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Dos Santos DB, Romano BDC, Pecorari VGA, Price RB, Giannini M. Effect of high irradiance and short exposure times on the depth of cure of six bulk-fill resin composites. Eur J Oral Sci 2024; 132:e12990. [PMID: 38698528 DOI: 10.1111/eos.12990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Accepted: 04/15/2024] [Indexed: 05/05/2024]
Abstract
This study examined the effect of high irradiance and short exposure times on the depth of cure of six resin-based composites (RBCs). Bluephase PowerCure and the Valo X light-curing units (LCUs) were used to photocure bulk-fill RBCs for their recommended exposure times: Admira Fusion x-tra (AFX/20s), Aura Bulk Fill (ABF/20s), Filtek One Bulk Fill (FOB/20s), Opus Bulk Fill APS (OBF/30s), Tetric EvoCeram Bulk Fill (TEC/10s) and Tetric PowerFill (TPF/10s). In addition, all bulk-fill RBCs were tested for depth of cure with one short 3 s exposure time from the Bluephase PowerCure or the Valo X in the Xtra Power mode. The RBCs (n = 10 per RBC) were inserted into a 4 mm diameter metal mold and covered by a polyester strip before being photocured. After 24 h of storage, uncured RBC was scraped away to determine the depth of cure of the RBCs. None of the RBCs achieved a 4 mm depth of cure. The depth of cure of TEC and TPF was unaffected by the exposure times (recommended or short) when using the Valo X. The depth of cure of AFX/20s, AFX/Xtra Power, ABF/Xtra Power, FOB/Xtra Power, and OBF/30s RBCs was greater when using Valo X compared to the Bluephase PowerCure. It was concluded that short exposure times can reduce depth of cure and should only be used for some RBCs.
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Affiliation(s)
| | | | | | | | - Marcelo Giannini
- Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
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2
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Heyder M, Kranz S, Beck J, Wettemann M, Hennig CL, Schulze-Späte U, Sigusch BW, Reise M. Influence of Layer Thickness and Shade on the Transmission of Light through Contemporary Resin Composites. MATERIALS (BASEL, SWITZERLAND) 2024; 17:1554. [PMID: 38612069 PMCID: PMC11012366 DOI: 10.3390/ma17071554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Revised: 03/22/2024] [Accepted: 03/26/2024] [Indexed: 04/14/2024]
Abstract
BACKGROUND Material-dependent parameters have an important impact on the efficiency of light polymerization. The present in vitro study aimed to investigate the influence of the increment thickness and shade of nano- and nanohybrid resin composites on the transmission of curing light. METHODS Three contemporary resin composites were evaluated: Tetric EvoCeram® (TEC); Venus Diamond® (VD); and Filtek Supreme XTE® (FS XTE). Light transmission (LT) was recorded in accordance with the sample thickness (0.5 to 2.7 mm) and the shade. Polymerized samples were irradiated for 10 s each using the high-power LED curing light Celalux 2 (1900 mW/cm2). LT was simultaneously recorded using the MARC Patient Simulator (MARC-PS). RESULTS LT was strongly influenced by the composite layer thickness. For 0.5 mm-thick samples, a mean power density of 735 mW/cm2 was recorded at the bottom side. For the 2.7 mm samples, a mean power density of 107 mW/cm2 was measured. Only LT was markedly reduced in the case of darker shades. From A1 to A4, LT decreased by 39.3% for FS XTE and 50.8% for TEC. Dentin shades of FS XTE and TEC (A2, A4) showed the lowest LT. CONCLUSIONS The thickness and shade of resin composite increments strongly influences the transmission of curing light. More precise information about these parameters should be included in the manufacture manual.
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Affiliation(s)
- Markus Heyder
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany; (M.H.); (J.B.); (M.R.)
| | - Stefan Kranz
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany; (M.H.); (J.B.); (M.R.)
| | - Julius Beck
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany; (M.H.); (J.B.); (M.R.)
| | - Marlene Wettemann
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany; (M.H.); (J.B.); (M.R.)
| | - Christoph-Ludwig Hennig
- Department of Orthodontics, Center of Dental Medicine, Jena University Hospital, 07743 Jena, Germany;
| | - Ulrike Schulze-Späte
- Section of Geriodontics, Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany;
| | - Bernd W. Sigusch
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany; (M.H.); (J.B.); (M.R.)
| | - Markus Reise
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany; (M.H.); (J.B.); (M.R.)
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Eichler E, Vach K, Schlueter N, Jacker-Guhr S, Luehrs AK. Dentin adhesion of bulk-fill composites and universal adhesives in class I-cavities with high C-factor. J Dent 2024; 142:104852. [PMID: 38244909 DOI: 10.1016/j.jdent.2024.104852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 01/16/2024] [Accepted: 01/17/2024] [Indexed: 01/22/2024] Open
Abstract
OBJECTIVES The aim of this study was to compare the dentin adhesion of bulk-fill composites in high C-factor class I-cavities before and after thermocycling to a control group using incremental layering technique. METHODS A standardized class I-cavity was prepared into 195 human molars, then different universal adhesives were applied either in self-etch or etch & rinse mode, and the cavity was filled according to each materials application protocol. The material combinations used were a conventional layered composite as control, the respective bulk-fill product, two other bulk-fill composites made by different manufacturers, with one of them being tested using two different polymerization times. Furthermore, one thermoviscous bulk-fill composite and one self-adhesive restorative were examined of which the latter can only be applied in self-etch mode. In each group the dentin adhesion to the cavity bottom was measured using microtensile bond strength test initially (24 h water storage) and after thermocycling. All results were statistically analyzed using STATA 17.0. RESULTS The statistical analysis showed significant differences between the control and the experimental groups (p < 0.001). The highest mean bond strength before (14.8 ± 10.7 MPa) and after aging (14.2 ± 11.5 MPa) was measured for the etch & rinse-control group. Among the bulk-fill groups, the etch & rinse technique consistently showed higher bond strengths. Bond strength of groups with shortened polymerization did not exceed 2.1 MPa. The bond strength of the self-adhesive restoration material was low before and after thermocycling (2.7 MPa/ 0.0 MPa). Groups with low bond strength values showed a high number of pre-testing-failures. CONCLUSIONS Bulk-fill materials used in high C-factor class I-cavities showed lower bond strength during self-etch application. The same applies for a shortened polymerization regime, which cannot be recommended for high C-factor cavities. CLINICAL SIGNIFICANCE Today, a large variety of materials and application techniques can be used when placing an adhesive restoration. Whether new instead of established procedures should be applied in high C-factor cavities has to be critically assessed, as they are a demanding scenario for adhesive restorations.
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Affiliation(s)
- Erik Eichler
- Hannover Medical School, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, OE 7740, Carl-Neuberg-Straße 1, Hannover 30625, Germany
| | - Kirstin Vach
- Hannover Medical School, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, OE 7740, Carl-Neuberg-Straße 1, Hannover 30625, Germany
| | - Nadine Schlueter
- Hannover Medical School, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, OE 7740, Carl-Neuberg-Straße 1, Hannover 30625, Germany
| | - Silke Jacker-Guhr
- Hannover Medical School, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, OE 7740, Carl-Neuberg-Straße 1, Hannover 30625, Germany
| | - Anne-Katrin Luehrs
- Hannover Medical School, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, OE 7740, Carl-Neuberg-Straße 1, Hannover 30625, Germany.
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Nakagawa RK, Araújo de Oliveira HH, Abreu LG, R DCA, Lf DSAM, A NM. Pulpal Temperature Variances During Step-by-step Adhesive Restorative Procedure Using Three Different High-irradiance Light-curing Units. Oper Dent 2024; 49:43-51. [PMID: 38180469 DOI: 10.2341/22-045-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/31/2023] [Indexed: 01/06/2024]
Abstract
The rise in temperature in pulp tissues is related not only to heat transfer by high-irradiance light-curing units (LCUs), but also to restorative procedures. This research aimed to compare the rise in pulp temperature (PT) induced by three LCUs at each restorative step while considering the influence of resin composite shade and thickness. To accomplish this, the investigators used a proposed experimental model replicating pulp fluid circulation with a controlled, simulated intraoral temperature in bovine incisors. The recorded external and internal PT ranged from 36.7°C to 37.1°C and 32.7°C to 33.0°C, respectively. A significant decrease of internal temperature was recorded during class V preparation, followed by a progressive and representative rise of temperature in the subsequent restorative steps. The temperature was significantly higher during light curing of the adhesive system using Valo compared to light curing using Elipar and Radii Cal. However, none of the analyzed devices produced a temperature that exceeded the pulp tolerance limit (a temperature increase over 5.5°C). The paired test showed no significant difference in pulp temperature associated with the thickness of the increment of resin composite. However, shade was found to have more influence on the amount of energy absorbed by pulp tissue-A1 samples showed significantly higher temperature variation compared to samples using the A4 shade of resin composite. To conclude, the microcirculation and the performance of procedures under constant air-water flux dissipate the heat absorbed by the pulp. Additionally, the data suggest that all three LCUs analyzed can be safely used in clinical procedures, and that the resin composite shade may influence the amount of irradiance delivered to the tooth surface and represents a significant factor in pulp temperature variance.
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Affiliation(s)
- R K Nakagawa
- Rodrigo Keigo Nakagawa, DDS, MSc, PhD, postdoctoral researcher, Department of Restorative Dentistry, Federal University of Minas Gerais, Bel o Horizonte, Brazil
| | - H H Araújo de Oliveira
- Hans Hatner Araújo de Oliveira, DDS, MSc student, Department of Restorative Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - L G Abreu
- Lucas Guimarães Abreu, DDs, MSc, PhD, professor, Department of Pediatric Dentistry, Universidade Federal de Minas Gerais
| | - de Castro Albuquerque R
- Rodrigo de Castro Albuquerque, DDS, MSc, PhD, professor, Department of Restorative Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Dos Santos Alves Morgan Lf
- *Luís Fernando dos Santos Alves Morgan, DDS, MSc, PhD, professor, Department of Restorative Dentistry, Federal University of Minas Gerais
| | - Nogueira Moreira A
- Allyson Nogueira Moreira, DDS, MSc, PhD professor, Department of Restorative Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
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Jakupović S, Pervan N, Mešić E, Gavranović-Glamoč A, Bajsman A, Muratović E, Kazazić L, Kantardžić-Kovačević A. Assessment of Microhardness of Conventional and Bulk-Fill Resin Composites Using Different Light-Curing Intensity. Polymers (Basel) 2023; 15:polym15102250. [PMID: 37242825 DOI: 10.3390/polym15102250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 04/25/2023] [Accepted: 05/04/2023] [Indexed: 05/28/2023] Open
Abstract
(1) Background: This study evaluates the effect of a conventional/low-voltage light-curing protocol (LV protocol) (10 s with 1340 mW/cm2) and high-voltage light-curing protocol (HV protocol) (3 s with 3440 mW/cm2) on the microhardness (MH) of dental resin-based composites (RBCs). Five resin composites were tested: conventional Evetric (EVT), Tetric Prime (TP), Tetric Evo Flow (TEF), bulk-fill Tetric Power Fill (PFL), and Tetric Power Flow (PFW). (2) Materials and Methods: Two tested composites (PFW and PFL) were designed for high-intensity light curing. The samples were made in the laboratory in specially designed cylindrical molds; diameter = 6 mm and height = 2 or 4 mm, depending on the type of composite. Initial MH was measured on the top and bottom surfaces of composite specimens 24 h after light curing using a digital microhardness tester (QNESS 60 M EVO, ATM Qness GmbH, Mammelzen, Germany). The correlation between the filler content (wt%, vol%) and the MH of the RBCs was tested. For the calculation of depth-dependent curing effectiveness, the bottom/top ratio for initial MH was used. (3) Conclusions: MH of RBCs is more dependent on material composition than on light-curing protocol. Filler wt% has a greater influence on MH values compared to filler vol%. The bottom/top ratio showed values over 80% for bulk composites, while for conventional sculptable composites, borderline or suboptimal values were measured for both curing protocols.
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Affiliation(s)
- Selma Jakupović
- Department of Restorative Dentistry and Endodontics, Faculty of Dentistry with Clinics, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
| | - Nedim Pervan
- Department of Mechanical Design, Faculty of Mechanical Engineering, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
| | - Elmedin Mešić
- Department of Mechanical Design, Faculty of Mechanical Engineering, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
| | - Alma Gavranović-Glamoč
- Department of Prosthodontics, Faculty of Dentistry with Clinics, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
| | - Anita Bajsman
- Department of Dental Morphology with Dental Anthropology and Forensics, Faculty of Dentistry with Clinics, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
| | - Enis Muratović
- Department of Mechanical Design, Faculty of Mechanical Engineering, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
| | - Lejla Kazazić
- Department of Prosthodontics, Faculty of Dentistry with Clinics, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
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Leyva Del Rio D, Johnston WM. Effect of monomer composition and filler fraction on surface microhardness and depth of cure of experimental resin composites. Eur J Oral Sci 2023; 131:e12933. [PMID: 37121780 DOI: 10.1111/eos.12933] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 03/28/2023] [Indexed: 05/02/2023]
Abstract
This study evaluated microhardness profiles and calculated depths of cure at 80% of the surface microhardness of experimental dental resin composites having different base monomer compositions and different filler fractions. Composites were prepared using four different base monomers (bisphenol A-glycidyl methacrylate [Bis-GMA], urethane dimethacrylate [UDMA], ethoxylated bisphenol-A dimethacrylate [Bis-EMA], and Fit-852) with triethylene glycol dimethacrylate (TEGDMA) used as a co-monomer at three filler:resin matrix weight percent fractions (50:50, 60:40, and 70:30). Uncured material was placed in 3D printed molds and light cured for 40 s from the top surface only. Knoop microhardness was measured at the top of the specimen, and at every 0.5 mm up to 4 mm in depth. Microhardness at the surface increased in all experimental composites as the filler fraction increased. When comparing base monomers, microhardness was the highest in UDMA-based composites, while Bis-GMA-based composites showed the lowest values. When comparing depth of cure as a function of base monomer type, both Bis-GMA and Bis-EMA showed significantly lower values than UDMA or Fit-852. Composites having 50 wt% filler showed a significantly higher depth of cure than those with 60 and 70 wt% filler. Base monomer and filler fraction significantly influence microhardness and depth of cure in these experimental composites.
