GL on the shrinkage of specimens was not consistent. Among the specimens, GD showed the greatest flexural properties [strength (FS) and modulus (FM)] and TE showed the lowest flexural and compressive properties [strength (CS) and modulus (CM)]. In same resin product, maximum FS and CS differences due to the different LCUs were 10.3-21.0% and 3.6-9.2%, respectively. Furthermore, the influences of BP and GL on FS and CS were not consistent. The tested dual-peak LED LCUs had no consistent synergic effect on the polymerization of coinitiator-containing composite resins as compared with QTH and single-peak LED LCUs. The dual-peak LED LCUs achieve a similar degree of polymerization in coinitiator-composite resins as QTH and single-peak LED LCUs did. Choice of LCU does not appear to be a determinant of the light curing of coinitiator-composite resins. Copyright © 2012 Elsevier Ltd. All rights reserved.

Effectiveness of an infiltrant on sealing of composite restoration margins with/without artificial caries.

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Tulunoglu, Ozlem; Tulunoglu, Ibrahim Fevzi; Antonson, Sibel A; Campillo-Funollet, Marc; Antonson, Donald; Munoz-Viveros, Carlos

2014-11-01

The aim of this in vitro study was to evaluate the effectiveness of a resin infiltrant (ICON) on marginal sealing ability of class II resin restorations with/without-caries. Forty-eight noncarious human pre-molar teeth were embedded and MO and DO preparations of standard dimensions were prepared. The left side of dentin margins of the cavities were left nonbonded (UB) while the right side were bonded using total etch-bonding agent and all restored with a Nanohybrid composite. The teeth were thermocycled and half of the specimens in the UB and B groups were subjected to an artificial caries process. ICON was applied to caries and noncaries subgroups following the manufacturer's directions. Impressions were made at each step: after the restorations were completed, thermocycling, artificial caries procedures, and infiltrant application and the silicone tag lengths were measured with a stereomicroscope. The specimens were immersed in 0.5% basic fuchsine at 37° C for 24 hours, sectioned and microleakage was evaluated with a stereomicroscope. Selected samples and their replicas were assessed for marginal quality under a stereomicroscope and SEM. Statistical evaluation of the data were made using Kruskal-Wallis, Mann-Whitney U and Wilcoxon Sign Rank tests. While bonding application did not create a meaningful difference, the thermocycling and artificial caries significantly increased the gap length and microleakage (p < 0.05). ICON application was decreased the microleakage, created gap-free margins and closed the gaps which were previously occurred at the same cavities (p < 0.05). A resin infiltrant (ICON) application decreased the microleakage, created gap-free margins and closed the gaps, which previously occurred at the same cavities. Approximal application of resin infiltrant may increase the success of the class II composite restorations also reduced the risk of needing more complex restoration therapy.

Bond strength of a composite resin to glass ionomer cements using different adhesive systems

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Ana Carolina de Oliveira BECCI

2017-08-01

Full Text Available Abstract Introduction Glass ionomer cements are often used as a base or cavity lining prior to restorative material. Objective To evaluate the bond strength of a composite resin to different glass ionomer cements, when using a two-step conventional and self-etching adhesive systems. Material and method Three glass ionomer cements (Ketac Molar Easymix, Vitremer and Vitrebond, the composite resin Filtek Z350 XT and the adhesive systems Adper Single Bond 2, Clearfil SE Bond and Adper Easy One were used. As negative control, resin was bonded to cement without using an adhesive system. Holes (4 mm diameter, 2 mm deep prepared in acrilic bloks were filled with the glass ionomer cements (n=12/group. On the surface, an area of 1mm in diameter was delimited, the adhesive system was applied, and a specimen of composite resin with 1 mm height was made. After 24 hours storage (37 °C and 100% humidity, the microshear test was performed. Data were analyzed using two-way ANOVA and Tukey test for comparison between groups (α=0.05. Result The adhesive systems significantly improved the bond strenght of composite resin to glass ionomer cements (p≤0.001. There was no significant difference in bond strength when self-etching adhesive systems were compared with the simplified etch-and-rinse adhesive, except for Vitrebond where Clearfil SE Bond determined higher bond strength when compared to Adper Single Bond 2 (p=0.003. Conclusion Self-etching adhesive systems are a good option for establishing the bond between the composite resin and the glass ionomer cement.

[Influence of retainer design on fixation strength of resin-bonded glass fiber reinforced composite fixed cantilever dentures].

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Petrikas, O A; Voroshilin, Iu G; Petrikas, I V

2013-01-01

Fiber-reinforced composite (FRC) fixed partial dentures (FPD) have become an accepted part of the restorative dentist's armamentarium. The aim of this study was to evaluate in vitro the influence of retainer design on the strength of two-unit cantilever resin-bonded glass FRC-FPDs. Four retainer designs were tested: a dual wing, a dual wing + horizontal groove, a dual wing + occlusal rest and a step-box. Of each design on 7 human mandibular molars, FRC-FPDs of a premolar size were produced. The FRC framework was made of resin Revolution (Kerr) impregnated glass fibers (GlasSpan, GlasSpan) and veneered with hybrid resin composite (Charisma, Kulzer). Revolution (Kerr) was used as resin luting cement. FRC-FPDs were loaded to failure in a universal testing machine. T (Student's)-test was used to evaluate the data. The four designs were analyzed with finite element analysis (FEA) to reveal the stress distribution within the tooth/restoration complex. Significantly lower fracture strengths were observed with inlay-retained FPDs (step-box: 172±11 N) compared to wing-retained FPDs (poptimal design for replacement of a single premolar by means of a two-unit cantilever FRC-FPDs.

Restorative dentistry for children.

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Donly, Kevin J

2013-01-01

This article discusses contemporary pediatric restorative dentistry. Indications and contraindications for the choice of different restorative materials in different clinical situations, including the risk assessment of the patient, are presented. The specific use of glass ionomer cement or resin-modified glass ionomer cement, resin-based composite, and stainless steel crowns is discussed so that preparation design and restoration placement is understood. Copyright © 2013 Elsevier Inc. All rights reserved.

The bond of different post materials to a resin composite cement and a resin composite core material.

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Stewardson, D; Shortall, A; Marquis, P

2012-01-01

To investigate the bond of endodontic post materials, with and without grit blasting, to a resin composite cement and a core material using push-out bond strength tests. Fiber-reinforced composite (FRC) posts containing carbon (C) or glass (A) fiber and a steel (S) post were cemented into cylinders of polymerized restorative composite without surface treatment (as controls) and after grit blasting for 8, 16, and 32 seconds. Additional steel post samples were sputter-coated with gold before cementation to prevent chemical interaction with the cement. Cylindrical composite cores were bonded to other samples. After sectioning into discs, bond strengths were determined using push-out testing. Profilometry and electron microscopy were used to assess the effect of grit blasting on surface topography. Mean (standard deviation) bond strength values (MPa) for untreated posts to resin cement were 8.41 (2.80) for C, 9.61(1.88) for A, and 19.90 (3.61) for S. Prolonged grit blasting increased bond strength for FRC posts but produced only a minimal increase for S. After 32 seconds, mean values were 20.65 (4.91) for C, 20.41 (2.93) for A, and 22.97 (2.87) for S. Gold-coated steel samples produced the lowest bond strength value, 7.84 (1.40). Mean bond strengths for untreated posts bonded to composite cores were 6.19 (0.95) for C, 13.22 (1.61) for A, and 8.82 (1.18) for S, and after 32 seconds of grit blasting the values were 17.30 (2.02) for C, 26.47 (3.09) for A, and 20.61 (2.67) for S. FRC materials recorded higher roughness values before and after grit blasting than S. With prolonged grit blasting, roughness increased for A and C, but not for S. There was no evidence of significant bonding to untreated FRC posts, but significant bonding occurred between untreated steel posts and the resin cement. Increases in the roughness of FRC samples were material dependent and roughening significantly increased bond strength values (p<0.05). Surface roughening of the tested FRC posts is

Fracture resistance of class IV fiber-reinforced composite resin restorations: An in vitro study

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P S Praveen Kumar

2017-01-01

Full Text Available Objectives: The aim of this study was to evaluate fracture resistance of incisal edge fractures (Class IV restored with a Glass Fiber-reinforced Composite (FRC. Materials and Methods: Twenty-four extracted sound maxillary central incisors were randomly divided into two groups. Group I (control contained untreated teeth. Samples in experimental groups II were prepared by cutting the incisal (one-third part of the crown horizontally and was subjected to enamel preparations, then restored with a Glass FRC. Fracture resistance was evaluated as Newton's for samples tested in a Hounsfield universal testing machine. Failure modes were examined microscopically. Results: Mean peak failure load (Newton's observed in Glass Fiber-reinforced Nanocomposite was 863.50 ± 76.12. The experimental group showed similar types of failure modes with the majority occurring as cohesive and mixed type. 58% of the teeth in Glass FRC group fractured below the cementoenamel junction. Conclusion: Using Fiber reinforced composite substructure under conventional composites in Class IV restorations, the fracture resistance of the restored incisal edge could be increased.

Treatment planning and smile design using composite resin.

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Marus, Robert

2006-05-01

Recent advances in dental materials and adhesive protocols have expanded the restorative procedures available to today's clinicians. Used in combination with proper treatment planning, these innovations enable dental professionals to provide enhanced aesthetic care that achieves the increasing expectations of their patients. Using a case presentation, this article will document the steps required to harmoniously integrate smile design, material selection, and patient communication that are involved in the provisional of aesthetic dental care. This article discusses the utilization of composite resin as a tool to enhance the patient's smile. Upon reading this article, the reader should: Become familiar with a smile-enhancing technique which can be completed in one office visit. Realize the benefits that intraoral composite mockups offer in terms of prototyping and confirming patient satisfaction.

Comparison of cone - beam computed tomography and intraoral radiography in detection of recurrent caries under composite restorations

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Kasraei, Shahin; Shokri, Abbas; Poorolajal, Jalal; Rahmani, Hamid, E-mail: Dr.a.shokri@gmail.com [Hamadan University of Medical Sciences Hamadan (Iran, Islamic Republic of); Khajeh, Samira [Kurdistan University of Medical Sciences, Sanandaj (Iran, Islamic Republic of)

2017-01-15

Secondary caries is the most common cause of dental restoration failures. This study aimed to compare the diagnostic accuracy of conventional and digital intraoral radiography and cone beam computed tomography (CBCT) for detection of recurrent caries around composite restorations mesio-occluso-distal (MOD) cavities were prepared using bur on 45 extracted sound human molar teeth. The teeth were divided into 3 groups. In the control group, cavities were restored with composite resin after etching and bonding (n=15). In Group 2, 500-μm thick wax was placed over the buccal, lingual and gingival walls and the cavities were restored with composite resin. Group 3 specimens were subjected to pH cycling and artificial caries were created on the buccal, lingual and gingival walls. The cavities were restored with composite. Conventional and digital photo-stimulable phosphor (PSP; Optime) radiographs and two CBCTs images (NewTom 3G and Cranex 3D) were obtained from them. Presence or absence of caries in the cavity walls was assessed on these images. Data were analyzed using Kappa statistic. The diagnostic accuracy of CBCT was significantly higher than that of digital and conventional intraoral radiography (p<0.05). The accuracy was 0.83, 0.78, 0.55 and 0.49 for CBCT Cranex 3D, CBCT NewTom 3G, conventional and digital intraoral radiography, respectively. CBCT has a higher diagnostic accuracy than digital and conventional intraoral radiography for detection of secondary caries around composite restorations. (author)

Comparison of cone - beam computed tomography and intraoral radiography in detection of recurrent caries under composite restorations

International Nuclear Information System (INIS)

Kasraei, Shahin; Shokri, Abbas; Poorolajal, Jalal; Rahmani, Hamid; Khajeh, Samira

2017-01-01

Secondary caries is the most common cause of dental restoration failures. This study aimed to compare the diagnostic accuracy of conventional and digital intraoral radiography and cone beam computed tomography (CBCT) for detection of recurrent caries around composite restorations mesio-occluso-distal (MOD) cavities were prepared using bur on 45 extracted sound human molar teeth. The teeth were divided into 3 groups. In the control group, cavities were restored with composite resin after etching and bonding (n=15). In Group 2, 500-μm thick wax was placed over the buccal, lingual and gingival walls and the cavities were restored with composite resin. Group 3 specimens were subjected to pH cycling and artificial caries were created on the buccal, lingual and gingival walls. The cavities were restored with composite. Conventional and digital photo-stimulable phosphor (PSP; Optime) radiographs and two CBCTs images (NewTom 3G and Cranex 3D) were obtained from them. Presence or absence of caries in the cavity walls was assessed on these images. Data were analyzed using Kappa statistic. The diagnostic accuracy of CBCT was significantly higher than that of digital and conventional intraoral radiography (p<0.05). The accuracy was 0.83, 0.78, 0.55 and 0.49 for CBCT Cranex 3D, CBCT NewTom 3G, conventional and digital intraoral radiography, respectively. CBCT has a higher diagnostic accuracy than digital and conventional intraoral radiography for detection of secondary caries around composite restorations. (author)

Surface Modified Characteristics of the Tetracalcium Phosphate as Light-Cured Composite Resin Fillers

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Wen-Cheng Chen

2014-01-01

Full Text Available The objectives of this study are to characterize the properties of light-cured composite resins that are reinforced with whisker surface-modified particles of tetracalcium phosphate (TTCP and to investigate the influence of thermal cycling on the reinforced composites properties. The characteristics of ultimate diametral tensile strength (DTS, moduli, pH values, and fracture surfaces of the samples with different amounts of surface-modified TTCP (30%–60% were determined before and after thermal cycling between 5°C and 55°C in deionized water for 600 cycles. The trends of all groups were ductile prior to thermal cycling and the moduli of all groups increased after thermal cycling. The ductile property of the control group without filler was not significantly affected. Larger amounts of fillers caused the particles to aggregate, subsequently decreasing the resin’s ability to disperse external forces and leading to brittleness after thermal cycling. Therefore, the trend of composite resins with larger amounts of filler would become more brittle and exhibited higher moduli after thermal cycling. This developed composite resin with surface modified-TTCP fillers has the potential to be successful dental restorative materials.

Shear-bond-strength of orthodontic brackets to aged nano-hybrid composite-resin surfaces using different surface preparation.

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Demirtas, Hatice Kubra; Akin, Mehmet; Ileri, Zehra; Basciftci, Faruk Ayhan

2015-01-01

The aim of this study was to evaluate the effects of different surface preparation methods on the shear bond strength (SBS) of orthodontic metal brackets to aged nano-hybrid resin composite surfaces in vitro. A total of 100 restorative composite resin discs, 6 mm in diameter and 3 mm thick, were obtained and treated with an ageing procedure. After ageing, the samples were randomly divided as follows according to surface preparation methods: (1)Control, (2)37% phosphoric acid gel, (3)Sandblasting, (4)Diamond bur, (5)Air-flow and 20 central incisor teeth were used for the control etched group. SBS test were applied on bonded metal brackets to all samples. SBS values and residual adhesives were evaluated. Analysis of variance showed a significant difference (porthodontic metal brackets to nano-hybrid composite resin surfaces.

Porcelain veneer post-bonding crack repair by resin infiltration.

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Gresnigt, Marco; Magne, Michel; Magne, Pascal

Ceramic laminate veneer restorations are indicated in several clinical situations. Indirect restorations are usually chosen if the less-invasive options - bleaching, resin infiltration, or composite resin restorations - are not possible, or when it is too difficult to achieve an esthetically pleasing result in the long term. Bonded indirect partial restorations are highly dependent on their adhesive interface, as these thin restorations have a relatively low cohesive strength. Therefore, preservation of sound enamel, conditioning of the restorations and of the substrate, and luting procedures are of paramount importance for a successful outcome. Even when utmost care is taken during every step of the procedure, failures such as fractures, chipping, or marginal discoloration and defects sometimes occur. Only very few of these cases of failure are presented or are a subject of interest. In this case presentation, a fracture repair is performed using an infiltration technique with a resin composite material.

Repair bond strength of resin composite to bilayer dental ceramics

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2018-01-01

PURPOSE The purpose of this study was to investigate the effect of various surface treatments (ST) on the shear bond strength of resin composite to three bilayer dental ceramics made by CAD/CAM and two veneering ceramics. MATERIALS AND METHODS Three different bilayer dental ceramics and two different veneering ceramics were used (Group A: IPS e.max CAD+IPS e.max Ceram; Group B: IPS e.max ZirCAD+IPS e.max Ceram, Group C: Vita Suprinity+Vita VM11; Group D: IPS e.max Ceram; Group E: Vita VM11). All groups were divided into eight subgroups according to the ST. Then, all test specimens were repaired with a nano hybrid resin composite. Half of the test specimens were subjected to thermocycling procedure and the other half was stored in distilled water at 37℃. Shear bond strength tests for all test specimens were carried out with a universal testing machine. RESULTS There were statistically significant differences among the tested surface treatments within the all tested fracture types (P.00125). CONCLUSION This study revealed that HF etching for glass ceramics and sandblasting for zirconia ceramics were adequate for repair of all ceramic restorations. The effect of ceramic type exposed on the fracture area was not significant on the repair bond strength of resin composites to different ceramic types. PMID:29713430

Surface roughness of etched composite resin in light of composite repair

NARCIS (Netherlands)

Loomans, B.A.C.; Cardoso, M.V.; Opdam, N.J.M.; Roeters, F.J.M.; Munck, J. De; Huysmans, M.C.D.N.J.M.; Meerbeek, B. Van

2011-01-01

OBJECTIVES: In search for clinically effective composite repair protocols, the effect of various etching protocols on the surface roughness of composite resins with different filler composition were investigated. METHODS: Of two composite resins (hybrid-filled Clearfil AP-X; nano-filled Filtek

Accelerated Fatigue Resistance of Thick CAD/CAM Composite Resin Overlays Bonded with Light- and Dual-polymerizing Luting Resins.

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Goldberg, Jack; Güth, Jan-Frederik; Magne, Pascal

To evaluate the accelerated fatigue resistance of thick CAD/CAM composite resin overlays luted with three different bonding methods. Forty-five sound human second mandibular molars were organized and distributed into three experimental groups. All teeth were restored with a 5-mm-thick CAD/CAM composite resin overlay. Group A: immediate dentin sealing (IDS) with Optibond FL and luted with light-polymerizing composite (Herculite XRV). Group B: IDS with Optibond FL and luted with dual-polymerizing composite (Nexus 3). Group C: direct luting with Optibond FL and dual-polymerizing composite (Nexus 3). Masticatory forces at a frequency of 5 Hz were simulated using closed-loop servo-hydraulics and forces starting with a load of 200 N for 5000 cycles, followed by steps of 400, 600, 800, 1000, 1200 and 1400 N for a maximum of 30,000 cycles. Each step was applied through a flat steel cylinder at a 45-degree angle under submerged conditions. The fatigue test generated one failure in group A, three failures in group B, and no failures in group C. The survival table analysis for the fatigue test did not demonstrate any significant difference between the groups (p = 0.154). The specimens that survived the fatigue test were set up for the load-to-failure test with a limit of 4600 N. The survival table analysis for the load-to-failure test demonstrates an average failure load of 3495.20 N with survival of four specimens in group A, an average failure load of 4103.60 N with survival of six specimens in group B, and an average failure load of 4075.33 N with survival of nine specimens in group C. Pairwise comparisons revealed no significant differences (p composites in combination with IDS are not contraindicated with thick restorations.

Effect of water storage on the translucency of silorane-based and dimethacrylate-based composite resins with fibres.

Science.gov (United States)

Ozakar Ilday, Nurcan; Celik, Neslihan; Bayindir, Yusuf Ziya; Seven, Nilgün

2014-06-01

The purposes of this study were (1) to determine the translucency of silorane and dimethacrylate-based composite resins and (2) to evaluate the effect of water storage and reinforcement with fibre on the translucency of composite resins. Two light-cured composite resins (A2 shade), Filtek Silorane (silorane-based composite) and Valux Plus (dimethacrylate-based composite), were used in this study. The first group was used as the control with no reinforcements, the second was reinforced with polyethylene (Ribbond THM) and the third was reinforced with a glass fibre (Everstick Net) for each composite resin. Colour measurements were measured against white and black backgrounds with a Shadepilot (Degu Dent Gmbh, Hanau, Germany) spectrophotometer and recorded under a D65 light source, which reflects daylight. CIELAB parameters of each specimen were recorded at baseline and at 24 h, 168 h and 504 h. Translucency of materials was calculated using the translucency parameter (TP) formula. Data were analyzed using repeated measures ANOVA and LSD post hoc tests (α=0.05). The highest baseline TP value was in the Valux Plus/non-fibre reinforced group (14.06±1) and the lowest in the Filtek Silorane/Ribond THM group (8.98±1.11). Repeated measures ANOVA revealed significant effects from the factors storage time, composite resin, composite resin×storage time and fibre×time (p=0.047; p=0.001; p=0.013; p=0.022, respectively). Within the limitations of the study, we concluded that inclusion of polyethylene and glass fibres did not alter the translucency of the different-based composite resins. The longest storage time resulted in the greatest change in translucency values of Filtek Silorane composite resins. Considering the translucencies of composites with different formulations in the selection of composite resins for aesthetic restorations is important in terms of obtaining optimal aesthetic outcomes. Copyright © 2014 Elsevier Ltd. All rights reserved.

The effect of different beverages on surface hardness of nanohybrid resin composite and giomer

Science.gov (United States)

Tanthanuch, Saijai; Kukiattrakoon, Boonlert; Siriporananon, Chantima; Ornprasert, Nawanda; Mettasitthikorn, Wathu; Likhitpreeda, Salinla; Waewsanga, Sulawan

2014-01-01

Aims: To investigate the effects of five beverages (apple cider, orange juice, Coca-Cola, coffee, and beer) on microhardness and surface characteristic changes of nanohybrid resin composite and giomer. Materials and Methods: Ninety-three specimens of each resin composite and giomer were prepared. Before immersion, baseline data of Vicker's microhardness was recorded and surface characteristics were examined using scanning electron microscopy (SEM). Five groups of discs (n = 18) were alternately immersed in 25 mL of each beverage for 5 s and in 25 mL of artificial saliva for 5 s for 10 cycles. Specimens were then stored in artificial saliva for 24 h. This process was repeated for 28 days. After immersion, specimens were evaluated and data were analyzed by two-way repeated analysis of variance (ANOVA), Tukey's honestly significant difference (HSD), and a t-test (α = 0.05). Results: Microhardness of all groups significantly decreased after being immersed in the tested beverages (P < 0.05). SEM photomicrographs presented surface degradation of all groups. Conclusions: The effect of these beverages on the surface of both restorative materials also depended upon the exposure time and chemical composition of the restorative materials and beverages. PMID:24944451

Fracture resistance of premolar teeth restored with silorane-based or dimethacrylate-based composite resins.

Science.gov (United States)

Akbarian, Golsa; Ameri, Hamideh; Chasteen, Joseph E; Ghavamnasiri, Marjaneh

2014-01-01

To restore posterior teeth using low-shrinkage composite to minimize microleakage. To compare the fracture resistance of mesio-occlusal-distal (MOD) cavity preparations restored with either low-shrinkage composite or with dimethacrylate-based composite in conjunction with cavity liners and without them. The null hypothesis of the study is that there are no differences in either fracture resistance or fracture mode between the silorane group and dimethacrylate groups with and without the use of cavity liners. Sixty maxillary premolars were divided into six groups of 10. MOD cavities were prepared in four groups: F: posterior composite (Filtek P60); GF: 0.5-mm Glass Ionomer (Fuji LC) + posterior composite; FF: 0.5-mm flowable composite (Filtek Supreme XT) + posterior composite; and S: low-shrinkage composite (Filtek P90). Negative (N) and positive (P) control groups consisted of unrestored and sound teeth, respectively. The specimens were thermocycled and loaded. Data were analyzed using analysis of variance, Tukey, and chi-square tests (α = 0.05). Groups FF (1643.09 ± 187/80 N) and GF (1596.80 ± 163/93 N) (p = 0.06 > 0.05) were statistically identical, although less than group P (1742/33 ± 110/08 N), but still demonstrated greater fracture resistance than the other groups. The fracture resistance of group S (1434/69 ± 107/62 N) was identical to GF and FF (p = 0.06 > 0.05). The fracture resistance of F (1353/19 ± 233/90 N) was less than GF and FF, and statistically identical to S (p = 0.87 > 0.05). Silorane-based composite showed a resistance to fracture similar to methacrylate-based composite restorations regardless of whether cavity liners were used. The findings of this study support the selection of silorane-based composite for the restoration of maxillary premolars with standardized Class II cavity preparations in order to strengthen the resistance to fracture to the same extent as do dimethacrylate

SEM and elemental analysis of composite resins

International Nuclear Information System (INIS)

Hosoda, H.; Yamada, T.; Inokoshi, S.

1990-01-01

Twenty-four chemically cured, 21 light-cured anterior, three light-cured anterior/posterior, and 18 light-cured posterior composite resins were examined using scanning electron microscopy, and the elemental composition of their filler particles was analyzed with an energy dispersive electron probe microanalyzer. According to the results obtained, the composite resins were divided into five groups (traditional, microfilled type, submicrofilled type, hybrid type, and semihybrid), with two additional hypothetical categories (microfilled and hybrid). Characteristics of each type were described with clinical indications for selective guidance of respective composite resins for clinical use

SEM Evaluation of Surrounding Enamel after Finishing of Composite Restorations- Preliminary Results

Science.gov (United States)

Iovan, G.; Stoleriu, S.; Solomon, S.; Ghiorghe, A.; Sandu, A. V.; Andrian, S.

2017-06-01

The purpose of this study was to analyze the surface characteristics of the enamel adjacent to composite resin after finishing the restoration with different diamond and tungsten carbide burs. The topography of enamel was observed by using a scanning electron microscope. Finishing with extra-/ultra-fine carbide burs, and extra-fine diamond burs resulted in smooth surfaces. In few areas some superficial scratches with no clinical relevance were observed. Deep grooves were observed on the surface of enamel when fine diamond burs were used. Finishing of composite restorations with coarse burs should be avoided when there is a high risk of touching and scratching adjacent enamel during the procedure.

Evaluation of Polymerization Efficacy in Composite Resins via FT-IR Spectroscopy and Vickers Microhardness Test

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Tahereh-Sadat Jafarzadeh

2015-12-01

Full Text Available Background and aims. Polymerization efficacy affects the properties and performance of composite resin restorations.The purpose of this study was to evaluate the effectiveness of polymerization of two micro-hybrid, two nano-hybrid and one nano-filled ormocer-based composite resins, cured by two different light-curing systems, using Fourier transformation infrared (FT-IR spectroscopy and Vickers microhardness testing at two different depths (top surface, 2 mm. Materials and methods. For FT-IR spectrometry, five cylindrical specimens (5mm in diameter × 2 mm in length were prepared from each composite resin using Teflon molds and polymerized for 20 seconds. Then, 70-μm wafers were sectioned at the top surface and at2mm from the top surface. The degree of conversion for each sample was calculated using FT-IR spectroscopy. For Vickers micro-hardness testing, three cylindrical specimens were prepared from each composite resin and polymerized for 20 seconds. The Vickers microhardness test (Shimadzu, Type M, Japan was performed at the top and bottom (depth=2 mm surfaces of each specimen. Three-way ANOVA with independent variables and Tukey tests were performed at 95% significance level. Results. No significant differences were detected in degree of conversion and microhardness between LED and QTH light-curing units except for the ormocer-based specimen, CeramX, which exhibited significantly higher DC by LED. All the composite resins showed a significantly higher degree of conversion at the surface. Microhardness was not significantly affected by depth, except for Herculite XRV Ultra and CeramX, which showed higher values at the surface. Conclusion. Composite resins containing nano-particles generally exhibited more variations in degree of conversion and microhardness.

Evaluation of Polymerization Efficacy in Composite Resins via FT-IR Spectroscopy and Vickers Microhardness Test.

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Jafarzadeh, Tahereh-Sadat; Erfan, Mohammad; Behroozibakhsh, Marjan; Fatemi, Mostafa; Masaeli, Reza; Rezaei, Yashar; Bagheri, Hossein; Erfan, Yasaman

2015-01-01

Background and aims. Polymerization efficacy affects the properties and performance of composite resin restorations.The purpose of this study was to evaluate the effectiveness of polymerization of two micro-hybrid, two nano-hybrid and one nano-filled ormocer-based composite resins, cured by two different light-curing systems, using Fourier transformation infrared (FT-IR) spectroscopy and Vickers microhardness testing at two different depths (top surface, 2 mm). Materials and methods. For FT-IR spectrometry, five cylindrical specimens (5mm in diameter × 2 mm in length) were prepared from each composite resin using Teflon molds and polymerized for 20 seconds. Then, 70-μm wafers were sectioned at the top surface and at2mm from the top surface. The degree of conversion for each sample was calculated using FT-IR spectroscopy. For Vickers micro-hardness testing, three cylindrical specimens were prepared from each composite resin and polymerized for 20 seconds. The Vickers microhardness test (Shimadzu, Type M, Japan) was performed at the top and bottom (depth=2 mm) surfaces of each specimen. Three-way ANOVA with independent variables and Tukey tests were performed at 95% significance level. Results. No significant differences were detected in degree of conversion and microhardness between LED and QTH light-curing units except for the ormocer-based specimen, CeramX, which exhibited significantly higher DC by LED. All the composite resins showed a significantly higher degree of conversion at the surface. Microhardness was not significantly affected by depth, except for Herculite XRV Ultra and CeramX, which showed higher values at the surface. Conclusion. Composite resins containing nano-particles generally exhibited more variations in degree of conversion and microhardness.

Bonding to new CAD/CAM resin composites: influence of air abrasion and conditioning agents as pretreatment strategy.

Science.gov (United States)

Reymus, Marcel; Roos, Malgorzata; Eichberger, Marlis; Edelhoff, Daniel; Hickel, Reinhard; Stawarczyk, Bogna

2018-04-27

Because of their industrially standardized process of manufacturing, CAD/CAM resin composites show a high degree of conversion, making a reliable bond difficult to achieve. The purpose of this experiment was to investigate the tensile bond strength (TBS) of luting composite to CAD/CAM resin composite materials as influenced by air abrasion and pretreatment strategies. The treatment factors of the present study were (1) brand of the CAD/CAM resin composite (Brilliant Crios [Coltene/Whaledent], Cerasmart [GC Europe], Shofu Block HC [Shofu], and Lava Ultimate [3M]); (2) air abrasion vs. no air abrasion; and (3) pretreatment using a silane primer (Clearfil Ceramic Primer, Kuraray) vs. a resin primer (One Coat 7 Universal, Coltene/Whaledent). Subsequently, luting composite (DuoCem, Coltene/Whaledent) was polymerized onto the substrate surface using a mold. For each combination of the levels of the three treatment factors (4 (materials) × 2 (air abrasion vs. no air abrasion; resin) × 2 (primer vs. silane primer)), n = 15, specimens were prepared. After 24 h of water storage at 37 °C and 5000 thermo-cycles (5/55 °C), TBS was measured and failure types were examined. The resulting data was analyzed using Kaplan-Meier estimates of the cumulative failure distribution function with Breslow-Gehan tests and non-parametric ANOVA (Kruskal-Wallis test) followed by the multiple pairwise Mann-Whitney U test with α-error adjustment using the Benjamini-Hochberg procedure and chi-square test (p CAD/CAM resin composites, the restorations should be air abraded and pretreated using a resin primer containing methyl-methacrylate to successfully bond to the luting composite. The pretreatment of the CAD/CAM resin composite using merely a silane primer results in deficient adhesion. For a reliable bond of CAD/CAM resin composites to the luting composite, air abrasion and a special pretreatment strategy are necessary in order to achieve promising long-term results.

To evaluate and compare the effect of different Post Surface treatments on the Tensile Bond Strength between Fiber Posts and Composite Resin.