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Affiliation(s)
- Diana Leyva Del Rio
- The Ohio State University, College of Dentistry, Division of Restorative and Prosthetic Dentistry, Columbus, Ohio, USA
| | - William Michael Johnston
- The Ohio State University, College of Dentistry, Division of Restorative and Prosthetic Dentistry, Columbus, Ohio, USA
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Evaluation of the Selected Mechanical and Aesthetic Properties of Experimental Resin Dental Composites Containing 1-phenyl-1,2 Propanedione or Phenylbis(2,4,6-trimethylbenzoyl)-phosphine Oxide as a Photoinitiator. Int J Mol Sci 2023; 24:ijms24065573. [PMID: 36982646 PMCID: PMC10053791 DOI: 10.3390/ijms24065573] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Revised: 03/01/2023] [Accepted: 03/05/2023] [Indexed: 03/17/2023] Open
Abstract
The goal of this study was to compare the mechanical properties of experimental resin dental composites containing a conventional photoinitiating system (camphorquinone CQ and 2-(dimethylami-no)ethyl methacrylate (DMAEMA)) to a photoinitiator system containing 1-phenyl-1,2 propanedione (PPD) with 2-(dimethylami-no)ethyl methacrylate) or acting alone phenylbis(2,4,6-trimethylbenzoyl)-phosphine oxide (BAPO). The manually produced composites consisted of an organic matrix: bis-GMA (60 wt. %), TEGDMA (40 wt. %), and silanized silica filler (45 wt. %). The composites contained 0.4/0.8 wt. %, 0.8/1.6 wt. %, and 1/2 wt. % of PPD/DMAEMA and another group included 0.25, 0.5, or 1 wt. % of BAPO. Vickers hardness, microhardness (in the nanoindentation test), diametral tensile strength, and flexural strength were assessed, and CIE L* a* b* colorimetric analysis was conducted for each composite produced. The highest average Vickers hardness values were obtained for the composite containing 1 wt. % BAPO (43.73 ± 3.52 HV). There was no statistical difference in the results of diametral tensile strength for the experimental composites tested. The results of 3-point bending tests were the highest for composites containing CQ (77.3 ± 8.84 MPa). Despite the higher hardness of experimental composites including PPD or BAPO, compared with composites with CQ, the overall results indicate that the composite with CQ still represents a better solution when used as a photoinitiator system. Moreover, the composites containing PPD and DMAEMA are not promising in terms of color or mechanical properties, especially as they require significantly longer irradiation times.
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8
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Gilli M, Hollaert TG, Setbon HM, des Rieux A, Leprince JG. Quality of Cure in Depth of Commercially Available Bulk-fill Composites: A Layer-by-layer Mechanical and Biological Evaluation. Oper Dent 2022; 47:437-448. [PMID: 35917249 DOI: 10.2341/21-084-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2021] [Indexed: 11/23/2022]
Abstract
Despite their popularity, the use of bulk-fill composites remains controversial, both in terms of their properties and their in-depth development. The objectives of the present work were (1) to provide a more comprehensive evaluation of the quality of cure in depth of commercially available bulk-fill composites by combining various key mechanical and biological characterization methods, (2) to evaluate the inter-material differences when optimally cured, and (3) to evaluate the efficiency of an antioxidant-N-acetyl-cysteine (NAC)-to restrain the adverse effects of the leached components on cell viability. Nine bulk-fill composites (including flowable and high-viscosity materials) were investigated and compared to two conventional resin-based composites, one flowable and one high-viscosity restorative material. The materials were injected or packed into Teflon molds of various configurations, up to 6 mm material thickness. They were then light-cured from the top for 20 seconds with Bluephase G2 (Ivoclar Vivadent, irradiance = 1050 mW/cm2). The following physicomechanical properties were measured for the upper (0-2 mm), intermediate (2-4 mm), and lower (4-6 mm) layers: degree of conversion using Raman Spectrometry (DC, in %), microhardness using a Vickers micro-indenter before (VHN dry) and after 24 hours of storage in ethanol (VHN EtOH), and flexural strength (in MPa) and flexural modulus (in GPa) using a three-point bend test. Each composite layer and an uncured layer were also stored for one week in a standard cell growth medium to generate conditioned media. Human dental pulp cells were then cultured for 24 hours with the latter and cell viability was measured using an MTS assay. A similar experiment was repeated with conditioned media produced in contact with uncured composites, with and without the addition of 4 mM NAC. The data were subjected to a Shapiro-Wilk test, then one-way ANOVA or Kruskal-Wallis test, followed either by Tukey's test (inter-material comparison) or by Dunnett's or Dunn's test (comparison between layers relative to the upper one). The level of statistical significance was set at 0.05. Some materials (EverX, X-traF, VenusBF, X-traB) did not show any significant differences (p>0.05) for any of the properties considered between the intermediate layers compared to the upper one (considered as reference). Others displayed significant differences, at least for some properties, highlighting the value of combining various key mechanical and biological characterization methods when investigating the quality of cure in depth. Significant inter-material differences (p<0.05) were observed when comparing the properties of their upper layer, considered as "optimally" polymerized. Hence, one needs to consider the absolute property values, not only their relative evolution concerning layer thickness. Finally, the use of NAC appeared as beneficial to reduce the risk of harmful effects to dental pulp cells, especially in case of excessive thickness use, and may therefore be of potential interest as an additive to composites in the future.
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Affiliation(s)
- M Gilli
- *Matthieu Gilli, Adult and Child Dentistry, Cliniques Universitaires Saint-Luc, Brussels, Belgium; DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, Brussels, Belgium
| | - T G Hollaert
- Thibaut G Hollaert, Adult and Child Dentistry, Cliniques Universitaires Saint-Luc, Brussels, Belgium; DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, Brussels, Belgium
| | - H M Setbon
- Hugo M Setbon, private practice; DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, Brussels, Belgium
| | - A des Rieux
- Anne des Rieux, DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, Brussels, Belgium
| | - J G Leprince
- Julian G. Leprince, Adult and Child Dentistry, Cliniques Universitaires Saint-Luc, Brussels, Belgium; DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, Brussels, Belgium
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9
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Ludovichetti FS, Lucchi P, Zambon G, Pezzato L, Bertolini R, Zerman N, Stellini E, Mazzoleni S. Depth of Cure, Hardness, Roughness and Filler Dimension of Bulk-Fill Flowable, Conventional Flowable and High-Strength Universal Injectable Composites: An In Vitro Study. NANOMATERIALS 2022; 12:nano12121951. [PMID: 35745293 PMCID: PMC9228197 DOI: 10.3390/nano12121951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 05/27/2022] [Accepted: 06/01/2022] [Indexed: 01/27/2023]
Abstract
(1) Objective: To evaluate and compare the depth of cure (DOC) of two bulk-fill flowable composites (Filtek Bulk Fill Flowable Restorative and Tetric EvoFlow Bulk Fill), two conventional flowable composites (Filtek Supreme XTE Flowable Restorative and G-ænial Flo X) and one high-strength universal injectable composite (G-ænial Universal Injectable). (2) Methods: specimens were placed in a stainless-steel mold with an orifice of 4 mm in diameter and 10 mm in depth and light-cured for 20 s using a light emitting diode (LED) light-curing unit (LCU) with an irradiance of 1000 mW/cm2; depth of cure was assessed using the ISO 4049 scrape technique, and the absolute length of the specimen of cured composite was measured in millimeters with a digital caliper. The same procedure was repeated with 14 samples for each material under investigation, for a total number of 70 test bodies. Material roughness and hardness results were also investigated using, respectively, a 3D laser confocal microscope (LEXT OLS 4100; Olympus) at ×5 magnification and a Vickers diamond indenter (Vickers microhardness tester, Shimadzu®, Kyoto, Japan) under 10-N load and a 30 s dwell time. SEM images at 3000 and 9000 magnification were collected in order to study the materials’ filler content. Statistical analysis were performed by a commercial statistical software package (SPSS) and data were analyzed using multiple comparison Dunnett’s test. (3) Results: The average DOC of both bulk-fill composites was more than 4 mm, as a range of 3.91 and 4.53 mm with an average value of 4.24 and 4.12 mm, while that of the conventional flowable composites was much lower, as a range of 2.47 and 2.90 mm with an average value of 2.58 and 2.84 mm; DOC of the high-strength injectable composite was greater than the one of traditional composites, but not to the level of bulk-fill materials, as a range of 2.82 and 3.01 mm with an average value of 3.02 mm. Statistical analysis revealed significant differences (p-values < 0.05) in the depth of cure between bulk fill flowable composites and other composites, while there was no difference (p-values > 0.05) between the materials of the same type. (4) Conclusions: Bulk-fill flowable composites showed significantly higher depth of cure values than both traditional flowable composites and high-strength injectable composites.
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Affiliation(s)
- Francesco Saverio Ludovichetti
- Department of Neurosciences–Dentistry Section, Università degli Studi di Padova, 35121 Padova, Italy; (P.L.); (G.Z.); (E.S.); (S.M.)
- Correspondence: ; Tel.: +39-0498212040
| | - Patrizia Lucchi
- Department of Neurosciences–Dentistry Section, Università degli Studi di Padova, 35121 Padova, Italy; (P.L.); (G.Z.); (E.S.); (S.M.)
| | - Giulia Zambon
- Department of Neurosciences–Dentistry Section, Università degli Studi di Padova, 35121 Padova, Italy; (P.L.); (G.Z.); (E.S.); (S.M.)
| | - Luca Pezzato
- Department of Industrial Engineering, Università degli Studi di Padova, 35121 Padova, Italy; (L.P.); (R.B.)
| | - Rachele Bertolini
- Department of Industrial Engineering, Università degli Studi di Padova, 35121 Padova, Italy; (L.P.); (R.B.)
| | - Nicoletta Zerman
- Department of Pediatric Dentisrty, Università degli Studi di Verona, 37129 Verona, Italy;
| | - Edoardo Stellini
- Department of Neurosciences–Dentistry Section, Università degli Studi di Padova, 35121 Padova, Italy; (P.L.); (G.Z.); (E.S.); (S.M.)
| | - Sergio Mazzoleni
- Department of Neurosciences–Dentistry Section, Università degli Studi di Padova, 35121 Padova, Italy; (P.L.); (G.Z.); (E.S.); (S.M.)
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10
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Jacobsen PH, Chadwick RG. What lies behind the quality assurance of your materials? Br Dent J 2022; 232:630-632. [PMID: 35562463 DOI: 10.1038/s41415-022-4196-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 01/20/2022] [Indexed: 11/09/2022]
Abstract
In dentistry, all reputable manufacturers comply with international standards. This is important for quality assurance of dental materials. How such standards came into being and have evolved, however, is perhaps less well-known. This paper covers the necessity and formulation of standards and illustrates their application with reference to materials that may be considered as potential alternatives to dental amalgam. In addition, the uncertainties around such a framework following Brexit are summarised. Robust standards are essential for consumer protection and international trade.
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Affiliation(s)
- Peter H Jacobsen
- Chair, British Standards Institution Committee CH 106 Dentistry, Cardiff, CF23 7HP, UK
| | - R Graham Chadwick
- Professor of Operative Dentistry and Dental Materials Science, University of Dundee, UK.
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11
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Abdelwahed AG, Essam S, Abdelaziz MM. Marginal Adaptation and Depth of Cure of Flowable versus Packable Bulk-fill Restorative Materials: An In Vitro StudyMarginal Adaptation and Depth of Cure of Flowable versus Packable Bulk-fill Restorative Materials: An In Vitro Study. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.8353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Aim: To investigate the marginal adaptation and depth of cure of a flowable bulk-fill giomer (BEAUTIFIL Flow Plus X [BFP]), a flowable bulk-fill resin composite (PALFIQUE BULK FLOW [PBF]) bulk-fill resin composite, a packable bulk-fill giomer (BEAUTIFL-Bulk Restorative [BBR]), and two packable bulk-fill resin composites (X-tra fil [XF]) and (Filtek™ One Bulk Fill Restorative [FOB]).
Materials and Methods: Twenty-five standardized class II cavities were prepared in the occlusomesial surfaces of maxillary premolars. A self-etching dental adhesive was used. All restorative materials were applied, and light cured according to their manufacturer's instructions. The teeth were subjected to 2500 thermal cycles between 5° C and 55° C. Epoxy resin replicas were obtained to examine the marginal by calculating the percentage of the continuous margin over the total margin length. using SEM at 200× magnification. For assessing the depth of cure, fifty specimens with 4 mm height were prepared. Vickers microhardness testing was used to assess the depth of cure was calculating the bottom-to-top ratio of each specimen. If this ratio reaches 0.80 or more, an adequate depth of cure is achieved.