OpenAIRE

Shori, Deepa; Pandey, Swapnil; Kubde, Rajesh; Rathod, Yogesh; Atara, Rahul; Rathi, Shravan

2013-01-01

Background: Fiber posts are widely used for restoration of mutilated teeth that lack adequate coronal tooth structure to retain a core for definitive restoration, bond between the fiber post and composite material depends upon the chemical reaction between the post surface and the resin material used for building up the core. In attempt to maximize the resin bonding with fiber post, different post surface conditioning is advocated. Therefore the purpose of the study is to examine the interfac...

Longevity of posterior composite restorations: not only a matter of materials.

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Demarco, Flávio F; Corrêa, Marcos B; Cenci, Maximiliano S; Moraes, Rafael R; Opdam, Niek J M

2012-01-01

Resin composites have become the first choice for direct posterior restorations and are increasingly popular among clinicians and patients. Meanwhile, a number of clinical reports in the literature have discussed the durability of these restorations over long periods. In this review, we have searched the dental literature looking for clinical trials investigating posterior composite restorations over periods of at least 5 years of follow-up published between 1996 and 2011. The search resulted in 34 selected studies. 90% of the clinical studies indicated that annual failure rates between 1% and 3% can be achieved with Class I and II posterior composite restorations depending on several factors such as tooth type and location, operator, and socioeconomic, demographic, and behavioral elements. The material properties showed a minor effect on longevity. The main reasons for failure in the long term are secondary caries, related to the individual caries risk, and fracture, related to the presence of a lining or the strength of the material used as well as patient factors such as bruxism. Repair is a viable alternative to replacement, and it can increase significantly the lifetime of restorations. As observed in the literature reviewed, a long survival rate for posterior composite restorations can be expected provided that patient, operator and materials factors are taken into account when the restorations are performed. Copyright © 2011 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Effect of different composite core materials on fracture resistance of endodontically treated teeth restored with FRC posts

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Prapaporn PANITIWAT

Full Text Available Abstract Objective This study evaluated the fracture resistance of endodontically treated teeth restored with fiber reinforced composite posts, using three resin composite core build-up materials, (Clearfil Photo Core (CPC, MultiCore Flow (MCF, and LuxaCore Z-Dual (LCZ, and a nanohybrid composite, (Tetric N-Ceram (TNC. Material and Methods Forty endodontically treated lower first premolars were restored with quartz fiber posts (D.T. Light-Post cemented with resin cement (Panavia F2.0. Samples were randomly divided into four groups (n=10. Each group was built-up with one of the four core materials following its manufacturers’ instructions. The teeth were embedded in acrylic resin blocks. Nickel-Chromium crowns were fixed on the specimens with resin cement. The fracture resistance was determined using a universal testing machine with a crosshead speed of 1 mm/min at 1350 to the tooth axis until failure occurred. All core materials used in the study were subjected to test for the flexural modulus according to ISO 4049:2009. Results One-way ANOVA and Bonferroni multiple comparisons test indicated that the fracture resistance was higher in the groups with CPC and MCF, which presented no statistically significant difference (p>0.05, but was significantly higher than in those with LCZ and TNC (p<0.05. In terms of the flexural modulus, the ranking from the highest values of the materials was aligned with the same tendency of fracture loads. Conclusion Among the cores used in this study, the composite core with high filler content tended to enhance fracture thresholds of teeth restored with fiber posts more than others.

Occlusal wear of provisional implant-supported restorations.

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Santing, Hendrik J; Kleverlaan, Cornelis J; Werner, Arie; Feilzer, Albert J; Raghoebar, Gerry M; Meijer, Henny J A

2015-02-01

Implant-supported provisional restorations should be resistant to occlusal wear. The purpose of this laboratory study was to evaluate three-body wear of three indirect laboratory composite resins, five chair side bis-acryl resin-based materials, and two chair side methacrylate-based materials used to fabricate provisional implant-supported restorations. The materials were handled and cured according to the manufacturers' instructions. The three-body wear was measured 1 day, 3 days, 7 days, 4 weeks, and 8 weeks after curing using the ACTA wear device. Wear rate decreased significantly after 8 weeks compared with the first day for all tested materials, except for Estenia C&B. The three-body wear of two indirect laboratory composite resins, that is, Estenia C&B and Solidex, was significantly less compared with all other tested materials used for fabricating provisional implant-supported restorations. Of the chair side materials, the wear rate of Protemp Crown Paste was significantly less compared with the others materials used to fabricate chair side provisional implant-supported restorations. The methacrylate-based materials, Temdent Classic and Trim, showed extreme high wear rates. Based on the results of this laboratory study on long-term wear, the use of indirect composite resin is preferred over chair side methacrylate-based materials when the provisional implant-supported restoration has to be in service for a long period of time. Of the investigated materials, only Estenia C&B and Solidex showed wear rate comparable with posterior resin composites. © 2013 Wiley Periodicals, Inc.

Effect of Pre-heating on Microtensile Bond Strength of Composite Resin to Dentin.

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Abdolrahim Davari

2014-10-01

Full Text Available Direct composite resin restorations are widely used and the impact of different storage temperatures on composites is not well understood. The purpose of this study was to evaluate the microtensile bond strength of composite to dentin after different pre-curing temperatures.Occlusal surfaces of 44 human molars were ground with diamond burs under water coolant and polished with 600 grit silicon carbide papers to obtain flat dentin surfaces. The dentin was etched with 37% phosphoric acid and bonded with Adper Single Bond 2 according to the manufacturer's instructions. The specimens were randomly divided into two groups (n=22 according to the composite resin applied: FiltekP60 and Filtek Z250. Each group included three subgroups of composite resin pre-curing temperatures (4°C, 23°C and 37°C. Composite resins were applied to the dentin surfaces in a plastic mold (8mm in diameter and 4mm in length incrementally and cured. Twenty-two composite-to-dentin hour-glass sticks with one mm(2 cross-sectional area per group were prepared. Microtensile bond strength measurements were made using a universal testing machine at a crosshead speed of one mm/min. For statistical analysis, t-test, one-way and two-way ANOVA were used. The level of significance was set at P<0.05.Filtek P60 pre-heated at 37ºC had significantly higher microtensile bond strength than Filtek Z250 under the same condition. The microtensile bond strengths were not significantly different at 4ºC, 23ºC and 37ºC subgroups of each composite resin group.Filtek P60 and Filtek Z250 did not have significantly different microtensile bond strengths at 4ºC and 23ºC but Filtek P60 had significantly higher microtensile bond strength at 37 ºC. Composite and temperature interactions had significant effects on the bond strength.

Temperature changes under demineralized dentin during polymerization of three resin-based restorative materials using QTH and LED units.

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Mousavinasab, Sayed-Mostafa; Khoroushi, Maryam; Moharreri, Mohammadreza; Atai, Mohammad

2014-08-01

Light-curing of resin-based materials (RBMs) increases the pulp chamber temperature, with detrimental effects on the vital pulp. This in vitro study compared the temperature rise under demineralized human tooth dentin during light-curing and the degrees of conversion (DCs) of three different RBMs using quartz tungsten halogen (QTH) and light-emitting diode (LED) units (LCUs). Demineralized and non-demineralized dentin disks were prepared from 120 extracted human mandibular molars. The temperature rise under the dentin disks (n = 12) during the light-curing of three RBMs, i.e. an Ormocer-based composite resin (Ceram. X, Dentsply DeTrey), a low-shrinkage silorane-based composite (Filtek P90, 3M ESPE), and a giomer (Beautifil II, Shofu GmbH), was measured with a K-type thermocouple wire. The DCs of the materials were investigated using Fourier transform infrared spectroscopy. The temperature rise under the demineralized dentin disks was higher than that under the non-demineralized dentin disks during the polymerization of all restorative materials (p 0.05). Although there were no significant differences in the DCs, the temperature rise under demineralized dentin disks for the silorane-based composite was higher than that for dimethacrylate-based restorative materials, particularly with QTH LCU.

Temperature changes under demineralized dentin during polymerization of three resin-based restorative materials using QTH and LED units

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Sayed-Mostafa Mousavinasab

2014-08-01

Full Text Available Objectives Light-curing of resin-based materials (RBMs increases the pulp chamber temperature, with detrimental effects on the vital pulp. This in vitro study compared the temperature rise under demineralized human tooth dentin during light-curing and the degrees of conversion (DCs of three different RBMs using quartz tungsten halogen (QTH and light-emitting diode (LED units (LCUs. Materials and Methods Demineralized and non-demineralized dentin disks were prepared from 120 extracted human mandibular molars. The temperature rise under the dentin disks (n = 12 during the light-curing of three RBMs, i.e. an Ormocer-based composite resin (Ceram. X, Dentsply DeTrey, a low-shrinkage silorane-based composite (Filtek P90, 3M ESPE, and a giomer (Beautifil II, Shofu GmbH, was measured with a K-type thermocouple wire. The DCs of the materials were investigated using Fourier transform infrared spectroscopy. Results The temperature rise under the demineralized dentin disks was higher than that under the non-demineralized dentin disks during the polymerization of all restorative materials (p 0.05. Conclusions Although there were no significant differences in the DCs, the temperature rise under demineralized dentin disks for the silorane-based composite was higher than that for dimethacrylate-based restorative materials, particularly with QTH LCU.

Microtensile Bond Strength of New Ceramic/Polymer Materials Repaired with Composite Resin

Science.gov (United States)

2015-06-30

also have been shown to have higher enamel wear rates than composite-resin CAD/CAM restorations (Mӧrmann et al, 2013). As material choices, cost, and...although the longevity of these repairs has not been validated by clinical studies. Paradigm MZ100 showed the least amount of opposing enamel wear...ability to absorb shock, resist staining and stop crack propagation. Further manufacturer claims are that ceramic/polymer materials are easily

The effect of CO2 laser irradiation plus fluoride dentifrice on the inhibition of secondary caries on root surfaces adjacent to glass ionomer cement or composite resin restorations

International Nuclear Information System (INIS)

Rodrigues, S R; Moraes, M; Youssef, M N; De Souza-Zaroni, W C; Hanashiro, F S; Brugnera Junior, A; Nobre-dos-Santos, M

2016-01-01

Although the cariostatic effects of CO 2 laser on the root surface have been shown, there is scarce information regarding its effects on root secondary caries. The objective of this research was to investigate the effect of the association of CO 2 laser and a fluoride dentifrice on the inhibition of secondary caries on root surfaces adjacent to composite-resin or glass-ionomer-cement restorations. Dental blocks of human roots were divided into two groups: composite resin (CR) or glass ionomer cement (GIC). Subsequently, the blocks were divided into four subgroups (n  =  10): C, non-fluoride dentifrice; FD, fluoride dentifrice; L, CO 2 laser with an energy density of 6.0 J cm −2   +  non-fluoride dentifrice; and L  +  FD, CO 2 laser  +  fluoride dentifrice. The blocks were subjected to pH cycling to simulate a high cariogenic challenge. Dental demineralization around the restorations was quantified by microhardness analysis. The results were subjected to analysis of variance (ANOVA) and the Tukey–Kramer test (p  ⩽  0.05). As for mineral loss, it can be observed that all the groups that were treated with a fluoride dentifrice and laser, used alone or not, were statistically similar and superior to the RC–C group. It was concluded that CO 2 laser irradiation and a fluoride dentifrice used alone or combined with each other are efficient surface treatments for preventing secondary root caries, regardless of the restorative material used. (paper)

Correlations of norbornenyl crosslinked polyimide resin structures with resin thermo-oxidative stability, resin glass transition temperature and composite initial mechanical properties

Science.gov (United States)

Alston, William B.

1988-01-01

PMR (polymerization of monomeric reactants) methodology was used to prepare 70 different polyimide oligomeric resins and 30 different unidirectional graphite fiber/polyimide composites. Monomeric composition as well as chain length between sites of crosslinks were varied to examine their effects on resin thermo-oxidative stability and glass transition temperature (Tg) of the cured/postcured resins. A linear correlation of decreasing 316 C resin weight loss/surface area versus (1) decreasing aliphatic content, or (2) increasing benzylic/aliphatic content stoichiometry ratio over a wide range of resin compositions was observed. An almost linear correlation of Tg versus molecular distance between the crosslinks was also observed. An attempt was made to correlate Tg with initial composite mechanical properties (flexural strength and interlaminar shear strength). However, the scatter in mechanical strength data prevented obtaining a clear correlation. Instead, only a range of composite mechanical properties was obtained at 25, 288, and 316 C. Perhaps more importantly, what did become apparent during the correlation study was (1) the PMR methodology could be used to prepare composites from resins containing a wide variety of monomer modifications, (2) that these composites almost invariably provided satisfactory initial mechanical properties as long as the resins formulated exhibited satisfactory processing flow, and (3) that PMR resins exhibited predictable rates of 316 C weight loss/surface area based on their benzylic/aliphatic stoichiometery ratio.

Post-irradiation hardness of resin-modified glass ionomer cements and a polyacid-modified composite resin

International Nuclear Information System (INIS)

Yap, A.U.J.

1997-01-01

This study examined the post-irradiation hardness of resin-modified glass ionomer cements and a polyacid-modified composite resin using a digital microhardness tester. Change in hardness of these materials over a period of 6 months was compared to that of conventional glass ionomer cements and a composite resin. With the exception of the composite resin, all materials showed a significant increase in hardness over 24 h after their initial set. Dual-cure resin-modified glass ionomer cements showed decreased hardness with increased storage time in saline at 37 o C. Results suggest that the addition of resins to glass ionomer cements does not improve initial hardness and does not negate the acid-base reaction of conventional cements. Resin addition may, however, lead to increased water sorption and decreased hardness. (author)

Marginal and internal fit of nano-composite CAD/CAM restorations

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So-Hyun Park

2016-02-01

Full Text Available Objectives The purpose of this study was to compare the marginal and internal fit of nano-composite CAD-CAM restorations. Materials and Methods A full veneer crown and an mesio-occluso-distal (MOD inlay cavity, which were prepared on extracted human molars, were used as templates of epoxy resin replicas. The prepared teeth were scanned and CAD-CAM restorations were milled using Lava Ultimate (LU and experimental nano-composite CAD/CAM blocks (EB under the same milling parameters. To assess the marginal and internal fit, the restorations were cemented to replicas and were embedded in an acrylic mold for sectioning at 0.5 mm intervals. The measured gap data were pooled according to the block types and measuring points for statistical analysis. Results Both the block type and measuring point significantly affected gap values, and their interaction was significant (p = 0.000. In crowns and inlays made from the two blocks, gap values were significantly larger in the occlusal area than in the axial area, while gap values in the marginal area were smallest (p < 0.001. Among the blocks, the restorations milled from EB had a significantly larger gap at all measuring points than those milled from LU (p = 0.000. Conclusions The marginal and internal gaps of the two nano-composite CAD/CAM blocks differed according to the measuring points. Among the internal area of the two nano-composite CAD/CAM restorations, occlusal gap data were significantly larger than axial gap data. The EB crowns and inlays had significantly larger gaps than LU restorations.

Clinical performance of direct versus indirect composite restorations in posterior teeth: A systematic review.

Science.gov (United States)

Azeem, Rubeena Abdul; Sureshbabu, Nivedhitha Malli

2018-01-01

Composite resin, serves as esthetic alternative to amalgam and cast restorations. Posterior teeth can be restored using direct or indirect composite restorations. The selection between direct and indirect technique is a clinically challenging decision-making process. Most important influencing factor is the amount of remaining tooth substance. The aim of this systematic review was to compare the clinical performance of direct versus indirect composite restorations in posterior teeth. The databases searched included PubMed CENTRAL (until July 2015), Medline, and Cochrane Database of Systematic Reviews. The bibliographies of clinical studies and reviews identified in the electronic search were analyzed to identify studies which were published outside the electronically searched journals. The primary outcome measure was evaluation of the survival of direct and indirect composite restorations in posterior teeth. This review included thirteen studies in which clinical performance of various types of direct and indirect composite restorations in posterior teeth were compared. Out of the thirteen studies which were included seven studies had a high risk of bias and five studies had a moderate risk of bias. One study having a low risk of bias, concluded that there was no significant difference between direct and indirect technique. However, the available evidence revealed inconclusive results. Further research should focus on randomized controlled trials with long term follow-up to give concrete evidence on the clinical performce of direct and indirect composite restorations.

Lava ultimate resin nano ceramic for CAD/ CAM: customization case study.

Science.gov (United States)

Koller, M; Arnetzl, G V; Holly, L; Arnetzl, G

2012-01-01

Lava Ultimate Resin Nano Ceramic (RNC) blocks are innovative new CAD/CAM materials that make it possible to achieve superior esthetic results in easy steps. The blocks are made of nano ceramic particles embedded in a highly cured resin matrix. Therefore, composite materials can be used to characterize and adjust resin nano ceramic restorations after milling. The milled RNC restorations can be individualized intra-orally or extra-orally, either before or after insertion. Unlike conventional ceramic restorations, customization and glaze firing is neither necessary nor possible with RNC restorations. This opens up the opportunity for intraoral individualization and adaptation of the restorations.

The effect of polishing technique on 3-D surface roughness and gloss of dental restorative resin composites.

Science.gov (United States)

Ereifej, N S; Oweis, Y G; Eliades, G

2013-01-01

The aim of this study was to compare surface roughness and gloss of resin composites polished using different polishing systems. Five resin composites were investigated: Filtek Silorane (FS), IPS Empress Direct (IP), Clearfil Majesty Posterior (CM), Premise (PM), and Estelite Sigma (ES). Twenty-five disk specimens were prepared from each material, divided into five groups, each polished with one of the following methods: Opti1Step (OS), OptiDisc (OD), Kenda CGI (KD), Pogo (PG), or metallurgical polishing (ML). Gloss and roughness parameters (Sa, Sz, Sq, and St) were evaluated by 60°-angle glossimetry and white-light interferometric profilometry. Two-way analysis of variance was used to detect differences in different materials and polishing techniques. Regression and correlation analyses were performed to examine correlations between roughness and gloss. Significant differences in roughness parameters and gloss were found according to the material, type of polishing, and material/polishing technique (pgloss was recorded for PM/ML (88.4 [2.3]) and lowest for FS/KD (30.3 [5.7]). All roughness parameters were significantly correlated with gloss (r= 0.871, 0.846, 0.713, and 0.707 for Sa, Sq, Sz, St, and gloss, respectively). It was concluded that the polishing procedure and the type of composite can have significant impacts on surface roughness and gloss of resin composites.

Survival of extensively damaged endodontically treated incisors restored with different types of posts-and-core foundation restoration material.

Science.gov (United States)

Lazari, Priscilla Cardoso; de Carvalho, Marco Aurélio; Del Bel Cury, Altair A; Magne, Pascal

2018-05-01

Which post-and-core combination will best improve the performance of extensively damaged endodontically treated incisors without a ferrule is still unclear. The purpose of this in vitro study was to investigate the restoration of extensively damaged endodontically treated incisors without a ferrule using glass-ceramic crowns bonded to various composite resin foundation restorations and 2 types of posts. Sixty decoronated endodontically treated bovine incisors without a ferrule were divided into 4 groups and restored with various post-and-core foundation restorations. NfPfB=no-ferrule (Nf) with glass-fiber post (Pf) and bulk-fill resin foundation restoration (B); NfPfP=no-ferrule (Nf) with glass-fiber post (Pf) and dual-polymerized composite resin core foundation restoration (P); NfPt=no-ferrule (Nf) with titanium post (Pt) and resin core foundation restoration; and NfPtB=no-ferrule (Nf) with titanium post (Pt) and bulk-fill resin core foundation restoration (B). Two additional groups from previously published data from the same authors (FPf=2mm of ferrule (F) and glass-fiber post (Pf) and composite resin core foundation restoration; and NfPf=no-ferrule (Nf) with glass-fiber post (Pf) and composite resin core foundation restoration), which were tested concomitantly and using the same experimental arrangement, were included for comparison. All teeth were prepared to receive bonded glass-ceramic crowns luted with dual-polymerized resin cement and were subjected to accelerated fatigue testing under submerged conditions at room temperature. Cyclic isometric loading was applied to the incisal edge at an angle of 30 degrees with a frequency of 5 Hz, beginning with a load of 100 N (5000 cycles). A 100-N load increase was applied every 15000 cycles. The specimens were loaded until failure or to a maximum of 1000 N (140000 cycles). The 6 groups (4 groups from the present study and 2 groups from the previously published study) were compared using the Kaplan-Meier survival

Assessment of Tensile Bond Strength of Fiber-Reinforced Composite Resin to Enamel Using Two Types of Resin Cements and Three Surface Treatment Methods

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Tahereh Ghaffari

2015-10-01

Full Text Available Background: Resin-bonded bridgework with a metal framework is one of the most conservative ways to replace a tooth with intact abutments. Visibility of metal substructure and debonding are the complications of these bridgeworks. Today, with the introduction of fiber-reinforced composite resins, it is possible to overcome these complications. The aim of this study was to evaluate the bond strength of fiber-reinforced composite resin materials (FRC to enamel. Methods: Seventy-two labial cross-sections were prepared from intact extracted teeth. Seventy-two rectangular samples of cured Vectris were prepared and their thickness was increased by adding Targis. The samples were divided into 3 groups for three different surface treatments: sandblasting, etching with 9% hydrofluoric acid, and roughening with a round tapered diamond bur. Each group was then divided into two subgroups for bonding to etched enamel by Enforce and Variolink II resin cements. Instron universal testing machine was used to apply a tensile force. The fracture force was recorded and the mode of failure was identified under a reflective microscope. Results: There were no significant differences in bond strength between the three surface treatment groups (P=0.53. The mean bond strength of Variolink II cement was greater than that of Enforce (P=0.04. There was no relationship between the failure modes (cohesive and adhesive and the two cement types. There was some association between surface treatment and failure mode. There were adhesive failures in sandblasted and diamond-roughened groups and the cohesive failure was dominant in the etched group. Conclusion: It is recommended that restorations made of fiber-reinforced composite resin be cemented with VariolinkII and surface-treated by hydrofluoric acid.   Keywords: Tensile bond strength; surface treatment methods; fiber-reinforced composite resin

Restorasi Resin Komposit Menggunakan Pasak Tapered Self Threading Pada Molar Ketiga Kiri Mandibula

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Ellen Krisanti

2013-06-01

Composite Resin Restoration Using Tapered Self Threading Poston Left Mandibular Third Molar. Root canal morphology of mandibular third molar has more complex variation than the other molars. In third molar, the extraction teeth are often executed; however, the third molar can be maintained in other conditions. One visit root canal treatment is a therapy option for this case. The purpose of this case report is to show the success of one visit root canal treatment in third molar with pulp necrosis by restoring the composite resin through tapered self-treading post. A 20 year-old female patient who came to the Prof Soedomo RSGM, FKG UGM complained about the pain when chewing food on her third molar and positive in percussion. The radiographs showed that there was an incomplete restoration. There was a gap between cavities with restoration. The treatment plan for this case was one visit root canal treatment and composite resin with tapered self-threading post as final restoration. From the case, it can concluded that one visit root canal treatment results in a smaller chance for microorganism recontamination than the multi-visit in order to ensure the success of the treatment. Direct composite resin restoration with tapered self-threading dowel is an alternative restoration after endodontic treatment because it works out faster and more retentive.

Qualitative Beam Profiling of Light Curing Units for Resin Based Composites.

Science.gov (United States)

Haenel, Thomas; Hausnerová, Berenika; Steinhaus, Johannes; Moeginger, Ing Bernhard

2016-12-01

This study investigates two technically simple methods to determine the irradiance distribution of light curing units that governs the performance of a visible-light curing resin-based composites. Insufficient light irradiation leads to under-cured composites with poor mechanical properties and elution of residual monomers. The unknown irradiance distribution and its effect on the final restoration are the main critical issues requiring highly sophisticated experimental equipment. The study shows that irradiance distributions of LCUs can easily be determined qualitatively with generally available equipment. This significantly helps dentists in practices to be informed about the homogeneity of the curing lights. Copyright© 2016 Dennis Barber Ltd.

Influence of bleaching regimen and time elapsed on microtensile bond strength of resin composite to enamel

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Fulya Toksoy Topcu

2017-01-01

Full Text Available Objectives: The aim of this study was to evaluate the effects of time elapsed since bleaching and different bleaching regimens on the microtensile bond strength of resin composite to enamel. Methodology: Forty flattened buccal enamel surfaces were divided into four groups: An unbleached (control group and three bleaching groups. Control group specimens were not subjected to a bleaching regimen (Group 1, while those in the bleaching groups were bleached as follows: opalescence 10% (Group 2, whiteness perfect 16% (Group 3, and whiteness hydrogen peroxide 35% (Group 4. Thereafter, the bleached specimens were divided into three subgroups (n = 4 teeth each for restoration according to predetermined posttreatment time intervals (immediately, 1 week, and 2 weeks. Bonded specimens were then sectioned and subjected to μTBS testing. The data were analyzed using Kruskal–Wallis and Mann–Whitney U-tests at α = 0.05. Results: There was a significant difference in the μTBS of the resin composite to enamel in groups that were bonded immediately after bleaching and in the control group (P 0.05. Conclusions: Adhesive restorative procedures could not be performed immediately or after 1 week irrespective of the type or concentration of bleaching system used. Composite restorations on bleached enamel surfaces should be performed after an interval of at least 2 weeks.

Fracture resistance of prepared premolars restored with bonded new lab composite and all-ceramic inlay/onlay restorations: Laboratory study.

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Wafaie, Ramy Ahmed; Ibrahim Ali, Ashraf; Mahmoud, Salah Hasab

2018-01-25

To assess the influence of new light curing lab composite, lithium-disilicate glass-ceramic and yttrium-stabilized zirconia-based ceramic on the fracture resistance of maxillary premolars with class II inlay and onlay preparations. Seventy sound maxillary premolars were divided randomly into seven main groups. The first group was left intact (control group). The remaining six groups were prepared with inlay and onlay cavities and restored with lab composite (SR Nexco), lithium-disilicate glass-ceramic (IPS e.max Press) and yttrium-stabilized zirconia-based ceramic (ICE Zirkon). The restorations were cemented with luting resin composite (Variolink N). All specimens were thermocycled 5000 cycles between 5°C ± 2°C and 55°C ± 2°C and were then cyclic loaded for 500 000 cycles. The specimens were subjected to a compressive load in a universal testing machine using a metal sphere until fracture occurred. The results were analyzed by 2-way ANOVA and Tukey HSD post hoc tests. The level of significance was set at P  .05). However, statistically significant differences were found among the means of control group and the groups restored with lab composite inlays, lab composite onlays, pressable glass ceramic inlays and pressable glass ceramic onlays (P lab composite is used. Conversely, when a ceramic material being used, the prepared teeth for inlay and onlay restorations showed a comparable strength to the intact teeth especially zirconia ceramic. Premolar teeth restored with zirconia ceramic inlays and onlays exhibited fracture resistance comparable to intact teeth. © 2018 Wiley Periodicals, Inc.

Influence of curing time, overlay material and thickness on three light-curing composites used for luting indirect composite restorations.

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D'Arcangelo, Camillo; De Angelis, Francesco; Vadini, Mirco; Carluccio, Fabio; Vitalone, Laura Merla; D'Amario, Maurizio

2012-08-01

To assess the microhardness of three resin composites employed in the adhesive luting of indirect composite restorations and examine the influence of the overlay material and thickness as well as the curing time on polymerization rate. Three commercially available resin composites were selected: Enamel Plus HRI (Micerium) (ENA), Saremco ELS (Saremco Dental) (SAR), Esthet-X HD (Dentsply/DeTrey) (EST-X). Post-polymerized cylinders of 6 different thicknesses were produced and used as overlays: 2 mm, 3 mm, 3.5 mm, 4 mm, 5 mm, and 6 mm. Two-mm-thick disks were produced and employed as underlays. A standardized amount of composite paste was placed between the underlay and the overlay surfaces which were maintained at a fixed distance of 0.5 mm. Light curing of the luting composite layer was performed through the overlays for 40, 80, or 120 s. For each specimen, the composite to be cured, the cured overlay, and the underlay were made out of the same batch of resin composite. All specimens were assigned to three experimental groups on the basis of the resin composite used, and to subgroups on the basis of the overlay thickness and the curing time, resulting in 54 experimental subgroups (n = 5). Forty-five additional specimens, 15 for each material under investigation, were produced and subjected to 40, 80, or 120 s of light curing using a microscope glass as an overlay; they were assigned to 9 control subgroups (n = 5). Three Vicker's hardness (VH) indentations were performed on each specimen. Means and standard deviations were calculated. Data were statistically analyzed using 3-way ANOVA. Within the same material, VH values lower than 55% of control were not considered acceptable. The used material, the overlay thickness, and the curing time significantly influenced VH values. In the ENA group, acceptable hardness values were achieved with 3.5-mm or thinner overlays after 120 or 80 s curing time (VH 41.75 and 39.32, respectively), and with 2-mm overlays after 40 s (VH 54

In vitro evaluation of microleakage in restored teeth with synthetic resins by neutrongraphy

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Barbosa, A.L.N.; Crispim, V.R., E-mail: abarbosa@ien.gov.b, E-mail: verginia@con.ufrj.b [Universidade Federal do Rio de Janeiro (PEN/COPPE/UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-Graduacao de Engenharia. Programa de Engenharia Nuclear

2011-07-01

The goal of the present study was to evaluate, using neutron graphic images, microleakage in teeth that were treated with resins. Teeth samples were drilled, producing wells with similar dimensions in each tooth. Afterwards, they were thoroughly filled with different resins to avoid voids. In preliminary tests, four different resins were used, and after submitted to neutron radiography their images were analyzed. The results of this trial showed good adherent for all the resins used, and since no micro leakage were seen on the images, the restoration procedure was successfully. (author)

Marginal microleakage of class V composite restorations before and after AFP gel application

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Davari Abdolrahim

2015-01-01

Full Text Available   Background and Aims: The most effective preventing tooth decay method is fluoride compounds applications. Some studies suggested that APF gels caused changes on the superficial physical properties of composite. Therefore, the purpose of this study was to evaluate the marginal microleakage of class V composite restorations before and after AFP gel application.   Materials and Methods: The class V cavities in buccal surfaces of 45 molar teeth were made in such a way that occlusal margin was placed in enamel and cervical margin in cement. In group 1, at first fluoride-therapy and then cavity preparation and restoration by composite resin was done. In group 2, at first the class V cavities were prepared and restored, then fluoride-therapy was carried out. In group 3, cavities were prepared and restored with no fluoride-therapy. The dye penetration rate in occlusal and cervical margins was examined by stereomicroscope. Data were statistically analyzed using Kruskal-Wallis and Mann-Whitney test.   Results: There was no statistically significant difference between groups ( P=0.975.   Conclusion: Fluoride-therapy using AFP gel before and after class V composite restorations, had no significant effect on the microleakage of dentin and enamel margins.

Caries-preventive effect of a one-time application of composite resin and glass ionomer sealants after 5 years.

NARCIS (Netherlands)

Beiruti, N.; Frencken, J.E.F.M.; Hof, M.A. van 't; Taifour, D.; Palenstein Helderman, W.H. van

2006-01-01

The aim of the present trial was to (1) compare the caries-preventive effect of glass ionomer sealants, placed according to the atraumatic restorative treatment (ART) procedure, with composite resin sealants over time and (2) investigate the caries-preventive effect after complete disappearance of

In vitro Comparative Evaluation of Various Restorative Materials used for restoring Class III Cavities in Deciduous Anterior Teeth: A Clinical Study.