Results: Regarding marginal adaptation, there was no significant difference between different groups before (p=0.398) and after (p=0.644) thermocycling. Within all groups, there was a significant decrease in marginal adaptation after thermocycling (p<0.001). Regarding the depth of cure, all restorative materials achieved the required 0.8 bottom-to-top ratio. There was a significant difference between different groups (p<0.001). The highest value was found in BFP group (0.97±0.02), while the lowest value was found in BBR group (0.81±0.11).
Conclusions: The marginal adaptation and depth of cure of bulk-fill giomer restorative materials are acceptable. Therefore, their use in restoration of 4-mm deep class II cavities is appealing.
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12
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Comparison of Different Restoration Techniques for Endodontically Treated Teeth. Int J Biomater 2022; 2022:6643825. [PMID: 35186088 PMCID: PMC8856822 DOI: 10.1155/2022/6643825] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 07/03/2021] [Accepted: 01/26/2022] [Indexed: 11/18/2022] Open
Abstract
The aim of the present study is to evaluate the physical properties of endodontically treated teeth restored with five different restorative techniques and materials. Hundred and forty extracted human molar teeth were used. In addition to five restoration groups, specimens with no restorations were used as the negative control, and intact molar teeth were used as the positive control. For flexural strength tests, material specimens were made from 5 different materials using a mould according to ISO 4049 standards. One-way ANOVA revealed that the fracture resistance was significantly affected by the restoration type. SFRC group showed the best fracture resistance values, while lowest values were seen in the GWF group. The test results of flexural strength showed values between 140 and 184 MPa and modulus of elasticity between 6.33 and 18.89 GPa (
). Under the limits of this study, results showed that SFRC can be used to increase the fracture resistance of ETT.
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13
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Effect of Light Curing Distance on Microhardness Profiles of Bulk-Fill Resin Composites. Polymers (Basel) 2022; 14:polym14030528. [PMID: 35160517 PMCID: PMC8839654 DOI: 10.3390/polym14030528] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 01/24/2022] [Accepted: 01/26/2022] [Indexed: 11/16/2022] Open
Abstract
Bulk-fill (BF) dental resin composites are made to be polymerized in increments of up to 5 mm rather than the 2 mm increment recommended for conventional composites. This project aimed to determine microhardness (MH) profiles of BF resin composites at different depths and varying light cure (LC) distances from the light source in an attempt to mimic varying clinical situations. Forty-eight cylindrical specimens (4 mm diameter and 6 mm height) were prepared from 3 BF composites: Tetric N-Ceram Bulk-Fill (TBF), Filtek One Bulk-Fill (FBF), and Sonic-Fill 2 (SF2). Four different distances (0, 2, 4, and 6 mm) from the LC unit were investigated. Vickers MH was measured at the top and bottom of the samples and at every 1 mm, by creating 3 indentations at each depth. The bottom-top microhardness ratio (MHR) and percentage reduction in MHR were also measured. Data was analyzed using mixed-model repeated-measure ANOVA at 0.05 significance level. The main variables effects “material, LC distance, and depth” were significant (p < 0.001). Increasing LC distance and the depth of the tested BF significantly affected Vickers MH and MHR. None of the tested BF materials had sufficient MHR at the depths of 4–6 mm. SF2 showed the least MHR reduction.
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14
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Leyva Del Rio D, Johnston WM. Optical characteristics of experimental dental composite resin materials. J Dent 2022; 118:103949. [PMID: 35026354 DOI: 10.1016/j.jdent.2022.103949] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 01/06/2022] [Accepted: 01/09/2022] [Indexed: 12/19/2022] Open
Abstract
OBJECTIVES To derive the K-M optical coefficients of experimental composites and compare the inherent CIE L*, a* and b* color parameters, translucency parameters and both perceptibility and acceptability thresholds. METHODS Experimental composites were prepared with 4 base-monomers: Bis-GMA, UDMA, Bis-EMA and Fit852 with TEGDMA used as a co-monomer and 3 filler:resin fractions (50:50wt%, 60:40wt% and 70:30wt%). The optical absorption (K) and scattering (S) coefficients over the visible spectra were derived. Corrected reflectivity spectra were calculated using the corrected Kubelka-Munk reflectance model and were used to calculate CIE color parameters (X, Y, Z) values. Translucency parameter (TP) was calculated using the CIEDE2000 color difference. A three-way repeated measures ANOVA was used to analyze the CIE L*a* and b* color parameters at infinite thickness. A two-way ANOVA was used to analyze the translucency parameter at 2 mm thickness. Pairwise comparisons were assessed using Bonferroni-corrected Student's t-tests. For all statistical testing α = 0.05 was used. Color parameters (ΔE00) were calculated for every experimental composite using the CIEDE2000 color differences. Perceptibility threshold (PT), acceptability threshold (AT) and translucency differences (ΔTP) were used to compare experimental composites in both filler fraction within every resin and every resin within each filler fraction. RESULTS The statistical analysis revealed a 3-way interaction (P < 0.0001) between base monomer, filler and direction factors. For the translucency parameter, when comparing filler fraction within base monomers, there were statistically significant differences between the filler fraction within all base monomers. The analysis of color differences (ΔE00) of base monomers within filler fraction revealed that the comparison between experimental composites where beyond the acceptability threshold. The comparison of the differences in translucency parameter (ΔTP) of base monomers within filler fraction were beyond the perceptibility threshold, except between base monomers UT and FT. SIGNIFICANCE Different base monomer and filler fraction combination influences the optical characteristics of experimental composites such as: light transmission, translucency, and color appearance.
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Affiliation(s)
- Diana Leyva Del Rio
- The Ohio State University, College of Dentistry, Division of Restorative and Prosthetic Dentistry, Columbus, OH 43210 USA.
| | - William Michael Johnston
- The Ohio State University, College of Dentistry, Division of Restorative and Prosthetic Dentistry, Columbus, OH 43210 USA.
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15
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Prochnow FHO, Kunz PVM, Correr GM, Kaizer MDR, Gonzaga CC. Relationship between battery level and irradiance of light-curing units and their effects on the hardness of a bulk-fill composite resin. Restor Dent Endod 2022; 47:e45. [DOI: 10.5395/rde.2022.47.e45] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 09/01/2022] [Accepted: 09/19/2022] [Indexed: 11/11/2022] Open
Affiliation(s)
| | | | - Gisele Maria Correr
- School of Health Sciences, Graduate Program in Dentistry, Universidade Positivo, Curitiba, PR, Brazil
| | - Marina da Rosa Kaizer
- School of Health Sciences, Graduate Program in Dentistry, Universidade Positivo, Curitiba, PR, Brazil
| | - Carla Castiglia Gonzaga
- School of Health Sciences, Graduate Program in Dentistry, Universidade Positivo, Curitiba, PR, Brazil
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16
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Balhaddad AA, Garcia IM, Maktabi H, Ibrahim MS, Alkhubaizi Q, Strassler H, Collares FM, Melo MAS. Errors in light-emitting diodes positioning when curing bulk fill and incremental composites: impact on properties after aging. Restor Dent Endod 2021; 46:e51. [PMID: 34909415 PMCID: PMC8636082 DOI: 10.5395/rde.2021.46.e51] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 06/10/2021] [Accepted: 06/15/2021] [Indexed: 11/29/2022] Open
Abstract
Objectives This study aimed to evaluate the effect of improper positioning single-peak and multi-peak lights on color change, microhardness of bottom and top, and surface topography of bulk fill and incremental composites after artificial aging for 1 year. Materials and Methods Bulk fill and incremental composites were cured using multi-peak and single-peak light-emitting diode (LED) following 4 clinical conditions: (1) optimal condition (no angulation or tip displacement), (2) tip-displacement (2 mm), (3) slight tip angulation (α = 20°) and (4) moderate tip angulation (α = 35°). After 1-year of water aging, the specimens were analyzed for color changes (ΔE), Vickers hardness, surface topography (Ra, Rt, and Rv), and scanning electron microscopy. Results For samples cured by single-peak LED, the improper positioning significantly increases the color change compared to the optimal position regardless of the type of composite (p < 0.001). For multi-peak LED, the type of resin composite and the curing condition displayed a significant effect on ΔE (p < 0.001). For both LEDs, the Vickers hardness and bottom/top ratio of Vickers hardness were affected by the type of composite and the curing condition (p < 0.01). Conclusions The bulk fill composite presented greater resistance to wear, higher color stability, and better microhardness than the incremental composite when subjected to improper curing. The multi-peak LED improves curing under improper conditions compared to single-peak LED. Prevention of errors when curing composites requires the attention of all personnel involved in the patient's care once the clinical relevance of the appropriate polymerization reflects on reliable long-term outcomes.
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Affiliation(s)
- Abdulrahman A Balhaddad
- Ph.D Program Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Isadora M Garcia
- Ph.D Program Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Haifa Maktabi
- Division of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Maria Salem Ibrahim
- Ph.D Program Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Qoot Alkhubaizi
- Advanced Education in General Dentistry Division, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Howard Strassler
- Division of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Fabrício M Collares
- Department of Dental Materials, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Mary Anne S Melo
- Ph.D Program Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA.,Division of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD, USA
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17
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Novel Polymerization of Dental Composites Using Near-Infrared-Induced Internal Upconversion Blue Luminescence. Polymers (Basel) 2021; 13:polym13244304. [PMID: 34960853 PMCID: PMC8704827 DOI: 10.3390/polym13244304] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 12/02/2021] [Accepted: 12/06/2021] [Indexed: 11/17/2022] Open
Abstract
Blue light (BL) curing on dental resin composites results in gradient polymerization. By incorporating upconversion phosphors (UP) in resin composites, near-infrared (NIR) irradiation may activate internal blue emission and a polymerization reaction. This study was aimed to evaluate the competency of the NIR-to-BL upconversion luminance in polymerizing dental composites and to assess the appropriate UP content and curing protocol. NaYF4 (Yb3+/Tm3+ co-doped) powder exhibiting 476-nm blue emission under 980-nm NIR was adapted and ball-milled for 4–8 h to obtain different particles. The bare particles were assessed for their emission intensities, and also added into a base composite Z100 (3M EPSE) to evaluate their ability in enhancing polymerization under NIR irradiation. Experimental composites were prepared by dispensing the selected powder and Z100 at different ratios (0, 5, 10 wt% UP). These composites were irradiated under different protocols (BL, NIR, or their combinations), and the microhardness at the irradiated surface and different depths were determined. The results showed that unground UP (d50 = 1.9 μm) exhibited the highest luminescence, while the incorporation of 0.4-μm particles obtained the highest microhardness. The combined 20-s BL and 20–120-s NIR significantly increased the microhardness on the surface and internal depths compared to BL correspondents. The 5% UP effectively enhanced the microhardness under 80-s NIR irradiation but was surpassed by 10% UP with longer NIR irradiation. The combined BL-NIR curing could be an effective approach to polymerize dental composites, while the intensity of upconversion luminescence was related to specific UP particle size and content. Incorporation of 5–10% UP facilitates NIR upconversion polymerization on dental composites.
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18
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de Resende LFM, Catelan A, Baroudi K, Palialol ARM, de Resende AM, Andreucci AC, Zanatta RF, Liporoni PCS. Mechanical Properties of Experimental Composites with Different Photoinitiator. Eur J Dent 2021; 16:167-172. [PMID: 34428844 PMCID: PMC8890916 DOI: 10.1055/s-0041-1731929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objective
The effect of different photoinitiators on mechanical properties of experimental composites was evaluated.
Materials and Methods
Resin composites were formulated by using a blend of bisphenol A-glycidyl and triethylene glycol (50/50 wt%) dimethacrylate monomers, and 65 wt% of barium aluminium silicate and silica filler particles. Photoinitiators used were 0.2% camphorquinone (CQ) and 0.8% co-initiator (DMAEMA); 0.2% phenyl-propanedione and 0.8% DMAEMA; 0.1% CQ + 0.1% phenyl propanedione and 0.8% DMAEMA; 0.42% mono(acyl)phosphine oxide (MAPO); and 0.5% bis(acyl)phosphine oxide (BAPO). Specimens (
n
= 10) were light cured by using a multiple-emission peak light-emitting diode for 20 seconds at 1,200 mW/cm
2
of irradiance and Knoop hardness and plasticization, depth of cure, flexural strength, and elastic modulus were evaluated. Data were statiscally analyzed at significance level of α = 5%.
Results
Experimental composites containing MAPO and BAPO photoinitiators showed the highest values of flexural strength, elastic modulus, top surface hardness, and lower hardness reduction caused by alcohol compared with CQ. Composites containing CQ and PPD showed similar results, except for depth of cure and hardness of bottom surface.
Conclusion
BAPO and MAPO showed higher flexural strength, elastic modulus, hardness on top surface, and lower polymer plasticization to CQ.