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Priyank, Harsh; Verma, Ankita; Gupta, Komal; Chaudhary, Esha; Khandelwal, Deepak; Nihalani, Shweta

2016-12-01

Beauty standards in today's modernized world scenario are formed by well-aligned and well-designed bright white teeth. One of the major reasons behind patients reporting to dental clinics is pain. Caries in the anterior primary teeth forms one of the major concerns from a restorative point of view. Very few studies are quoted in literature which stresses on the follow-up of anterior restorations in primary teeth. Hence, we evaluated and compared the efficacy of composite resin and resin-modified glass ionomer cement (RGIC) for class III restorations in primary anterior teeth. The present study was conducted in the pediatric dental wing and included a total of 80 patients aged 3 to 5½ years who reported with the chief complaint of carious lesions in the primary anterior teeth. Patients having minimal of a pair of similar appearing small carious lesions on the same proximal surfaces of the deciduous maxillary incisors were included for the study. All the patients were randomly divided into two groups: One in which RGIC restoration was done and other in which composite restoration was done. Cavity preparation was done and filling of the cavity with the restorative materials was carried out. Assessment of the restorations was done at 4, 8, and 12 months time following criteria given by Ryge et al. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Mann-Whitney test and one-way analysis of variance (ANOVA) were used to evaluate the level of significance; p value less than 0.05 was considered as significant. For composite and RGIC restorations, the mean score for anatomic shape was 1.21 and 1.10 respectively. While comparing the clinical parameters, nonsignificant results were obtained between composite and RGIC restorative materials at 4-, 8-, and 12-month interval. On comparing the clinical parameters for individual restorative materials at different time intervals, statistically significant results were obtained only for

The effect of different beverages on surface hardness of nanohybrid resin composite and giomer.

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Tanthanuch, Saijai; Kukiattrakoon, Boonlert; Siriporananon, Chantima; Ornprasert, Nawanda; Mettasitthikorn, Wathu; Likhitpreeda, Salinla; Waewsanga, Sulawan

2014-05-01

To investigate the effects of five beverages (apple cider, orange juice, Coca-Cola, coffee, and beer) on microhardness and surface characteristic changes of nanohybrid resin composite and giomer. Ninety-three specimens of each resin composite and giomer were prepared. Before immersion, baseline data of Vicker's microhardness was recorded and surface characteristics were examined using scanning electron microscopy (SEM). Five groups of discs (n = 18) were alternately immersed in 25 mL of each beverage for 5 s and in 25 mL of artificial saliva for 5 s for 10 cycles. Specimens were then stored in artificial saliva for 24 h. This process was repeated for 28 days. After immersion, specimens were evaluated and data were analyzed by two-way repeated analysis of variance (ANOVA), Tukey's honestly significant difference (HSD), and a t-test (α = 0.05). Microhardness of all groups significantly decreased after being immersed in the tested beverages (P composition of the restorative materials and beverages.

Color change of composite resins subjected to accelerated artificial aging.

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Tornavoi, Denise Cremonezzi; Agnelli, José Augusto Marcondes; Panzeri, Heitor; Dos Reis, Andréa Cândido

2013-01-01

The aim of this study was to evaluate the influence of accelerated artificial aging (AAA) on the color change of composite resins used in dentistry. Three composite resins were evaluated: Two microhybrids and one hybrid of higher viscosity, with different amounts and sizes of filler particles, shades C2 and B2. A total of 54 specimens were obtained (18 for each composite resin), made of a Teflon matrix (15 mm in diameter and 2 mm in height). The color measurements were obtained with a Spectrophotometer, (PCB 6807 BYK Gardner) before and after AAA. Data were submitted to the Kolmogorov-Smirnov test (α >0.05), ANOVA and Tukey test (α 3). Considering the variable ∆E, it was observed that the color tone C2 was already statistically different for the microhybrid composite resin prior to AAA (P aging the composite resin hybrid of higher viscosity B2 showed the highest color variation rate and microhybrid with zirconium/silica C2 showed the lowest. All composite resins presented unacceptable color changes after 382 h of aging and different composite resins with same hue, presented different colors before being subjected to the aging process (B2 and C2) and after (B2). It was also observed color difference within a group of the same composite resin and same hue.

Effect of photoactivation on the reduction of composite resin contamination.

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Pauletti, Natalia A; Girotto, Luiza P S; Leite, Françoise H S; Mario, Débora N

2017-06-01

Composite resins are predominantly marketed in developing countries in tube form, and the contents of the tube may be used in numerous procedures for different patients. This represents a problem because of the risk of cross-contamination. This study aimed to evaluate contamination in vitro of the internal contents of composite resin tubes in the dental clinics of a higher-education institution, as well as the effect of photoactivation on the level of contamination. Twenty-five tubes containing composite resin were randomly chosen (by lottery). From each tube, two samples of approximately 2 mm of composite resin were removed, and then one sample, but not the other, was photoactivated. These samples were plated on Brain-Heart Infusion (BHI), Sabouraud and MacConkey agars, and the plates were incubated at 37°C for 24-48 h. Colony counting and Gram staining were performed for subsequent microscopic identification of fungi and bacteria. The non-photoactivated composite resin group presented significantly higher microbial contamination in relation to the photoactivated composite resin group. The photoactivation of camphorquinone present in composite resin produces reactive oxygen species, which might promote cell death of contaminant microorganisms. Thus, although the same tube of composite resin may be used for a number of different patients in the dental clinics of developing countries, the photoactivation process potentially reduces the risk of cross-contamination. © 2017 Eur J Oral Sci.

Effect of deproteinization and tubular occlusion on microtensile bond strength and marginal microleakage of resin composite restorations

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Wagner Baseggio

2009-10-01

Full Text Available Dentin adhesion procedure presents limitations, especially regarding to lifetime stability of formed hybrid layer. Alternative procedures have been studied in order to improve adhesion to dentin. OBJECTIVE: The aim of this study was to evaluate in vitro the influence of deproteinization or dentin tubular occlusion, as well as the combination of both techniques, on microtensile bond strength (µTBS and marginal microleakage of composite resin restorations. MATERIAL AND METHODS: Extracted erupted human third molars were randomly divided into 4 groups. Dentin surfaces were treated with one of the following procedures: (A 35% phosphoric acid gel (PA + adhesive system (AS; (B PA + 10% NaOCl + AS; (C PA + oxalate + AS and (D PA + oxalate + 10% NaOCl + AS. Bond strength data were analyzed statistically by two-way ANOVA and Tukey's test. The microleakage scores were analyzed using Kruskal-Wallis and Mann-Whitney non-parametric tests. Significance level was set at 0.05 for all analyses. RESULTS: µTBS data presented statistically lower values for groups D and B, ranking data as A>C>B>D. The use of oxalic acid resulted in microleakage reduction along the tooth/restoration interface, being significant when used alone. On the other hand, the use of 10% NaOCl alone or in combination with oxalic acid, resulted in increased microleakage. CONCLUSIONS: Dentin deproteinization with 10% NaOCl or in combination with oxalate significantly compromised both the adhesive bond strength and the microleakage at interface. Tubular occlusion prior to adhesive system application seems to be a useful technique to reduce marginal microleakage.

Rugometric and microtopographic non-invasive inspection in dental-resin composites and zirconia ceramics

Science.gov (United States)

Fernández-Oliveras, Alicia; Costa, Manuel F. M.; Pecho, Oscar E.; Rubiño, Manuel; Pérez, María. M.

2013-11-01

Surface properties are essential for a complete characterization of biomaterials. In restorative dentistry, the study of the surface properties of materials meant to replace dental tissues in an irreversibly diseased tooth is important to avoid harmful changes in future treatments. We have experimentally analyzed the surface characterization parameters of two different types of dental-resin composites and pre-sintered and sintered zirconia ceramics. We studied two shades of both composite types and two sintered zirconia ceramics: colored and uncolored. Moreover, a surface treatment was applied to one specimen of each dental-resin. All the samples were submitted to rugometric and microtopographic non-invasive inspection with the MICROTOP.06.MFC laser microtopographer in order to gather meaningful statistical parameters such as the average roughness (Ra), the root-mean-square deviation (Rq), the skewness (Rsk), and the kurtosis of the surface height distribution (Rku). For a comparison of the different biomaterials, the uncertainties associated to the surface parameters were also determined. With respect to Ra and Rq, significant differences between the composite shades were found. Among the dental resins, the nanocomposite presented the highest values and, for the zirconia ceramics, the pre-sintered sample registered the lowest ones. The composite performance may have been due to cluster-formation variations. Except for the composites with the surface treatment, the sample surfaces had approximately a normal distribution of heights. The surface treatment applied to the composites increased the average roughness and moved the height distribution farther away from the normal distribution. The zirconia-sintering process resulted in higher average roughness without affecting the height distribution.

Randomized Clinical Trial of a Self-Adhering Flowable Composite for Class I Restorations: 2-Year Results

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J. Sabbagh

2017-01-01

Full Text Available Objectives. To compare the clinical performances of a self-adhering resin composite and a conventional flowable composite with a self-etch bonding system on permanent molars. The influence of using rubber dam versus cotton roll isolation was also investigated. Materials and Methods. Patients aged between 6 and 12 years and presenting at least two permanent molars in need of small class I restorations were selected. Thirty-four pairs of restorations were randomly placed by the same operator. Fifteen patients were treated under rubber dam and nineteen using cotton rolls isolation and saliva ejector. They were evaluated according to the modified USPHS criteria at baseline, 6 months, and 1 and 2 years by two independent evaluators. Results. All patients attended the two-year recall. For all measured variables, there was no significant difference between rubber dam and cotton after 2 years of restoration with Premise Flowable or Vertise Flow (p value > 0.05. The percentage of restorations scored alpha decreased significantly over time with Premise Flowable and Vertise Flow for marginal adaptation and surface texture as well as marginal discoloration while it did not vary significantly for color matching. After 2 years, Vertise Flow showed a similar behaviour to the Premise Flowable used with a self-adhesive resin system.

Modeling the Residual Stresses in Reactive Resins-Based Materials: a Case Study of Photo-Sensitive Composites for Dental Applications

International Nuclear Information System (INIS)

Grassia, Luigi; D'Amore, Alberto

2010-01-01

Residual stresses in reactive resins-based composites are associated to the net volumetric contraction (shrinkage) arising during the cross-linking reactions. Depending on the restoration geometry (the ratio of the free surface area to the volume of the cavity) the frozen-in stresses can be as high as the strength of the dental composites. This is the main reason why the effectiveness and then the durability of restorations with composites remains quite lower than those realized with metal alloys based materials. In this paper we first explore the possibility to circumvent the mathematical complexity arising from the determination of residual stresses in reactive systems three-dimensionally constrained. Then, the results of our modeling approach are applied to a series of commercially available composites showing that almost all samples develop residual stresses such that the restoration undergoes failure as soon as it is realized.

Microshear bond strength of resin composite to teeth affected by molar hypomineralization using 2 adhesive systems.

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William, Vanessa; Burrow, Michael F; Palamara, Joseph E A; Messer, Louise B

2006-01-01

When restoring hypomineralized first permanent molars, placement of cavo-surface margins can be difficult to ascertain due to uncertainty of the bonding capability of the tooth surface. The purpose of this study was to investigate the adhesion of resin composite bonded to control and hypomineralized enamel with an all-etch single-bottle adhesive or self-etching primer adhesive. Specimens of control enamel (N=44) and hypomineralized enamel (N=45) had a 0.975-mm diameter composite rod (Filtek Supreme Universal Restorative) bonded with either 3M ESPE Single Bond or Clearfil SE Bond following manufacturers' instructions. Specimens were stressed in shear at 1 mm/min to failure (microshear bond strength). Etched enamel surfaces and enamel-adhesive interfaces were examined under scanning electron microscopy. The microshear bond strength (MPa) of resin composite bonded to hypomineralized enamel was significantly lower than for control enamel (3M ESPE Single Bond=7.08 +/- 4.90 vs 16.27 +/- 10.04; Clearfil SE Bond=10.39 +/- 7.56 vs 19.63 +/- 7.42; P=.001). Fractures were predominantly adhesive in control enamel and cohesive in hypomineralized enamel. Scotchbond etchant produced deep interprismatic and intercrystal porosity in control enamel and shallow etch patterns with minimal intercrystal porosity in hypomineralized enamel. Control enamel appeared almost unaffected by SE Primer; hypomineralized enamel showed shallow etching. The hypomineralized enamel-adhesive interface was porous with cracks in the enamel. The control enamel-adhesive interface displayed a hybrid layer of even thickness. The microshear bond strength of resin composite bonded to hypomineralized enamel was significantly lower than for control enamel. This was supported by differences seen in etch patterns and at the enamel-adhesive interface.

Comparison of the marginal adaptation of direct and indirect composite inlay restorations with optical coherence tomography.

Science.gov (United States)

Türk, Ayşe Gözde; Sabuncu, Metin; Ünal, Sena; Önal, Banu; Ulusoy, Mübin

2016-01-01

The purpose of the study was to use the photonic imaging modality of optical coherence tomography (OCT) to compare the marginal adaptation of composite inlays fabricated by direct and indirect techniques. Class II cavities were prepared on 34 extracted human molar teeth. The cavities were randomly divided into two groups according to the inlay fabrication technique. The first group was directly restored on cavities with a composite (Esthet X HD, Dentsply, Germany) after isolating. The second group was indirectly restored with the same composite material. Marginal adaptations were scanned before cementation with an invisible infrared light beam of OCT (Thorlabs), allowing measurement in 200 µm intervals. Restorations were cemented with a self-adhesive cement resin (SmartCem2, Dentsply), and then marginal adaptations were again measured with OCT. Mean values were statistically compared by using independent-samples t-test and paired samples t-test (pmarginal discrepancy values than indirect inlays, before (p=0.00001442) and after (p=0.00001466) cementation. Marginal discrepancy values were increased for all restorations after cementation (p=0.00008839, p=0.000000952 for direct and indirect inlays, respectively). The mean marginal discrepancy value of the direct group increased from 56.88±20.04 µm to 91.88±31.7 µm, whereas the indirect group increased from 107.54±35.63 µm to 170.29±54.83 µm. Different techniques are available to detect marginal adaptation of restorations, but the OCT system can give quantitative information about resin cement thickness and its interaction between tooth and restoration in a nondestructive manner. Direct inlays presented smaller marginal discrepancy than indirect inlays. The marginal discrepancy values were increased for all restorations that refer to cement thickness after cementation.

Fine-Tuning of Polymeric Resins and their Interfaces with Amorphous Calcium Phosphate. A Strategy for Designing Effective Remineralizing Dental Composites

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Drago Skrtic

2010-09-01

Full Text Available For over a decade our group has been designing, preparing and evaluating bioactive, remineralizing composites based on amorphous calcium phosphate (ACP fillers embedded in polymerized methacrylate resin matrices. In these studies a major focus has been on exploring structure-property relationships of the matrix phase of these composites on their anti-cariogenic potential. The main challenges were to gain a better understanding of polymer matrix/filler interfacial properties through controlling the surface properties of the fillers or through fine-tuning of the resin matrix. In this work, we describe the effect of chemical structure and composition of the resin matrices on some of the critical physicochemical properties of the copolymers and their ACP composites. Such structure-property studies are essential in formulating clinically effective products, and this knowledge base is likely to have strong impact on the future design of therapeutic materials, appropriate for mineral restoration in defective tooth structures.

Color change of composite resins subjected to accelerated artificial aging

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Denise Cremonezzi Tornavoi

2013-01-01

Conclusions: All composite resins presented unacceptable color changes after 382 h of aging and different composite resins with same hue, presented different colors before being subjected to the aging process (B2 and C2 and after (B2. It was also observed color difference within a group of the same composite resin and same hue.

Surface discoloration of composite resins: Effects of staining and bleaching.

Science.gov (United States)

Poggio, Claudio; Beltrami, Riccardo; Scribante, Andrea; Colombo, Marco; Chiesa, Marco

2012-09-01

The purpose of this in vitro study was to evaluate surface discoloration of three microhybrid composite resins (Esthet•X HD, Clearfil AP-X, Gradia Direct) and five nanohybrid composite resins (Ceram•X, GC Kalore, G-aenial, Grandio, GrandioSO), after staining and bleaching procedures. The composite resins were polymerized with a curing light (Celalux II, Voco, Cuxhaven, Germany) into 160 silicon molds (6,4 mm in diameter and 2 mm in thickness) to obtain identical specimens. Twenty samples for each composite resin were prepared. The specimens were polished using an automated polishing machine with the sequence of 600-, 800-, 1000-grit abrasive paper under water irrigation. The specimens were immersed in tea and distilled water: the specimens were dipped for 20 min, once a day (every 24 h), for 14 days into the drinks. The specimens were then bleached with carbamide peroxide at 17% (Perfect Bleach-Voco). The color of specimens was measured with a spectrophotometer according to the CIE L(*)a(*)b(*) system after light-polymerization of composite resin specimens, after 7 days, after 14 days, and after bleaching. The color difference h index (DEab(*)) between each measurement was calculated. Statistical analysis was made using analysis of variance (ANOVA). All specimens showed a significant increase in staining with a similar trend and no significant differences between microhybrid and nanohybrid composite resins. After whitening procedures, materials tested showed both significant and unsignificant differences of the h index. Microhybrid and nanohybrid composite resins had similar in vitro surface discoloration in tea. After bleaching, discoloration was removed from some composite resins tested.