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Affiliation(s)
| | - Anderson Catelan
- Department of Dentistry, Faculty of Health Sciences, University of Western São Paulo, Presidente Prudente, São Paulo, Brazil
| | - Kusai Baroudi
- School of Dentistry, University of Taubaté, Taubaté, São Paulo, Brazil
| | - Alan Rodrigo Muniz Palialol
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil
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19
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Li H, Huang Y, Zhou X, Zhu C, Han Q, Wang H, Xu HHK, Ren B, Cheng L. Intelligent pH-responsive dental sealants to prevent long-term microleakage. Dent Mater 2021; 37:1529-1541. [PMID: 34412907 DOI: 10.1016/j.dental.2021.08.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 08/02/2021] [Accepted: 08/04/2021] [Indexed: 11/16/2022]
Abstract
OBJECTIVES Microleakage is a determinant factor of failures in sealant application. In this study, DMAEM (dodecylmethylaminoethyl methacrylate), a pH-responsive antibacterial agent, was incorporated into resin-based sealant for the first time. The objectives of this study were to: (1) investigate the long-term performance of DMAEM-modified sealants against oral microbial-aging; and (2) investigate the long-term preventive effect of DMAEM-modified sealants on microleakage. METHODS Depth-of-cure and cytotoxicity of DMAEM-modified sealants were measured. Then, an aging model using biofilm derived from the saliva of high caries experience children was conducted. After aging, microhardness and surface roughness were measured. Biofilm activity, lactic acid production and exopolysaccharide (EPS) production were measured. 16S rRNA gene sequencing were also performed. The effects of DMAEM on microleakage were tested using an in vitro microleakage assessment. RESULTS The addition of DMAEM with a mass fraction of 2.5-10% did not affect depth-of-cure values and cytotoxicity of sealants. Adding 2.5-10% DMAEM did not affect the surface roughness and microhardness after aging. Compared to control, adding 2.5-10% DMAEM reduced biofilm metabolic activity by more than 80%. The lactic acid production and EPS production were reduced by 50% in DMAEM groups. DMAEM-modified sealants maintained the microbial diversity of biofilm after aging, they also inhibited the growth of lactobacillus. The 5% and 10% DMAEM groups exhibited a significant reduction in microleakage compared to control. SIGNIFICANCE The long-term antibacterial activities against oral microbial-aging and the long-term microecosystem-regulating capabilities enabled DMAEM-modified sealant to prevent microleakage in sealant application and thus prevent dental caries.
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Affiliation(s)
- Hao Li
- State Key Laboratory of Oral Diseases, West China School of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu, 610041, China; Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Yuyao Huang
- State Key Laboratory of Oral Diseases, West China School of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu, 610041, China; Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Xuedong Zhou
- State Key Laboratory of Oral Diseases, West China School of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu, 610041, China; Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Chengguang Zhu
- State Key Laboratory of Oral Diseases, West China School of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu, 610041, China; Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Qi Han
- State Key Laboratory of Oral Diseases, West China School of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu, 610041, China; Department of Oral Pathology, West China School of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Haohao Wang
- State Key Laboratory of Oral Diseases, West China School of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu, 610041, China; Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Hockin H K Xu
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USA.
| | - Biao Ren
- State Key Laboratory of Oral Diseases, West China School of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu, 610041, China.
| | - Lei Cheng
- State Key Laboratory of Oral Diseases, West China School of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu, 610041, China; Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu, 610041, China.
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20
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Rummani G, Ide K, Hosaka K, Tichy A, Abdou A, Otsuki M, Nakajima M. Regional ultimate tensile strength and water sorption/solubility of bulk-fill and conventional resin composites: The effect of long-term water storage. Dent Mater J 2021; 40:1394-1402. [PMID: 34305051 DOI: 10.4012/dmj.2021-101] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The effect of long-term water storage on the regional ultimate tensile strength (UTS), water sorption (Wsp) and water solubility (Wsl) of conventional and bulk-fill resin composites at various depths was investigated. Composite specimens light-cured from one side were sectioned into beams corresponding to different depths (1-5 mm) and stored in water for 24 h, 1 week, 1 month, 6 months or 1 year. UTS increased during the first week and then gradually decreased over time, especially in deeper regions. Bulk-fill composites initially exhibited similar UTS at all depths, whereas the UTS of conventional composites at 1 mm and 5 mm differed significantly at all time points. Wsp and Wsl increased with depth and storage time, markedly at 3-5 mm after 1 month for conventional composites and after 6 months for bulk-fill composites. The signs of degradation at depths beyond 3 mm suggested that even bulk-fill composites have suboptimal properties in layers more than 3 mm in thickness.
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Affiliation(s)
- Ghassan Rummani
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Kurumi Ide
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Keiichi Hosaka
- Department of Regenerative Dental Medicine, Tokushima University Graduate School of Biomedical Sciences
| | - Antonin Tichy
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.,Institute of Dental Medicine, First Faculty of Medicine of the Charles University and General University Hospital in Prague
| | - Ahmed Abdou
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.,Biomaterials Department, Faculty of Dentistry, Modern University for Technology and Information
| | - Masayuki Otsuki
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Masatoshi Nakajima
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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21
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Lien W, Roberts H, Vandewalle K. Hardness Development in Resin Composite Core Materials. J Prosthodont 2021; 31:305-313. [PMID: 34087039 DOI: 10.1111/jopr.13399] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/01/2021] [Indexed: 12/01/2022] Open
Abstract
PURPOSE To investigate the hardness characteristics of 13 contemporary resin core materials. MATERIALS AND METHODS Specimens (n = 12) were fabricated using stainless steel molds with top surfaces of dual-cure products photopolymerized while additional groups were allowed to self-cure. Twelve Knoop hardness indentations 500 microns apart were obtained of photopolymerized top and bottom sample surfaces as well as the self-cured sample surface with the mean recorded as the representative sample hardness. Testing was completed at 10 minutes, 1 hour, and 24 hours. In addition, hardness values were compared to that obtained from polished coronal dentin samples. Mean data between groups were analyzed with Kruskal-Wallis/Dunn's, within groups with repeated measures ANOVA/Tukey's. RESULTS Hardness results were material dependent. All but two products demonstrated a 0.8 bottom/top Knoop hardness ratio at 10 minutes. Product's self-cure cure reaction did not attain hardness similarity with any photopolymerized top surfaces and while some materials were found to have similar dentin hardness to resin top surface ratio similarity, only one product had hardness equal to or greater than that of dentin during any time period. CONCLUSIONS Under this study's conditions, hardness development was material dependent and all but two products demonstrated adequate hardness-derived degree of cure assessment at 10 minutes after preparation. Self-cured samples demonstrated hardness increase; however, no self-cured material achieved hardness similarity to photopolymerized top surfaces. None of the materials achieved hardness similarity to dentin and only one product demonstrated hardness greater than that of dentin.
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Affiliation(s)
- Wen Lien
- USAF Dental Research & Consultation Service, JBSA-Fort Sam Houston, San Antonio, Texas
| | - Howard Roberts
- University of Kentucky, College of Dentistry, Lexington, Kentucky.,Uniformed Services University of the Health Sciences, Postgraduate Dental School, Bethesda, Maryland
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22
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Dental Bulk-Fill Resin Composites Polymerization Efficiency: A Systematic Review and Meta-Analysis. JOURNAL OF COMPOSITES SCIENCE 2021. [DOI: 10.3390/jcs5060149] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Dental Bulk-Fill Composites (BFCs) and Bulk-Fill Flowables (BFFs) were introduced in the market to facilitate efficient bulk filling of cavities up to 5 mm. The aim of this study was to synthesize the literature investigating their polymerization efficiency. A comprehensive search of PubMed and the Cochrane Library from 2010 to January 2019 was performed using the medical subject headings. Screening of the titles, abstracts and full text was performed. Data extraction for relevant information was done on the included studies. Clinically relevant parameters were selected to present the study estimates (meta-analysis) using a random effects model for polymerization efficiency (Degree of Conversion (DC) and Depth of Cure (DoC)). Twenty one studies fulfilled the inclusion criteria and were included in the analysis reporting seven BFCs and nine BFFs. Ten materials reported acceptable DC values of above 55% and ten materials reported adequate DoC values. Most of the stated materials reported adequate DC and DoC values in at least one investigation with BFFs showing higher and more acceptable values compared to packable BFCs. It is suggested that future studies be carried out using a standard methodology following the ISO 4049 standard and manufacturer’s instructions to compare results.
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23
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Ghajari MF, Sheikholeslamian M, Ghasemi A, Simaei L. Effect of Different Application Techniques of Universal Bonding System on Microtensile Bond Strength of Bulk-Fill Composites to Primary and Permanent Dentin. Front Dent 2021; 17:1-8. [PMID: 33615296 PMCID: PMC7882192 DOI: 10.18502/fid.v17i1.3962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Accepted: 11/29/2019] [Indexed: 11/24/2022] Open
Abstract
Objectives This study aimed to determine the microtensile bond strength (μTBS) of a bulk-fill composite to permanent and primary coronal dentin using a universal adhesive in self-etch and total-etch modes. Materials and Methods This in-vitro study was performed on 52 occlusal dentinal surfaces of human primary and permanent teeth. The crowns were cut to the gingival level. The 48 prepared dentin sections were randomly assigned to the following groups (n=13): A: Primary/Total-etch, B: Primary/Self-etch, C: Permanent/Total-etch, and D: Permanent/Self-etch. In groups A and C, after etching for 15 seconds, two layers of a universal bonding (Futurabond U) were applied and cured for 10 seconds. All samples were filled with a bulk-fill composite (x-trafil; VOCO) and cured for 40 seconds. The samples were cut to a bar-shaped dentin block with the dimensions of 1×1×1 mm3, and after 10,000 thermocycles, the μTBS test was accomplished at a crosshead speed of 1 mm/minute. The mean and standard deviation (SD) of μTBS were calculated, and the data were analyzed using two-way analysis of variance (ANOVA) and Fisher's exact test. Results The mean μTBS was as follows: A: 15.03±2.0279, B: 11.11±2.4423, C: 23.50±4.8165, and D: 16.26±6.3200 MPa. Futurabond U showed a higher μTBS in the total-etch mode (P<0.001). The permanent teeth had greater μTBS than the primary teeth (P<0.001). Similar percentages of failure modes were observed in the total-etch groups but in the self-etch groups, most failures were in the form of adhesive and mixed. Conclusion Greater μTBS was observed in the permanent teeth with the total-etch technique.
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Affiliation(s)
- Masoud Fallahinejad Ghajari
- Dental Research Center, Research Institute of Dental Sciences, Department of Pediatric Dentistry, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahsa Sheikholeslamian
- Dental Research Center, Research Institute of Dental Sciences, Department of Restorative Dentistry, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Amir Ghasemi
- Dental Research Center, Research Institute of Dental Sciences, Department of Restorative Dentistry, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Leila Simaei
- Department of Pediatric Dentistry, Dental School, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Ali S, Sangi L, Kumar N, Kumar B, Khurshid Z, Zafar MS. Evaluating antibacterial and surface mechanical properties of chitosan modified dental resin composites. Technol Health Care 2021; 28:165-173. [PMID: 31594266 DOI: 10.3233/thc-181568] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
BACKGROUND The antibacterial properties are beneficial and desired for dental restorative composite materials. The incorporation of various antimicrobial agents into resin composites may compromise their physical and mechanical properties hence limiting their applications. OBJECTIVE The aim of the current study is to evaluate the antibacterial activity and the hardness of microhybrid and flowable resin based composites (RBCs) modified using novel antimicrobial agent chitosan (CS). METHODS The antibacterial activity of microhybrid and flowable RBCs modified with 0, 0.25, 0.5 and 1% w/w chitosan (CS) against Actinomyces viscous bacteria was explored using agar diffusion test and direct contact methods. The hardness of control and experimental RBCs was determined by Vickers hardness (VH) tester. RESULTS The results revealed that control and experimental flowable and microhybrid RBCs did not demonstrate growth inhibition zone in the lawn growth of Actinomyces viscous. The direct contact test revealed that colony forming unit (CFU) count of Actinomyces viscous was comparable among the experimental and control materials. The flowable RBCs containing 1% CS had significantly higher VH compared to control and other experimental flowable RBC groups. The microhybrid RBCs consisting of 0.50% CS exhibited significantly higher VH compared to experimental microhybrid RBC group containing 1% CS.
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Affiliation(s)
- Shahid Ali
- Department of Science of Dental Materials, Bibi Aseefa Dental College, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan
| | - Laila Sangi
- Department of Operative Dentistry, Institute of Dentistry, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Naresh Kumar
- Department of Science of Dental Materials, Dow International Dental College, Dow University of Health Sciences, Karachi, Pakistan
| | - Bharat Kumar
- Department of Prosthodontics, Dow International Dental College, Dow University of Health Sciences, Karachi, Pakistan
| | - Zohaib Khurshid
- Department of Prosthodontics and Dental Biomaterials, College of Dentistry, King Faisal University, Al-Ahsa, Saudi Arabia
| | - Muhammad S Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah Al Munawwarah, Saudi Arabia.,Department of Dental Material, RIPHAH International University, Islamabad, Pakistan
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Slack WE, Yancey EM, Lien W, Sheridan R, Phoenix R, Vandewalle K. Effect of high-irradiance light curing on exposure times and pulpal temperature of adequately polymerized composite. Dent Mater J 2020; 39:976-983. [PMID: 32727961 DOI: 10.4012/dmj.2019-236] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study investigated the effect of high-irradiance light-curing on exposure time and pulpal temperature of adequately-cured composite. Composite placed in a molar preparation was cured using high-irradiance light-curing units (Flashmax P3, Valo, S.P.E.C. 3 LED, Cybird XD) and tested for hardness occlusal-gingivally. The first group had exposure times set according to manufacturer settings (recommended), second group to yield 80% of maximum hardness at the 2 mm depth (experimental), and third group was set at 20 s (extended). Exposure time necessary to adequately polymerize the composite at 2 mm depth was 9 s for the Cybird XD and Valo and 12 s for S.P.E.C. 3 LED and Flashmax P3. None of the high-irradiance light-curing units adequately polymerized the composite at the manufacturer-recommended minimum-exposure times of 1-3 s. Exposure times necessary to adequately polymerize composite at 2 mm resulted in a maximum pulpal-temperature increase well below the temperature associated with possible pulpal necrosis.
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Affiliation(s)
| | | | - Wen Lien
- USAF Dental Research and Consultation Service
| | | | - Rodney Phoenix
- Postgraduate Dental College, Uniformed Services University of the Health Sciences
| | - Kraig Vandewalle
- Advanced Education in General Dentistry Residency.,Uniformed Services University of the Health Sciences
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Fanfoni L, De Biasi M, Antollovich G, Di Lenarda R, Angerame D. Evaluation of degree of conversion, rate of cure, microhardness, depth of cure, and contraction stress of new nanohybrid composites containing pre-polymerized spherical filler. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2020; 31:127. [PMID: 33247779 DOI: 10.1007/s10856-020-06464-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 11/03/2020] [Indexed: 06/12/2023]
Abstract
The aim of the present study was to characterize nanohybrid and nanofilled composites in terms of degree of conversion (DC), rate of cure (RC), microhardness (Vickers hardness number; VHN), depth of cure, and contraction stress (CS). Ceram.X® universal- A3, duo enamel E2, and duo dentin D3 composites were compared to Tetric EvoCeram® and FiltekTMSupreme XTE composites of equivalent dentin and enamel shades under a 40 s photopolymerization protocol. DC was measured by infrared spectroscopy, calculating RC from the kinetic curve. Top and bottom VHN were determined using a Vickers indenter, and bottom/top surface ratio (Vickers hardness ratio; VHR) calculated. CS vs. time was assessed by a universal testing machine and normalized for the specimen bonding area. All materials showed DC < 60%, Ceram.X® composites reaching higher values than the other composites of corresponding shades. RC at 5 s of photopolymerization was always higher than that at 10 s. All the Ceram.X® composites and the lighter-shaded Tetric EvoCeram® and FiltekTMSupreme XTE composites reached the RC plateau after 25 s, the remaining materials showed a slower kinetic trend. Tetric EvoCeram® and FiltekTMSupreme XTE composites displayed the softest and the hardest surfaces, respectively. Differently from darker-shaded materials, the universal and the three enamel-shaded composites resulted optimally cured (VHR > 80%). The tested composites differed in CS both during and after light cure, Tetric EvoCeram® and FiltekTMSupreme XTE composites displaying the highest and the lowest CS, respectively. Only the Ceram.X® universal-A3 reached a CS plateau value. The tested composites exhibited material-dependent chemo-mechanical properties. Increasing the curing time and/or reducing the composite layer thickness for dentin-shaded composites appears advisable.
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Affiliation(s)
- Lidia Fanfoni
- University Clinical Department of Medical, Surgical, and Health Sciences, University of Trieste, Trieste, Italy
| | - Matteo De Biasi
- University Clinical Department of Medical, Surgical, and Health Sciences, University of Trieste, Trieste, Italy
| | - Gabriele Antollovich
- University Clinical Department of Medical, Surgical, and Health Sciences, University of Trieste, Trieste, Italy
| | - Roberto Di Lenarda
- University Clinical Department of Medical, Surgical, and Health Sciences, University of Trieste, Trieste, Italy
| | - Daniele Angerame
- University Clinical Department of Medical, Surgical, and Health Sciences, University of Trieste, Trieste, Italy.
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Arbildo-Vega HI, Lapinska B, Panda S, Lamas-Lara C, Khan AS, Lukomska-Szymanska M. Clinical Effectiveness of Bulk-Fill and Conventional Resin Composite Restorations: Systematic Review and Meta-Analysis. Polymers (Basel) 2020; 12:polym12081786. [PMID: 32785019 PMCID: PMC7464794 DOI: 10.3390/polym12081786] [Citation(s) in RCA: 61] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 08/01/2020] [Accepted: 08/07/2020] [Indexed: 12/11/2022] Open
Abstract
The objective of this systematic review and meta-analysis was to determine the clinical effectiveness of bulk-fill and conventional resin in composite restorations. A bibliographic search was carried out until May 2020, in the biomedical databases Pubmed/MEDLINE, EMBASE, Scopus, CENTRAL and Web of Science. The study selection criteria were: randomized clinical trials, in English, with no time limit, with a follow-up greater than or equal to 6 months and that reported the clinical effects (absence of fractures, absence of discoloration or marginal staining, adequate adaptation marginal, absence of post-operative sensitivity, absence of secondary caries, adequate color stability and translucency, proper surface texture, proper anatomical form, adequate tooth integrity without wear, adequate restoration integrity, proper occlusion, absence of inflammation and adequate point of contact) of restorations made with conventional and bulk resins. The risk of bias of the study was analyzed using the Cochrane Manual of Systematic Reviews of Interventions. Sixteen articles were eligible and included in the study. The results indicated that there is no difference between restorations with conventional and bulk resins for the type of restoration, type of tooth restored and restoration technique used. However, further properly designed clinical studies are required in order to reach a better conclusion.
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Affiliation(s)
- Heber Isac Arbildo-Vega
- Department of General Dentistry, Dentistry School, Universidad San Martín de Porres, Chiclayo 14012, Peru;
- Department of General Dentistry, Dentistry School, Universidad Particular de Chiclayo, Chiclayo 14012, Peru
| | - Barbara Lapinska
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland;
| | - Saurav Panda
- Department of Periodontics and Oral Implantology, Siksha ‘O’ Anusandhan Univeristy, Bhubaneswar 751003, India;
- Department of Biomedical, Surgical and Dental Sciences, Universita Degli Studi di Milano, 20122 Milano, Italy
| | - César Lamas-Lara
- Department of General Dentistry, Stomatology School, Universidad Peruana Los Andes, Lima 15072, Peru;
| | - Abdul Samad Khan
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia;
| | - Monika Lukomska-Szymanska
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland;
- Correspondence: ; Tel.: +48-42-675-74-61
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Makhdoom SN, Campbell KM, Carvalho RM, Manso AP. Effects of curing modes on depth of cure and microtensile bond strength of bulk fill composites to dentin. J Appl Oral Sci 2020; 28:e20190753. [PMID: 32638829 PMCID: PMC7340207 DOI: 10.1590/1678-7757-2019-0753] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Accepted: 05/19/2020] [Indexed: 11/22/2022] Open
Abstract
Objectives To compare the microtensile bond strength (µTBS) and depth of cure (DOC) of bulk-fill composites cured by monowave (MW) and polywave (PW) LED units using different curing times. Methodology Three composites were tested: Tetric EvoCeram Bulk Fill (TBF), Filtek Bulk Fill (FBF), and Tetric EvoCeram (T; control). Flat dentin surfaces treated with adhesive (AdheSE Universal®, Ivoclar Vivadent) were bonded with 4 mm cylindrical samples of each bulk-fill composite material (n=6) and cured with monowave (Satelec) or polywave (Bluephase Style) curing units for 10 or 20 seconds. After 24 hours, teeth were sectioned into individual 0.9 mm2 beams and tested for µTBS. Failure modes were analysed. Moreover, the DOC scrape test (IOS 4090) was completed (n=5) following the same curing protocols. Two-way ANOVA (a=0.05) was performed, isolating light-curing units. Results For samples cured with the MW light-curing unit, no significant effects were observed in the µTBS results between any of the resin composite brands and the curing times. Conversely, when resins were cured with a PW light unit, a significant effect was observed for TBF resin. In general, bulk-fill composites presented greater DOC and longer curing time resulted in higher DOC for all composites. Conclusion The µTBS of the composites to dentin was not affected by the curing mode of the resins, except for TBF cured with PW light unit. Bulk-fill composites exhibit greater DOC than conventional resin-based composites.
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Affiliation(s)
- Sara N Makhdoom
- Department of Oral Health Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, Canada
| | - Karen M Campbell
- Graduate Program in Pediatric Dentistry, Faculty of Dentistry, University of Toronto, Toronto, Canada
| | - Ricardo Marins Carvalho
- Department of Oral Biological and Medical Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, Canada
| | - Adriana Pigozzo Manso
- Department of Oral Health Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, Canada
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Tabassum S, Hameed MH, Khan FR. Comparison of the Depth of Cure of Flowable Composites Polymerized at Variable Increment Thicknesses and Voltages: An In vitro Study. Contemp Clin Dent 2020; 10:220-225. [PMID: 32308281 PMCID: PMC7145244 DOI: 10.4103/ccd.ccd_635_18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Objectives The aim of this study is to compare the depth of cure of two composite materials (SDR and Filtek bulk-fill) cured at variable increment depths (2, 4, and 6 mm) and voltages (180 and 220 volts). Materials and Methods Each sample of the composite material was packed in a mold of 2 mm, 4 mm, and 6 mm and curing light (quartz tungsten halogen) of optimal intensity was exposed for 20 s at 2 different voltages on each specimen. After curing, the specimens were removed and the composite on the nonexposed end was scraped with a plastic instrument. The remaining composite thickness was measured using a digital Vernier caliper. The reading was divided by half to follow the ISO 4049 method. Independent sample t-test, one-way ANOVA, and linear regression analysis were applied. Level of significance was kept at 0.01. Results The mean DOC of SDR and Filtek were 1.93 ± 0.82 and 1.77 ± 0.65 mm. Lowering the voltage from 220 to 180 volts reduced the depth of Filtek from 1.87 ± 0.74 to 1.67 ± 0.54 mm, whereas the DOC of SDR remained unchanged at 1.93 mm at the two voltages. The adjusted R 2 for the depth of cure was 0.93 when the increment thickness, voltage, and restorative material were taken together in the regression model. Conclusions There was no statistically significant difference between SDR and Filtek for the depth of cure at 2 and 4 mm increments. However, at 6 mm increment, the SDR cured significantly deeper than the Filtek. Around 91% variation in the depth of cure of these composites materials is explained by increment thickness alone.
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Affiliation(s)
- Sadia Tabassum
- Department of Operative Dentistry, Jinnah Medical and Dental College, Karachi, Pakistan
| | | | - Farhan Raza Khan
- Department of Operative Dentistry, Aga Khan University Hospital, Karachi, Pakistan
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Colombo M, Gallo S, Poggio C, Ricaldone V, Arciola CR, Scribante A. New Resin-Based Bulk-Fill Composites: in vitro Evaluation of Micro-Hardness and Depth of Cure as Infection Risk Indexes. MATERIALS (BASEL, SWITZERLAND) 2020; 13:1308. [PMID: 32183115 PMCID: PMC7143874 DOI: 10.3390/ma13061308] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 02/19/2020] [Accepted: 03/11/2020] [Indexed: 11/17/2022]
Abstract
The current in vitro study evaluated the Vickers hardness number (VHN) and hardness ratio of four bulk-fill composites (VisCalor bulk; Admira Fusion x-tra; x-tra fil; and GrandioSO x-tra-Voco, Cuxhaven, Germany) to assess the risk of bacterial colonization in comparison with standard composite materials. Thirty samples were prepared for each group. The VHN of both the external (top) and internal surface (bottom) was determined with a micro-hardness tester (200 g load for 15 s), and the hardness ratio was also calculated for each sample. Subsequently, storage in an acidic soft drink (Coca-Cola, Coca-Cola Company, Milano, Italy) was performed; for each group, 10 samples were stored for 1 day, while another 10 were stored for 7 days and the remaining 10 were kept in water as controls. A significant reduction in VHN was shown for all the groups when comparing the external versus internal side (P < 0.05), although the hardness ratio was greater than 0.80, resulting in an adequate polymerization. Regarding the acid storage, all the groups showed a significant decrease of VHN when compared with the controls, both after 1 day (P < 0.05) and after 7 days (P < 0.001). All the products showed adequate depth of cure without further risk of bacterial colonization. However, acid exposure negatively affected micro-hardness values, which might promote subsequent colonization.
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Affiliation(s)
- Marco Colombo
- Department of Clinical, Surgical, Diagnostic and Paediatric Sciences – Section of Dentistry, University of Pavia, Piazzale Golgi 2, 27100 Pavia, Italy; (M.C.); (V.R.); (A.S.)
| | - Simone Gallo
- Department of Clinical, Surgical, Diagnostic and Paediatric Sciences – Section of Dentistry, University of Pavia, Piazzale Golgi 2, 27100 Pavia, Italy; (M.C.); (V.R.); (A.S.)
| | - Claudio Poggio
- Department of Clinical, Surgical, Diagnostic and Paediatric Sciences – Section of Dentistry, University of Pavia, Piazzale Golgi 2, 27100 Pavia, Italy; (M.C.); (V.R.); (A.S.)
| | - Vittorio Ricaldone
- Department of Clinical, Surgical, Diagnostic and Paediatric Sciences – Section of Dentistry, University of Pavia, Piazzale Golgi 2, 27100 Pavia, Italy; (M.C.); (V.R.); (A.S.)
| | - Carla Renata Arciola
- IRCCS Istituto Ortopedico Rizzoli, Laboratorio di Patologia delle Infezioni Associate all’Impianto, via di Barbiano 1/10, 40136 Bologna, Italy
- Department of Experimental, Diagnostic and Specially Medicine, University of Bologna, via San Giacomo 14, 40126 Bologna, Italy
| | - Andrea Scribante
- Department of Clinical, Surgical, Diagnostic and Paediatric Sciences – Section of Dentistry, University of Pavia, Piazzale Golgi 2, 27100 Pavia, Italy; (M.C.); (V.R.); (A.S.)