Nanomechanical properties of dental resin-composites.

Science.gov (United States)

El-Safty, S; Akhtar, R; Silikas, N; Watts, D C

2012-12-01

To determine by nanoindentation the hardness and elastic modulus of resin-composites, including a series with systematically varied filler loading, plus other representative materials that fall into the categories of flowable, bulk-fill and conventional nano-hybrid types. Ten dental resin-composites: three flowable, three bulk-fill and four conventional were investigated using nanoindentation. Disc specimens (15mm×2mm) were prepared from each material using a metallic mold. Specimens were irradiated in the mold at top and bottom surfaces in multiple overlapping points (40s each) with light curing unit at 650mW/cm(2). Specimens were then mounted in 3cm diameter phenolic ring forms and embedded in a self-curing polystyrene resin. After grinding and polishing, specimens were stored in distilled water at 37°C for 7 days. Specimens were investigated using an Agilent Technologies XP nanoindenter equipped with a Berkovich diamond tip (100nm radius). Each specimen was loaded at one loading rate and three different unloading rates (at room temperature) with thirty indentations, per unloading rate. The maximum load applied by the nanoindenter to examine the specimens was 10mN. Dependent on the type of the resin-composite material, the mean values ranged from 0.73GPa to 1.60GPa for nanohardness and from 14.44GPa to 24.07GPa for elastic modulus. There was a significant positive non-linear correlation between elastic modulus and nanohardness (r(2)=0.88). Nonlinear regression revealed a significant positive correlation (r(2)=0.62) between elastic moduli and filler loading and a non-significant correlation (r(2)=0.50) between nanohardness and filler loading of the studied materials. Varying the unloading rates showed no consistent effect on the elastic modulus and nanohardness of the studied materials. For a specific resin matrix, both elastic moduli and nanohardness correlated positively with filler loading. For the resin-composites investigated, the group-average elastic

Fluorine analysis of human dentin surrounding resin composite after fluoride application by μ-PIGE/PIXE analysis

Science.gov (United States)

Okuyama, Katsushi; Komatsu, Hisanori; Yamamoto, Hiroko; Pereira, Patricia N. R.; Bedran-Russo, Ana K.; Nomachi, Masaharu; Sato, Takahiro; Sano, Hidehiko

2011-10-01

The use of fluoride for the prevention of caries is based on the transformation of hydroxylapatite to fluoroapatite in the presence of fluoride ions, thereby strengthening tooth structure. Adhesion of dentin and resin composite (tooth-colored restoration material) requires a dentin bonding system, since resin composite is not able to adhere to dentin directly. Demineralization of dentin by acid etching is an important step in the dentin bonding system, however, demineralization also introduces weaknesses in tooth structure. If the demineralized dentin could be strengthened by the application of fluoride, then the dentin-resin composite bond strength might also improve. To test this hypothesis, the present study evaluated the influence of fluoride applications on the strength of the dentin-resin composite bond by (1) tensile strength testing analyses, (2) SEM analyses of tooth structure, and (3) detection of calcium (Ca) and fluorine (F) distribution patterns by micro proton-induced X-ray emission (μ-PIXE) and micro proton-induced gamma-ray emission (μ-PIGE) analyses conducted at the Takasaki Ion Accelerators for Advanced Radiation Application (TIARA) at the Takasaki Advanced Radiation Research Institute (TARRI). In this study, the dentin in extracted human molars was exposed by grinding and the dentin was etched with 35% phosphoric acid. Fluoride was applied at two concentrations, 0.022% (100 ppm F) and 2.21% (10,000 ppm F) NaF solution, for two time periods, 30 and 60 s, prior to bonding the resin composite with the treated dentin. Controls were prepared in the same manner, but without the fluoride application. Bond strength was measured with a micro-tensile testing unit, and the fluorine and calcium distributions at the interface between dentin and resin composite were detected by μ-PIGE and μ-PIXE analysis, respectively. Results indicate that the 10,000 ppm F applications resulted in higher bond strengths than observed in either the 100 ppm F applications or

Fluorine analysis of human dentin surrounding resin composite after fluoride application by μ-PIGE/PIXE analysis

International Nuclear Information System (INIS)

Okuyama, Katsushi; Komatsu, Hisanori; Yamamoto, Hiroko; Pereira, Patricia N.R.; Bedran-Russo, Ana K.; Nomachi, Masaharu; Sato, Takahiro; Sano, Hidehiko

2011-01-01

The use of fluoride for the prevention of caries is based on the transformation of hydroxylapatite to fluoroapatite in the presence of fluoride ions, thereby strengthening tooth structure. Adhesion of dentin and resin composite (tooth-colored restoration material) requires a dentin bonding system, since resin composite is not able to adhere to dentin directly. Demineralization of dentin by acid etching is an important step in the dentin bonding system, however, demineralization also introduces weaknesses in tooth structure. If the demineralized dentin could be strengthened by the application of fluoride, then the dentin-resin composite bond strength might also improve. To test this hypothesis, the present study evaluated the influence of fluoride applications on the strength of the dentin-resin composite bond by (1) tensile strength testing analyses, (2) SEM analyses of tooth structure, and (3) detection of calcium (Ca) and fluorine (F) distribution patterns by micro proton-induced X-ray emission (μ-PIXE) and micro proton-induced gamma-ray emission (μ-PIGE) analyses conducted at the Takasaki Ion Accelerators for Advanced Radiation Application (TIARA) at the Takasaki Advanced Radiation Research Institute (TARRI). In this study, the dentin in extracted human molars was exposed by grinding and the dentin was etched with 35% phosphoric acid. Fluoride was applied at two concentrations, 0.022% (100 ppm F) and 2.21% (10,000 ppm F) NaF solution, for two time periods, 30 and 60 s, prior to bonding the resin composite with the treated dentin. Controls were prepared in the same manner, but without the fluoride application. Bond strength was measured with a micro-tensile testing unit, and the fluorine and calcium distributions at the interface between dentin and resin composite were detected by μ-PIGE and μ-PIXE analysis, respectively. Results indicate that the 10,000 ppm F applications resulted in higher bond strengths than observed in either the 100 ppm F applications or

Fluorine analysis of human dentin surrounding resin composite after fluoride application by {mu}-PIGE/PIXE analysis

Energy Technology Data Exchange (ETDEWEB)

Okuyama, Katsushi, E-mail: katsu@den.hokudai.ac.jp [Graduate School of Dental Medicine, Hokkaido University, Department of Restorative Dentistry, Kita-13, Nishi-7, Kita-ku, Hokkaido, Sapporo 060-8586 (Japan) and School of Dentistry, University of North Carolina, Department of Operative Dentistry, 302 Brauer, CB 7450, Chapel Hill, NC 27599-7450 (United States); Komatsu, Hisanori [Graduate School of Dental Medicine, Hokkaido University, Department of Restorative Dentistry, Kita-13, Nishi-7, Kita-ku, Hokkaido, Sapporo 060-8586 (Japan); Yamamoto, Hiroko [Graduate School of Dentistry, Osaka University, 1-8 Yamada-Oka, Osaka, Suita 565-0871 (Japan); Pereira, Patricia N.R. [School of Dentistry, University of North Carolina, Department of Operative Dentistry, 302 Brauer, CB 7450, Chapel Hill, NC 27599-7450 (United States); Bedran-Russo, Ana K. [University of Illinois at Chicago, College of Dentistry, Department of Restorative Dentistry, 801 S. Paulina St., Chicago, IL 60612 (United States); Nomachi, Masaharu [Graduate School of Science, Osaka University, 1-1 Machikaneyama, Osaka, Toyonaka 560-0043 (Japan); Sato, Takahiro [TARRI, JAEA, Advanced Radiation Technology, 1233 Watanuki-machi, Gunma, Takasaki 370-1292 (Japan); Sano, Hidehiko [Graduate School of Dental Medicine, Hokkaido University, Department of Restorative Dentistry, Kita-13, Nishi-7, Kita-ku, Hokkaido, Sapporo 060-8586 (Japan)

2011-10-15

The use of fluoride for the prevention of caries is based on the transformation of hydroxylapatite to fluoroapatite in the presence of fluoride ions, thereby strengthening tooth structure. Adhesion of dentin and resin composite (tooth-colored restoration material) requires a dentin bonding system, since resin composite is not able to adhere to dentin directly. Demineralization of dentin by acid etching is an important step in the dentin bonding system, however, demineralization also introduces weaknesses in tooth structure. If the demineralized dentin could be strengthened by the application of fluoride, then the dentin-resin composite bond strength might also improve. To test this hypothesis, the present study evaluated the influence of fluoride applications on the strength of the dentin-resin composite bond by (1) tensile strength testing analyses, (2) SEM analyses of tooth structure, and (3) detection of calcium (Ca) and fluorine (F) distribution patterns by micro proton-induced X-ray emission ({mu}-PIXE) and micro proton-induced gamma-ray emission ({mu}-PIGE) analyses conducted at the Takasaki Ion Accelerators for Advanced Radiation Application (TIARA) at the Takasaki Advanced Radiation Research Institute (TARRI). In this study, the dentin in extracted human molars was exposed by grinding and the dentin was etched with 35% phosphoric acid. Fluoride was applied at two concentrations, 0.022% (100 ppm F) and 2.21% (10,000 ppm F) NaF solution, for two time periods, 30 and 60 s, prior to bonding the resin composite with the treated dentin. Controls were prepared in the same manner, but without the fluoride application. Bond strength was measured with a micro-tensile testing unit, and the fluorine and calcium distributions at the interface between dentin and resin composite were detected by {mu}-PIGE and {mu}-PIXE analysis, respectively. Results indicate that the 10,000 ppm F applications resulted in higher bond strengths than observed in either the 100 ppm F

Composite fabrication via resin transfer molding technology

Energy Technology Data Exchange (ETDEWEB)

Jamison, G.M.; Domeier, L.A.

1996-04-01

The IMPReS (Integrated Modeling and Processing of Resin-based Structures) Program was funded in FY95 to consolidate, evaluate and enhance Sandia`s capabilities in the design and fabrication of composite structures. A key driver of this and related programs was the need for more agile product development processes and for model based design and fabrication tools across all of Sandia`s material technologies. A team of polymer, composite and modeling personnel was assembled to benchmark Sandia`s existing expertise in this area relative to industrial and academic programs and to initiate the tasks required to meet Sandia`s future needs. RTM (Resin Transfer Molding) was selected as the focus composite fabrication technology due to its versatility and growing use in industry. Modeling efforts focused on the prediction of composite mechanical properties and failure/damage mechanisms and also on the uncured resin flow processes typical of RTM. Appropriate molds and test composites were fabricated and model validation studies begun. This report summarizes and archives the modeling and fabrication studies carried out under IMPReS and evaluates the status of composite technology within Sandia. It should provide a complete and convenient baseline for future composite technology efforts within Sandia.

A comparative study of shear bond strength between metal and ceramic brackets and artificially aged composite restorations using different surface treatments.

Science.gov (United States)

Eslamian, Ladan; Borzabadi-Farahani, Ali; Mousavi, Nasim; Ghasemi, Amir

2012-10-01

This in vitro study evaluated the shear bond strength (SBS) between ceramic brackets (CBs) and resin composite restorations (RCRs) prepared using different surface treatments. The findings were also compared with a similar study that used stainless steel brackets (SSBs). Forty-five premolars were restored with a nano-hybrid composite resin (Tetric EvoCeram) and randomly assigned to three surface treatment groups: group 1, 5 per cent hydrofluoric acid (HF); group 2, air abrasion (50 μm alumina particles); and group 3, diamond bur. Specimens were bonded with CBs (Fascination) and exposed to thermo-cycling (500 cycles). The shear force at a crosshead speed of 1 mm/minute was transmitted to brackets. The adhesive remnant index (ARIs) scores were recorded after bracket failure. The analysis of SBS variance (P 0.05) and bond failure occurred mainly in adhesive-bracket base and resin-adhesive interfaces. The diamond bur surface treatment is recommended as a safe and cost-effective method of bonding CBs to RCRs.

Microhardness of light- and dual-polymerizable luting resins polymerized through 7.5-mm-thick endocrowns.

Science.gov (United States)

Gregor, Ladislav; Bouillaguet, Serge; Onisor, Ioana; Ardu, Stefano; Krejci, Ivo; Rocca, Giovanni Tommaso

2014-10-01

The complete polymerization of luting resins through thick indirect restorations is still questioned. The purpose of this study was to evaluate the degree of polymerization of light- and dual-polymerizable luting resins under thick indirect composite resin and ceramic endocrowns by means of Vickers microhardness measurements. The Vickers microhardness measurements of a light-polymerizable microhybrid composite resin and a dual-polymerizable luting cement directly polymerized in a natural tooth mold for 40 seconds with a high-power light-emitting diode lamp (control) were compared with measurements after indirect irradiation through 7.5-mm-thick composite resin and ceramic endocrowns for 3 × 90 seconds. A test-to-control microhardness values ratio of 0.80 at a depth of 0.5 mm below the surface was assumed as the criterion for adequate conversion. For the Vickers microhardness measurements of a dual-polymerizable luting cement, no differences (P>.05) were found between Vickers microhardness control values and values reported after polymerization through composite resin and ceramic endocrowns. For The Vickers microhardness measurements (±SD) of a light-polymerizable microhybrid composite resin, control values were significantly (P.05). Under the conditions of this in vitro study, Vickers microhardness values of the dual-polymerizable resin cement and the light-polymerizable restorative composite resin irradiated for 3 × 90 seconds with a high irradiance light-emitting diode lamp through 7.5-mm-thick endocrowns reached at least 80% of the control Vickers microhardness values, which means that both materials can be adequately polymerized when they are used for luting thick indirect restorations. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Effect of at-home whitening strips on the surface roughness and color of a composite and an ormocer restorative material.

Science.gov (United States)

Gurbuz, Ayhan; Ozkan, Pelin; Yilmaz, Kerem; Yilmaz, Burak; Durkan, Rukiye

2013-01-01

Oxygenating agents like carbamide peroxide or H(2) O(2) are commonly used whitening agents. They have varying influence on the color and surface roughness of resin-based restorative materials and teeth. The aim of this study was to evaluate the effect of an at-home peroxide whitening agent applied through a whitening strip on the color and surface roughness of a nanofilled composite resin and an ormocer-based resin. Disc-shaped (2 mm thick, 10 mm diameter) nanofilled resin composite (n = 10) and ormocer (n = 10) specimens were prepared. All specimens were treated with a whitening strip. Whitening procedures were performed applying a 6.5% hydrogen peroxide whitening strip (Crest White Strips Professional) for 30 minutes twice each day for a period of 21 consecutive days. During the test intervals, the specimens were rinsed under running distilled water for 1 minute to remove the whitening agents and immersed in 37°C distilled water until the next treatment. Surface roughness and color of the specimens were measured with a profilometer and a colorimeter, respectively, before and after whitening. Color changes were calculated (ΔE) using L*, a*, and b* coordinates. Repeated measures of variance analysis and Duncan test were used for statistical evaluation (α= 0.05). The average surface roughness of composite increased from 1.4 Ra to 2.0 Ra, and from 0.8 Ra to 0.9 Ra for the ormocer material; however, these changes in roughness after whitening were not significant (p > 0.05). Also, when two materials were compared, the surface roughness of restorative materials was not different before and after whitening (p > 0.05). L* and b* values for each material changed significantly after whitening (p composite (11.9) and ormocer (16.1) were not significantly different from each other (p > 0.05). The tested whitening agent did not affect the surface roughness of either resin-based restorative material. Both materials became brighter after whitening. The behavior of the

Wear of human enamel opposing monolithic zirconia, glass ceramic, and composite resin: an in vitro study.

Science.gov (United States)

Sripetchdanond, Jeerapa; Leevailoj, Chalermpol

2014-11-01

Demand is increasing for ceramic and composite resin posterior restorations. However, ceramics are recognized for their high abrasiveness to opposing dental structure. The purpose of this study was to investigate the wear of enamel as opposed to dental ceramics and composite resin. Twenty-four test specimens (antagonists), 6 each of monolithic zirconia, glass ceramic, composite resin, and enamel, were prepared into cylindrical rods. Enamel specimens were prepared from 24 extracted human permanent molar teeth. Enamel specimens were abraded against each type of antagonist with a pin-on-disk wear tester under a constant load of 25 N at 20 rpm for 4800 cycles. The maximum depth of wear (Dmax), mean depth of wear (Da), and mean surface roughness (Ra) of the enamel specimens were measured with a profilometer. All data were statistically analyzed by 1-way ANOVA, followed by the Tukey test (α=.05). A paired t test was used to compare the Ra of enamel at baseline and after testing. The wear of both the enamel and antagonists was evaluated qualitatively with scanning electron microscopic images. No significant differences were found in enamel wear depth (Dmax, Da) between monolithic zirconia (2.17 ±0.80, 1.83 ±0.75 μm) and composite resin (1.70 ±0.92, 1.37 ±0.81 μm) or between glass ceramic (8.54 ±2.31, 7.32 ±2.06 μm) and enamel (10.72 ±6.31, 8.81 ±5.16 μm). Significant differences were found when the enamel wear depth caused by monolithic zirconia and composite resin was compared with that of glass ceramic and enamel (Pglass ceramic, and enamel (Pglass ceramic and enamel. All test materials except composite resin similarly increased the enamel surface roughness after wear testing. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Marginal microleakage evaluation in class V composite restorations of deciduous teeth prepared conventionally and using Er:YAG laser

International Nuclear Information System (INIS)

Pulga, Neusa Vieira Galvao

2001-01-01

The evaluation of marginal microleakage in class V restorations of deciduous teeth prepared using Er:laser and comparison to the ones observed when conventionally prepared, using two photopolimerizable materials, composite resin and glass ionomer cement, was the subject of this study. Twenty eight complete deciduous teeth were divided into four groups Group 1 (G1) prepared with high speed drill + composite resin; Group 2 (G2) prepared with high speed drill + glass ionomer cement; Group 3 (G3) prepared using Er:YAG laser (2.94 μm), 300 mJ, 3 Hz, handpiece 2051, energy density 86 mJ/cm 2 + composite resin; Group 4 (G4) prepared using Er:YAG laser (2.94 μm), 300 mJ, 3 Hz, handpiece 2051, energy density 86 J / cm 2 + glass ionomer cement. After the preparation and restoration the specimens where stored at 37 deg C for 24 hours, thermally stressed, immersed in 50% aqueous solution of silver nitrate for 24 hours while kept in the dark. The specimens were rinsed in water, soaked in photodeveloping solution and exposed to fluorescent light for 6 hours. After this process the samples were sectioned and observed by stereomicroscopy. For comparison the groups were divided into occlusive and cervical microleakage. The results were analysed under the Kruskal-Wallis test. For the occlusive microleakage the statistical significance was 5% among the groups and the average comparison showed higher microleakage for G1 (M=35.1) than for G2 (M=24.0) as well as compared to G3 (M=22.3). The other groups did not present statistical differences among them. For the cervical microleakage the Kruskal-Wallis test did not present any statistical difference. Comparing the occlusive and cervical microleakage data, for every group, using the Wilcoxon test, no statistical differences were observed. Concluding, this study showed the Er:YAG laser to be effective for class V restorations and to result in a smaller microleakage degree using the composite resin. These results indicate the viability

Effect of light dispersion of LED curing lights on resin composite polymerization.

Science.gov (United States)

Vandewalle, Kraig S; Roberts, Howard W; Andrus, Jeffrey L; Dunn, William J

2005-01-01

higher DC ratios with the hybrid resin composite. No differences were found among lights with the microfill at 1 mm. At 5 mm, SmartLite iQ, FLASHlite 1001, LEDemetron 1, and UltraLume LED 5 produced significantly higher DC ratios with the hybrid resin composite, whereas LEDemetron 1 and SmartLite iQ produced significantly higher DC ratios with the microfill resin composite. The UltraLume LED 5, Allegro, and Optilux 501 had significant reductions in mean DC ratios at curing distances of 1 and 5 mm with both resin composite types. For dispersion of light, significant differences were found in Top Hat factor and divergence angle (p < .001). SmartLite iQ had overall the highest Top Hat factor and lowest divergence angle of tested lights. A linear regression analysis relating pooled DC with pooled Top Hat factors and divergence angles found a very good correlation (r2 = .86) between dispersion of light over distance and the ability to polymerize resin composite. The latest generation of LED curing lights provides DC ratios similar to or better than the halogen curing light at a curing distance of 5 mm. Dispersion of light plays a significant role in the DC of resin composite. To maximize curing effectiveness, light guides should be maintained in close proximity to the surface of the light-activated restorative material.

Effects of molecular structure of the resins on the volumetric shrinkage and the mechanical strength of dental restorative composites.

Science.gov (United States)

Kim, L U; Kim, J W; Kim, C K

2006-09-01

To prepare a dental composite that has a low amount of curing shrinkage and excellent mechanical strength, various 2,2-bis[4-(2-hydroxy-3-methacryloyloxy propoxy) phenyl] propane (Bis-GMA) derivatives were synthesized via molecular structure design, and afterward, properties of their mixtures were explored. Bis-GMA derivatives, which were obtained by substituting methyl groups for hydrogen on the phenyl ring in the Bis-GMA, exhibited lower curing shrinkage than Bis-GMA, whereas their viscosities were higher than that of Bis-GMA. Other Bis-GMA derivatives, which contained a glycidyl methacrylate as a molecular end group exhibited reduced curing shrinkage and viscosity. Methoxy substitution for hydroxyl groups on the Bis-GMA derivatives was performed for the further reduction of the viscosity and curing shrinkage. Various resin mixtures, which had the same viscosity as the commercial one, were prepared, and their curing shrinkage was examined. A resin mixture containing 2,2-bis[3,5-dimethyl, 4-(2-methoxy-3-methacryloyloxy propoxy) phenyl] propane] (TMBis-M-GMA) as a base resin and 4-tert-butylphenoxy-2-methyoxypropyl methacrylate (t-BP-M-GMA) as a diluent exhibited the lowest curing shrinkage among them. The composite prepared from this resin mixture also exhibited the lowest curing shrinkage along with enhanced mechanical properties.

Effect of resin-modified glass-ionomer cement lining and composite layering technique on the adhesive interface of lateral wall

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Larissa Marinho AZEVEDO

2015-06-01

Full Text Available Interface integrity can be maintained by setting the composite in a layering technique and using liners. Objective The aim of this in vitro study was to verify the effect of resin-modified glass-ionomer cement (RMGIC lining and composite layering technique on the bond strength of the dentin/resin adhesive interface of lateral walls of occlusal restorations. Material and Methods Occlusal cavities were prepared in 52 extracted sound human molars, randomly assigned into 4 groups: Group 2H (control – no lining + two horizontal layers; Group 4O: no lining + four oblique layers; Group V-2H: RMGIC lining (Vitrebond + two horizontal layers; and Group V-4O: RMGIC lining (Vitrebond + four oblique layers. Resin composite (Filtek Z250, 3M ESPE was placed after application of an adhesive system (Adper™ Single Bond 2, 3M ESPE dyed with a fluorescent reagent (Rhodamine B to allow confocal microscopy analysis. The teeth were stored in deionized water at 37oC for 24 hours before being sectioned into 0.8 mm slices. One slice of each tooth was randomly selected for Confocal Laser Scanning Microscopy (CLSM analysis. The other slices were sectioned into 0.8 mm x 0.8 mm sticks to microtensile bond strength test (MPa. Data were analyzed by two-way ANOVA and Fisher's test. Results There was no statistical difference on bond strength among groups (p>0.05. CLSM analysis showed no significant statistical difference regarding the presence of gap at the interface dentin/resin among groups. Conclusions RMGIC lining and composite layering techniques showed no effect on the microtensile bond strength and gap formation at the adhesive interface of lateral walls of high C-factor occlusal restorations.

Evaluation of the dental structure loss produced during maintenance and replacement of occlusal amalgam restorations

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Fernanda Sardenberg

2008-09-01

Full Text Available The aim of this in vitro study was to evaluate four different approaches to the decision of changing or not defective amalgam restorations in first primary molar teeth concerning the loss of dental structure. Ditched amalgam restorations (n = 11 were submitted to four different treatments, as follows: Control group - polishing and finishing of the restorations were carried out; Amalgam group - the ditched amalgam restorations were replaced by new amalgam restorations; Composite resin group - the initial amalgam restorations were replaced by composite resin restorations; Flowable resin group - the ditching around the amalgam restorations was filled with flowable resin. Images of the sectioned teeth were made and the area of the cavities before and after the procedures was determined by image analysis software to assess structural loss. The data were submitted to ANOVA complemented by the Student Newman Keuls test (p < 0.05. The cavities in all the groups presented significantly greater areas after the procedures. However, the amalgam group showed more substantial dental loss. The other three groups presented no statistically significant difference in dental structure loss after the re-treatments. Thus, replacing ditched amalgam restorations by other similar restorations resulted in a significant dental structure loss while maintaining them or replacing them by resin restorations did not result in significant loss.

Use of a Novel ORMOCER as a Universal Direct Restorative Material.

Science.gov (United States)

Hakim, Foroud; Vallée, Jessie

2018-01-01

Composite resin is considered the material of choice for direct restoration of teeth when esthetic outcome is a high priority. While material science improvements have mitigated many of the traditional liabilities related to composite resin restorations, shrinkage and related shrinkage stress still play a role in outcomes, placement techniques, and overall success. This case report demonstrates two restorative scenarios using an ORMOCER® composite material. The first features a female patient who, upon completion of preliminary orthodontic treatment, determined in consultation with the orthodontist that her central incisors would present more idealistic display and esthetics if they were lengthened by approximately 1.5 mm. The lengthening of the incisors was to precede the phase II refinement with clear aligners, which would aim to extrude the remaining anterior teeth to develop incisal balance and symmetry. The second case is that of a woman who presented with a newly symptomatic upper right second bicuspid with an existing nearly decade old, large MODL composite resin restoration. This article demonstrates the universal nature of the novel direct restorative material used, making it well-suited for both anterior and posterior applications.

Method for curing alkyd resin compositions by applying ionizing radiation

International Nuclear Information System (INIS)

Watanabe, T.; Murata, K.; Maruyama, T.

1975-01-01

An alkyd resin composition is prepared by dissolving a polymerizable alkyd resin having from 10 to 50 percent of oil length into a vinyl monomer. The polymerizable alkyd resin is obtained by a half-esterification reaction of an acid anhydride having a polymerizable unsaturated group and an alkyd resin modified with conjugated unsaturated oil having at least one reactive hydroxyl group per one molecule. The alkyd resin composition thus obtained is coated on an article, and ionizing radiation is applied on the article to cure the coated film thereon. (U.S.)

Fatigue resistance of CAD/CAM resin composite molar crowns.

NARCIS (Netherlands)

Shembish, F.A.; Tong, H.; Kaizer, M.; Janal, M.N.; Thompson, V.P.; Opdam, N.J.M.; Zhang, Y.

2016-01-01

OBJECTIVE: To demonstrate the fatigue behavior of CAD/CAM resin composite molar crowns using a mouth-motion step-stress fatigue test. Monolithic leucite-reinforced glass-ceramic crowns were used as a reference. METHODS: Fully anatomically shaped monolithic resin composite molar crowns (Lava

Comparative evaluation of effect of different polishing systems on surface roughness of composite resin: An in vitro study.

Science.gov (United States)

Chour, Rashmi G; Moda, Aman; Arora, Arpana; Arafath, Muhmmed Y; Shetty, Vikram K; Rishal, Yousef

2016-08-01

Satisfactory composite restoration depends upon its smooth finish, quality of polishing agents, type of composite material used, and its composition. The present study evaluated the effect of different polishing systems on the surface roughness of composite resin. Forty discs of composite were prepared and equally subjected to different finishing and polishing procedures; (i) unpolished control group, (ii) sof-lex discs, (iii) diamond tips, and (iv) Astrobrush groups. Later, the surface roughness for the entire specimen was evaluated using Profilomotor. Data were tabulated and statistically analyzed using analysis of variance and Tukey's test at significance level of 0.001. Composite surface roughness after polishing was statistically significant between the groups. Sof-lex group produced lesser surface roughness compared to control, Astrobrush, and diamond group. The present study indicated that diamond tips can be used to remove rough surface whereas sof-lex can be used for final finish and polish of the composite restoration.

A qualitative chemometric study of resin composite polymerization

Directory of Open Access Journals (Sweden)

Regina Ferraz Mendes

2008-01-01

Full Text Available Objective: An experiment was carried out to assess the effect produced by different polymerization techniques on resin composite color after it has been immersed in coffee. Methods: Samples were manufactured using TPH Spectrum composite. It was polymerized for 10 or 40 seconds, with the light tip at one or zero millimeters from the resin surface, and afterwards the samples were immersed in coffee for 24 hours or 7 days. Ten different evaluators classified the samples according to their degree of staining. Results: The samples that were polymerized for 10 seconds were more susceptible to staining than the ones polymerized by 40 seconds. Samples immersed in coffee for 7 days were more susceptible to staining than the ones immersed for 24 hours. Conclusion: The variables polymerization time and immersion time were determinant in the staining susceptibility of the studied composite by coffee. However, there was no significant difference, irrespective of whether the resin was polymerized 10 or zero millimeters away from the resin surface.

Occlusal wear of provisional implant-supported restorations

NARCIS (Netherlands)

Santing, Hendrik J.; Kleverlaan, Cornelis J.; Werner, Arie; Feilzer, Albert J.; Raghoebar, Gerry M.; Meijer, Henny J. A.

BACKGROUND: Implant-supported provisional restorations should be resistant to occlusal wear. PURPOSE: The purpose of this laboratory study was to evaluate three-body wear of three indirect laboratory composite resins, five chair side bis-acryl resin-based materials, and two chair side

Radiopacity of dental restorative materials and cements

International Nuclear Information System (INIS)

Kang, Byung Chul; Yang, Hong So; Chung, Hyun Ju; Oh, Won Mann

1994-01-01

The radiopacity of six composite resins, three resin luting cements and ten filling materials were studied. The purpose was to obtain an indication of radiopacity value of different brands within each of these groups of materials and to show differences in radiopacities of filling materials and natural tooth structures. On radiographs, the optimal densities of standardized samples were determined by computer imaging system and radiopacity values of the materials were expressed in millimeter equivalent aluminum. Within to groups of materials studied, there was considerable variation in radiopacity. The composite resins of P-50, Zl00 and prisma AP. H displayed much higher radiopacities than aluminum. Panavia resin cement was shown to be similarly radiopaque to aluminum. Generally, the radiopacity of base and filling materials appeared to combined applications for restorative treatment of teeth, lower radiopacity can interfere with the diagnosis and detection of gaps near the restoration.