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Li KY, Tsai CC, Lin TC, Wang YL, Lin FH, Lin CP. Fluorinated Montmorillonite and 3YSZ as the Inorganic Fillers in Fluoride-Releasing and Rechargeable Dental Composition Resin. Polymers (Basel) 2020; 12:polym12010223. [PMID: 31963243 PMCID: PMC7023564 DOI: 10.3390/polym12010223] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Revised: 01/11/2020] [Accepted: 01/13/2020] [Indexed: 12/29/2022] Open
Abstract
Dental caries (tooth decay) is the most frequent oral disease in humans. Filling cavities with a dental restorative material is the most common treatment, and glass ionomer cements are the main fluoride ion release restorative materials. The goal of this study was to develop a restorative compound with superior fluoride ion release and recharge abilities. Previously developed fluorinated bentolite and hydrophobized 3YSZ were used as two different inorganic fillers mixed in a bisphenol A-glycidyl methacrylate (Bis-GMA) matrix. XRD, FTIR, and TGA were used to determine the hydrophobic modification of these two inorganic fillers. In mechanical tests, including diameter tensile strength, flexural strength, and wear resistance, the developed composite resin was significantly superior to the commercial control. A WST-1 assay was used to confirm that the material displayed good biocompatibility. Furthermore, the simulation of the oral environment confirmed that the composite resin had good fluoride ion release and reloading abilities. Thus, the composite resin developed in this study may reduce secondary caries and provide a new choice for future clinical treatments.
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Affiliation(s)
- Keng-Yuan Li
- Institute of Biomedical Engineering, National Taiwan University, No.49, Fanglan Rd., Da’an Dist., Taipei 10672, Taiwan; (K.-Y.L.); (T.-C.L.)
| | - Cheng-Chia Tsai
- Department of Neurosurgery, Mackay Memorial Hospital, No.92, Sec. 2, Zhongshan N. Rd., Zhongshan Dist., Taipei 10449, Taiwan;
| | - Tzu-Chieh Lin
- Institute of Biomedical Engineering, National Taiwan University, No.49, Fanglan Rd., Da’an Dist., Taipei 10672, Taiwan; (K.-Y.L.); (T.-C.L.)
| | - Yin-Lin Wang
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, No.1, Sec. 1, Ren’ai Rd., Zhongzheng Dist., Taipei 10051, Taiwan;
- National Taiwan University Hospital, College of Medicine, National Taiwan University, No.1, Changde St., Zhongzheng Dist., Taipei 10048, Taiwan
| | - Feng-Huei Lin
- Institute of Biomedical Engineering, National Taiwan University, No.49, Fanglan Rd., Da’an Dist., Taipei 10672, Taiwan; (K.-Y.L.); (T.-C.L.)
- Institute of Biomedical Engineering and Nanomedicine, National Health Research Institutes, No.35, Keyan Rd., Zhunan Township, Miaoli County 35053, Taiwan
- Correspondence: (F.-H.L.); (C.-P.L.); Tel.: +886-2-2732-0443 (F.-H.L.); +886-2-2312-3456 (C.-P.L.)
| | - Chun-Pin Lin
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, No.1, Sec. 1, Ren’ai Rd., Zhongzheng Dist., Taipei 10051, Taiwan;
- National Taiwan University Hospital, College of Medicine, National Taiwan University, No.1, Changde St., Zhongzheng Dist., Taipei 10048, Taiwan
- Correspondence: (F.-H.L.); (C.-P.L.); Tel.: +886-2-2732-0443 (F.-H.L.); +886-2-2312-3456 (C.-P.L.)
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Bek Kürklü ZG, Kalkan Deveci C. Evaluation of microhardness and Bis-GMA release of a new composite restorative material. ACTA ODONTOLOGICA TURCICA 2020. [DOI: 10.17214/gaziaot.599405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Aggarwal N, Jain A, Gupta H, Abrol A, Singh C, Rapgay T. The comparative evaluation of depth of cure of bulk-fill composites - An in vitro study. J Conserv Dent 2019; 22:371-375. [PMID: 31802822 PMCID: PMC6873606 DOI: 10.4103/jcd.jcd_453_18] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Introduction Resin-based composites (RBCs), as restorative dental materials, have given a new dimension to conservative and esthetic dentistry. The objective of the present study is to evaluate and compare the depth of cure of RBC's for posterior use: Sculptable bulk-fill composite - Tetric N-Ceram bulk fill (TNCBF), Flowable bulk-fill composites-TetricEvoflow bulk fill (TEFBF), Surefil SDR bulk fill (SDRBF), Dual cure bulk fill-Fill-Up (FDCBF) with conventional RBC-Esthet-X flow (EXF) and Filtex Z250 (FZ). Materials and Methods A standardized polyacrylic mold was bulk filled with each of the six composites and light-cured for 20 s, followed by 24 h storage in water. The surface hardness was measured on the top and the bottom by recording Vickers hardness number by Vickers hardness indenter. Results The mean bottom surface hardness value (HV) of SDR and TEFBF exceeded 80% of the top surface HV (HV-80%). Low viscosity bulk-fill composites (SDR and Tetric Evoflow) were properly cured in 4-mm increments. The TNCBF, high-viscosity composite, and Fill-Up, dual-cure bulk fill were not sufficiently cured in 4-mm increments. Conclusion With increase in incremental thickness, HV decreased for the conventional resin composite but generally remained constant for the bulk-fill resin composites.
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Affiliation(s)
- Nidhi Aggarwal
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
| | - Anjula Jain
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
| | - Hitesh Gupta
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
| | - Aman Abrol
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
| | - Charanjeet Singh
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
| | - Tenzin Rapgay
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
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Erickson RL, Barkmeier WW. Comparisons of ISO depth of cure for a resin composite in stainless-steel and natural-tooth molds. Eur J Oral Sci 2019; 127:556-563. [PMID: 31553092 DOI: 10.1111/eos.12652] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The purpose of this study was to compare the depth of cure (DOC) of a resin-based composite (RBC) using the ISO DOC protocol with stainless-steel and molar-tooth molds (4 mm cylindrical cavity). The tooth mold included testing with and without the occlusal surface being covered with black tape around the cavity opening. The RBC was cured with either halogen (HAL) or light-emitting diode (LED) light. The results showed that specimens made in the non-taped tooth mold had DOCs that were significantly greater (28%-35%) than those in the stainless-steel mold. The taped tooth mold also produced significantly greater DOCs, but only by 6%-8%. Knoop hardness (KNH) measurements along the central axis of the RBC specimens showed that depths for 80% of maximum hardness were substantially greater than those determined by the ISO DOC protocol but were limited to the center and quickly dropped below 80% in a lateral direction. The KHN mapping for each of the three molds found that the ISO DOCs could validate a KHN of ≥80% across the RBC to the periphery, only for the non-taped tooth mold. This was due to light incident on the tooth surrounding the RBC being scattered into the RBC.
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Affiliation(s)
- Robert L Erickson
- Department of General Dentistry, Creighton University School of Dentistry, Omaha, NE, USA
| | - Wayne W Barkmeier
- Department of General Dentistry, Creighton University School of Dentistry, Omaha, NE, USA
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Hasslen JA, Barkmeier WW, Shaddy RS, Little JR. Depth of cure of high-viscosity bulk-fill and conventional resin composites using varying irradiance exposures with a light-emitting diode curing unit. J Oral Sci 2019; 61:425-430. [PMID: 31341121 DOI: 10.2334/josnusd.18-0245] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
The purpose of this study was to determine the depth of cure (DOC) of three resin-based composites (RBCs) using varying irradiance exposures with a corded light-emitting diode curing unit. DOCs for Filtek Z250, TPH Spectra, and Tetric EvoCeram Bulk Fill were determined using the International Organization for Standardization (ISO) Standard 4049. The RBCs were light-polymerized using three different power modes and manufacturer-recommended curing times. Irradiance was determined using a spectrometer sensor and the total energy density was calculated for each power mode and concomitant polymerization time. The DOC data were analyzed with a two-way analysis of variance and Tukey's post hoc test. Tetric EvoCeram Bulk Fill produced significantly greater DOCs than TPH and Z250 (P < 0.05) for all three power mode settings. Overall, the DOC of Tetric EvoCeram Bulk Fill was greater than those of TPH and Z250 at all power settings, but the individual RBCs did not show a significant DOC difference among the three power settings (P > 0.05).
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Affiliation(s)
- Jennifer A Hasslen
- Department of General Dentistry, Creighton University School of Dentistry
| | - Wayne W Barkmeier
- Department of General Dentistry, Creighton University School of Dentistry
| | - Raymond S Shaddy
- Department of General Dentistry, Creighton University School of Dentistry
| | - Jared R Little
- Department of General Dentistry, Creighton University School of Dentistry
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Sartori N, Knezevic A, Peruchi LD, Phark JH, Duarte S. Effects of Light Attenuation through Dental Tissues on Cure Depth of Composite Resins. Acta Stomatol Croat 2019; 53:95-105. [PMID: 31341317 PMCID: PMC6604562 DOI: 10.15644/asc53/2/1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
Objective Polymerization of light-cured resin-based materials is well documented; however, the intensity of the activating light can be reduced by passage through air, dental structure, or restoration compromising the physical properties of the restoration. The aim of this study was to evaluate the depth of cure of different light cured composite resins polymerized directly or transdental, through enamel and enamel/dentin tissues. Material and methods Five composite resins were selected for this experiment: SureFil SDR, Dentsply (SDR), Filtek Supreme Plus, 3M ESPE (FSP), Aelite LS, Bisco (ALS), Filtek LS, 3M ESPE (FLS), and TPH, Dentsply (TPH). Thirty specimens of each material were prepared with 2- or 4-mm thickness. The specimens were light-cured (Elipar 2500, 3M ESPE) for 40 sec using three different protocols: direct or transdental, through a disc of enamel with 1 mm of thickness, and a disc of enamel and dentin with 2 mm of thickness. Eight Vickers microhardness (VH) measurements were taken from each specimen, four on top and four on bottom surface (Micromet, Buehler, 100 g per 15 sec). Data was analyzed with ANOVA three-way, Tukey HSD post-hoc (α = .05). Results Bottom surfaces of specimens exhibited statistically significant lower Vickers microhardness than the top surfaces for all composite resin evaluated, regardless of the curing conditions, except for the SDR when direct light-cured. Transdental light curing through enamel/dentin layer, significantly decreased VH (P<0.05) on the bottom surface of all composite groups. Conclusion The results of this study showed that light-curing attenuation of dental structures negatively affect the micro-hardness of composite resins.
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Affiliation(s)
- Neimar Sartori
- Division of Restorative Sciences, Herman Ostrow School of Dentistry of USC, University of Southern California, Los Angeles, CA, USA. 925 W 34th Street, DEN 4365, Los Angeles, CA 90089-0641
| | - Alena Knezevic
- Division of Restorative Sciences, Herman Ostrow School of Dentistry of USC, University of Southern California, Los Angeles, CA, USA. 925 W 34th Street, DEN 4365, Los Angeles, CA 90089-0641
| | - Lais Dalmagro Peruchi
- Advanced Education in Pediatric Dentistry. NYU Langone - CA South 8110 Birmingham Way, San Diego, California 92123
| | - Jin-Ho Phark
- Division of Restorative Sciences, Herman Ostrow School of Dentistry of USC, University of Southern California, Los Angeles, CA, USA. 925 W 34th Street, DEN 4365, Los Angeles, CA 90089-0641
| | - Sillas Duarte
- Division of Restorative Sciences, Herman Ostrow School of Dentistry of USC, University of Southern California, Los Angeles, CA, USA. 925 W 34th Street, DEN 4365, Los Angeles, CA 90089-0641
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Al-Zain AO, Eckert GJ, Platt JA. The Influence of Distance on Radiant Exposure and Degree of Conversion Using Different Light-Emitting-Diode Curing Units. Oper Dent 2019; 44:E133-E144. [DOI: 10.2341/18-004-l] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives:
To investigate the influence of curing distance on the degree of conversion (DC) of a resin-based composite (RBC) when similar radiant exposure was achieved using six different light-curing units (LCUs) and to explore the correlation among irradiance, radiant exposure, and DC.
Methods and Materials:
A managing accurate resin curing-resin calibrator system was used to collect irradiance data for both top and bottom specimen surfaces with a curing distance of 2 mm and 8 mm while targeting a consistent top surface radiant exposure. Square nanohybrid-dual-photoinitiator RBC specimens (5 × 5 × 2 mm) were cured at each distance (n=6/LCU/distance). Irradiance and DC (micro-Raman spectroscopy) were determined for the top and bottom surfaces. The effect of distance and LCU on irradiance, radiant exposure, and DC as well as their linear associations were analyzed using analysis of variance and Pearson correlation coefficients, respectively (α=0.05).
Results:
While maintaining a similar radiant exposure, each LCU exhibited distinctive patterns in decreased irradiance and increased curing time. No significant differences in DC values (63.21%-70.28%) were observed between the 2- and 8-mm distances, except for a multiple-emission peak LCU. Significant differences in DC were detected among the LCUs. As expected, irradiance and radiant exposure were significantly lower on the bottom surfaces. However, a strong correlation between irradiance and radiant exposure did not necessarily result in a strong correlation with DC.
Conclusions:
The RBC exhibited DC values >63% when the top surface radiant exposure was maintained, although the same values were not reached for all lights. A moderate-strong correlation existed among irradiance, radiant exposure, and DC.
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Affiliation(s)
- AO Al-Zain
- Afnan O Al-Zain, BDS, MSD, PhD, King Abdulaziz University, Faculty of Dentistry, Restorative Dentistry Department, Jeddah, Saudi Arabia
| | - GJ Eckert
- George J Eckert, MS, Indiana University School of Medicine, Division of Biostatistics, Indianapolis, IN, USA
| | - JA Platt
- Jeffrey A Platt, DDS, MS, Indiana University, Department of Biomedical and Applied Sciences, Indianapolis, IN, USA
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Rizzante FAP, Duque JA, Duarte MAH, Mondelli RFL, Mendonça G, Ishikiriama SK. Polymerization shrinkage, microhardness and depth of cure of bulk fill resin composites. Dent Mater J 2019; 38:403-410. [PMID: 30918231 DOI: 10.4012/dmj.2018-063] [Citation(s) in RCA: 54] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The present in vitro study assessed the polymerization shrinkage/PS, Knoop microhardness/KHN and depth of cure/DC of 9 different resin composites : Filtek Bulk Fill Flowable (FBF), Surefill SDR flow (SDR), Xtra Base (XB), Filtek Z350XT Flowable (Z3F), Filtek Bulk Fill Posterior (FBP), Xtra Fill (SF), Tetric Evo Ceram Bulk Fill (TBF), Admira Fusion Xtra (ADM), and Filtek Z350XT (Z3XT). PS was assessed with a µ-CT machine, scanning 64 mm3 samples (n=8) before and after 20 s curing. KHN and DC were performed with a microhardness tester (n=8 for each group) right after 20 s light curing, with 3 readings per depth at every 0.5 mm. Low viscosity resin composites showed lower KHN values when compared with high viscosity resins. Z3XT showed the highest microhardness among the tested resin composites. Z3XT and Z3F showed lower DC when compared with bulk fill resin composites. All bulk fill resin composites presented depth of cure higher than 4.5 mm and similar or lower PS than conventional resin composites.
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Affiliation(s)
| | - Jussaro Alves Duque
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo
| | - Marco Antônio Húngaro Duarte
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo
| | - Rafael Francisco Lia Mondelli
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo
| | - Gustavo Mendonça
- Department of Biologic and Material Sciences, Division of Prosthodontics, University of Michigan School of Dentistry
| | - Sérgio Kiyoshi Ishikiriama
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo
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Al-Zain AO, Eckert GJ, Lukic H, Megremis S, Platt JA. Polymerization pattern characterization within a resin-based composite cured using different curing units at two distances. Clin Oral Investig 2019; 23:3995-4010. [PMID: 30737620 DOI: 10.1007/s00784-019-02831-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Accepted: 01/25/2019] [Indexed: 12/14/2022]
Abstract
OBJECTIVES To investigate the relationship of the irradiance-beam-profile areas from six different light-curing units (LCUs) with the degree of conversion (DC), microhardness (KH), and cross-link density (CLD) throughout a resin-based composite (RBC) cured at two clinically relevant distances, and to explore the correlations among them. MATERIALS AND METHODS A mapping approach was used to measure DC using micro-Raman spectroscopy, KH using a Knoop indentor on a hardness tester, and %KH reduction after ethanol exposure, as an indicator for CLD within a nano-hybrid RBC increment (n = 3) at various depths. These sample composites were cured from two distances while maintaining the radiant exposure, using six different light-curing units: one quartz-tungsten-halogen; two single and three multiple-emission-peak light-emitting-diode units. Irradiance beam profiles were generated for each LCU at both distances, and localized irradiance values were calculated. Points across each depth were analyzed using repeated measures ANOVA. Correlations across multiple specimen locations and associations between beam uniformity corresponding with polymerization measurements were calculated using linear mixed models and Pearson correlation coefficients. RESULTS Significant non-uniform polymerization patterns occurred within the specimens at various locations and depths. At 2-mm curing distance, the localized DC = 52.7-76.8%, KH = 39.0-66.7 kg/mm2, and %KH reduction = 26.7-57.9%. At 8-mm curing distance, the localized DC = 50.4-78.6%, KH = 40.3-73.7 kg/mm2, and %KH reduction = 28.2-56.8%. The localized irradiance values were weakly correlated with the corresponding DC, KH, and %KH reduction, with only a few significant correlations (p < 0.05). CONCLUSIONS Although significant differences were observed at each depth within the specimens, the localized irradiance values for all LCUs did not reflect the polymerization pattern and did not seem to have a major influence on polymerization patterns within the RBC, regardless of the curing distance. CLINICAL RELEVANCE Commonly used LCUs do not produce uniform polymerization regardless of the curing distance, which may contribute to the risk of RBC fracture.
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Affiliation(s)
- Afnan O Al-Zain
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box: 80209, Jeddah, 21589, Saudi Arabia.
| | - George J Eckert
- Department of Biostatistics, Indiana University School of Medicine, Indiana University Purdue University Indianapolis, Indianapolis, IN, USA
| | - Henry Lukic
- Research and Standards, American Dental Association Science Institute, Chicago, IL, USA
| | - Spiro Megremis
- Research and Standards, American Dental Association Science Institute, Chicago, IL, USA
| | - Jeffrey A Platt
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indiana University Purdue University Indianapolis, Indianapolis, IN, USA
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Alquria T, Al Gady M, Khabeer A, Ali S. Types of polymerisation units and their intensity output in private dental clinics of twin cities in eastern province, KSA; a pilot study. J Taibah Univ Med Sci 2019; 14:47-51. [PMID: 31435389 PMCID: PMC6694879 DOI: 10.1016/j.jtumed.2018.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 11/10/2018] [Accepted: 11/12/2018] [Indexed: 11/24/2022] Open
Abstract
Objectives Light-cured resin-based composites (RBCs) are the preferred option to restore teeth. Dental light-curing units (LCUs) should deliver adequate light energy to ensure good mechanical properties, dimensional stability, and biocompatibility of the RBC. The aim of this study was to determine the types of LCUs and their intensity output in private dental clinics. Methods A form was developed to record information related to the type of curing lights and their intensity output. A total of 400 curing devices were evaluated using a digital radiometer in 58 private dental clinics. For each device, three separate 10-s readings were taken and the average was calculated. For quartz tungsten halogen (QTH) units, a light intensity below 300 mW/cm2 was considered unsatisfactory, whereas for light-emitting diode (LED) units, a reading below 600 mW/cm2 was considered unsatisfactory. Results Out of 400 curing lights, 354 were LEDs and 46 were QTH units. A total of 13% of the lights were considered unsatisfactory. Of the LED units, 12.4% had a light intensity of less than 600 mW/cm2, whereas QTH had 17.3% units with an intensity of less than 300 mW/cm2. Conclusion The frequency of LCUs showed a trend towards LED units in private dental clinics, whereas the mean intensity value from the LED was higher than that from QTH units. Overall, the radiometer is a good tool to assess the intensity output of LCUs.
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Use of Artificial Neural Network in Determination of Shade, Light Curing Unit, and Composite Parameters' Effect on Bottom/Top Vickers Hardness Ratio of Composites. BIOMED RESEARCH INTERNATIONAL 2018; 2018:4856707. [PMID: 30539012 PMCID: PMC6260521 DOI: 10.1155/2018/4856707] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2018] [Revised: 09/15/2018] [Accepted: 10/01/2018] [Indexed: 11/28/2022]
Abstract
Objective To assess the influence of light emitting diode (LED) and quartz tungsten halogen (QTH) light curing unit (LCU) on the bottom/top (B/T) Vickers Hardness Number (VHN) ratio of different composites with different shades and determination of the most significant effect on B/T VHN ratio of composites by shade, light curing unit, and composite parameters using artificial neural network. Method Three composite resin materials [Clearfil Majesty Esthetic (CME), Tetric N Ceram (TNC), and Tetric Evo Ceram (TEC)] in different shades (HO, A2, B2, Bleach L, Bleach M) were used. The composites were polymerized with three different LED LCUs (Elipar S10, Bluephase 20i, Valo) and halogen LCU (Hilux). Vickers hardness measurements were made at a load of 100 g for 10 sec on the top and bottom surfaces and B/T VHN ratio calculated. The data were statistically analyzed with three-way ANOVA and Tukey test at a significance level of 0.05. The obtained measurements and data were then fed to a neural network to establish the correlation between the inputs and outputs. Results There were no significant differences between the B/T VHN ratio of LCUs for the HO and B shades of CME (p>0.05), but there were significant differences between the B/T VHN ratio of LCUs for shade A2 (p<0.05). No significant difference was determined between the B/T VHN ratio of LCUs for all shades of TNC (p>0.05). For TEC, there was no significant difference between the B/T VHN ratio of halogen and LED LCUs (p>0.05), but a significant difference was determined among the LED LCUs (p<0.05). The artificial neural network results showed that a combination of the curing light and composite parameter had the most significant effect on the B/T VHN ratio of composites. Shade has the lowest effect on the B/T VHN ratio of composites. Conclusion The B/T VHN ratio values of different resin-based composite materials may vary depending on the light curing device. In addition, the artificial neural network results showed that the LCU and composite parameter had the most significant effect on the B/T VHN ratio of the composites. Shade has the lowest effect on the B/T VHN ratio of composites.
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Besegato JF, Jussiani EI, Andrello AC, Fernandes RV, Salomão FM, Vicentin BLS, Dezan-Garbelini CC, Hoeppner MG. Effect of light-curing protocols on the mechanical behavior of bulk-fill resin composites. J Mech Behav Biomed Mater 2018; 90:381-387. [PMID: 30419538 DOI: 10.1016/j.jmbbm.2018.10.026] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Revised: 10/10/2018] [Accepted: 10/16/2018] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To investigate the effect of two light-curing protocols on mechanical behavior of three bulk-fill resin composites (BFRC) considering their optical properties. METHODS One increment of 4 mm thickness of the bulk-fill resin composites Opus Bulk Fill, Tetric N-Ceram and Filtek Bulk Fill Flow were submitted to two different light-curing protocols: Sp - irradiance of 1000 mW/cm2 (20 s); Xp - irradiance of 3200 mW/cm2 (6 s). To assess the influence on the mechanical behavior it was studied polymerization shrinkage by X-ray microtomography (n = 3), Vickers hardness (n = 10) at the top and bottom surfaces of the samples, irradiance reaching the bottom surface (n = 3) and absorbance spectrum during the light-curing time interval (n = 3). Data were analyzed by two-way ANOVA test for parametric data and Kruskal Wallis test, followed by Wilcoxon or Mann-Whitney U post-test, for non-parametric data. RESULTS All BFRCs contracted when light-cured, with greater contraction for Xp. Filltek Bulk Fill Flow showed highest polymerization shrinkage, for both Sp and Xp. All BFRCs showed minor hardness values on the bottom surface, with greater reduction for Xp. All BFRCs exhibited a decrease in irradiance at 4 mm depth. A decrease in absorbance intensity throughout the light-cure was observed, except for Opus Bulk Fill. CONCLUSIONS Regardless BFRCs composition, the light-curing protocol with lower irradiance and longer exposure time results in lower polymerization shrinkage and higher hardness. The higher irradiance in a shorter time interval compromises the mechanical behavior of the resin composites, which may result in undesirable clinical outcomes.
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Affiliation(s)
- João Felipe Besegato
- Department of Restorative Dentistry, State University of Londrina - UEL, Rua Pernambuco 540, 86020-120 Londrina, PR, Brazil.
| | - Eduardo Inocente Jussiani
- Department of Physics, State University of Londrina - UEL, Rodovia Celso Garcia Cid, Pr 445 Km 380, 86057-970 Londrina, PR, Brazil
| | - Avacir Casanova Andrello
- Department of Physics, State University of Londrina - UEL, Rodovia Celso Garcia Cid, Pr 445 Km 380, 86057-970 Londrina, PR, Brazil
| | - Ricardo Vignoto Fernandes
- Department of Physics, State University of Londrina - UEL, Rodovia Celso Garcia Cid, Pr 445 Km 380, 86057-970 Londrina, PR, Brazil
| | - Fabio Martins Salomão
- Department of Restorative Dentistry, Araçatuba Dental School, São Paulo State University - UNESP, Rua José Bonifácio 1193, 16015-050 Araçatuba, SP, Brazil
| | - Bruno Luiz Santana Vicentin
- Department of Physics, State University of Londrina - UEL, Rodovia Celso Garcia Cid, Pr 445 Km 380, 86057-970 Londrina, PR, Brazil
| | - Cássia Cilene Dezan-Garbelini
- Department of Oral Medicine and Pediatric Dentistry, State University of Londrina - UEL, Rua Pernambuco 540, 86020-120 Londrina, PR, Brazil
| | - Márcio Grama Hoeppner
- Department of Restorative Dentistry, State University of Londrina - UEL, Rua Pernambuco 540, 86020-120 Londrina, PR, Brazil
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Drost T, Reimann S, Frentzen M, Meister J. Effectiveness of photopolymerization in composite resins using a novel 445-nm diode laser in comparison to LED and halogen bulb technology. Lasers Med Sci 2018; 34:729-736. [PMID: 30291465 DOI: 10.1007/s10103-018-2651-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2018] [Accepted: 09/27/2018] [Indexed: 11/25/2022]
Abstract
Challenges especially in the minimal invasive restorative treatment of teeth require further developments of composite polymerization techniques. These include, among others, the securing of a complete polymerization with moderate thermal stress for the pulp. The aim of this study is to compare current light curing sources with a blue diode laser regarding curing depth and heat generation during the polymerization process. A diode laser (445 nm), a LED, and a halogen lamp were used for polymerizing composite resins. The curing depth was determined according to the norm ISO 4049. Laser output powers of 0.1, 0.5, 1, and 2 W were chosen. The laser beam diameter was adapted to the glass rod of the LED and the halogen lamp (8 mm). The irradiation time was fixed at 40 s. To ascertain ΔT values, the surface and ground area temperatures of the cavities were simultaneously determined during the curing via a thermography camera and a thermocouple. The curing depths for the LED (3.3 mm), halogen lamp (3.1 mm) and laser(0.5/1 W) (3/3.3 mm) showed no significant differences (p < 0.05). The values of ΔTsurface as well as ΔTground also showed no significant differences among LED, halogen lamp, and laser(1 W). The ΔTsurface values were 4.1LED, 4.3halogen lamp, and 4.5 °C for the laser while the ΔTground values were 2.7LED, 2.6halogen lamp, and 2.9 °C for the laser. The results indicate that the blue diode laser (445 nm) is a feasible alternative for photopolymerization of complex composite resin restorations in dentistry by the use of selected laser parameters.