Effect of Green Tea Extract as Antioxidant on Shear Bond Strength of Resin Composite to in-Office and Home-Bleached Enamel

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Sharafeddin F

2016-09-01

Full Text Available Statement of Problem: Shear bond strength (SBS of home and office bleached enamel will be compromised by immediate application of composite restoration. Antioxidant agent may overcome this problem. Objectives: This in vitro study assessed the effect of green tea extract on shear bond strength of resin composite to in-office and home-bleached enamel. Materials and Methods: In this experimental study, 40 extracted intact human incisors were embedded in cylindrical acrylic resin blocks (2.5 ×1.5 cm, with the coronal portion above the cemento enamel junction out of the block. Then, after bleaching labial enamel surfaces of 20 teeth with 15% carbamide peroxide 6 hours a day for 5 days, they were randomly divided into two groups: A1 and A2 (n = 10, depending upon whether or not they are treated with antioxidant. Labial enamel surfaces of the remaining 20 teeth were bleached with 38% hydrogen peroxide before being randomly divided into groups B1 and B2 (n = 10, again depending on whether or not the antioxidant was used in their treatment . The experimental groups (A2,B2 were treated with 5% solution of green tea extract before resin composite restoration was done by a cylindrical Teflon mould (5×2 mm. Shear bond strength of the specimens was tested under a universal testing machine (Zwick/Roell Z020. The SBS data were analyzed by using One-way ANOVA and Tukey HSD tests (p < 0.05. Results: There were no statistically significant differences between shear bond strength of the control group (A1 and treated group (A2 but there were statistically significant differences between the groups B1 and B2 (p < 0.05. Conclusions: Application of antioxidant did not increase the shear bond strength of home-bleached enamel to resin composite but its application increased the shear bond strength of in-office bleached enamel to resin composite.

Effect of composite warming on shear bond strength.

Science.gov (United States)

McDaniel, Thomas F; Sigrist, Thomas W; Johnson, Gary M

2018-01-01

Several manufacturers produce devices designed to warm composite resins used in restorative dentistry. Previous investigators have examined the effects of heating composite restorative resins prior to placement and polymerization. Heating has been reported to reduce viscosity, improve ease of placement, enhance monomer conversion, and reduce microleakage. The aim of the present study was to compare shear bond strengths of room temperature (22°C) and prewarmed (54°C) restorative composite resin. Extracted bovine mandibular incisors were sectioned sagittally and embedded in acrylic cylinders. Enamel was selectively etched with 37% phosphoric acid, rinsed, and dried. Self-etching primer was applied to both enamel and dentin. Self-etching adhesive was then applied and photopolymerized. Composite resin capsules were then divided into prewarmed and room temperature groups. Fourteen composite specimens prewarmed in an incubator were applied to the prepared enamel and dentin and photopolymerized. Fourteen room temperature composite specimens were likewise placed. After storage in water for 24 hours, all composite specimens were subjected to shear stress testing. The resulting data were analyzed with a t test (P = 0.05). There was no statistically significant difference between the shear bond strengths of the prewarmed and room temperature composite resin specimens. Warming does not appear to affect bond strength of composite resin bonded to both dentin and enamel.

Microleakage comparison of three types of adhesive systems versus GIC-based adhesive in class V composite restorations

Directory of Open Access Journals (Sweden)

Mostafa Sadeghi

2016-06-01

Full Text Available Background and aims: New dentin bonding agents and techniques have been developed to reduce microleakage and create higher bond strength. This in-vitro study compared the microleakage of three resin-based adhesives versus a GIC-based adhesive on class V composite restorations.  Materials and Methods: Class V cavities were prepared on the buccal surfaces of 72 sound premolars, randomly assigned to six groups (n=12 and treated as follows: without any treatment (negative control group; total-etch (OptiBond Solo Plus; two-step self-etch (OptiBond XTR; one-step self-etch (OptiBond All-in-One and GIC-based adhesive (Fuji bond LC with pre-cure and co-cure techniques. The treated cavities were filled with a micro-hybrid resin composite (Point 4, Kerr. Following finishing and polishing procedures, the specimens were placed in 100% humidity, stored in distilled water, thermocycled and then immersed in a methylene blue, sectioned, evaluated for microleakage and scored on a 0 to 3 ordinal scale.  Results: None of the adhesives tested were capable of completely eliminating marginal microleakage. There were statistically significant differences among the test groups at occlusal margins; but at cervical margins were not. The Fuji Bond LC with co-cure and control groups had significantly greater microleakage scores at the occlusal margins. At the cervical margins, the bonded restorations with OptiBond XTR and OptiBond All-in-One adhesives presented significantly lower microleakage scores. Also, there were no significant differences between the resin adhesive groups both at occlusal and cervical margins. The microleakage scores at the cervical margins were markedly higher than the occlusal margins in the groups bonded with OptiBond Solo Plus and Fuji Bond LC with pre-cure. The differences between Fuji Bond LC adhesive with pre-cure and co-cure techniques were significant. Conclusion: This study encourages application of the Fuji bond LC adhesive with pre

Fracture resistance of endodontically treated teeth restored with short fiber composite used as a core material-An in vitro study.

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Garlapati, Tejesh Gupta; Krithikadatta, Jogikalmat; Natanasabapathy, Velmurugan

2017-10-01

This in-vitro study tested the fracture resistance of endodontically treated molars with Mesial-Occluso-Distal (MOD) cavities restored with fibre reinforced composite material everX posterior in comparision with hybrid composite and ribbond fiber composite. Fifty intact freshly extracted human mandibular first molars were collected and were randomly divided into five groups (n=10). Group 1: positive control (PC) intact teeth without any endodontic preparation. In groups 2 through 6 after endodontic procedure standard MOD cavities were prepared and restored with their respective core materials as follows: group 2, negative control (NC) left unrestored or temporary flling was applied. Group 3, Hybrid composite (HC) as a core material (Te-Econom Plus Ivoclar Vivadent Asia) group 4, Ribbond (Ribbond; Seattle, WA, USA)+conventional composite resin (RCR) group 5, everX posterior (everX Posterior GC EUROPE)+conventional composite resin (EXP) after thermocycling fracture resistance for the samples were tested using universal testing machine. The results were analysed using ANOVA and Tukey's HSD post hoc tests. Mean fracture resistance (in Newton, N) was group 1: 1568.4±221.71N, group 2: 891.0±50.107N, group 3: 1418.3±168.71N, group 4:1716.7±199.51N and group 5: 1994.8±254.195N. Among the materials tested, endodontically treated teeth restored with everX posterior fiber reinforced composite showed superior fracture resistance. Copyright © 2017 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

Temperature-dependence of creep behaviour of dental resin-composites.

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El-Safty, S; Silikas, N; Watts, D C

2013-04-01

To determine the effect of temperature, over a clinically relevant range, on the creep behaviour of a set of conventional and flowable resin-composites including two subgroups having the same resin matrix and varied filler loading. Eight dental resin-composites: four flowable and four conventional were investigated. Stainless steel split moulds (4 mm × 6 mm) were used to prepare cylindrical specimens for creep examination. Specimens were irradiated in the moulds in layers of 2mm thickness (40s each), as well as from the radial direction after removal from the moulds, using a light-curing unit with irradiance of 650 mW/cm(2). A total of 15 specimens from each material were prepared and divided into three groups (n=5) according to the temperature; Group I: (23°C), Group II: (37°C) and Group III: (45°C). Each specimen was loaded (20 MPa) for 2h and unloaded for 2h. Creep was measured continuously over the loading and unloading periods. At higher temperatures greater creep and permanent set were recorded. The lowest mean creep occurred with GS and GH resin-composites. Percentage of creep recovery decreased at higher temperatures. At 23°C, the materials exhibited comparable creep. At 37°C and 45°C, however, there was a greater variation between materials. For all resin-composites, there was a strong linear correlation with temperature for both creep and permanent set. Creep parameters of resin-composites are sensitive to temperature increase from 23 to 45°C, as can occur intra-orally. For a given resin matrix, creep decreased with higher filler loading. Copyright © 2012 Elsevier Ltd. All rights reserved.

Resin flow/fiber deformation model for composites

International Nuclear Information System (INIS)

Gutowski, T.G.

1985-01-01

This paper presents a resin flow/fiber deformation model that can be used to predict the behavior of composites during the molding cycle. The model can take into account time varying pressure and viscosity and output the time history of the fiber volume fraction. With this known, the composite thickness, resin pressure, and fiber pressure can all be determined as a function of time. The results of this model are in good agreement with experimentally measured values. 10 references, 9 figures

Fracture resistance of endodontically treated teeth restored with Zirconia filler containing composite core material and fiber posts.

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Jeaidi, Zaid Al

2016-01-01

To assess the fracture resistance of endodontically treated teeth with a novel Zirconia (Zr) nano-particle filler containing bulk fill resin composite. Forty-five freshly extracted maxillary central incisors were endodontically treated using conventional step back preparation and warm lateral condensation filling. Post space preparation was performed using drills compatible for fiber posts (Rely X Fiber Post) on all teeth (n=45), and posts were cemented using self etch resin cement (Rely X Unicem). Samples were equally divided into three groups (n=15) based on the type of core materials, ZirconCore (ZC) MulticCore Flow (MC) and Luxacore Dual (LC). All specimens were mounted in acrylic resin and loads were applied (Universal testing machine) at 130° to the long axis of teeth, at a crosshead speed of 0.5 mm/min until failure. The loads and the site at which the failures occurred were recorded. Data obtained was tabulated and analyzed using a statistical program. The means and standard deviations were compared using ANOVA and Multiple comparisons test. The lowest and highest failure loads were shown by groups LC (18.741±3.02) and MC (25.16±3.30) respectively. Group LC (18.741±3.02) showed significantly lower failure loads compared to groups ZC (23.02±4.21) and MC (25.16±3.30) (pcomposite cores was comparable to teeth restored with conventional Zr free bulk fill composites. Zr filled bulk fill composites are recommended for restoration of endodontically treated teeth as they show comparable fracture resistance to conventional composite materials with less catastrophic failures.

Microleakage of Composite Resin Restorations Using a Type of Fifth and Two Types of Seventh Generations of Adhesive Systems: A Comparative Study

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Mitra Tabari

2015-12-01

Full Text Available Introduction: In recent dentin adhesive systems etching of enamel/dentin are achieved simultaneously. The objective was to evaluate the microleakage of composite restorations using Single Bond2 (5th generation, Clearfil S3 Bond and G Bond (7th generation. Methods: Class V cavities were prepared on  45 extracted intact premolars with gingival margins at the cementoenamel junction and they were randomly divided into 3 groups (n=15 based on the type of adhesives: Single Bond2 (5th generation, Clearfil S3 Bond and G Bond (7th generation. After applying the adhesives, the cavities were filled with Z250 composite resin. The occlusal and gingival microleakage was evaluated using 2% basic fuchsin staining technique. Data were analyzed using Kruskal-Wallis and Bonferroni corrected Mann-Whitney U tests. Results: The mean rank of occlusal microleakage exhibited significant differences by comparison of G Bond, Clearfil S3 Bond and Single Bond2 (21.07, 30.67 and 17.27, respectively (P=0.005. There was a significant difference in gingival microleakage of different bonding agents (34.40, 17.83 and 16.77 for G Bond, Clearfil S3 Bond and Single Bond2, respectively (P

Analysis of surface hardness of artificially aged resin composites

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Denise Cremonezzi Tornavoi

2012-02-01

Full Text Available This study evaluated the effect of artificially accelerated aging (AAA on the surface hardness of eight composite resins: Filtek Z250, Filtek Supreme, 4 Seasons, Herculite, P60, Tetric Ceram, Charisma, and Filtek Z100. Sixteen specimens were made from the test piece of each material, using an 8.0 × 2.0 mm teflon matrix. After 24 hours, eight specimens from each material were submitted to three surface hardness readings using a Shimadzu Microhardness Tester for 5 seconds at a load of 50 gf. The other eight specimens remained in the artificially accelerated aging machine for 382 hours and were submitted to the same surface hardness analysis. The means of each test specimen were submitted to the Kolmogorov-Smirnov test (p > 0.05, ANOVA and Tukey test (p < 0.05. With regard to hardness (F = 86.74, p < 0.0001 the analysis showed significant differences among the resin composite brands. But aging did not influence the hardness of any of the resin composites (F = 0.39, p = 0.53. In this study, there was interaction between the resin composite brand and the aging factors (F = 4.51, p < 0.0002. It was concluded that notwithstanding the type of resin, AAA did not influence surface hardness. However, with regard to hardness there was a significant difference among the resin brands.

Effects of cold light bleaching on the color stability of composite resins

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Cao, Liqun; Huang, Lijuan; Wu, Meisheng; Wei, Hua; Zhao, Shouliang

2015-01-01

To evaluate the effects of cold light bleaching on the color stability of four restorations using a thermocycling stain challenge. 160 specimens (10 mm in diameter and 2 mm thick) were fabricated from 4 composite resins (Gradia Direct-A, Z350XT, Premisa, and Précis) and divided into 4 subgroups. Color was assessed according to the CIEL*a*b* color scale at baseline, after the first cycle of bleaching, after thermocycling stain challenges, and after the second cycle of bleaching. Mean values were compared using three-way analysis of variance, and multiple comparisons of the mean values were performed using the Tukey-Kramer test. All groups showed significant color changes after stain challenge, the color change was more significant in Gradia Direct and Z350XT than in Premisa and Précis. After the second cycle of bleaching, color mostly recovered to its original values. The color stability of Gradia Direct and Z350XT was inferior to that of Premisa and Précis. The discoloration of composite resin materials can be partly removed after cold light bleaching. PMID:26309549

Polishing and toothbrushing alters the surface roughness and gloss of composite resins.

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Kamonkhantikul, Krid; Arksornnukit, Mansuang; Takahashi, Hidekazu; Kanehira, Masafumi; Finger, Werner J

2014-01-01

This study aimed to investigate the surface roughness and gloss of composite resins after using two polishing systems and toothbrushing. Six composite resins (Durafill VS, Filtek Z250, Filtek Z350 XT, Kalore, Venus Diamond, and Venus Pearl) were evaluated after polishing with two polishing systems (Sof-Lex, Venus Supra) and after toothbrushing up to 40,000 cycles. Surface roughness (Ra) and gloss were determined for each composite resin group (n=6) after silicon carbide paper grinding, polishing, and toothbrushing. Two-way ANOVA indicated significant differences in both Ra and gloss between measuring stages for the composite resins tested, except Venus Pearl, which showed significant differences only in gloss. After polishing, the Filtek Z350 XT, Kalore, and Venus Diamond showed significant increases in Ra, while all composite resin groups except the Filtek Z350 XT and Durafill VS with Sof-Lex showed increases in gloss. After toothbrushing, all composite resin demonstrated increases in Ra and decreases in gloss.

Resin-bonded restorations: a strategy for managing anterior tooth loss in adolescence.

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Zitzmann, Nicola U; Özcan, Mutlu; Scherrer, Susanne S; Bühler, Julia M; Weiger, Roland; Krastl, Gabriel

2015-04-01

In children or adolescents with anterior tooth loss, space closure with the patient's own teeth should be considered as the first choice to avoid lifelong restorative needs. Thorough diagnostics and treatment planning are required when autotransplantation or orthodontic space closure is considered. If these options are not indicated and a single tooth implant restoration is considered, implant placement should be postponed until adulthood, particularly in young women and in patients with hyperdivergent skeletal growth pattern. A ceramic resin-bonded fixed dental prosthesis with 1 retainer is an excellent treatment solution for the interim period; it may also serve as a long-term restoration, providing that sound enamel structure is present, sufficient framework dimensions have been provided, adhesive cementation techniques have been meticulously applied, and functional contacts of the cantilever pontic avoided. In contrast, a resin-bonded fixed dental prosthesis with a metal framework and retentive preparation is indicated if the palatal enamel structure is compromised, interocclusal clearance is limited, splinting (such as after orthodontic treatment) is required, or more than 1 tooth has to be replaced. Copyright © 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Matrix resin effects in composite delamination - Mode I fracture aspects

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Hunston, Donald L.; Moulton, Richard J.; Johnston, Norman J.; Bascom, Willard D.

1987-01-01

A number of thermoset, toughened thermoset, and thermoplastic resin matrix systems were characterized for Mode I critical strain energy release rates, and their composites were tested for interlaminar critical strain energy release rates using the double cantilever beam method. A clear correlation is found between the two sets of data. With brittle resins, the interlaminar critical strain energy release rates are somewhat larger than the neat resin values due to a full transfer of the neat resin toughness to the composite and toughening mechanisms associated with crack growth. With tougher matrices, the higher critical strain energy release rates are only partially transferred to the composites, presumably because the fibers restrict the crack-tip deformation zones.

Efficiency of polymerization of bulk-fill composite resins: a systematic review.