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Affiliation(s)
- Thomas Drost
- Department of Operative and Preventive Dentistry, Bonn University, Dental Faculty, Welschnonnenstrasse 17, 53111, Bonn, Germany
| | - Susanne Reimann
- Oral Technology, Bonn University, Dental Faculty, 53111, Bonn, Germany
| | - Matthias Frentzen
- Department of Operative and Preventive Dentistry, Bonn University, Dental Faculty, Welschnonnenstrasse 17, 53111, Bonn, Germany
| | - Jörg Meister
- Department of Operative and Preventive Dentistry, Bonn University, Dental Faculty, Welschnonnenstrasse 17, 53111, Bonn, Germany.
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Bociong K, Szczesio A, Krasowski M, Sokolowski J. The influence of filler amount on selected properties of new experimental resin dental composite. OPEN CHEM 2018. [DOI: 10.1515/chem-2018-0090] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
AbstractAim of the study was to evaluate the influence of filler amounts on mechanical properties and contraction stress of light-curing experimental composite. Hardness, flexural strength, diametral tensile strength of material filled with 40, 50 or 60 wt. % of silanized silica were tested. The contraction stress was measured after 24 h by means of photoelastic study. The addition of 40-60 wt. % filler to composite caused significant increase in hardness, Young’s modulus and flexural strength. The DTS, after incorporating filler into polymer matrix, was valued at ~26 MPa. The composite containing 40 wt. % of filler demonstrated significantly lower contraction stress in comparison to neat resin and filled > 50 wt. % of silica.
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Affiliation(s)
- Kinga Bociong
- University Laboratory of Materials Research, Medical University of Lodz, 251 Pomorska St., 92-213Lodz, Poland
| | - Agata Szczesio
- University Laboratory of Materials Research, Medical University of Lodz, 251 Pomorska St., 92-213Lodz, Poland
| | - Michal Krasowski
- University Laboratory of Materials Research, Medical University of Lodz, 251 Pomorska St., 92-213Lodz, Poland
| | - Jerzy Sokolowski
- Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213Lodz, Poland
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Eliguzeloglu Dalkilic E, Donmez N, Kazak M, Duc B, Aslantas A. Microhardness and water solubility of expired and non-expired shelf-life composites. Int J Artif Organs 2018; 42:25-30. [DOI: 10.1177/0391398818790626] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background: The aim of this study was to determine the Vickers hardness and water solubility of expired and non-expired shelf-life bulk-fill and conventional dental composite material. Methods: Four different expired (E) (after 6 months) and non-expired (N) shelf-life composite resin materials (Clearfil Majesty ES-2 Enamel, Clearfil Majesty ES-2 Dentin, Tetric N-Ceram Bulk-Fill, and Tetric N-Ceram) were used. For each tested material, seven specimens were prepared and polymerized with a light curing unit. Vickers hardness measurements were made on the top and bottom surfaces. For the water sorption test, initially all specimens were weighted, the thickness and diameter of each specimen were measured, and the average volume of specimen was calculated. Then, each specimen was immersed in distilled water and kept in an incubator for 7 days and finally weighed again. Results: There was not any statistically significant difference between the microhardness results of expired and non-expired shelf-life composites on the top and bottom surfaces (p > 0.05). No significant difference was determined between the non-expired shelf-life composite materials on the top surfaces (p > 0.05). Non-expired Clearfil Majesty ES-2 Dentin showed lower microhardness than non-expired Tetric N-Ceram Bulk-Fill and non-expired Tetric N-Ceram on the bottom surface (p < 0.05). Expired Clearfil Majesty ES-2 Dentin showed lower microhardness results than expired Tetric N-Ceram Bulk-Fill on the top and bottom surfaces (p < 0.05). There was not any significant difference between the water sorption results of expired and non-expired shelf-life composites (p > 0.05). Expired Clearfil Majesty ES-2 Dentin showed higher water sorption than expired Tetric N-Ceram E-TN (p < 0.05). Conclusion: Expiration date did not affect the microhardness and water sorption of bulk-fill and conventional composites. The hardness and water sorption of the composite materials varied depending on the type of composites.
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Affiliation(s)
| | - Nazmiye Donmez
- Department of Restorative Dentistry, Faculty of Dentistry, Bezmialem Vakif University, İstanbul, Turkey
| | - Magrur Kazak
- Department of Restorative Dentistry, Faculty of Dentistry, Bezmialem Vakif University, İstanbul, Turkey
| | - Bugra Duc
- Faculty of Dentistry, Bezmialem Vakif University, İstanbul, Turkey
| | - Akif Aslantas
- Faculty of Dentistry, Bezmialem Vakif University, İstanbul, Turkey
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46
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GRATTAROLA L, DERCHI G, DIASPRO A, GAMBARO C, SALERNO M. Local viscoelastic response of direct and indirect dental restorative composites measured by AFM. Dent Mater J 2018; 37:365-373. [DOI: 10.4012/dmj.2017-048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
| | | | | | - Carla GAMBARO
- Department of Mechanical Engineering, University of Genova
| | - Marco SALERNO
- Department of Nanophysics, Istituto Italiano di Tecnologia
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47
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Karacolak G, Turkun LS, Boyacioglu H, Ferracane JL. Influence of increment thickness on radiant energy and microhardness of bulk-fill resin composites. Dent Mater J 2017; 37:206-213. [PMID: 29176302 DOI: 10.4012/dmj.2017-032] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Determining the energy transferred at the bottom of eleven bulk-fill resin composites, comparing top and bottom microhardness's and evaluating the correlation between microhardness and radiant energy were aimed. Samples were placed over the bottom sensor of a visible light transmission spectrophotometer and polymerized for 20 s. The bottom and top Knoop microhardness were measured. Paired t-test and correlation analysis were used for statistics (p≤0.05). In all groups, the bottom radiant energy decreased significantly with increasing thickness. For groups of Aura 2 mm, X-tra Fil 2 and 4 mm, SDR 2 and 4 mm, X-tra Base 2 mm no significant difference was found between top and bottom microhardness. For the bottom levels of Aura, X-tra Fil, Filtek Bulk-Fill Posterior, SDR, X-tra Base groups no significant difference was found between the microhardness's of 2 and 4 mm thicknesses. For X-tra Fil, Tetric Evo Ceram Bulk-Fill, Filtek Bulk-Fill Flowable and Z100 groups radiant energy affected positively the microhardness.
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Affiliation(s)
- Gamze Karacolak
- Department of Restorative Dentistry, School of Dentistry, Ege University
| | - L Sebnem Turkun
- Department of Restorative Dentistry, School of Dentistry, Ege University
| | | | - Jack L Ferracane
- Department of Restorative Dentistry, School of Dentistry, Oregon Health & Science University
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48
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Rodriguez A, Yaman P, Dennison J, Garcia D. Effect of Light-Curing Exposure Time, Shade, and Thickness on the Depth of Cure of Bulk Fill Composites. Oper Dent 2017; 42:505-513. [DOI: 10.2341/16-057-l] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Purpose:
To investigate the effect of different light exposure times, shades, and thicknesses on the depth of cure (DOC) of bulk fill composites.
Methods and Materials:
Two bulk fill composites, Tetric EvoCeram Bulk Fill (TBF) and Sonic Fill (SF), and a conventional composite, Filtek Supreme Ultra (FSU), were evaluated. Samples (n=10) were made using two different shades (light and dark), thicknesses (2 and 4 mm) and exposure times (20 and 40 seconds). A Tukon 2100B-testing machine was used to obtain three Knoop hardness numbers (KHNs) measured at the top and bottom of each sample, and DOC was calculated as the bottom/top ratio. Statistical analysis was done using a Student t-test for comparisons between groups with a Bonferroni correction of p < 0.004.
Results:
Top hardness values ranged from 79.79 to 85.07 for FSU, 69.49 to 91.65 for SF, and 51.01 to 57.82 for TBF. Bottom KHNs ranged from 23.54 to 73.25 for FSU, 45.74 to 77.12 for SF, and 36.95 to 52.51 for TBF. TBF had the lowest overall KHNs. Light-curing exposure time, shade, and material thickness influenced the DOC in most groups, especially at 4-mm depths. A higher bottom/top ratio was achieved when a 40-second cure was compared to a 20-second cure, when light shades were compared to dark shades, and when 2-mm increments were compared to 4-mm increments.
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Affiliation(s)
- A Rodriguez
- Alexandra Rodriguez, DDS, MS, Department of Restorative Dentistry, University of Illinois at Chicago, Chicago, IL USA
| | - P Yaman
- Peter Yaman, DDS, MS, Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
| | - J Dennison
- Joseph Dennison, DDS, MS, Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
| | - D Garcia
- Daniela Garcia, DDS, MS, Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
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49
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Sousa-Lima RX, Silva LJA, Chaves LVF, Geraldeli S, Alonso RCB, Borges BCD. Extensive Assessment of the Physical, Mechanical, and Adhesion Behavior of a Low-viscosity Bulk Fill Composite and a Traditional Resin Composite in Tooth Cavities. Oper Dent 2017; 42:E159-E166. [DOI: 10.2341/16-299-l] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives:
To compare the degree of conversion (DC), depth of polymerization (DP), shrinkage stress (SS), flexural strength (FS), elastic modulus (EM), and bond strength (BS) of a low-viscosity bulk fill resin composite and a paste-like traditional composite.
Methods:
Tetric Evo-Flow Bulk Fill (TBF) and Empress Direct (ED; Ivoclar Vivadent) composites were used. DC (%) and FS/EM (MPa/GPa) were evaluated in bar specimens (7×2×1 mm; n=10) using Fourier-transform infrared spectroscopy and a three-point bending test in a universal testing machine (UTM), respectively. For DP and BS tests, conical cavities (n=10) were prepared in bovine dentin and restored with the composites. DP was analyzed by calculating the bottom-to-top surface microhardness ratio (BTHR), and BS (MPa) was determined by push-out testing in the UTM. SS (MPa) was measured for one increment of TBF and two increments of ED in a UTM attached to an extensometer (n=5). Data were analyzed using Student t-test and analysis of variance (α=0.05).
Results:
TBF presented higher values than ED for DC (85.7±6.6% vs 54.2±4.9%) and BS (0.95±0.70 MPa vs 0.35±0.15 MPa). TBF values were lower than ED values for FS (76.6±16.8 MPa vs 144.9±24.1 MPa) and maximum SS (0.77±0.07 MPa vs 1.07±0.15 MPa). TBF and ED values were similar for BTHR (0.83±0.16 vs 0.84±0.08) and EM (11.5±2.8 GPa vs 12.5±2.6 GPa).
Conclusions:
The physical and mechanical properties of TBF, a bulk fill resin composite, were similar or superior to those of ED, a conventional composite, with the exception of FS measurements.
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50
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Grandi VH, Berger SB, Fugolin APP, Gonini-Júnior A, Lopes MB, Consani S, Guiraldo RD. Microtensile Bond Strength and Microhardness of Composite Resin Restorations Using a Sonic-Resin Placement System. Braz Dent J 2017; 28:618-623. [PMID: 29215688 DOI: 10.1590/0103-6440201701469] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Accepted: 07/03/2017] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate the efficacy of applying sonic energy on microtensile bond strength and microhardness after the restoration process. A total of 40 human third molars were extracted. Class II cavities were prepared and restored with composite SonicFill or Filtek Z350 XT with and without the application of sonic energy. After the teeth were stored in water for 24 h, the teeth were sectioned into sticks (1.0 mm2) and subjected to tensile testing. For a depth Knoop hardness test, the samples were cut and indentations were made sequentially from the surface of the samples to the bottom of the samples in three intervals of 1 mm each. The samples were then subjected to a load of 50 g for 10 s. The results from the tensile (factors: placement system and composite) and hardness (factors: placement system, composite and depth) tests were subjected to the Kolmogorov-Smirnov normality test, followed by analysis of variance and Tukey's test (5% significance). For the placement system factor, higher bond strength was observed for the cavities that were restored with sonic energy (p < 0.001). For depth Knoop hardness, the hardness at 1 mm depth was significantly greater than that at 3 mm depth just for the restorations with Filtek Z350 XT composite without the application of sonic energy. Therefore, the use of sonic energy during the restorative process improved bonding, yet it did not markedly affect the depth hardness for both composites.
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Affiliation(s)
- Victor Hugo Grandi
- Department of Restorative Dentistry, School of Dentistry, UNOPAR - Universidade Norte do Paraná, Londrina, PR, Brazil
| | - Sandrine Bittencourt Berger
- Department of Restorative Dentistry, School of Dentistry, UNOPAR - Universidade Norte do Paraná, Londrina, PR, Brazil
| | | | - Alcides Gonini-Júnior
- Department of Restorative Dentistry, School of Dentistry, UNOPAR - Universidade Norte do Paraná, Londrina, PR, Brazil
| | - Murilo Baena Lopes
- Department of Restorative Dentistry, School of Dentistry, UNOPAR - Universidade Norte do Paraná, Londrina, PR, Brazil
| | - Simonides Consani
- Department of Restorative Dentistry, Piracicaba Dental School, UNICAMP - Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Ricardo Danil Guiraldo
- Department of Restorative Dentistry, School of Dentistry, UNOPAR - Universidade Norte do Paraná, Londrina, PR, Brazil
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